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Diagnosis
A myEoEcenter Visitor
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How is EoE diagnosed?
EoE is typically diagnosed through several key methods:
1. Upper Endoscopy - A thin flexible tube with a camera examines your esophagus, looking for:
- Narrowing of the esophagus
- Multiple rings
- Other visible abnormalities
2. Esophageal Biopsy - During the endoscopy, tissue samples are taken to check for increased eosinophils. Additional diagnostic tools may include:
- Blood tests to check for:
* Specific allergies through IgE antibody testing
* Higher than normal eosinophil counts
The diagnosis process usually involves working with both a gastroenterologist (for endoscopy/biopsy) and potentially an allergist to identify triggers.
Have You Encountered EoE In Patients On Rituximab. I'm On Rx For A MALT Lymphoma, And Have Developed This.
Naseema
asked a question 💭
53 year old female, on Rx x 18 months for indolent lymphoma. Developed dysphagia, odynophagia and mid-esophageal ulcers seen on scope
I had Lymphoma and took Rituximab. I am now in full remission for a few years, but have developed severe EoE, with eczema, very dry skin conditions. Its a nightmare condition, with all the skin issues I have now.
My skin is so bad. My doctors don't know what to do..
Can My 4 Year Old Who Only Weighs 13kg Go For An Biopsy. She's Showing Symptoms Of EoE And Gerd
Leann
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Do Your Back Hurts With Esophagitis
Bennieque
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What Do You Think Of Dupixent
A myEoEcenter Subscriber
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I Had An Upper GI Endoscopy And Was Diagnosed With EOE... Throat Had Been Sore For 6 Months,they Did A Small Tear In My Esophagus When Will
Penny
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How long will it take for my esophageal tear to heal after an endoscopy?
While some throat discomfort is normal after an endoscopy, you should monitor your symptoms carefully. If you experience severe throat pain, trouble swallowing, vomiting (especially with blood), or chest pain, contact your gastroenterologist immediately. To help with healing:
- Take any pain relievers as recommended by your doctor
- Avoid foods that may irritate your throat
- Stay away from fried or fatty foods
- Skip caffeine until you're feeling better
- Stick to foods that are easy on your stomach
Most post-endoscopy discomfort should improve within a day or two.
Can A Biopsy During Gastroscopy Trigger Attacks Of EoE ? After Having No Attacks For Ages - I Had 3 In 3 Weeks Following The Proceedure -
kmc
asked a question 💭
While biopsies are a necessary diagnostic tool for EoE, any procedure involving the esophagus could potentially cause irritation. During an upper endoscopy with biopsy, tissue samples are taken from the esophagus to examine eosinophil levels and confirm diagnosis. Since EoE involves inflammation in the esophagus, it's possible that the biopsy procedure could temporarily increase local inflammation and trigger symptoms. If you're experiencing increased symptoms after a procedure, it's important to discuss this with your gastroenterologist to determine if additional treatment adjustments are needed.
Does EoE Cause Sore Throat?
Chelsea
asked a question 💭
Yes, EoE can cause throat irritation and soreness. This happens because eosinophils (white blood cells) gather in the esophagus and release chemicals that cause inflammation. This inflammation can lead to throat irritation, difficulty swallowing, and chronic cough. Here are some ways to help manage throat discomfort from EoE:
- Stay well hydrated by drinking plenty of water throughout the day
- Gargle with warm salt water several times daily
- Work with your doctor to identify and avoid food triggers
- Discuss prescription medication options with your healthcare provider
- Always take any medications with plenty of water to avoid further irritation
Treatment Without Medication?
Deanna
asked a question 💭
I have EOE which has gotten worse over the years. I would prefer not to be on medication. Has anyone had any luck with just diet changes or anything else rather than medication?
While diet changes can help manage EoE, it's important to understand that untreated inflammation can lead to scarring in your esophagus, which may be difficult to manage later. The most common dietary approach is an elimination diet that removes common trigger foods like:
- Milk
- Eggs
- Soy
- Wheat
- Nuts
- Fish Some additional lifestyle modifications that may help include:
- Staying well hydrated throughout the day
- Gargling with warm salt water to soothe throat irritation
- Avoiding environmental triggers identified through allergy testing
- Working with a dietitian to ensure proper nutrition while on an elimination diet
However, many myEoEcenter members report that combining dietary changes with medical treatment provides the best control of symptoms and prevention of complications. Consider discussing your concerns about medication with your gastroenterologist who can explain the risks and benefits of different treatment approaches.
What Have Yall Found That Helps The Aweful Pain With Eoe Flare Ups?
Justin
asked a question 💭
Heat has been the only option for me. But whe. Its flared up bad it just stays and every now and then itll ease up my body relaxes enough to fall asleep. This does take time to get to that point. I use hot baths and a heating pad. Its the only release i can get. Doesnt always work. But my flare ups last anywhere from 4 to 12 hrs of constant pain, dizziness, and absolutely sick to my stomach where i have to force myself to throw up. Even if there is nothing on my stomach i take in water to… read more
Question: What helps manage the severe pain during EoE flare-ups?
There are several treatment approaches that can help manage EoE flare-ups:
1. Prescription medications:
- Proton pump inhibitors to reduce stomach acid
- Topical steroids to reduce inflammation
- Dupilumab (Dupixent) for those 12 and older
- Budesonide (Eohilia) oral suspension for ages 11+
2. Lifestyle modifications:
- Stay well hydrated throughout the day
- Gargle with warm salt water to soothe throat irritation
- Work with your doctor to identify and eliminate trigger foods It's important to work closely with your gastroenterologist to develop an effective treatment plan for managing these severe symptoms. While heat therapy can provide temporary relief, the frequency and severity of your symptoms suggest you may benefit from adjusting your current treatment approach. Please discuss these severe flare-ups with your healthcare provider, as they can help determine the best combination of treatments for your specific situation.
