Steroid Treatments for EoE

Рет қаралды 1,315

10 ай бұрын

Do you have Eosinophilic Esophagitis (EoE) and are looking for a treatment method? Have you been on various therapies for EoE, but they aren’t working and you want to try something else? Watch this video to learn about some new methods for treating EoE!
While not FDA Approved, certain steroids have been clinically tested to see if they will help EoE patients. There are two that I discuss in this video that have shown success. Two of the first things you might be thinking are - is it bad for your esophagus to use steroids and are there any side effects. We will talk about that. What it you have conditions like herpes - should you avoid these steroids?
You may also wonder why these steroids have not been FDA approved for EOE and if there have been steps in that direction. I'll explain that process.
Additionally, I will describe how clinicians studied and suggested how these steroids be dosed, how they should be taken, how long it takes for them to work, and how long they should be used for. Let's also talk about what other steps need to be taken - like oral hygiene and endoscopies. Finally, I discuss whether relapse can happen and what you can do in that event.
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DISCLAIMER: While I am a Gastroenterologist, I am not acting as your Gastroenterologist. The information provided on this channel is intended to be general educational content and not directed towards any one individual. If you believe you have a medical condition that deserves attention please seek care from your healthcare provider. If you are experiencing a life threatening emergency, call 911.

Пікірлер: 15

@mitchellbarnow1709 10 ай бұрын

Dr Cooper, that was a great explanation of something that I actually don’t have! I have not seen or heard the word “Thrush” since my friends were dying from AIDS in the 1980’s until around 1995 when better medications were released! You’re an awesome Doctor with incredible knowledge in that big brain 🧠 of yours!

@ImNotSneeky 9 ай бұрын

Thank you so much! Lately your videos have been helping my ease with anxiety. I have EOE, BE and acid reflux and all seem so confusing on how to reverse. I take PPI for my acid reflux and now want to see how I can control my EOE and treat the BE. Seems as EOE is the hard one as not much I can do besides figuring out my diet as my DR doesn't want to do the Steroid right now.

@MarkCooperMD 9 ай бұрын

My colleague and I were talking about hesitancy to start steroids being common when you’d not think twice about starting them for an asthmatic. Grant it the risks of asthma are greater. My colleague and I agreed we see reasons to be more aggressive about achieving reduction of eosinophils at biopsy - much like we aim for improvement of Ulcerative Colitis on biopsy. Thanks for watching.

@Hudokrucnez 6 ай бұрын

Great video! In EU we have a budesonide tabled specifically developed to target eoe, its called Jorveza. I have it and will try it out shortly… I was diagnosed with a small hiatal hernia, Gerb and eoe.

@amylee9037 7 ай бұрын

Thank you so much !!

@MarkCooperMD 7 ай бұрын

You’re welcome. I hope it was helpful.

@jjay0307 2 ай бұрын

it's driving me nuts! 2 years I've had this for, nearly 6 months since I had a endoscopy and the biopsies are taking forever! my voice is effected, horse like, my throat, chest is always sore, food getting trapped, or I bring it up, either swallowing it again, or I'm just sick, it's like living in hell, I don't enjoy food, I get stressed when I get hungry, and so far what you've said I always get thrush so, I'm going to guess it's just not going to get better. nothing is going to change.

@artistnyc123 Ай бұрын

I'm in the same boat, I have a flareup about every two weeks sometimes less and it takes about 48 hours to resolve. During that time I'm absolutely miserable but in between flareups I still don't feel good. I've ordered some of the medication described in the video enough for about a 30 day treatment twice a day and if I start feeling the results are working I'm gonna go ahead and order enough for about a three month treatment. I'm buying them for my very trusted online pharmacy overseas and while it's still expensive it's nowhere near the crazy prices I see if you don't have the insurance to pay for it here in the US.

@lanamcneill1040 2 ай бұрын

When should you take the medication in relation to meal times? Before? After? Or does it matter??

@paulotre5903 6 ай бұрын

My 10 yr old daughter has been prescribed budesonide. The doctor recommended we mix it with honey. It doesn’t seem to be helping. Thoughts?

@beyerch 5 ай бұрын

Questions - Infections : If you were to get one of the infections you described, how bad are they? Is it something easily treatable / minor annoyance or a significant issue? - Medications : Jorveza/orodispersible budesonide *IS* approved outside of the U.S. With a prescription you can buy on-line via Canada w/ prescription. Have you considered prescribing this for anyone? NOTE: PPIs did not bring down my counts, which is why I'm looking for alternatives, etc. Thanks!