Friday, April 17, 2009

Eosinophilic Esophagitis

What is Eosinophilic Esophagitis (EE)?
Eosinophilic esophagitis (EE) is a disease characterized by swelling of the esophagus (the part of the body connecting the throat and the stomach) caused by an allergic white blood cell, the eosinophil. Symptoms of EE can range from severe heartburn, difficulty swallowing, food impaction in the esophagus, nausea, vomiting and weight loss. There appears to be some age-related differences in symptoms, with younger children having more symptoms of weight loss, and older children and adults having food impaction and difficulty swallowing.
It is not exactly clear what causes EE, although this disease may be related to other allergic diseases, particularly asthma. People with EE frequently have a personal or family history of other allergic diseases such as hay fever, food allergy and asthma. Recently, there have been studies showing an association between food and environmental allergies and EE.
What Allergic Triggers Commonly Cause EE?
Various studies have shown that patients with EE have positive allergy tests to various foods, and that avoidance of these foods led to the resolution of EE symptoms. Foods reported to be the cause of EE have included milk, eggs, peanuts, shellfish, peas, beef, chicken, fish, rye, corn, soy, potatoes, oats, tomatoes and wheat. Of these, the most common food triggers are milk, egg, wheat, rye and beef.
How is EE Diagnosed?
The diagnosis of EE is generally made by performing a biopsy of the esophagus, with evidence of eosinophils infiltrating the esophageal tissue. A biopsy is performed via endoscopy (a camera inserted into the esophagus), usually by a gastroenterologist. There are many other diseases that can cause eosinophils in the tissue of the esophagus, including gastroesopheal reflux disease (GERD), parasitic infections, fungal infections, inflammatory bowel disease, certain cancers, recurrent vomiting, and others. These diseases need to be ruled out before EE can be diagnosed.
Once EE is diagnosed, an allergist will typically perform extensive allergy testing, including looking for food allergies and environmental allergies, such as those listed above.
Why Am I Posting This?
Well apparently this is what I probably have. I went in for an upper endoscopy yesterday (as opposed to the lower one that doesn't sound fun at all). I thought I would be getting my esophogus stretched so that I wouldn't choke on things so much. Well that didn't happen. Instead I find out I have this EE thing and will get some kind of treatment for it. Apparently this is something that you can have all your life and not know because you just think that choking on things is just something you have to live with (totally me). My esophogus is very "tight and swollen" which explains why I have trouble swallowing things and getting them down. I don't know exactly what the treatment is, I will find out on my next appointment on April 28th.

3 comments:

crazy lady said...

Sooo....what your saying is, it WASN'T your fault you choked on that lifesaver and Roberta tried to punch a hole through the window of the camper to get our attention on the trip to Arkansas? ok, seriously...
I sure hope they can find a way for you to get some relief. That sounds like no fun at all. I'll be interested to hear what your doctor says on the 28th.

michandler said...

Actually, the lifesaver incedent was at Yellowstone--not the Arkansas trip. And yes, I guess that's what I am saying. It's all pretty weird. If I hadn't on a fluke decided to have the upper endoscopy I could have gone on blithly unaware that choking was just not some I just had to live with.

Lost Woman said...

Ahh the lifesaver at Yellowstone. Burned in my memory.
WOW!
This is crazy to find out after all this time. I just assumed you had a small throat or something.
Now I feel guilty for teasing you about swallowing pills. (or lack thereof)
I find the possible "allergens" list very interesting since it contains wheat and rye two of my celiac enemies.
I've had the full endoscopy thing. It isn't so bad. Some stomach pain after for me, but at the time I had excessive stomach pain anyway, so who really knows.

Ok, I'm blabbering. Keep us posted!