Eosinophilic gut disease

Eosinophilic gastrointestinal disease

Eosinophilic gastrointestinal disease (EGID) has been increasingly diagnosed over the past ten to fifteen years in children. EGID is characterized by chronic inflammation in the gastrointestinal tract caused by a higher than normal number of eosinophils without evidence of other causes (e.g., infections, cancer).

Whilst EGID can affect anyone, there appear to be sex and genetic factors associated with the disease. Research has found that 70-80% have associated allergic disorders such as asthma, eczema or food allergies.

Symptoms can include:

  • abdominal and/or chest pain
  • difficult of painful swallowing
  • reflux (vomiting) or silent reflux (pain)
  • diarrhoea, mucous or blood in stools
  • poor weight gain

Through detailed history taking, examination, and where appropriate allergy testing, I will assess whether you child is likely to have these symptoms because of a food allergy or because of another condition. I will provide the next steps on how to confirm whether these symptoms are being driven by a delayed food allergy (usually by exclusion of the offending food followed by reintroduction). We ensure that any changes to the diet that we make at this time in the infant or maternal diet (whilst breastfeeding), do not lead to any nutritional deficiencies.