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Eosinophilic esophagitis (EoE) is a chronic allergy condition that results in scarring and narrowing of the esophagus over time. It is caused by a build-up ofeosinophils, a type of white blood cell that typically correlates with allergies, along the linings of the esophagus. The inflammation affects how you swallow and digest food.
Why Early Diagnosis Matters
EoE is often mistaken for acid reflux or other digestive issues. That’s why seeing specialists who treat eosinophilic esophagitis is so important. Without proper diagnosis and treatment, it can lead to long-term complications like esophageal narrowing, chronic pain, and difficulty eating.
Our EoE specialists in San Antonio are here to help identify the condition early and create a care plan tailored to your needs. Early detection enables us to manage the condition before it worsens—allowing for better quality of life, fewer food fears, and less stress during mealtimes.
Common Symptoms of Eosinophilic Esophagitis
The signs of EoE can vary between adults and children, but if you notice any of the following, it’s worth talking to an allergy specialist.
Symptoms in Adults
Food getting stuck (impaction) in the esophagus
Chest pain or heartburn that doesn’t respond to medication
Difficulty swallowing solid foods
Persistent sore throat or hoarseness
Symptoms in Children
Feeding difficulties or refusal to eat
Vomiting or regurgitation
Stomach pain
Slow or delayed growth
What Causes Eosinophilic Esophagitis?
Eosinophilic esophagitis is often triggered by certain foods or environmental allergens. Its common causes include:
Dairy
Eggs
Wheat
Soy
Nuts
Seafood
Pollen or airborne allergens
While the exact cause may differ from person to person, the underlying issue is usually an overactive immune response to these triggers.
How Eosinophilic Esophagitis Is Diagnosed
AtApex Allergy and Asthma, we combine clinical evaluations with the latest diagnostic tools to confirm EoE. Here’s what the process typically looks like:
Detailed History and Symptom Review
Our EoE doctor will ask about your symptoms and how they’re impacting your everyday life. Understanding your whole experience helps us guide the next steps in your diagnosis and care.
Allergy Testing
Since EoE is often linked to food and environmental allergies, we may recommend skin prick testing or blood work. These tests can reveal potential allergens that may be triggering inflammation in your esophagus.
Referral for Endoscopy and Biopsy
To confirm eosinophilic esophagitis, your EoE specialist may refer you for an upper endoscopy. In this procedure, a gastroenterologist will use a thin tube with a camera to examine your esophagus and take small tissue samples to check for eosinophils.
Experience Personalized EoE Care at Apex
From diagnosis to long-term relief, our allergy care team is here to guide you through every step of your EoE treatment journey. We offer tailored treatment options for eosinophilic esophagitis based on your unique triggers, symptoms, and lifestyle so you can get back to enjoying meals without discomfort.
Elimination Diets
We help you identify and avoid foods that trigger EoE symptoms, guiding you through each stage of your dietary plan.
Proton Pump Inhibitors (PPIs)
We prescribe acid-reducing medications that actively reduce esophageal symptoms and help relieve discomfort.
Swallowed Steroids
We use topical steroids that coat the esophagus to reduce inflammation and make swallowing easier and less painful.
Allergy Immunotherapy
When appropriate, we offer allergy shots or drops that gradually decrease your sensitivity to environmental allergens that may worsen EoE.
Collaborative Care
We work closely with your GI specialist and dietitian to deliver a well-rounded, personalized treatment plan that supports every aspect of your care.
Biologics
Dupilumab (Dupixent) is a proven treatment option for severe cases of EoE. It helps reduce symptoms and tissue inflammation, particularly when other treatments are ineffective.
Living with eosinophilic esophagitis doesn’t have to mean avoiding food or worrying about every bite. Let us help you reclaim comfort, health, and confidence. Consult with our seasoned allergy specialists today.
Not always. While food is the most common trigger, environmental allergens like pollen or dust mites can also contribute in some patients. That’s why our testing includes both food and airborne allergens when necessary.
Can children outgrow EoE?
Eosinophilic esophagitis is generally a chronic condition, but some children experience symptom improvement over time, especially with early treatment. Regular follow-ups at Apex help us track progress and adjust care as your child grows.
Can EoE lead to long-term damage if untreated?
Yes. Over time, untreated eosinophilic esophagitis can cause lasting changes to the esophagus, like chronic inflammation, thickened tissue, or permanent narrowing. These changes can lead to frequent food impaction, painful swallowing, and ongoing digestive discomfort.
How do I find a trusted eosinophilic esophagitis specialist near me?
If you’re searching for a reliable EoE specialist and you live in San Antonio, Texas, particularly near San Pedro Avenue and University Heights, Apex Allergy and Asthma is your perfect choice. Our experienced team provides expert diagnosis and personalized treatment plans, all at a convenient, accessible location.