It's funny when we tell friends or new acquaintance about Kaylin having EoE, the first response is usually, "Is there medication you can give her?" But on the opposite side, when we explain she's on meds to friends in the EoE community, they ask "why?" We also get a lot of questions from patients going down the road to using meds and ask if they really work and all the fun details. Each kid is so different and at different states of this disease that it really varies whether it's a good option but for us, it was the only option.
Kaylin was always a fussy baby, fussy eater, fussy sleeper but she was healthy and happy for the most part. Looking back, we now know how much the "fussy" part had to do with the EoE but at the time, so many of those things had just been explained away as "normal kid stuff." When we got her diagnosis, we were given the 3 options of treatment. First she was tested for allergies via skin prick testing and they asked us a million questions about foods and everything lead no absolutely no hint of having food triggers or food allergies. The three treatment options were Medication, Top 8 Elimination and Formula. Well immediately formula was off the table. She had been on a full diet and growing and the symptoms we knew about would come and go and she'd seem fine for weeks. Kaylin was starting preschool so the thought of having to completely change her diet and remove Wheat, Soy, Dairy, Egg, Fish, Shellfish, Peanuts and Treenuts seemed not only ridiculous but cruel. She was already picky and never seemed to eat enough, we thought there would be NOTHING left for her to eat that she actually would eat. When I've said it seemed cruel before, I get so many of the EoE parents in an uproar but for our daughter at age 4, it would have been. As far as she was concerned, there was nothing wrong with her. We also worried about her complying. As we've since had to remove foods from her diet, we know now that we were right because even now that she correlates certain foods with pain, she still struggles with staying away from those foods. Knowing absolutely nothing about food allergies or top 8 diets, they were basically telling us we could give her a medication that is working in most kids or turn our entire lives upside down with diet changes. It was pretty simple.
The medication worked within weeks. We noticed she stopped spitting up almost immediately, this was her major symptom we knew about at the time. We didn't see any symptoms from the medication and the scopes proved it was working.