Exploring Causes, Symptoms, and Treatment Options

Unveiling Immune System Overactivity

  1. Eosinophilic Esophagitis (EoE) is an uncommon condition with symptoms that vary widely depending on age, requiring an experienced touch for an accurate diagnosis. Our immunology team has experience in the diagnosis and treatment of this disease among all ages, so you can feel confident placing your care in our hands. 

    If you’re ready for relief from your symptoms of allergic esophagitis, schedule an appointment with us today.

FAQ on Eosinophilic Esophagitis:

  • What is eosinophilic esophagitis?
What is eosinophilic esophagitis?

Eosinophilic esophagitis (EoE) is the medical term for a condition also known as allergic esophagitis. EoE is a rare, chronic disease that causes inflammation and damage to the esophagus, the muscular tube that connects the mouth to the stomach. Symptoms of eosinophilic esophagitis can vary widely depending on the age of the patient. Here are the most common we see at the DMV Allergy and Asthma Center, divided by age group:

  • Infants and toddlers will display poor growth and weight gain due to vomiting and refusal to eat. They may also have reflux that does not improve with antacid medicine.
  • Older children may continue to have symptoms of vomiting, reflux and poor appetite. They may also have trouble swallowing food, and may complain of chest pain and abdominal pain.
  • Adults with EoE will continue to have trouble swallowing solid food (dysphagia), and may get food caught in their throat. Symptoms of reflux will continue, and may develop into chest pain and heartburn.

  • What causes eosinophilic esophagitis?
What causes eosinophilic esophagitis?

Unfortunately, scientists have not yet been able to determine the exact cause of EoE. However, specialists theorize that it is the immune system’s response to food and/or substances in the environment, including:

  • Dust mites
  • Pollen
  • Mold
  • Animal dander
  • Allergenic foods (e.g. dairy products, nuts, and fish)

EoE may also be genetic, resulting from a high expression of the eotaxin-3 gene.

  • What is the best treatment for eosinophilic esophagitis?
What is the best treatment for eosinophilic esophagitis?

As with most conditions, your treatment plan will vary depending on your individual needs. However, treatment for allergic esophagitis usually includes both medication and dietary restrictions. Medications used to treat EoE include topical and oral steroids, as well as proton pump inhibitors (PPIs). The elimination diet for EoE is designed to avoid allergenic triggers, most often including:

  • Milk
  • Egg
  • Soy
  • Wheat
  • Nuts
  • Fish

There is also the elemental diet to treat EoE, which involves replacing all of your proteins with an amino acid formula. Some patients use a feeding tube to ingest the amino acid formula so they do not have to taste it.


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