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Eosinophilic Jejunitis Doctor - Dr. Scott Liu
The eosinophilic jejunitis is a condition which is rather rare and is characterized by the presence of eosinophil in the small intestine leading to pain, diarrhea, and malabsorption. GastroDoxs Houston, Dr. Scott provides professional personalized diagnosis, diet, holistic medication, and endoscopic treatment as a means of relieving the signs and symptoms in the long term.
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 Jejunitis?
Eosinophilic jejunitis is an infrequent disorder whereby eosinophils, a kind of white blood cell collect within the jejunum (mid section of the small intestine). This accumulation causes the inflammation and may disrupt normal digestion resulting in a variety of gastrointestinal symptoms.
Common Causes and Risk Factors
Food allergies (most often milk, soy or wheat)
Family history of asthma, eczema or allergic conditions
An overactive immune response
Environmental triggers such as pollen or dust
Other eosinophilic gastrointestinal disorders
Signs and Symptoms
Belly pain or cramps, often after meals
Diarrhea or loose, frequent stools
Unintended weight loss
Bloating or excessive gas
Nausea and occasionally vomiting
How Dr. Scott Diagnoses This Condition?
Dr. Scott uses a step-by-step approach:
1. Medical History
He will examine your symptoms (such as epigastric pains, bloating, diarrhea), nutrition, known allergies, possible atopy in your family and the treatments that you have done.
2. Physical Exam
He examines your abdomen, specifically, the epigastric and jejunal areas, and attempts to determine the tenderness, distension, or masses.
3. Blood Tests
Complete blood count (CBC) to check for elevated eosinophils
Allergy panels to identify food or environmental triggers
Inflammatory markers (ESR, CRP) to rule out other causes
4. Endoscopy with Biopsy
He conducts an endoscopy on the small-bowel, observes the jejunum and also carries out specific biopsies. Pathology inflates the presence of eosinophilia and eliminates celiac or infectious etiology.
Treatment
Our Team offers a full range of care for eosinophilic jejunitis.
1. Diet and Lifestyle Changes
Elimination diet in order to determine and avoid triggers (milk, soy, wheat)
Individualized diets based on our dietitians.
Food diary to record food and symptom patterns.
Frequent and little meals in order to help the stomach process the food and to alleviate the pain.
2. Medications
Prednisone (or budesonide) to suppress bowel inflammation.
Proton Pump Inhibitors (PPIs) in case acid reflux causes the symptoms.
In resistant cases of conventional therapy, biologics (anti-IL-5) can be used.
Antihistamines used to treat digestive reactions due to allergy.
3. Minimal or more complex Procedures
Endoscopic dilation to stretch constrictions of the jejunum.
In extreme cases, feeding tube as a means of providing proper nutrition.
Endoscopic biopsies (to assess healing and eosinophil levels) are repeated.
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 eosinophilic jejunitis?
Food allergies are usually associated with dairy, soy, or wheat. Other factors like pollution or dust can also contribute to it.
Is it comparable to eosinophilic gastritis?
No. Eosinophilic gastritis is a condition that involves the stomach inner lining, and eosinophilic jejunitis is a condition characterized by the presence of eosinophils in the small intestine.
Can diet alone fix it?
An elimination or specialized diet can be quite helpful, yet drug treatment to regulate inflammation is needed by many patients as well.
How soon will I feel better?
Majority of patients will observe the improvement in 2 to 4 weeks. With constant care, full recovery and remission can be achieved after a number of months.
Will I need more endoscopies?
Yes. The endoscopies and biopsies should be followed up using endoscopy and biopsies to ensure that healing is proceeding, and the eosinophil levels are declining.
Are there long-term risks?
Chronic eosinophil inflammation may cause intestinal narrowing if not treated. Long-term complications are reduced by proper management.
Do you treat children?
Dr. Scott has specialized in adult GI. Referral of pediatric cases is done to our well-established pediatric gastroenterology partners.
