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Warning-sign checks

Eosinophilic esophagitis: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency care if food is stuck and you cannot swallow liquids or your own saliva.

    Do not try to force it down with more food or large amounts of drink, and do not make yourself vomit.

    Call emergency services for severe chest pain, difficulty breathing, fainting, vomiting blood, or signs of a serious allergic reaction such as tongue swelling, widespread hives, or wheezing.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Contact your EoE care team promptly if swallowing is getting worse, food is sticking more often, or treatment is difficult to follow.

    These changes may mean that inflammation or narrowing needs reassessment.

    These symptoms are not routine EoE symptoms and need urgent assessment.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine medical appointment if you have ongoing difficulty swallowing, repeated heartburn that does not settle with treatment, unexplained feeding problems, or a repeated feeling that food moves slowly.

    Children should also be assessed for prolonged meals, food refusal, vomiting, or poor growth.

Every sign above is quoted from the sofidex article on Eosinophilic esophagitis. If you are not sure, err upward — it is always reasonable to be checked.