Symptom 4: Persistent Heartburn
There’s an inferno in the chest, a sensation that is both alarming and persistent. While heartburn is a term frequently thrown around in adult conversations, children, particularly those with EoE, are not immune. But what’s the mechanism behind this fiery sensation?
The esophagus, when battling EoE, gets inundated with eosinophils, leading to inflammation. This inflammation, in certain situations, allows stomach acid to make an unscheduled visit back into the esophagus, causing the burning sensation characteristic of heartburn. It’s not the food, but the stomach’s acid reacting with the inflamed lining that ignites this internal fire.
The constant burning can be debilitating. For children, especially, it can interfere with everyday activities like eating, playing, and even resting. Imagine trying to focus on a school lesson or enjoying a game with friends while battling this internal blaze. The discomfort can be so severe that it overshadows everything else.
Interestingly, while EoE is the primary culprit, certain foods can act as catalysts, intensifying the heartburn. Acidic foods, certain spices, and even some beverages can turn up the heat, making the child more susceptible to episodes. Recognizing and moderating these triggers can offer some respite.
While dietary adjustments provide some relief, medical interventions remain crucial. Antacids and certain prescription medications can neutralize or reduce stomach acid, providing immediate relief. However, the real victory lies in managing EoE, ensuring that the esophagus remains free from excessive eosinophils and subsequent inflammation. (4)
