Eosinophilic esophagitis (EoE) is a chronic condition where white blood cells called eosinophils build up in the esophagus, causing inflammation. This condition can make eating and swallowing difficult. Early detection is important for managing symptoms and improving quality of life. Here are some of the first signs to watch for:
Trouble Swallowing
One of the most common early signs of EoE is difficulty swallowing, known as dysphagia. This may feel like food is getting stuck in your throat or moving down slowly. Over time, this symptom can worsen if left untreated.
Food Getting Stuck
People with EoE often experience food impactions, where food becomes stuck in the esophagus. This can be a frightening experience and may require medical attention to remove the blockage. Chewing food thoroughly and eating slowly can sometimes help.
Chest Pain or Discomfort
Chest pain caused by EoE is not related to the heart but rather to the inflammation in the esophagus. This discomfort can range from mild to severe and often occurs during or after eating.
Heartburn or Acid Reflux Symptoms
EoE can mimic symptoms of acid reflux or gastroesophageal reflux disease (GERD). Persistent heartburn that doesn’t improve with standard reflux treatments could be a sign of EoE and should be evaluated by a doctor.
Trouble Eating Certain Foods
EoE can cause difficulty with specific foods, especially those that are dry, sticky, or dense, such as bread or meat. People may start avoiding certain foods to prevent discomfort or choking.
Unexplained Weight Loss
In some cases, EoE can lead to unintended weight loss. This often happens because eating becomes uncomfortable, and people may eat less to avoid pain or difficulty swallowing.
Vomiting or Nausea
Nausea and vomiting, especially after eating, can also be signs of EoE. These symptoms are more common in children but can occur in adults as well.
Chronic Throat Clearing
Constant throat clearing may indicate irritation or inflammation caused by EoE. This symptom is often overlooked but can be an early sign of the condition.
If you notice these symptoms, it’s important to talk to a healthcare provider. EoE is diagnosed through tests like endoscopy and biopsy, and treatment typically involves dietary changes, medications, or both. Early intervention can help manage symptoms and prevent complications.