Eosinophilic esophagitis diet. Is there a diet which improves the quality of life of people with Eosinophilic esophagitis?

Eosinophilic Esophagitis Diet: Improving Quality of Life

Eosinophilic esophagitis (EoE) is a chronic immune-mediated disorder characterized by inflammation of the esophagus. It is often triggered by certain foods, leading to symptoms such as difficulty swallowing, chest pain, and heartburn. While there is no cure for EoE, adopting a specific diet can significantly improve the quality of life for individuals with this condition.

The Six Food Elimination Diet

The Six Food Elimination Diet is the most commonly recommended diet for EoE. It involves removing six major food groups that are known to trigger allergic reactions and inflammation in the esophagus. These food groups include:

• Dairy


• Wheat


• Eggs


• Soy


• Seafood


• Nuts

By eliminating these foods from the diet, it becomes possible to identify which specific food(s) are causing the symptoms. After a period of strict elimination, foods are gradually reintroduced one at a time to determine individual triggers.

Elemental Diet

In cases where the Six Food Elimination Diet fails to provide relief, a more extreme approach called the Elemental Diet may be recommended. This diet involves consuming only amino acid-based formulas that provide all necessary nutrients in a pre-digested form. The goal is to eliminate all potential food triggers and allow the esophagus to heal. While effective, the Elemental Diet can be challenging to adhere to due to its restrictive nature.

Specific Carbohydrate Diet (SCD)

Another diet that has shown promise in managing EoE is the Specific Carbohydrate Diet (SCD). This diet focuses on eliminating complex carbohydrates such as grains, starchy vegetables, and processed sugars. Instead, it encourages the consumption of simple carbohydrates found in fruits, honey, and certain vegetables. The SCD aims to reduce inflammation and promote gut healing.

Elimination and Rotation Diets

For individuals who have identified specific trigger foods, Elimination and Rotation Diets can be effective. These diets involve eliminating the identified trigger food(s) for a period of time and then reintroducing them in a rotational manner. This approach helps prevent the immune system from becoming sensitized to a particular food and reduces the risk of developing new food allergies.

Other Considerations

While dietary changes play a crucial role in managing EoE, it is important to consider other factors that can contribute to symptoms:

• Food Texture: Some individuals with EoE may experience symptoms when consuming certain textures, such as dry or tough foods. Adjusting the texture of foods by pureeing, blending, or cooking them to a softer consistency can help alleviate symptoms.


• Food Temperature: Hot or cold foods and beverages can irritate the esophagus. Consuming foods at a moderate temperature may be more comfortable.


• Eating Habits: Eating smaller, more frequent meals and avoiding late-night eating can reduce symptoms of EoE.


• Medical Treatment: While diet plays a significant role, it is important to work closely with a healthcare professional who can provide appropriate medical treatment, such as proton pump inhibitors or topical corticosteroids, to manage EoE effectively.

It is crucial to consult with a healthcare professional or a registered dietitian before making any significant dietary changes for EoE. They can provide personalized guidance, monitor nutritional needs, and ensure the diet is safe and effective.