Eosinophilic Esophagitis

Eosinophilic esophagitis, commonly known as EoE, is a chronic allergic and immune-mediated condition that causes inflammation of the esophagus—the tube that carries food from the mouth to the stomach. In this condition, a specific type of white blood cell called an eosinophil builds up in the lining of the esophagus, leading to irritation, swelling, and scarring over time. This inflammation can make it difficult to swallow and may cause food to get stuck after eating.

Patients often present with persistent heartburn, chest discomfort, or difficulty swallowing that does not improve with typical acid reflux treatment. Some experience nausea, vomiting, or upper abdominal pain, while others may describe the sensation of food “catching” in the throat. The condition can affect both children and adults, though it is frequently underdiagnosed in older patients who assume their symptoms are due to reflux alone.

Diagnosis is made through an upper endoscopy (EGD) with biopsy, which allows microscopic examination of the esophageal tissue for eosinophil buildup. At Husney Medical Gastroenterology in Brooklyn, Dr. Jack Husney uses advanced endoscopic and biopsy techniques to identify the condition accurately and develop a customized treatment plan.

Treatment for eosinophilic esophagitis focuses on reducing inflammation, preventing long-term damage, and improving swallowing. This often includes dietary modification to remove common trigger foods such as dairy, wheat, soy, eggs, or nuts. In some cases, swallowed corticosteroids or proton pump inhibitors (PPIs) are prescribed to help reduce inflammation and promote healing. Regular follow-up endoscopy may be recommended to ensure the esophagus is healing properly.

At Husney Medical in Brooklyn, NY, Dr. Jack Husney provides expert care for patients with eosinophilic esophagitis and other complex digestive disorders. His personalized, evidence-based approach helps patients throughout New York find lasting relief from swallowing difficulties, chest discomfort, and chronic heartburn related to EoE. If you are struggling with ongoing reflux or trouble swallowing, schedule an appointment today to receive comprehensive, expert evaluation and care.