Condition Info - BotMed Application

ConditionName

Eosinophilic esophagitis (EoE)

ConditionDescription

Symptoms

Reflux that DOES NOT RESPOND TO MEDICATION (acid suppressors such as PPI); 
Difficulty swallowing; 
Food impactions (food gets stuck in the esophagus);
Nausea and Vomiting; 
Abdominal or chest pain; 
Difficulty sleeping due to chest or abdominal pain, reflux, and/or nausea;

PhysicalFindings

ClinicalTests

r/o GERD;
Endoscopy with biopsy

RiskFactors

History of atopy.
HIV < 200;
Pills: Iron, potassium, alendronate, tetracycline;

IsRedFlag

IsNPLEX

Consequence

Chronic immune system disease in which a type of white blood cell (eosinophil) builds up in the lining of the tube that connects your mouth to your stomach (esophagus). This buildup, which is a reaction to foods, allergens or acid reflux, can inflame or injure the esophageal tissue. Damaged esophageal tissue can lead to difficulty swallowing or cause food to get stuck when you swallow.

ProgressionFromCondition

Taking pills: Iron, potassium, alendronate, tetracycline;
History of heartburn, indigestion, or dysphagia;

TreatmentOptions

Sit up after you take your pill and drink more water;
Fluconazole for HIV. Continue until t cells count increase more than 200.

PharmOptions

WebLink

https://www.merckmanuals.com/en-ca/professional/gastrointestinal-disorders/esophageal-and-swallowing-disorders/eosinophilic-esophagitis