Eosinophilic Esophagitis (EoE) Treatment Options:
1) Swallowed fluticasone. You can also use budesonide mixed with Splenda instead of fluticasone if you like.
2) Targeted dietary avoidance based on results of skin prick and patch testing to foods. If not successful, I then try empiric elim diet. Rarely have I needed to resort to elemental diet (in a case of a child with severe oral aversion).
3) Aggressive mgmt of aeroallergen hypersensitivity (can also trigger GI eosinophilia), that is Avoidance, Medications, and Allergy Shots. Singulair is helpful in about one half of the patients.
4) Proton Pump inhibitor (often 2 times per day) These patients generally get scoped quite frequently to monitor their progress. Dysphagia must sometimes be treated by dilatation.