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Your Guide to Eosinophilic Esophagitis

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Managing Eosinophilic Esophagitis at School

Medically Reviewed By Mia Armstrong, MD

A doctor can help create a health plan that allows your child to manage their eosinophilic esophagitis (EoE) while at school.


About 1 in every 2,000 people have eosinophilic esophagitis (EoE), a white blood cell that causes inflammation of the esophagus. If your child has EoE, you can work with their doctor to create a plan for the school year.

Helping your child manage EoE symptoms means you are likely focusing on their physical health. However, it can be beneficial to consider implementing mental health resources as part of their EoE treatment plan. You and your child can learn tools to manage stress and improve their quality of life.

Communicate with your child’s doctor

Talk with their doctor as you prepare for your child to go to school. Ask what you can prioritize for your child while they’re in the classroom.

The doctor can help guide and reassure you so that you can be your child’s best advocate. EoE is a chronic disease, and your child’s treatment plan will change with time. Talk with your child’s doctor to make the necessary adjustments when in doubt.

Find the right medication

Finding the right medication to manage symptoms can make a big difference in your child’s quality of life — and that can reduce any anxiety they may have about managing their condition at school.

However, it might take a little trial and error. Like many people with EoE, they may benefit from using corticosteroid such as fluticasone or budesonide to control inflammation in their esophagus.

However, others might find relief from a proton pump inhibitor (PPI) to reduce acid production in the stomach and reduce the symptoms of acid reflux. If your child is at least 12 years old, they might be able to take a biologic medication such as dupilumab (Dupixent).

Create a school health plan

Before your child begins school, you can create a health plan. According to the American Partnership for Eosinophilic Disorders, your child’s plan can list their most common symptoms, medications, and how to handle them if they experience symptoms at school.

You can partner with your child’s school as you develop this plan, especially if your child needs medication.

Seek accommodations

In addition to creating a school health plan, you can apply for special accommodation at your child’s school. By law, children with disabilities who attend public schools have protection and support from 504 plans and IEPs (individualized education programs).

According to the American Partnership for Eosinophilic Disorders, eosinophilic gastrointestinal disorders qualify as a disability under Section 504, a federal statute designed to prevent discrimination.

A 504 plan helps you ensure that the school takes steps to keep your child safe and to participate in activities. Your child may also qualify for an IEP if their EoE affects academic performance.

Collaborate with teachers

If your child does qualify for a 504 plan or an IEP, your child’s teacher will receive a copy of the plan so they can use it in the classroom.

You can meet with your child’s teacher to explain EoE symptoms and answer specific questions. Keeping communication open with the school staff can help your child thrive.

As the school year progresses, ask your child how their EoE health plan can be adjusted to fit their needs and well-being.

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Medical Reviewer: Mia Armstrong, MD
Last Review Date: 2023 Aug 4
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