Eosinophilic Esophagitis (EoE)

What is it?

Eosinophilic esophagitis (EoE) is an allergic inflammatory condition of the esophagus, characterized by an overabundance of eosinophils (a type of white blood cell) in the esophagus.

What are the symptoms?

Difficulty swallowing
Food impaction (food getting stuck in the esophagus)
Heartburn or acid reflux that doesn’t improve with medication
Chest pain
Cough or throat clearing

What else could it be? (Differential diagnosis)

Gastroesophageal reflux disease (GERD)
Achalasia
Esophageal cancer
Esophagitis due to infection or medication

What are the aggravating factors?

Allergens, including foods like dairy, wheat, and soy
Environmental allergens (e.g., pollen)
Family history of allergic conditions
Asthma or other atopic conditions

What types of food are helpful?

Elimination diet: Common food triggers like dairy, soy, and wheat may need to be avoided.
Omega-3 fatty acids: Found in fatty fish and flaxseeds, they help reduce inflammation.
Fiber-rich foods: Fruits, vegetables, and whole grains to promote digestive health.

Sample Recipe: Grilled Chicken with Roasted Veggies

Ingredients: Chicken breast, zucchini, bell peppers, olive oil, rosemary.
Directions: A simple, allergen-free meal perfect for managing EoE.

What are the traditional treatments?

Dietary changes: Elimination diets to identify food triggers.
Corticosteroids: To reduce inflammation in the esophagus.
Proton pump inhibitors (PPIs): To control acid reflux.
Dilation: To stretch the esophagus if it narrows significantly.

What are the natural and alternative treatments?

Probiotics: May support gut health and immune function.
Turmeric: The active compound curcumin has anti-inflammatory properties.
Honey: Known for its soothing properties, honey may help alleviate throat irritation.

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