Healing the Esophagus
If you have EOE, it's important to know about the treatment options available to help manage the condition.
Eosinophilic Esophagitis (EOE) Treatment Options
1. Injections
In some cases, injections may be used to treat EOE. These injections are usually steroids that help reduce inflammation. The most common type is a type of steroid called dupilumab. It is an injectable medication that works by blocking certain proteins that cause inflammation. This can be very effective for people with EOE who do not respond to other treatments.
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2. Dietary Changes
One of the first steps in treating EOE is often changing your diet. Certain foods can trigger inflammation in the esophagus. By avoiding these foods, many people find relief. Common triggers include:
- Dairy products.
- Wheat.
- Eggs.
- Soy.
- Nuts and peanuts.
- Fish and shellfish.
Your doctor or dietitian can help you figure out which foods to avoid. Sometimes, an elimination diet is used, where you remove certain foods for a period and then slowly add them back to see which ones cause problems.
3. Medications
Medications can help reduce inflammation and manage symptoms of EOE. Some common types of medications include:
- Proton Pump Inhibitors (PPIs): These drugs help reduce stomach acid and may also help with EOE symptoms. They are often used as a first-line treatment.
- Topical steroids: These are medications that can help reduce inflammation in the esophagus. They are often prescribed as an oral spray that you swallow. This can help to heal the esophagus and reduce eosinophils.
4. Esophageal Dilation
If you have EOE, you may experience narrowing of the esophagus, which can make it hard to swallow food. In this case, esophageal dilation might be necessary. This is a procedure where a doctor gently stretches the esophagus using a balloon or other instruments. This can help relieve swallowing difficulties and improve quality of life.
5. Regular Follow-Ups
Managing EOE often requires regular follow-up appointments with your doctor. During these visits, your doctor may check how well your treatment is working and adjust it if needed. They may also perform tests, such as endoscopies, to see how your esophagus is healing.
6. Lifestyle Changes
Making some lifestyle changes can also help manage EOE. Here are some tips:
- Eat slowly: Take your time while eating and chew your food well. This can help prevent food from getting stuck.
- Stay upright after eating: Sitting up for a while after meals can help food move down your esophagus more easily.
- Stay hydrated: Drinking plenty of water can help food go down smoothly.
Managing EoE
Eosinophilic esophagitis can be a challenging condition, but there are many treatment options available to help manage it. Dietary changes, medications, injections and esophageal dilation are all potential treatments. It’s important to work closely with your doctor to find the best treatment plan for you. With the right approach, you can manage your symptoms and improve your quality of life. If you have any concerns about EOE or its treatment, don’t hesitate to reach out to your healthcare provider for guidance.
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