Q. Tests for stomach pain revealed a high eosinophil count. What to do?

Answered by Dr. Klerida Shehu and medically reviewed by iCliniq medical review team.

 

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Hi doctor,

I have a stomach ache from the last two months. It got worsened last week and I was admitted to a hospital. A lot of tests were done. The CBC revealed eosinophilia. The gastroscopy revealed an edematous duodenum. A duodenal biopsy was taken. I have attached my biopsy report. I want to understand the same.


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Dr. Klerida Shehu
GENERAL MEDICINE., WORKING AS GENERAL PRACTIONER., GASTROENTEROLOGY MASTER DEGREE., LECTURE AT MEDICAL
Medical Gastroenterology

Hello,

Welcome to icliniq.com.

  • I reviewed your biopsy report (attachment removed to protect patient identity), and the findings were normal. There is nothing to be worried about.
  • You will need to use PPI's (proton pump inhibitors) to improve your symptoms.
  • Regarding your eosinophilia, it may be elevated with fecal parasites. I suggest a fecal parasite test to better determine it.

For more information consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist

 

Thank you doctor,

The doctor prescribed me medicines for stomach ulcer earlier but, I did not get any relief. I am already taking antacids but, no relief even with that. Please suggest what can be done.

 

Dr. Klerida Shehu
GENERAL MEDICINE., WORKING AS GENERAL PRACTIONER., GASTROENTEROLOGY MASTER DEGREE., LECTURE AT MEDICAL
Medical Gastroenterology

Hello,

Welcome back to icliniq.com.

  • As mentioned earlier, you should do a fecal test for ova parasites.

For further queries consult a medical gastroenterologist online --> https://icliniq.com./ask-a-doctor-online/medical-gastroenterologist

 
 
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Eosinophilia: A Brief Discussion Regarding Causes and Management
Article Overview: Eosinophils are round to oval cells having a bilobed nucleus with orange granules in the cytoplasm. Along with the IgE antibody, it mediates allergic reactions, that is, type-1 hypersensitivity reactions. So, increased eosinophil count is suggestive of mainly allergic reaction. Its normal range in different leukocyte counts is only 1 to 6 % (40 to 400/cmm). In an allergic reaction, eosinophils along with mast cells, play a significant role and its content like digestive enzymes and cytotoxic protein can lead to tissue damage as well.  Read Article »
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Definition: Eosinophilia is said to be present when the absolute eosinophil count is more than 400/cmm (some books mention eosinophilia when the absolute count is more than 500/cmm). Etiology: I will describe in brief the causes of eosinophilia so that it will help in detecting the underlying cause ...  Read Article »
 
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