1.9K Reviews | 4.7 Star Rating | 20+ years of experience | 72k+ Patients Treated
Eosinophilic Duodenitis Doctor - Dr. Scott Liu
External Resource The American College of Gastroenterology: https://gi.org Learn more at the American College of Gastroenterology to find peer-reviewed, authoritative and patient information on the eosinophilic GI disorders, including duodenitis. Get factual details of symptoms, diagnosis, and all-inclusive management options and keep abreast of and have power to make choices regarding digestive health.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
What Is Eosinophilic Duodenitis?
Eosinophilic duodenitis is an unusual inflammation disorder where the eosinophils (a kind of white blood cell) cluster in the duodenum resulting in the inflammatory edema, discomfort, and gastrointestinal complications.
Common Causes and Risk Factors
Food allergies (milk, soy, wheat, nuts)
Personal or family history of eosinophilic disorders
Asthma, eczema or seasonal/environmental allergies
Overactive immune response
Use of certain medications (NSAIDs, antibiotics)
Signs and Symptoms
Abdominal pain or cramping
Bloating and excessive gas
Nausea or recurrent vomiting
Loose stools or chronic diarrhea
Unexplained weight loss
Early satiety (feeling full quickly)
How Dr. Scott Diagnoses Eosinophilic Duodenitis?
Dr. Scott uses a step-by-step approach:
Medical History and Symptom Review
He addresses your abdominal pain, distension, food allergies and family or individual allergies or atopy.
Blood Tests
Peripheral eosinophil counts are done with laboratory work and parasitic infections, celiac disease and other causes of duodenal inflammation are eliminated.
Allergy Evaluation
Skin‐prick or serum IgE testing helps identify food or environmental allergens driving the eosinophilic response.
Upper Endoscopy
A slender, narrow scope is inserted into your duodenum to examine the inflammations, swelling or strictures visually.
Duodenal Biopsy
During endoscopy, several tissue specimens are provided on which to count eosinophils using the microscope. The diagnosis is verified by a high density of eosinophils.
Treatment
Our Team offers a full range of care for eosinophilic duodenitis.
1. Lifestyle and Diet Modifications.
Elimination diet to find out the trigger foods (e.g., milk, soy, wheat) and eliminate them.
Frequent but smaller meals to reduce the stress on the digestive system.
Adequate water and elimination of food that exacerbates the symptomatology.
2. Medications
proton pump blockers (PPIs) to lower stomach acid.
Duodenal inflammation topical corticosteroids to soothe.
Biologic treatment of long-term control of the severity cases.
3. Minimal or hi-tech Procedures.
Endoscopic dilation of duodenal strictures.
Continuing monitoring with in-office endoscopy and biopsy.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Frequently Asked Questions
What is eosinophilic duodenitis?
Eosinophilic duodenitis is a metabolic disorder that is infrequently found as the duodenum is filled with eosinophils (a type of white blood cell) which results in pain, swelling, and digestive problems.
What distinguishes it as compared to eosinophilic gastritis?
Eosinophilic gastritis is a condition of the stomach wall, whereas eosinophilic duodenitis is a condition of the first section of the small intestine (duodenum). There are also the patients who could be concurrently having the two conditions.
What is the ICD-10-code of this condition?
Eosinophilic gastritis and duodenitis is iced K52.82 in the code of the ICD-10.
Diagnosis
Eosinophilic duodenitis is diagnosed in the same way. An upper endoscopy accompanied by biopsy is essential in diagnosis. Tissles are studied on an increased number of eosinophiled tissue, which attests to the state of affairs.
Is anything that can be done to change lifestyles and diets?
Yes. An elimination diet can be used to identify and avoid trigger foods, eating smaller meals, and staying hydrated can also help a great deal to decrease symptoms.
Does eosinophilic duodenitis prevail in Houston?
No. It is believed to be a rare condition, but the local allergens in the diet and the environmental condition may cause the flare in predisposed people.
What is the earliest appointment with Dr. Scott at GastroDoxs?
We have same week appointments on urgent digestive issues. Call our office in Houston in order to book your evaluation.
External Source
Study further at the American College of Gastroenterology.
