There has been an increase in the diagnosis of Eosionophilic Oesophagitis recently, possibly because we are becoming more aware and biopsying children and young adults with reflux and oesophagitis. This condition presents with difficulty swallowing food, choking and regurgiation often not responding to antacids. In children it is brought on by a delayed hypersensitivity to certain foods such as cows milk protein, wheat , soy and eggs. In young adults it can also be brought on by swallowing grass pollen in the saliva, but confirmation testing is difficult as it seems to be a delayed non-IgE mediated hypersensitivity. The treatment is to use an asthma preventer spray containing the steroid beclomethasone which is then sprayed into the mouth and swallowed into the oesophagus.
