Table 2 Clinical features of eosinophilic oesophagitis
AdultPaediatric (age dependent)
CommonIntermittent dysphagia (29–100%)GORD-like symptoms (38%):
Food impaction/foreign body (25–100%)
  • Heartburn

GORD-like symptoms (quite variable)
  • Regurgitation

  • Nausea/vomiting

  • Not responsive to PPIs

  • Regurgitation

Abdominal pain (31%)
  • Heartburn

Nausea/vomiting
  • Not responsive to PPIs

Feeding intolerance/refusal
Oesophageal strictureFailure to thrive
Food allergyFood allergy
Dysphagia
UncommonHaematemesisFood impaction
GlobusChest pain
Water brashDiarrhoea
Weight loss
Chest pain
Abdominal pain
Diarrhoea
Associated conditionsHistory of atopyAsthma
AsthmaAllergic rhinitis
Allergic rhinitisEczema
Atopic dermatitis
Family history of atopy
  • A wide range of symptoms have been reported for eosinophilic oesophagitis. In the paediatric population, presenting symptoms may be age-related (eg, young children may not be able to describe dysphagia or heartburn).

  • This table is modified from Yan and Shaffer,21 with permission from the publishers.

  • GORD, gastro-oesophageal reflux disease; PPI, proton pump inhibitor.