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What Is EoE?

Eosinophilic esophagitis (EoE) is an allergic condition triggered by foods that causes inflammation and narrowing of the esophagus. This condition affects 1 in 1,500 children.

Symptoms of EoE

The most common symptom in younger children is food refusal. This will often result in poor growth, malnutrition or weight loss.

School-aged children may complain of decreased appetite, stomach pain, trouble swallowing (feeling like food is getting stuck), or vomiting.

What to Watch for at Mealtimes

  • Slow eating/long mealtimes (over 20 minutes)
  • Excessive chewing
  • Taking small bites
  • Drinking a lot of fluid during meals or always taking a drink after each bite
  • Avoiding hard textured foods
  • Total food refusal
  • Vomiting
  • Limited food variety

"Research has shown a higher prevalence of EoE in children with Autism Spectrum Disorder than in the general population."

Diagnosing EoE

A gastroenterologist (GI) doctor can diagnose EoE by completing an endoscopy. EoE symptoms are similar to other gastrointestinal conditions (such as reflux) which can result in a misdiagnosis.

EoE is more common in children with allergic diseases such as hay fever, atopic dermatitis/eczema, asthma, and food allergies. Research has also shown a higher prevalence of EoE in children with Autism Spectrum Disorder than in the general population.

Treating EoE

EoE can be treated with medication and/or an elimination diet. Our feeding specialists (SLPs/OTs specializing in feeding therapy) can help identify symptoms of EoE and make recommendations to appropriate providers for diagnosis. Our feeding therapists can also help to re-establish a positive experience with eating after your child has been diagnosed with EoE. 

Resources

If you have any questions regarding your child’s eating habits and how they can be supported please reach out.

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