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Reply to "Esophageal eosophinilia and avoiding omeprazole bc of dementia risk?"
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[quote=Anonymous]The first-line treatment for eosinophilic esophagitis (EOE) is PPIs. If the eosinophils were only in the lower portion of your esophagus and near the gastroesophageal junction, the eosinophils might be related to acid exposure. If you had greater than 15 per high power field in mid or upper esophagus, it might not be from acid. PPIs are the first line treatment for EOE. For insurance, you usually need to fail a PPI before other medication can be covered. You can try food exclusions to treat. If it is EOE, you would need to exclude the cause forever. This is time consuming and procedure intensive because you need to keep having EGDs to see if the eosinophils are gone. Lactose is the most common cause. Hope that helps.[/quote]
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