Eosinophilic Esophagitis Quiz
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Difficulty swallowing
Chest discomfort
Heartburn
Burning sensation in the chest
Feel like food is stuck in my throat
Acid reflux
Painful burning sensation in throat
Nausea or vomiting
Difficult to swallow food or water
Upper abdominal pain
Chest pain
Allergic reaction to certain foods
Not seeing your symptoms? No worries!
What is Eosinophilic Esophagitis?
Eosinophilic esophagitis is a chronic immune-mediated inflammation of the esophagus, often triggered by allergens.
Typical Symptoms of Eosinophilic Esophagitis
- Known food allergy
- Difficulty swallowing
- Taking omeprazole and similar medication for gastritis or reflux
- History of asthma
- Heartburn that feels like a burning liquid rising up
- Abnormal stomach scope findings
- Heartburn with acid reflux or sour taste in throat
- Pressure and tightness in my throat
Diagnostic Questions for Eosinophilic Esophagitis
Your doctor may ask these questions to check for this disease:
- Have you ever had food allergies?
- Do you have difficulty swallowing?
- Are you taking any medication to reduce gastric acid?
- Do you have asthma or childhood asthma?
- Does your heartburn feel like a burning liquid rising up?
Treatment of Eosinophilic Esophagitis
Treatment for eosinophilic esophagitis involves dietary modifications to eliminate allergens, topical corticosteroids to reduce inflammation, and medications to manage symptoms. In severe cases, dilation of the esophagus may be necessary.
Reviewed By:
Aiko Yoshioka, MD (Gastroenterology)
Dr. Yoshioka graduated from the Niigata University School of Medicine. He worked as a gastroenterologist at Saiseikai Niigata Hospital and Niigata University Medical & Dental Hospital before serving as the Deputy Chief of Gastroenterology at Tsubame Rosai Hospital and Nagaoka Red Cross Hospital. Dr. Yoshioka joined Saitama Saiseikai Kawaguchi General Hospital as Chief of Gastroenterology in April 2018.
Kenji Taylor, MD, MSc (Family Medicine, Primary Care)
Dr. Taylor is a Japanese-African American physician who grew up and was educated in the United States but spent a considerable amount of time in Japan as a college student, working professional and now father of three. After graduating from Brown, he worked in finance first before attending medical school at Penn. He then completed a fellowship with the Centers for Disease Control before going on to specialize in Family and Community Medicine at the University of California, San Francisco (UCSF) where he was also a chief resident. After a faculty position at Stanford, he moved with his family to Japan where he continues to see families on a military base outside of Tokyo, teach Japanese residents and serve remotely as a medical director for Roots Community Health Center. He also enjoys editing and writing podcast summaries for Hippo Education.
Content updated on Jan 23, 2025
Following the Medical Content Editorial Policy
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People with similar symptoms also use Ubie's symptom checker to find possible causes
- Swallowing difficulties
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See full list
Symptoms Related to Eosinophilic Esophagitis
Diseases Related to Eosinophilic Esophagitis
FAQs
Q.
Food Getting Stuck? Why Your Esophagus Is Narrowing + Medically Approved EoE Steps
A.
Food getting stuck can signal a narrowing esophagus, often from eosinophilic esophagitis; diagnosis requires upper endoscopy with biopsy, and proven treatments include medically supervised elimination diets, PPIs or swallowed topical steroids, with dilation if strictures already formed. There are several factors to consider, including red flag symptoms that need urgent care and how early treatment prevents scarring and impactions; see below for step by step guidance and details that can shape your next healthcare decisions.
References:
* Hirano I, Pandolfino JE, de la Rue SA, et al. American College of Gastroenterology (ACG) Clinical Guideline: Diagnosis and Management of Eosinophilic Esophagitis (EoE). Am J Gastroenterol. 2020 Jan;115(1):7-23. doi: 10.14309/ajg.0000000000000403. PMID: 31804250.
* Alexander ES, Khoury P, Dellon ES. Eosinophilic Esophagitis in Adults: New Advances in Diagnosis and Treatment. Front Med (Lausanne). 2021 Mar 12;8:653018. doi: 10.3389/fmed.2021.653018. PMID: 33777977; PMCID: PMC8003610.
* Lim CH, Lee MJ, Chang JW, et al. Clinical Characteristics of Food Bolus Impaction in Eosinophilic Esophagitis. Dig Dis Sci. 2022 Jul;67(7):2991-2998. doi: 10.1007/s10620-021-07153-x. Epub 2021 Aug 17. PMID: 34403060; PMCID: PMC9210080.
* Klion AD, Dellon ES, Katzka DA, et al. Dupilumab in Adults and Adolescents with Eosinophilic Esophagitis. N Engl J Med. 2022 Dec 22;387(25):2325-2337. doi: 10.1056/NEJMoa2205988. PMID: 36542750.
* Muir AB, Mukkada VA, Dellon ES, et al. Food Elimination Diet for Eosinophilic Esophagitis. Gastroenterology. 2021 Nov;161(5):1478-1490. doi: 10.1053/j.gastro.2021.08.026. Epub 2021 Aug 20. PMID: 34425257.
Q.
Food Stuck? Why Your Esophagus Is Closing: 5 Eosinophilic Esophagitis Steps
A.
Food feeling stuck and trouble swallowing can be caused by eosinophilic esophagitis, a chronic immune condition that inflames and narrows the esophagus; diagnosis requires an upper endoscopy with biopsy, and you should seek urgent care if food is completely stuck or you cannot swallow saliva. There are several factors to consider. See below for the 5 key steps: recognize the warning signs, get proper testing, reduce inflammation with PPIs, swallowed steroids, or biologics, identify food triggers with guided elimination diets, and prevent long term complications like strictures and recurrent impactions.
References:
* Hirano I, Dellon ES. Eosinophilic Esophagitis. N Engl J Med. 2023 Mar 9;388(10):917-928. doi: 10.1056/NEJMra2210870. PMID: 36893278.
* Dellon ES, Liacouras CA, Safroneeva D, Dellon SM, Katzka DA, Mukkada VA, Falk GW, Gupta SK, Hirano I, Lucendo AJ, Markowitz JE, Menard-Katcher PA, Moawad FJ, Putnam PE, Savaliya S, Sharaf RN, Straumann A, Alexander ES, Wechsler JB, Wechsler ME, Furuta GT. ACG Clinical Guideline: Diagnosis and Management of Eosinophilic Esophagitis. Am J Gastroenterol. 2020 Aug;115(8):1232-1248. doi: 10.14309/ajg.0000000000000732. PMID: 32766340.
* Dellon ES, Hirano I, Liacouras CA, Furuta GT. Eosinophilic Esophagitis: A 10-Year Progress Report. Clin Gastroenterol Hepatol. 2020 Jan;18(1):31-41.e4. doi: 10.1016/j.cgh.2019.06.012. Epub 2019 Jun 20. PMID: 31229649; PMCID: PMC6925239.
* Lucendo AJ, Molina-Infante J, Arias Á, Carrera E. Eosinophilic Esophagitis: A Review and Update for the Clinician. J Allergy Clin Immunol Pract. 2020 May;8(5):1428-1437. doi: 10.1016/j.jaip.2020.01.012. Epub 2020 Jan 24. PMID: 32007675.
* Moawad FJ. Esophageal Fibrostenosis in Eosinophilic Esophagitis: Diagnosis and Management. Curr Gastroenterol Rep. 2019 Jun 27;21(8):36. doi: 10.1007/s11894-019-0701-8. PMID: 31249911.
Q.
Painful Swallowing? Why Esophagitis Is Inflaming Your Throat and Medically Approved Next Steps
A.
Painful swallowing is often from esophagitis, an inflammation of the esophagus caused by acid reflux, eosinophilic allergy, irritating medications, or infections, and it can feel like burning, chest pain, or food getting stuck. Medically approved next steps include evaluation with endoscopy and biopsy when needed, targeted treatments such as PPIs for reflux, swallowed steroids or diet changes for eosinophilic disease, adjusting culprit medications, and antifungal or antiviral therapy for infections, plus supportive lifestyle changes. Seek urgent care for food impaction, inability to swallow liquids, severe chest pain, or bleeding; there are several factors to consider, so see the complete details below to guide your next steps.
References:
* Shah SC, et al. Esophagitis: A Comprehensive Review. J Clin Med. 2023 Jul 26;12(15):4974. doi: 10.3390/jcm12154974. PMID: 37573656.
* Dellon ES. Current approaches to the management of esophagitis. Ann N Y Acad Sci. 2023 May;1525(1):153-167. doi: 10.1111/nyas.14959. PMID: 37170889.
* Shaheen NJ, et al. AGA Clinical Practice Guideline on the Medical Management of Eosinophilic Esophagitis. Gastroenterology. 2020 Jul;159(1):283-301. doi: 10.1053/j.gastro.2020.04.052. PMID: 32360215.
* Singh M, et al. Reflux Esophagitis: An Update. Curr Gastroenterol Rep. 2021 Apr 19;23(6):9. doi: 10.1007/s11894-021-00806-z. PMID: 33877478.
* Genta RM, et al. Etiology, Diagnosis, and Management of Esophagitis. Curr Gastroenterol Rep. 2018 Dec 20;20(12):58. doi: 10.1007/s11894-018-0661-0. PMID: 30570642.
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Wąsik, J.; Małecka-Wojciesko, E. Eosinophilic Esophagitis—What Do We Know So Far? J. Clin. Med. 2023, 12, 2259.
https://doi.org/10.3390/jcm12062259Muir A, Falk GW. Eosinophilic Esophagitis: A Review. JAMA. 2021 Oct 5;326(13):1310-1318. doi: 10.1001/jama.2021.14920. PMID: 34609446; PMCID: PMC9045493.
https://pubmed.ncbi.nlm.nih.gov/34609446/Asthma and Allergy Foundation of America and American Partnership for Eosinophilic Disorders, (2023). Life with EoE: The Patient Experience and Opportunities to Improve Care in the U.S.
https://aafa.org/asthma-allergy-research/our-research/life-with-eosinophilic-esophagitis-eoe/Dellon, Evan S. et al., Prevalence of Eosinophilic Esophagitis in the United States, Clinical Gastroenterology and Hepatology, Volume 12, Issue 4, 589 - 596.e1
https://www.cghjournal.org/article/s1542-3565(13)01304-9/fulltext