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Best Eosinophilic Ileitis Gastroenterologist
Eosinophilic ileitis is a uncommon inflammatory disease which is characterized by accumulation of eosinophils within the ileum and it results to abdominal pain, cramping, and digestive discomfort. In GastroDoxs, Dr. Scott provides full diagnostics and individual care, using a combination of diet, medications, and manipulations with minimal invasiveness to treat patients.
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.
Common Causes and Risk Factors
Food allergies or food sensitivities
Family history of allergies or autoimmune disease
An overactive immune system response
Environmental triggers such as pollen or dust mites
Other eosinophilic disorders in the digestive tract
Signs and Symptoms
Pain or cramping in the lower-right abdomen
Loose stools or frequent bowel movements
Gas, bloating, and abdominal discomfort
Unintended weight loss
Fatigue or weakness from poor nutrient absorption
How Dr. Scott Diagnoses Eosinophilic Ileitis?
Dr. Scott uses a step-by-step approach:
Medical History and Physical Exam
He examines your symptom history -epigastric pain or lower-right quadrant pain, food supply, allergy history and family history of autoimmune or allergy conditions. An extensive abdominal examination is done to monitor tenderness, bloating or palpable swelling.
Blood Tests
CBC plus differential to measure eosinophils, and inflammatory indicators (ESR, CRP) and allergy testing to discover the presence of food sensitivities or atopic predisposition.
Imaging Studies
CT scan or abdominal ultrasound to look for thickening or edema of the ileal wall.
MRI enterography for detailed mapping of small-bowel inflammation and strictures.
Endoscopy with Biopsy
With an elastic scope (or capsule endoscopy where necessary) Dr. Scott extracts small-intestinal tissue samples at the ileum. Pathology will verify increased count of eosinophils and eliminates the possibility of infectious or other inflammatory conditions.
Treatment
Our Team offers a full range of care for eosinophilic ileitis.
1. Diet and Lifestyle Changes
To determine and prevent food triggers, an elimination diet.
FODMAP diet to minimize bloating and gas.
Reduced and more frequent meals to facilitate digestion.
Water intake instructions and light physical activity.
2. Medications
Medications to reduce the inflammation of the intestines.
Mast cell blockers or leukotriene blockers.
Proton pump inhibitors (PPIs) in case the acid is a source of symptoms.
More resistant or severe cases Biologic drugs.
3. Minimally invasive or Advanced Procedure
Balloon dilation of strictures endoscopically.
Detailed visualization of the small intestine through Capsule endoscopy.
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 the cause of the eosinophilic ileitis?
It is commonly caused by allergies to food, overreaction of the immune system or due to genetic mutations.
How long does treatment take?
A majority of the patients recover in 4-6 weeks, and heal fully in 3-6 months.
Can diet fix it alone?
Diet is effective with most people, however there are those that require the use of medications such as steroids or biologic to get inflammation down.
Is this common in Houston?
The disease is not common in general, but Dr. Scott deals with numerous cases within the Houston region, in general.
Will it require another biopsy in the future?
Endoscopic biopsy is typically re-investigated after 6-12 months to guarantee healing.
Will it be insured treatment?
Most insurance policies also include the tests and treatments, and our team will check them, on your behalf.
Which is the ICD-10 code of this condition?
The code is K52.8: Other unspecified noninfective gastroenteritis and colitis.
