Scope #4 Results

Dr. Franciosi's nurse (Jo) called me today with the results of Lucas' latest scope. Not great news. Not that I was expecting a miracle but I had hoped that his upper esophagus was lower than 100. Here are the results:


(A) Duodenum 3rd 

(B) Body/antrum 

(C) Distal esophagus (bottom of the esophagus)

(D) Proximal esophagus (top of the esophagus)

Samples A and B came back normal. Sample C came back with 40 eosinophils per high-powered field. Sample D came back with maximum >100 eosinophils per high-powered field. 

To compare from his previous scope in November, Samples A and B were the same. Sample C the count was 47 eosinophils per high-powered field. Sample D had a count of greater than 100 eosinophils per high-powered field.

So his lower esophagus decreased by 7 but his upper esophagus was still above 100. They don't count anything above 100 so I'm not sure what the difference was if there was one.

We decided on the next course of treatment. I kind of expected it. Lucas will remain on his current diet of elimination of Top 6 plus corn and oats. We are NOT added or removing anything to/from his diet. We can decrease his Nexium from twice a day to once a day. And   we are added the Pulmicort slurry twice a day. We will have a follow up scope in 12 weeks.