Eosinophilic esophagitis (EoE) is a chronic condition where the esophagus becomes inflamed due to a buildup of white blood cells called eosinophils. This inflammation can make it difficult to swallow, cause chest pain, and lead to other symptoms. Identifying EoE early is important for preventing further damage to the esophagus and improving quality of life. Both adults and children can develop EoE, and while the symptoms may vary, there are key signs to look out for.
One of the most common signs of EoE in both adults and children is difficulty swallowing, known as dysphagia. People may feel like food is getting stuck in their throat or chest, especially when eating solid foods. This feeling can occur sporadically and may worsen over time. In children, difficulty swallowing may be harder to identify but can be seen if they start avoiding certain foods or appear to have trouble eating.
Food impaction happens when food becomes stuck in the esophagus, which is a common symptom of EoE. This can lead to pain and discomfort and may require medical intervention to remove the food. If food impaction occurs more than once, it may indicate EoE. In children, this may present as sudden distress after eating, which should not be ignored.
Many individuals with EoE experience frequent acid reflux or heartburn that doesn’t respond to typical treatments. This can occur because the inflammation in the esophagus mimics the symptoms of acid reflux. If heartburn symptoms are persistent and unresponsive to over-the-counter medications, it may be a sign of EoE.
Children with EoE may experience recurrent vomiting or regurgitation, especially after eating. This symptom may be mistaken for common digestive issues, but if it continues over time, it could indicate the presence of EoE. Parents should pay attention to any unusual or frequent vomiting episodes.
In both adults and children, EoE can cause discomfort or pain in the chest, especially during or after eating. This pain may feel like pressure or a burning sensation. It can be mistaken for heartburn or other gastrointestinal problems, but if it’s persistent and associated with eating, EoE should be considered.
In children, EoE may lead to poor growth, weight loss, and difficulty feeding due to the discomfort caused by swallowing. Kids may avoid certain foods, or become picky eaters, leading to nutritional deficiencies. If a child is not gaining weight properly or is struggling to eat, it’s important to consider EoE as a potential cause.
A chronic cough or frequent throat clearing after meals can also signal EoE, particularly in children. This happens as a result of irritation in the esophagus or throat, which can lead to coughing or clearing the throat to relieve discomfort. It can be mistaken for a mild cold, but if persistent, it warrants further investigation.
If you or your child is experiencing any of these symptoms, it’s important to consult with a healthcare provider. A doctor may recommend an endoscopy or biopsy to confirm the diagnosis of EoE. Early diagnosis and treatment can help manage symptoms and prevent long-term complications such as scarring or narrowing of the esophagus.
Recognizing the early signs of eosinophilic esophagitis is key to managing the condition effectively. Whether in adults or children, being aware of symptoms like difficulty swallowing, food impaction, and chronic heartburn can lead to earlier intervention and improved outcomes. If you notice any of these signs, don’t hesitate to seek medical advice to ensure appropriate care.
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