Eosinophilic Esophagitis Treatment
Eosinophilic esophagitis (EoE) is a complex disorder that affects both children and adults. The prevalence of EoE has been increasing in recent years, and it is estimated to affect up to 1 in 2,000 people in the United States. The exact cause of EoE is not fully understood, but it is believed to be a combination of genetic and environmental factors.
EoE is characterized by the abnormal accumulation of eosinophils, a type of white blood cell, in the esophageal lining. Eosinophils are a key component of the immune system and are normally present in small numbers in the body. However, in EoE, eosinophils infiltrate the esophageal tissue and cause inflammation, leading to a range of symptoms.
EoE can have a significant impact on a patient’s quality of life, and it can lead to malnutrition and other complications if left untreated. It is important to seek specialized care from gastroenterologists and allergists who are familiar with the management of this condition.
Work with Gastroenterologists
Dr. Tyler Basen at Pacific Allergy & Asthma is a leading allergist who works closely with gastroenterologists in Orange County to help diagnose and treat patients with EoE. He understands that patients with EoE require specialized care, and he works closely with gastroenterologists to provide comprehensive care that addresses both the allergy and the gastrointestinal aspects of the condition.
Symptoms of EoE
The symptoms of EoE can vary from person to person, and they can range from mild to severe. The most common symptom of EoE is difficulty swallowing solid foods, also known as dysphagia. Patients may also experience difficulty swallowing liquids or the sensation of food getting stuck in their throat. Chronic abdominal pain, nausea, and weight loss can also occur.
Identifying Triggers
One of the main goals of treatment for EoE is to identify any food or environmental triggers that can worsen or lead to the condition. Dr. Tyler Basen uses various testing methods, including skin testing and patch testing, to help identify certain triggers. During your initial consultation, he will review these testing methods and discuss their potential benefits in identifying triggers.
Diagnosis of EoE typically involves a combination of upper endoscopy and biopsy. During an upper endoscopy, a small camera is inserted through the mouth and down the throat to visualize the esophagus. Biopsies are then taken from the esophageal lining and examined under a microscope for the presence of eosinophils.
Once a diagnosis of EoE has been made, treatment typically involves a combination of medications and dietary changes. Medications such as proton pump inhibitors (PPIs), corticosteroids, and leukotriene receptor antagonists (LTRAs) are commonly used to reduce inflammation and improve symptoms. Dietary changes may involve an elimination diet to identify trigger foods, followed by a long-term avoidance diet to prevent symptoms from recurring.
Skin Testing
Skin testing is a common method used to identify environmental triggers of EoE. During the test, a small amount of the suspected allergen is injected under the skin. If the skin reacts with swelling and redness, it is a sign that the patient is allergic to the substance. This type of testing can help identify triggers such as pollen, mold, dust mites, and animal dander.
Patch Testing
Patch testing is another method used to identify food and environmental triggers of EoE. During the test, small patches containing different allergens are applied to the patient’s back for 48 hours. If the skin reacts with swelling and redness, it is a sign that the patient is allergic to the substance. This type of testing can help identify triggers such as food allergens, preservatives, and dyes.
Treatment for EoE
Once the triggers of EoE have been identified, Dr. Tyler Basen will discuss potential treatments and lifestyle changes that can help alleviate symptoms. Treatment for EoE typically involves a combination of medications and dietary changes.
Medications
Medications such as proton pump inhibitors (PPIs), corticosteroids, and leukotriene receptor antagonists (LTRAs) are commonly used to treat EoE. PPIs are used to reduce the amount of acid in the stomach, which can help reduce inflammation in the esophagus. Corticosteroids are used to reduce inflammation in the esophagus. LTRAs are used to reduce inflammation and improve symptoms.
Dietary Changes
Dietary changes are also an important part of treatment for EoE. Dr. Tyler Basen may recommend an elimination diet, which involves removing certain foods from your diet to see if symptoms improve. Once the triggers have been identified, he may recommend a long-term avoidance diet, which involves avoiding certain foods that trigger symptoms.
Conclusion
EoE is a complex condition that requires specialized care from gastroenterologists and allergists. Early diagnosis and management are important for improving symptoms and preventing complications. With appropriate treatment, patients with EoE can lead full and healthy lives.
Contact Pacific Allergy & Asthma in Mission Viejo, CA today to schedule a consultation with double-board certified Allergy and Immunologist Dr. Tyler Basen.
