Eosinophilic Esophagitis

How to Manage the Recent #EoE Flare-up (Eosinophilic Esophagitis)

Managing food allergies and Eosinophilic food reactions gets tricky. My youngest son had been stable for the past two years. He was able to have many foods we lost when he needed to get his feeding tube placed. At that time, the only foods left were: sweet potato, pineapple, tapioca, chocolate, cranberries, and carrots. We eventually were able to add in many more foods to his diet: chicken, turkey, salmon, apple, broccoli, rice, corn, potato, blueberries, strawberries, orange, lemon, cranberries, raspberries, avocado, peaches, banana, watermelon, mango.

Then, this past August we scheduled an endoscopy to gauge where his disease was. He was showing no symptoms, but had been a year or more since his last endoscopy. The last scope looked decent with a slight increase in lower esophagus thought to be due to acid reflux; which was why a daily dose of prevacid was added to his daily medicine regime. He needed updated allergy testing prior to starting school, and I knew he had been getting exposed outside of our home to foods he was allergic to on previous allergy tests. The results were disheartening.

Eosinophilic esophagitis is a chronic autoimmune disease, where eosinophils (a type of white blood cell) gather and attack food in the esophagus.  This buildup causes damage to the esophagus, inflammation, stricture, white pustules are seen, and linear furrowing.  Damaged esophageal tissue can lead to difficulty swallowing, choking, coughing, pain when eating, or food impaction when food gets caught in the esophagus. To be diagnosed endoscopies are performed to visually view esophagus and to take biopsies. Healthy people should not have eosinophils in their esophagus. Greater than 15 eosinophils leads to a diagnosis of Eosinophilic Esophagitis (EoE).

The biopsy results were taken from upper, mid and lower esophagus. They showed greater than 15-20 eosinophils in the upper and mid biopsy results, and greater than 50-60 in his lower esophagus. This in spite of restricted diet, daily swallowed budesonide and daily prevacid to help lower esophagus. So now we knew he was having an EoE flare up we needed to determine what foods might be triggering the response. Thus began the allergy testing.

He has had 3 appointments for allergy testing in the past 2 months. His results showed new allergic reactions to: chicken, turkey, rice, apple, cherry,  lemon, orange, chocolate, cucumber, lettuce, onion, tomato, cranberry. He also is avoiding: beef, soy, egg, wheat, peanut, tree nuts, shellfish, fish (except salmon), egg, dairy, all beans, peas, lentils, legumes, rye, buckwheat, barley, millet, oat, sunflower seed, flax seed, sesame seed, cottonseed,

He is tolerating: strawberries, banana, blueberries, black and raspberries, peach, watermelon, pineapple, mango, cabbage, garlic, salmon, pork, coconut, corn, broccoli, carrot, celery, mustard, grapes, canola oil, olive.

We have a follow scope scheduled this week and hope to see improvement after the strict dietary modifications we have enforced. My son keeps talking about what foods he wants to add back first. His short list is chocolate, chicken and rice. Then apple and lemon, cherry and cucumber. (apple juice and sauce, lemonade, shirley temples, pickles).

*Update: We have safely added rice back, and are now trialing chocolate, after a successful scope done in January 2017.

Foods That Can Trigger Oral Allergy Syndrome

Even though the indicators of oral allergy syndrome happen when swallowing the offending food, sometimes, simply peeling or touching off the problematic food may...

Mud Mite Allergy

Mud mite allergy is an allergic response to tiny bugs that generally stay in home mud. Indicators of mud mite allergy embody these widespread...

Meals Allergy Consciousness: The Faces of Inclusion

My son, Owen, was identified with several extreme meals allergy symptoms and several environmental allergy symptoms at nine months previous. I had zero histories...

Food Allergies: Why are they common now?

All over the world, kids are much more probably than ever earlier than to develop meals allergy symptoms they are common now. Latest inquiries...

Eye Allergy Analysis and Remedy

To offer correct therapy, your ophthalmologist will test to see in case you have a watch an infection or allergic conjunctivitis. They will often...

Symptoms and Treatment of a Banana Allergy

Did You Know? In line with the Nationwide Institute of Environmental Well being Sciences, round 11 to 16% of the world inhabitants, together with kids,...

Teenage boy threw a cheese at classmate who died tells inquest “I didn’t know...

A 13-year-old British boy with extreme allergic response died after a boy threw cheese at him and mentioned at an inquest that he didn't...

Onion Allergy Symptoms and Remedies

In this article, we will talk about Onion Allergy Symptoms and Remedies.  Did You Know? Although nearly any food can trigger an allergy, only eight foods (wheat,...

The Causes of Non-allergic rhinitis

Causes - Non-allergic rhinitis Non-allergic rhinitis occurs when the liner of the within of the nostril turns into swollen and infected, generally due to swollen blood...

Recent Post