Quote:
Originally Posted by Medical Lab Guy
I can't give you specifics compared to the doctor that has all of the details. I will always defer to the doctor and follow his lead. Endoscopy is good to rule out conditions that need to be ruled out and often a lot of those turn out normal without any significant findings. Obviously the more gross and classic the symptoms are the higher the probability significant findings will show up with endoscopy. With more minor and subtle symptoms the higher the chance they will find nothing. It's obviously easier to diagnose advanced disease compared to the very early stages of disease.
With regards to EoE and eosinophils obviously the presence of eosinophils in the esophagus are a part of the diagnostic criteria. What isn't a part of the diagnostic criteria or mandatory is that the person have blood eosinophilia. The connection between eosinophilia and EoE is that most people with EoE are atopic which means most will have blood eosinophilia. If you don't have eosinophilia then the odds are reduced but not eliminated.
https://www.aaaai.org/Conditions-Tre...ic-esophagitis
In contrast to hypereosinophilic syndrome (HES) involving the gastrointestinal tract that does require the presence of blood eosinophilia. Obviously allergies as an explanation of eosinophils is much more common than HES.
https://www.hindawi.com/journals/crigm/2012/683572/ |
I understand I'll just have to wait for my doctor. Just wanted to know a little more in advance prior to the endoscopy because he had mentioned that my barium swallow test I had about a year ago wouldn't have been able to confidently diagnose EoE and would instead need to be confirmed via a biopsy. I'm hopeful that a dilation along with an anti-inflammatory diet is all I need because I haven't felt any true acid reflux symptoms in months, but my ENT specialist did say it's possible I have silent reflux and even though it's also possible I may no longer have reflux, I could very well just be dealing with the post effects of having it for God knows how long. The swallowing started 2 years ago, but now I'm thinking I could have possibly been dealing with silent reflux prior to it starting and the irritation manifested itself in the form of constantly swallowing.
I've also tried those D-Limonene gels, but when I took those for 2 weeks, it just aggravated the heartburns and the feeling of acid in my throat so I immediately stopped taking them. My friend who had also been dealing with constant swallowing said he took those and it stopped the swallowing for him, so he recommended them and I tried them, but I think my case may be a little more complex.
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