Eosinophilic esophagitis (EoE) is a chronic, immune system disease that can be managed with various treatments such as Dupixent, Dupilumab, proton pump inhibitors, and topical steroids. EOHILIA (budesonide oral suspension) is another option that is FDA approved for 12-week oral treatment for 11 years and older. However, it’s also essential to consider dietary changes as part of the treatment strategy. Eliminating certain foods from your diet can significantly reduce the symptoms and improve your quality of life. Here are six foods you should consider eliminating if you have EoE.

1. Dairy products

Milk, cheese, yogurt, and other dairy products are common culprits when it comes to food allergies and sensitivities. For those with EoE, dairy can exacerbate symptoms, making it one of the first food groups to be eliminated. The proteins in dairy can trigger an immune response, leading to inflammation in the esophagus. Thankfully, there are plenty of dairy-free alternatives available, such as almond milk, coconut yogurt, and vegan cheese, making it easier to adapt to this change.

2. Wheat

Wheat is another common allergen that can contribute to EoE symptoms. By eliminating wheat, you can help reduce inflammation and identify if it’s a trigger for your condition. Gluten-free grains like rice, quinoa, and oats can serve as excellent substitutes, allowing you to enjoy a variety of meals without feeling deprived. Many people find that cutting out wheat not only helps with EoE but also improves their overall digestion and energy levels.

3. Soy

Soy is often found in processed foods and can be a hidden trigger for those with EoE. From soy sauce to tofu, this legume is prevalent in many diets, so removing it can be challenging. However, identifying soy as a potential allergen can lead to significant improvements in symptoms. Look for soy-free alternatives like coconut aminos for soy sauce and explore other plant-based protein sources like lentils and chickpeas to keep your meals balanced and satisfying.

4. Eggs

Eggs are a versatile ingredient in many dishes, but they can also be a trigger for EoE symptoms. Eliminating eggs from your diet might seem daunting, but there are plenty of substitutes available. Applesauce, mashed bananas, and flaxseed meal can replace eggs in baking, while scrambled tofu or chickpea flour omelets can satisfy your breakfast cravings. By experimenting with these alternatives, you can still enjoy your favorite recipes without the risk of exacerbating your symptoms.

5. Nuts

While nuts are a nutritious snack for many, they can pose a problem for those with EoE. Peanuts and tree nuts are common allergens, and their elimination is often necessary to identify if they are contributing to symptoms. Seeds like sunflower, pumpkin, and chia can offer similar nutritional benefits without the risk of triggering an allergic reaction. Additionally, seed butters like sunflower seed butter can be a tasty alternative to peanut butter, ensuring you don’t miss out on your favorite spreads.

6. Fish and shellfish

Seafood, including fish and shellfish, is another group of potential allergens that may need to be removed from your diet. For those with EoE, these foods can trigger inflammation and discomfort. While eliminating seafood might seem limiting, there are plenty of plant-based sources of omega-3 fatty acids, such as flaxseeds, chia seeds, and walnuts, to keep your diet balanced. Exploring new recipes with these ingredients can open up a world of culinary possibilities while keeping your symptoms in check.

By following a six-food elimination diet, you can take control of your EoE symptoms and work towards identifying the specific foods that trigger your condition. While it may require some adjustments and experimentation, the potential benefits are well worth the effort. Remember, it’s essential to work with a healthcare professional or dietitian to ensure you’re meeting your nutritional needs while making these dietary changes. With the right guidance and a bit of creativity, you can manage EoE effectively and enjoy a diverse, satisfying diet.