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With 2 clinics located in Central London and 2 in North-West London, Dr Arun Rajendran takes pride in offering expert, friendly, and effective care for a comprehensive range of conditions affecting the gullet, stomach, colon, and liver.

+44 (0)20 3404 5254

mailgastro@pm.me
London clinic and Onewelbeck
BMI The Clementine Churchill Hospital
OSD Healthcare

Monday - Friday 09:00 - 17:00

Saturday and Sunday - CLOSED

+44 (0)20 3404 5254

mailgastro@pm.me

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Expert Eosinophilic Oesophagitis Treatment and Relief in the UK

Providing specialised care for eosinophilic oesophagitis, helping you regain control over your health with tailored treatments and expert advice. 

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Eosinophilic Oesophagitis Treatment
Eosinophilic Oesophagitis Treatment

About Eosinophilic Oesophagitis

What is Eosinophilic Oesophagitis?

Eosinophilic oesophagitis (EoE) is a chronic allergic inflammatory condition of the oesophagus. It is caused by an accumulation of eosinophils (a type of white blood cell) in the oesophageal lining, leading to difficulty swallowing, chest discomfort, and food impaction. If untreated, EoE can result in long-term damage, including oesophageal narrowing. 

Causes and Types of Eosinophilic Oesophagitis

Causes of Eosinophilic Oesophagitis

Food Allergens

Food Allergens

Triggers like dairy, wheat, soy, or nuts.

Environmental Allergens

Environmental Allergens

Pollen, dust mites, or mould.

Acid Reflux

Acid Reflux

Gastro-oesophageal reflux disease
(GERD) exacerbates EoE.

Medications

Medications

Certain drugs may contribute to oesophageal inflammation.

Eosinophilic Oesophagitis

UNDERSTANDING Eosinophilic Oesophagitis

Types of Eosinophilic Oesophagitis

1. Inflammatory Phenotype:

  • Characterized by active eosinophilic inflammation without significant structural changes.
  • Common symptoms include dysphagia, food impaction, and reflux-like symptoms

2. Fibrostenotic Phenotype

  • Associated with long-standing inflammation leading to oesophageal remodeling and strictures.
  • Patients often experience difficulty swallowing solid foods and require endoscopic dilation for management.

3.  Mixed Phenotype:

  • Combines features of both inflammatory and fibrostenotic phenotypes.
  • Symptoms may vary depending on disease progression

All phenotypes are linked to allergic predisposition (e.g., asthma, eczema, rhinitis) and elevated eosinophils in the oesophagus

Diagnosis of Eosinophilic Oesophagitis

Identifying the Cause

  • Endoscopic Treatments: Dilation of the oesophagus to relieve strictures caused by chronic oesophagitis. 
  • Diagnosis requires ≥15 eosinophils per high-power field on biopsy in the absence of other causes of eosinophilia
  • If required conduct skin or blood tests to identify potential food allergies.
  • If needed measures acid levels in the oesophagus to rule out reflux disease.

Common Symptoms of Eosinophilic Oesophagitis

Recognising the Symptoms

Difficulty swallowing

Difficulty swallowing
(dysphagia).

Food getting stuck in the oesophagus.

Food getting stuck in the
oesophagus.

Persistent heartburn

Persistent heartburn or chest discomfort.

Nausea and abdominal pain.

Nausea and abdominal pain.

Weight loss and malnutrition in severe cases.

Weight loss and malnutrition
in severe cases.

When to Seek Medical Attention 

Difficulty swallowing that persists or worsens.

Difficulty swallowing that persists
or worsens.

Severe chest pain unrelated to cardiac issues.

Severe chest pain unrelated to cardiac issues.

Frequent food impactions or choking.

Frequent food impactions or choking.

Symptoms unresponsive to over-the-counter treatments.

Symptoms unresponsive to over-the-counter treatments.

Effective Treatments for Eosinophilic Oesophagitis

Comprehensive Approaches to Managing
Eosinophilic Oesophagitis

  • Dietary Management – Elimination diets to identify and avoid food triggers.  The 6-Food Elimination Diet (dairy, soy, wheat, eggs, nuts, seafood). 
  • Dietary Management – Elimination diets to identify and avoid food triggers.  The 6-Food Elimination Diet (dairy, soy, wheat, eggs, nuts, seafood). 
  • Medications – Proton pump inhibitors (PPIs) to manage acid reflux. Topical steroids like fluticasone or budesonide to reduce inflammation. 
  • Probiotics – Support gut health and improve immune response.

Don’t Suffer in Silence!

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Managing Eosinophilic Oesophagitis with Diet and Lifestyle

Tips to keep your gut healthy

Foods to Avoid

Foods to Avoid

  • Dairy products, wheat, soy, and nuts. 
  • Acidic or spicy foods that irritate the oesophagus. 
  • High-fat or fried foods that worsen reflux oesophagitis symptoms. 
Recommended Foods for Recovery

Recommended Foods for Recovery

  • Non-acidic fruits (e.g., bananas, pears). 
  • Soft, bland foods like oatmeal and mashed potatoes. 
  • Probiotic-rich options such as yogurt (if tolerated). 
Lifestyle Tips

Lifestyle Tips

  • Stay upright after meals to reduce acid reflux. 
  • Eat smaller, more frequent meals to avoid overloading the oesophagus. 
  • Maintain good hydration and a balanced diet. 
Dr. Arun

Expert Advice and Support

Comprehensive Care for Eosinophilic Oesophagitis in the UK

  • Accurate Diagnosis: Using advanced endoscopy and biopsy procedures. 
  • Personalised Treatment Plans: Tailored solutions for both children and adults. 
  • Dietary Guidance: Expert support to identify food triggers and adopt effective elimination diets. 
  • Ongoing Support: Long-term management of EoE, eosinophilic gastritis, and related conditions. 

Take the first step toward better health and lasting relief today. 

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Patient Reviews & Testimonials

Dr Arun Rajendran has been treating patients for over 10 years and prides himself
on the warm, friendly and efficient treatment of gastro conditions.

Our Health Insurance Partners

We are a self-pay clinic but also work with the the major UK healthcare insurance providers.