eoe signs - trouble swallowing

Avoiding Swallowing Troubles

In people with EOE, the body reacts to certain foods or allergens, causing inflammation in the esophagus.  Below are 10 common signs of EOE.

10 Signs of Eosinophilic Esophagitis (EOE)

1. Trouble Swallowing (Dysphagia)

One of the most common signs of EOE is difficulty swallowing. Food may feel like it's stuck in the throat or chest, making it hard to eat.

2. Chest Pain

People with EOE might experience chest pain, which can sometimes be mistaken for heart problems. This pain occurs because the esophagus is inflamed.

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3. Food Getting Stuck (Food Impaction)

Sometimes, food can get stuck in the esophagus due to the narrowing caused by EOE. This can be a scary and painful experience that may require medical attention to remove the food.

4. Heartburn

Frequent heartburn or acid reflux can be a sign of EOE. The inflammation in the esophagus can cause a burning sensation in the chest.

5. Vomiting

Some people with EOE may experience vomiting, especially after eating. This happens when the esophagus reacts strongly to certain foods or allergens.

6. Abdominal Pain

Pain in the abdomen is another sign of EOE. This discomfort may come and go, particularly after meals.

7. Poor Appetite

Due to the discomfort that comes with eating, many people with EOE may lose their appetite. They may avoid food because of the pain or difficulty swallowing.

8. Weight Loss

Because EOE makes it hard to eat, some people may experience weight loss. This can happen if the person isn’t able to get enough nutrients due to the trouble swallowing or loss of appetite.

9. Difficulty Feeding in Children

Children with EOE may have trouble feeding or refuse to eat certain foods. This can be a sign that they are experiencing discomfort or pain in their esophagus.

10. Choking

Choking can happen if food becomes stuck in the esophagus, which is common with EOE. This is a serious symptom that requires immediate medical help.

Treatment Options for EOE

If you or someone you know is experiencing these symptoms, it's important to seek treatment. There are several options available to help manage EOE:

Dietary Changes

One of the main treatments for EOE is changing your diet. You may need to avoid certain foods that trigger the condition, such as dairy, wheat or eggs. An elimination diet can help identify which foods are causing the problem.

Medications

Doctors often prescribe medications to reduce inflammation in the esophagus. These may include:

Proton Pump Inhibitors (PPIs): These reduce stomach acid and may help with symptoms of EOE.
Topical steroids: These can be swallowed to help reduce inflammation in the esophagus.

Injections

In some cases, people with EOE may benefit from injections. Dupilumab is an injectable medication that helps reduce inflammation and can be an option for those who do not respond to other treatments.

Esophageal Dilation

If the esophagus has become too narrow, doctors may recommend a procedure called esophageal dilation. This stretches the esophagus to make swallowing easier.

Managing EoE

Eosinophilic esophagitis can be a difficult condition to live with, but there are ways to manage it. If you notice any of the signs mentioned above, it’s important to talk to your doctor. With proper treatment, including dietary changes, medications and possibly injections, you can find relief and improve your quality of life.