Thursday, 19 January 2017

What is eosinophilic esophagitis?

The esophagus is the food pipe. Food enters the mouth. Saliva in the mouth helps in chewing the food. Once the food becomes soft, it passes through the esophagus. Inflammation of the esophagus causes acid reflux. Heartburn is the most common symptom of acid reflux. Research indicates the presence of allergens to cause this condition. The allergens cause food allergy. Eosinophilic esophagitis is the condition in which the walls of the Esophagus become filled with a large number of substances known as eosinophils.

Eosinophils is a leading cause of diseases such as asthma, allergic rhinitis, hay fever and atopic dermatitis. Eosinophils are white blood cells produced in the bone marrow and are the chief cause of inflammation. The source of the allergen is at present unknown. How it comes in contact is also under intense study. What is known is the worsening in the esophagic function. Difficulty in swallowing food is the primary complaint. The condition affects young and adults alike.

Management of swallowing issues

Eosinophilic Esophagitis treatment involves inserting a flexible endoscope to remove impacted food. Eosinophils restrict the stretching ability of the esophagus which prevents solid food smooth passage into the stomach.The solid food gets stuck in the esophagus which creates an unpleasant sensation such as heartburn. Esophageal dilation meaning stretching the walls of the pipe is the recommended treatment. Flexible dilators are attached to endoscopes and the strictures fractured allowing the food easier passage. The dilators have a balloon like attachments which are inflated to break the strictures.