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They can include: Being older than 60 years Spinal cord injury Family history of eosinophilic esophagitis Weak immune system caused by illness such as cancer or HIV/AIDS Taking drugs that weaken your immune system, for instance, after an organ transplant Surgery of your esophagus or one that uses a nasogastric tube, which goes into your nose and passes down to your stomach Esophagitis Diagnosis Once your doctor has done a physical examination and reviewed your medical history, there are several tests that can be used to diagnose esophagitis