Esophagitis is a general term for any inflammation, irritation, or swelling of the esophagus, the tube that leads from the back of the mouth to the stomach.
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This can cause problems because large numbers of white blood cells narrow the esophagus an prevent passage of food or medication to the stomach.
Autoimmunity is the failure of an organism to recognize its own constituent parts as self, which allows an immune response against its own cells and tissues.
As a nutritionist we face the challenge of adjusting the diet of the individual so he/she will not choke, until an evaluation can be made by a doctor and a procedure can be preformed and a treatment plan established.
Once this dilation of the esophagus is preformed by the doctor a temporary soft food diet (24 hours) needs to be established to allow maximum comfort.
A solid food dietary fast needs to be followed 12 hours prior to the upper GI evaluation. The above sample diet needs to be followed as necessary prior to the dilation procedure for safety and following the dilation procedure for comfort.
No development of rings within the esophagus.
The inside of the esophagus has developed rings which narrow the passageway. The rings are thought to be large numbers of eosinophills (a type of white blood cell).
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GI Disorders by Joe Zink
Gastrointestinal disorder.Esophagitis(eosinophilicesophagitis)<br />A presentation by Joe Zink<br />
Diet and Nutrition<br />In the following presentation I will introduce you to a GI disorder that you, as a nutritionist, will encounter and need to provide treatment as well as education. The points addressed will include: <br />Gastrointestinal disorder<br />Eosinophilic Esophagitis<br />Causes<br />Symptoms<br />Treatment<br />Dietary Education<br />Photos<br />Conclusion<br />Question to consider: As a nutritionist how might this disorder present a challenge as it relates to digestion of food and dietary nutrition needs?<br />
Eosinophilic esophagitis<br />An inflammatory condition in which the wall of the esophagus becomes filled with large numbers of eosinophils, a type of white blood cell. <br />http://en.wikipedia.org/wiki/Eosinophilic_esophagitis<br />http://www.apfed.org/ee.htm<br />
.Causes, Incidence and Risk Factors<br />Research shows:<br />This may be an autoimmune disorder.<br />Eosinophilic esophagitis is a type of esophagitis that is caused by allergy.<br />The exact substance causing the allergic reaction in eosinophilic esophagitis is not known. <br />http://www.nlm.nih.gov/medlineplus/ency/article/001153.htm<br />
Symptoms.<br />Include but are not limited to:<br />The major symptom in adults with eosinophilic esophagitis is difficulty in swallowing solid food (dysphagia). <br />Specifically, the food gets stuck in the esophagus after it is swallowed. (This can be extremely dangerous because the individual may lose consciousness and potentially die if the airway is obstructed.)<br />http://www.medicinenet.com/eosinophilic_esophagitis/page2.htm<br />
Treatment.<br />The treatment of eosinophilic esophagitis is with gentle esophageal dilatation, and medications. <br />The goal of treatment is to relieve symptoms of dysphagia.<br />Esophageal dilatation involves physically stretching the strictures or fracturing of the strictures or fracturing the rings, thus allowing freer passage of solid food.<br />http://www.medicinenet.com/eosinophilic_esophagitis/page4.htm<br />http://www.apfed.org/ee.htm<br />
Dietary Education<br />Food examples in a soft food diet:<br /><ul><li>Liquids as usual with additional emphasis on nutrition (fruit and vegetable juices, milk).
Conclusion.<br />Question to consider (Answer):<br />This disorder can present multiple problems for both the individual being treated and you as a nutritionist. <br />First be aware this disorder can cause death if not treated by a doctor promptly. <br />You may need to establish a soft food diet with the appropriate dietary nutrition until the procedure can be performed. <br />Also, following the procedure the same soft food diet may need to be followed until the esophagus heals. <br />As the digestion process begins in a healthy person they can swallow larger food lumps to process through a meal. With this disorder much smaller food lumps must be swallowed because the individual may choke hence the soft food diet with adequate nutrition.<br />