Welcome to Winning Against Eosinophilic Esophagitis

I wanted to start this blog to share with people the challenges families face when a child suffers from the condition called Eosinophilic Esophagitis. I didn’t know anything about food allergies or eosinophilic esophagitis (EE) prior to my son being born in 2004. Since this all began, we’ve been through so much. In my desperation and search for information and support I have read so many other stories about children with EE. Some of those stories brought me to tears and have made me truly grateful that our situation is what it is, and not any worse. My heart goes out to all the families dealing with EE and food allergies, no matter how little or how much it affects you. I’m hoping that by sharing our story more people will become aware of this condition, and that it might help some families get some support or answers. I know for a long time we didn’t even know what was going on, but now we have a diagnosis that we can work with. I hope that we all lead a winning battle against this life changing condition.

To read about our story, scroll down toward the bottom of this page.

Sunday, March 23, 2008

Wheat Free, Egg Free, Dairy Free Pancakes

I'm so happy this morning! We have pancakes almost every Sunday morning. I used to use the boxed stuff and it was very good (and super easy).

Then my son's diet restrictions came into place and we had to find an egg free, wheat free version and I finally found one. It was so good that my husband said we should never go back to the boxed stuff, even if we could. Then, my son's diet changed again... now no milk or barley, but wheat was ok. I modified my wheat free, egg free recipe but for some reason it was no longer working, so I've been on the hunt for a new replacement. Let me share my recipes with you!

I found this first recipe online from a vegan website but changed it a bit to be wheat free, and it still works great. Very tastey and thick pancakes. These are the ones my husband made the comment about loving so much.


Wheat Free, Egg Free Pancakes

1 cup oat flour
1 cup barley flour
3 tsp baking powder
1/2 tsp salt
1 1/2 tbsp sugar
1 1/2 tsp oil
1 1/2 cups milk
2/3 cup carbonated water (more as needed)
chocolate chips, blueberries, etc. as desired

Mix dry and liquid ingredients separately. Then combine. Fry on pan and serve. For thicker pancakes, use less liquid, for thinner pancakes, use more liquid.


So then my son's diet changed. He could no longer have barley or milk in his diet. I tried the above recipe with Rice milk and used 100% wheat flour but they turned out flat and sticky. I'm not sure exactly why. So I went on the internet and found about 5 recipes to try. They are all similar and some were better than others, but they weren't great.

I have to say that I'm not a baker by any means. I barely passed chemistry so I have no clue how the ingredients in these recipes react with each other. I just started trying to combine some of the recipes to see what would happen. I am also suspicious of the 365 (Whole Foods brand) 100% wheat flour. It seems to have a different consistency than the oat and barley flour I was using. It's much more fine and mixes kind of goopey. So maybe that's why the simple substitutions didn't work. Anyway....

After many stacks of pancakes later, and a lot of frustration, I found a complete winner this morning! Here is what I did and hopefully you can recreate it. They tasted super delicious and they were so fluffy that cutting through a short stack of 3 pancakes was like cutting into a little pillow!


Egg Free, Dairy Free Pancakes

2 cups 100% wheat flour
2 tbsp sugar
4 tsp baking powder
1 tsp baking soda
1/4 tsp salt
1 1/2 cups Rice Milk
1/2 cup carbonated water, more if needed to thin
4 tbsp vegetable oil
Optional dairy free chocolate chips, blueberries, etc. as desired

Sift together dry ingredients. Add oil, milk and then the carbonated water. Mix together. Thin if needed with more carbonated water. Pour batter on pan with medium heat. Flip when the edges appear to be drying. Serve.

Here's a picture of our pancakes from this morning. They were awesome!

I hope that between the two recipes one of them will work for your family, or maybe you can make a substitution where needed and still maintain the fluffy results!

I Hate Shopping at Whole Foods

I had to make a run to Whole Foods yesterday, not by choice. I hate going there. Let me explain...

When my son's allergies were identified we had to look for food alternatives. The local Safeway didn't have much to offer. Lucky for us, there is a Whole Foods a few miles away. I thought for sure I'd find some great alternatives there.

Well, the place is always super crowded and the aisles are so small it's impossible to get around in there. But that aside, here's the real reason I am so fed up with that place...

I HAVE managed to find some great alternative foods for my son. I found some snack bars, some cereals, some crackers, oat flour, etc. But they always discontinue everything I find and want to buy again. This has happened over a half a dozen times! I bring something home that's safe, my son actually likes it, I go back and they no longer carry it. They didn't just move it, because I always ask. It's drives me absolutely insane! I hate fighting the crowd to come home empty handed.

Yesterday's adventure to the store was for some Perky O's. I have been getting them there for a long time. Yesterday, they were gone, completely. No flavors and no spot for them to be on the shelf anymore. They used to take up a large section of the aisle. Why????

This has happened just too many times without warning or reason that I can figure out. I will only go there if absolutely necessary. I'm sure that eventually the couple things left that I go there for won't be available anymore anyways. I'm going to have to look for an alternate store now, or do more online shopping for foods. Maybe I can sweet talk my Safeway into carrying a few items.

Friday, March 21, 2008

Wheat Free, Dairy Free Chocolate Chip Cookies

I love to pick up Chip Ahoy cookies when they're on sale. They're one of my favorite naughty snacks. But I feel bad because my son can't eat them. So I was flipping through some recipes I had and realized I never tried to make the Wheat Free Chocolate Chip Cookies I had written down. Well, now he can eat wheat, but he can't have the milk in them, so I made a couple substitutions. I had all the ingredients on hand so I went at it. He even helped which makes them even more special. I found this recipe somewhere on a vegan website over a year ago, but can't remember where.

Wheat Free, Dairy Free Chocolate Chip Cookies

1 3/4 cups oat flour
1/2 tsp baking soda
1/4 tsp salt
1/4 cup brown sugar
1/2 cup sugar
1/3 cup canola oil (or melted margarine if ok)
1 tbsp flax meal
1/4 cup Rice milk (I'm sure soy or regular milk would also be fine)
1 tsp vanilla
3/4 cup chocolate chips, dairy free

  • Preheat oven to 375 degrees
  • Sift together flour, baking soda, salt.
  • In small mixing bowl, whisk together flax meal and rice milk. Add sugars and stir, add oil and vanilla and whisk vigorously until all ingredients are emulsified (about a minute).
  • Mix wet ingredients into dry, fold in chocolate chips.
  • Drop batter by the tablespoon onto ungreased baking sheet, leaving 1 1/2 inch of space between cookies.
  • Bake 10-12 min. Remove from oven and let cool for about 5 min. Using spatula, put them on cooling rack to cool the rest of the way.

These were amazingly good! Even my husband and I enjoyed them. They definitely taste like oatmeal cookies, but that's not an issue for us. They were still very enjoyable. And my son was quite happy to be able to each chocolate chip cookies along with us!

Sunday, March 9, 2008

Our Current Treatments for Eosinophilic Esophagitis

I thought I should share how we are currently treating my son's case of Eosinophilic Esophagitis. I know there is no set treatment and most of it is still experimental. There is currently no known cure for this condition.

Before he was diagnosed with EE, he was on Zantac, a medicine usually given to people with reflux. It didn't improve his daily vomitting at all.

In September 2006 when he was finally diagnosed they said to continue the Zantac to help his stomach, but also put him on Qvar, a steroid inhaler. He was to swallow this medicine, not inhale it like it's usually taken. The steroid is supposed to reduce any swelling in the tissues of the esophagus caused by the eosinophils.

When we switched insurance we had to find new doctors. They then changed his stomach medicine to Cimetidine which also has a histamine blocker. He was also switched from Qvar to Flovent, the more commonly used steroid to treat EE. Again, he has to swallow this, not inhale it.

All these medicines didn't seem to do a single thing though. The one thing that made a HUGE improvement in his health was eliminating a long list of foods. On October 17, 2006 he had scratch testing done for the most common foods. He tested positive to many of them. That very day we eliminated the following from his diet: eggs, chicken (all poultry), wheat, corn, soy, peanuts, tree nuts, and peas. He didn't throw up again since that day. That's why that date sticks in my mind so strongly. My money is on the food eliminations at the winning "treatment", if you can call it that. It's more about avoiding than treating, and not fun, but it's working for now. We're grateful that he is no longer getting sick several times a day.

He continues to take Cimetidine twice a day. He is also down to taking the Flovent only once a day. Interesting to note, he had a strong reaction to a cold virus in the spring of 2007 that caused incredibly large hives on his body and a few bouts of vomitting, but nothing like in the past. Once the cold passed, everything cleared up and we reduced his Flovent again back to once a day. He is also taking Zyrtec every day and is on an iron supplement.

We continue the meds and the restrictive diet. The diet has changed a bit. We're now also eliminating milk and barley. BUT, we have been able to add back wheat! I'm crossing my fingers that we can eventually eliminate the medicines since in my opinion, I can't see that they're making any improvement. And I also hope that he outgrows the need to eliminate some of the foods currently on his "do not eat" list.

I consider us lucky. Even though we're on meds daily and have a very long list of things he can't eat, we try to stay positive and talk about all the things he CAN eat. I know there are many children with this condition who can't eat a single thing. I simply can't imagine how challenging that must be. My son is strong and he is dealing well with the food elimination in my opinion. And if you looked at him, you wouldn't know he has any kind of health problems. He is a very handsome, smart and charming young man. I love him dearly!

Thursday, February 28, 2008

What is Eosinophilic Esophagitis

Many of you are here because you already know what it is because you or a family member have been diagnosed with it and you're looking for more information.

If you don't know what EE is, here are the basics:

Eosinophilic Esophagitis is a condition in which there are eosinophils (a type of white blood cell) in the tissues of the esophagus. Normally, they should not be there. Certain things may trigger the production of these cells in the esophagus, such as an allergic reaction to a food(s) or other environmental things. They then cause inflamation of the esophagus.

The inflamation causes symptoms such as nausea and vomitting, food impaction, and difficulty swallowing just to name a few.

I highly recommend you visit the following links for more information on eosinophilic esophagitis as to what it is, symptoms, treatment, etc. These sites explain it so well that I feel I should just let them explain it rather than rewrite it for you.

http://www.apfed.org/ee.htm#ee

http://www.chop.edu/consumer/jsp/division/generic.jsp

http://www.cincinnatichildrens.org/svc/alpha/e/eosinophilic/about/

Patch Testing on Children with Eosinophilic Esophagatis

We went through our first round of allergy patch testing this month. Before we scheduled the appointments I looked for information about it in regards to children and why it's done. I couldn't find very much at all and was quite frustrated. I was also frustrated because the staff at the office, or at least the person I spoke with was not able to answer my questions without playing relay to someone else. She shouldn't have been on the phone telling us what to do if she couldn't answer my questions. For example, we were told to bring jars of babyfood for them to put on my son's back. The meat products are not pure, they have corn startch. My son has tested allergic to corn previously, so I thought it would be wrong to use it because it would give false positive results. Question after question and we finally got it all sorted out. (By the way, they ended up asking the doctor and he said that the corn starch shouldn't pose a problem "because it's only the starch". I wonder why then I'm avoiding it in all his foods then??) Anyway....

In my research for information I found a lot of references to patch testing for contact dermatitis and the main things it tested for was metals and chemicals that irritate peoples skin over time. I was totally confused how this related to eosinophilic esophagitis. We were going to test for foods only, it turns out, despite the paperwork they mailed me. I did finally find ONE great letter from Dr. Jonathan Spergel from Children’s Hospital of Philadelphia on the APFED website ( http://www.apfed.org/faqs.htm Question #4) that explained in much greater detail about why we do patch testing and what it indicates in EE. Basically, scratch testing and patch testing examine different "systems". Scratch testing shows immediate reactions to foods, patch testing shows delayed reactions to foods. People who have delayed reactions to foods have a difficult time pinpointing the culprit foods. This test should help with that.

We had just done scratch testing in January and my son had tested negative for several things that he had tested positive to in the past. We were very excited that we might be able to return some foods to his diet. With the patch testing though, he still tested positive to most everything and a couple new things! And if you test positive on either test, that food is recommended to be removed from the diet. So back to square one. But I do believe in my heart that his body must be improving since he got over his wheat allergy according to both tests, and he is not testing "as positive" as in the past to other things, if there is such a thing. Allergy testing is so not cut and dry.

Our experience with the patch testing in general was very good. It only took about 15 min. to get all the little cups of food taped onto my son's back. He thought it was quite hysterical that he was wearing baby food on his back! He just turned four so they had a little difficulty finding room for five strips of food cups, but it all worked out. He wore those test strips for 48 hours. He didn't complain about any discomfort or itching or anything. I think he was most annoyed that I wouldn't let him play too hard and get sweaty! After 48 hours, the office removed the test strips and took the initial reading. It didn't look too bad at the time. I was able to see two spots that looked positive. More grew over the 24 hour period until the next reading. My son still had no complaints of itching or anything which was good. At the final reading though, he was covered in spots. He tested positive for quite a few things. It's now over two weeks later and he still has a spot where he tested positive for egg (his most serious allergy).

I hope this helps other parents who are wondering what to expect when taking their child in for patch testing, for EE or for allergies in general. I'm attaching some photos of my son's tests just to share.




Sunday, February 24, 2008

Meatloaf Recipe - No eggs, dairy, wheat, corn

My husband has been bugging me to make meatloaf for a very long time now. We used to eat it quite often. The funny thing is that the recipe we used, he had gotten out of a college cookbook about how to cook in your dorm room. It’s the best meatloaf we’ve ever eaten (sorry Mom).

I haven’t made it since we found out our son’s food allergies. But the other day I decided to see if I could find another recipe for meatloaf that didn’t contain egg, milk, wheat or corn. I found a couple but they didn’t sound like they would be as satisfactory. So I decided to just try to alter my own recipe and see if it survived.

In my research I found oatmeal to substitute the bread or corn crumbs. Now, why I hadn’t figured that one out a year ago, I have no idea. So I used oats instead of bread crumbs, rice milk instead of milk and Ener-G egg replacer for the egg. I saw other egg substitutes but didn’t think it would make much difference anyway since the meatloaf would most likely hold it’s form.

We were delighted when we tasted our meatloaf tonight! You have no idea how good it made me feel to be able to cook a meal that everyone enjoyed and was safe for everyone to eat! I’m still floating on clouds. I also made mashed potatoes and used the rice milk. For my husband and I, we got to add some margarine to our potatoes and had peas as well (my son is also allergic to peas.) When I mentioned peas he stated “I”M ALLERGIC TO PEAS!” Good for him to take charge of himself. Anyway, here is how I made my meatloaf…

Ingredients:
1 1/2 lb. ground beef
1 small onion, chopped fine
2 tblsp green pepper, chopped fine
1/2 cup oats
2 tblsp organic ketchup (no corn syrup)
2 tsp salt
1/2 tsp black pepper
1 tsp sugar
2/3 cup Rice milk
1-1/2 tsp Ener-G egg replacer and 2 tblsp warm water

Directions: Preheat oven to 350 degrees. Place beef, onion, green pepper, oats, ketchup, salt, black pepper and sugar in mixing bowl. Mix together. Add the rice milk and egg replacer and mix thoroughly. Place meat mixture into loaf pan and put in oven. Bake 1 1/2 hours total. While it’s cooking, make sauce topping…

Sauce Ingredients:
3 heaping tablespoons brown sugar
1/4 cup organic ketchup
1 tsp dry mustard or 1 tblsp prepared mustard

Directions: Combine all sauce ingredients in a small bowl and stir well until the sugar is dissolved. After loaf has been cooking for at least 30 min., spoon some sauce over the top of the loaf. Continue to baste from time to time if desired.

I hope you enjoy this meatloaf as much as we did. We’ will definitely be putting this back on our menu!

Our Story

My son Jason was born January 17, 2004. He was a very easy baby. His only issue was that he spit up like crazy and lots of it. The doctor was never concerned because he was gaining weight just fine. He was my first baby so I just thought it was normal. In fact, he was a chubby little baby. He also had eczma but no concern there either because it didn’t seem to bother him and it’s pretty common.

At his 12 month doctor visit they drew some blood for some standard tests including things like lead and iron. Our pediatrician called though concerned about a very high level of eosinophils in his blood. She told me these typically indicate some sort of allergy. We did some further RAST testing (blood tests) to see if he might have any allergies and then we visited with the allergist. He wasn’t much concerned because all the testing doesn’t mean anything if there are no outward signs to back it up. He did score high for egg allergy and some others also showed up. He recommended we avoid egg and peas (peas was the one thing that started to cause him to break out in small hives where they touched).

Interestingly enough, for his first birthday we had some friends over and he ate birthday cake. Shortly thereafter he vomited and it was a big fiasco and my friend had to show me how to use my portable rug scrubber. It was a memorable day! But looking back now, he most likely had an allergic reaction to egg in the birthday cake.

Despite the removal of egg from his diet, he continued to “spit up”. Though now that he wasn’t a baby, it was more that he was vomiting. But visits to the doctor’s office came back with discussions about a very sensitive gag reflex, and possible reflux.

As time went on it got worse. We carried a barf bucket along with us everywhere we went because it would happen without warning. It wasn’t always after he ate. Zantac wasn’t doing anything to help the situation. He was eventually throwing up 2-3 times a day without any rhyme or reason. It was utterly exhausting to always be on edge. Any time he coughed we would run through the house to grab a bucket and try to catch it. There were several bedtimes that ended up with messy sheets, midnight baths and lots of tears. He cried every time he threw up and he didn’t want to do it anymore. He also wore a plastic bib for meals no matter what because in the middle of his meal sometimes it would come right back up, hardly chewed and definitely not digested. I don’t even know that it was making it down his esophagus. This is all pretty gross, I know, but it all makes complete sense now.

In September 2006 I happened to find some other mom on a message board who said “sounds like my son’s symptoms… have you checked for eosinophilic esophagitis?” I checked out what little information I could find about it and it seemed to fit Jason’s symptoms right on. I took him back to the pediatrician and told her that something is definitely not right and that I wanted to see a Gastroenterologist asap and to discuss eosinophilic esophagitis (EE). We saw the GI very quickly and scheduled an upper endoscopy to do a biopsy, the only way to identify for sure if the condition is EE or not. The results were good and bad at the same time. Yes, indeed he did have eosinophils in his esophagus indicating he had EE. We were sad, but at the same time, we were just finally so relieved to get an answer as to why he was throwing up constantly. He was on Zantac and swallowing Qvar daily to help manage the condition, but they truly didn’t make any difference.

We were referred to an allergist again. On October 17, 2006 he had some scratch testing done on his back. He showed allergic reactions to a long list of things. We were sent home with list of things to avoid. We were in tears over how we would manage to eat while avoiding eggs, chicken, turkey, wheat, corn, soy, nuts, peanuts and peas. And we were sad that he wouldn’t get to experience food like the average kid. I went through our kitchen cabinets reading every single label and getting terribly frustrated because our food is laden with these products. However…

Amazingly, my son didn’t throw up a single day after we changed his diet! We were so completely happy. Seeing him be so much more healthy was all the inspiration we needed to seek out other food options and to make this work. He had another biopsy on January 16, 2007 which showed he was 100% clear! Again, we were terribly excited that the restricted diet worked. We would continue on that diet for quite some time longer. We had periodic check ins with the GI and the Allergist. Lucky for Jason, his blood eosinophils seems to be related to his condition. I’m told that not all people can be followed with blood testing to see how they’re doing. But in his case, we could see that his blood eosinophils had gone way down.

In March 2007 he came down with a cold that left him broken out in hives and throwing up. I had not heard of cold viruses giving people hives before, until then. But as soon as the cold passed, so did the hives and the occasional vomiting. His blood had tested a higher level of eosinophils which then went back down after this viral episode.

And again, not a single symptom of his EE since we had changed his diet. We continued with this diet for over a year. His medicines changed a bit… Cimetidine, swallowing Flovent, taking Zyrtec for seasonal allergies, and iron supplements. But all in all, things were 99% good. There was just that lingering small amount of eosinophils in his blood.

In January of 2008 he underwent a repeat of the scratch testing. He now showed negative for a lot of things he had previously shown positive for! We were so excited that we might be able to reintroduce some foods back into his diet. But the doctor wanted to do patch testing to confirm the allergies.

In February 2008 we did the patch testing only to find that he showed positive to many foods still. In fact, he showed positive to milk which we hadn’t been avoiding in the past.
I came home half in tears again. Instead of adding things back in, we were now removing more items. Actually, we got to put wheat back in (that’s a biggie), but we had to remove milk and barley (which is in a lot of wheat products). It was hard to tell him that he could no longer have ice cream, cheese and butter. But actually, he seems to be taking it better than us!

So far we’re managing. It’s so difficult when someone is allergic to milk AND soy. And it’s so difficult with such a long list because there is usually at least one thing in everything that he can’t have. And corn… don’t get me started with corn and corn syrup being in everything!

I hope to someday deliver a happy ending to this story. Until then, we continue the battle!