EOE: When Food Becomes Foe! (From October 2014 Newsletter)
Eosiniphilic Esophagitis is very real. We see many children in here with EOE and some also have Celiac Disease and Food Allergies and are on a feeding tube too! Many times their pediatrician dismissed it as being a “picky eater”. EoE strikes young and old.
EoE is Eosinophilic Esophagitis, which is basically a chronic condition where the esophagus can become swollen. A biopsy is done to see if eosinophil (white blood cells) are present in the esophagus. EoE is the most common form of the rare EGID’s (Eosinophilic Gastrointestinal Disorders), These cells are found in the blood and in tissues and basically will defend the body against bacterias, viruses and parasites. However an increased number of them can be found in the Esophagus, stomach, intestines, and in the bloodstream and in certain organs.
Food can get stuck in the throat, there can be trouble swallowing, heart burn and chest pain. It can be found in the young and the old, seeing a specialist and getting the biopsy is the only way to find out if this is what the problem is! “Unlike food anaphylaxis – the acute allergic reaction – these patients have chronic activation of the adaptive immune system,” says Rothenberg. “It’s typically not IgE and mast cell activation, but chronic, delayed hypersensitivity that’s triggered by the adaptive T-cells which are responding to the food triggers.” Often those affected have reactions to multiple foods or groups of foods.
Read this article from Allergic Living about getting the diagnosis.