What is Eosinophilic Esophagitis?
Eosinophilic Esophagitis is a pathological condition of the gastrointestinal system in which there is a build up of white blood cells along the lining of the esophagus which is a thermionic valve which connects the backtalk to the stomach through which the nutrient passes from the sass to the stomach . This build up of whitened blood cells or eosinophils can occur due to a kind of reasons to let in reaction to sure food products , Elvis ebb , or allergy . This may result in the individual experiencing trouble with swallowing solid solid food or the food to get stick during swallowing .
Eosinophilic Esophagitis is a chronic disease of the immune scheme . Eosinophilic Esophagitis is comparatively unexampled but as of now is perceived to be one of the major cause of gastrointestinal disorder . Research is still going on as to more precise diagnosis and intervention for Eosinophilic Esophagitis .
What are the Causes of Eosinophilic Esophagitis?
In the days live on by , Dr. thought the symptom make by Eosinophilic Esophagitis were due togastroesophageal ebb disease or GERDbut that opinion has changed now . Eosinophilic Esophagitis is believed to be an supersensitized reaction in which the liner of the gorge gets damaged . This reaction may be due to pollen or other food allergens . lily-white blood cell are commonly found in the digestive tract but in Eosinophilic Esophagitis these eosinophils start to multiply in the esophagus and baffle to the lining of the esophagus .
These eosinophils produce a protein which causes inflammation of the lining of the gorge lead to scar and narrowing of the esophagus along with development of unchewable tissue paper in the lining of the esophagus thus cause dysphagia or difficulty swallowing along with some other symptom . People with sure intellectual nourishment allergies may also have Eosinophilic Esophagitis . Other medical atmospheric condition that can cause Eosinophilic Esophagitis are environmental allergies , bronchial asthma , respiratory dysfunction , and atopic dermatitis .
Some physicians conceive that genetic science also have a part to fiddle in the development of Eosinophilic Esophagitis . It has been take note in the last few years that there has been an increase in Eosinophilic Esophagitis with the step-up of asthma attack and other allergy in the uncouth population .
What are the Symptoms of Eosinophilic Esophagitis?
Eosinophilic Esophagitis can occur in both small fry and adults . The presenting feature of Eosinophilic Esophagitis are :
Symptoms of Eosinophilic Esophagitis in Adults:
Symptoms of Eosinophilic Esophagitis in Children:
How is Eosinophilic Esophagitis Diagnosed?
In parliamentary procedure to diagnose Eosinophilic Esophagitis , the Dr. will first make musical note of the symptoms and prevail out any other condition that may be get the symptoms . Once all other conditions causing exchangeable symptoms are ruled out then the physician may do the following tests so as to confirm the diagnosing of Eosinophilic Esophagitis :
Upper Endoscopy : In this procedure , a narrow-minded underground fit out with a camera is inserted into the mouth and passed down the oesophagus . While traversing down esophagus , the medico will analyse each and every field of the oesophagus to look for signs of inflammation or swelling or any white spot suggestive of Eosinophilic Esophagitis . If these are incur then the diagnosis of Eosinophilic Esophagitis is more often than not confirmed .
Biopsy : A biopsy of a tissue of the esophagus is done to look for front of lily-white stock cell in the facing of the tissue paper .
Once Eosinophilic Esophagitis is suspect further test may be done to line up out the potential source of the condition and the allergen responsible for development of Eosinophilic Esophagitis . These tests are :
Blood Tests : This will be done to see if there are higher than normal eosinophil count suggesting some shape of allergic reaction .
medicinal drug : You may also be given medications used for GERD to see if the symptoms improve . If they do not improve with the medications then it is virtually confirmed that the symptoms are not due to GERD but may be by Eosinophilic Esophagitis .
Dietary Patch Test : This is a psychometric test to check for allergic reaction to certain intellectual nourishment . This is done by patching a food item on to the back for some time and then the plot of ground is take out and the MD checks for any inflammation in that area .
How is Eosinophilic Esophagitis Treated?
Eosinophilic Esophagitis is a form of a relapsing disease condition and hence it may fall back again and again and hence the patient may require on-going treatment for symptom control . There are basically three modes of treatment of Eosinophilic Esophagitis which is dietary , medicament , and dilatation .
Dietary Therapy for Eosinophilic Esophagitis : In this therapy , the doctor will recommend certain modification in diet avoiding any food to which the patient may be allergic to . This may include dairy farm products or pale yellow . This may help in reducing symptoms and calming down the inflammation . The affected role ’s diet may be a lot limited so as to insure the symptom of Eosinophilic Esophagitis .
Medication Therapy to care for Eosinophilic Esophagitis : Medications therapy embark on of with a proton pump inhibitor to control the symptoms . If the patient does not react to this shape of medicament then steroids will be the next gradation in controlling the symptoms of Eosinophilic Esophagitis . The steroids prescribed will be topical such as fluticasone . A topical steroid does not get into the bloodstream and hence there are no side effects to these steroids unlike those forms of steroid that get miscellaneous in the bloodstream . Prednisone may also be given in case if topical steroid hormone are not effective . The steroids work by decreasing the buildup of clean descent cell in the facing of the esophagus and hence improving the symptoms and also help in reducing rubor . They also facilitate speedy healing of the esophagus .
Dilation Procedure for handle Eosinophilic Esophagitis : This procedure is done for those patients whose esophagus gets severely narrowed due to Eosinophilic Esophagitis . This procedure is done to make the esophagus wider so that food may slip away through it well . This is done only when steroids and other forms of medications are not efficacious in handle Eosinophilic Esophagitis . Dilation procedure may have an inherent risk of exposure of esophageal perforation but this is somewhat low and most of the time this operation is in force in still the inflammation down and control the symptoms of Eosinophilic Esophagitis .
What is the Prognosis of Eosinophilic Esophagitis?
ground on the research done till date , the MD have come to a determination that Eosinophilic Esophagitis does not cause any serious condition like a Crab of the gullet and in no way regard the life anticipation of an individual with Eosinophilic Esophagitis .
