Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic epigastric pain, postprandial nausea, and intermittent vomiting. Symptoms are associated with early satiety and bloating. No history of NSAID use or H. pylori infection. Patient reports history of atopic conditions (asthma/eczema/allergies). Symptoms exacerbated by specific food triggers.
Clinical Examination Findings
Abdomen: Soft, non-distended, with mild epigastric tenderness on deep palpation. No rebound tenderness or guarding. Bowel sounds present and normal. No palpable masses or organomegaly. Skin: No active rashes or urticaria noted.
Treatment Protocol
Initiate dietary elimination therapy (e.g., 6-food elimination diet). Prescribe proton pump inhibitor (PPI) therapy for acid suppression. Consider short-course systemic corticosteroids for acute symptom management. Monitor peripheral eosinophil count and follow up with repeat EGD with multiple biopsies to assess histological response.