In medieval times the Esschestroom and some of the upstream water was called Dieze.

Downstream it is joined by the Rosep, the Nemer, and just before Esch by the Kleine Aa or Dommeltje.

The Esschestroom then flows through Esch and joins the Dommel just west of Halder.

In 2005 a plan was made to restore the water storage capacity, the ecological and the recreational values of the Essche Stroom.

The canalized Esschestroom stayed in place for storing excess water, and the area east of the new meanders would be allowed to flood in case of emergency.

The dykes were moved further from the shore, and made place for lower waterlines which were allowed to flood.