Wednesday, July 4, 2012

Eosinophilic Esophagitis - The inequity between Acid Reflux and Allergic Esophagus Explained

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What is eosinophilic esophagitis?

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How is Eosinophilic Esophagitis - The inequity between Acid Reflux and Allergic Esophagus Explained

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Eosinophilic esophagitis, abbreviated Ee or EoE, is an inflammation of the esophagus or feeding tube characterized by the nearnessy of a type of white blood cell called eosinophil. It is a reddish appearing cell that is typically found in tissues of the body affected by allergic reactions and some toady infections. The cell was named by Paul Erlich in 1879 after Eos, the Greek goddess of dawn. It is also called allergic esophagitis. Eosinophils, when activated, release chemicals that can cause intense swelling, itching, and tissue damage.

What are the symptoms of eosinophilic esophagitis?

The symptoms of EoE in adults is classically episodes of food sticking when swallowing that is called dysphagia in curative terms. Typically, a young man or youthful boy presents with an lesson of food being lodged in the esophagus or feeding tube. Food that won't go down and can't be regurgitated up along with a history of difficulty swallowing foods (such as bread or dry meats like chicken and beef) is common, especially associated with a personal and/or family history of allergic conditions.

Failure of the food to go down (or up) causes a food impaction resulting in the inability to swallow even saliva, chest discomfort and regularly sends the person to the urgency room. Sometimes, intravenous medication that relaxes the esophagus will allow the food to pass but regularly it has to be removed by an endoscope. The superior outpatient has minute or no heartburn though some population have moderate to severe heartburn symptoms. The tip off in this setting is that the heartburn symptoms often don't heighten with acid blocking medications.

Young children may present with complaints of chest pain, abdominal pain, poor appetite, regurgitation or reflux, vomiting, or failure to grow (failure to thrive). Some may have unexplained low blood counts or iron scantness from bleeding from the esophagus. population with these types of symptoms should be evaluated for potential allergic or eosinophilic esophagitis. Treatment is regularly dietary avoidance of food allergens and swallowed nasal steroids but is reviewed in more detail in a cut off article.

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