Changes in Diet
- Empiric Elimination Diet– removes the top most common food allergens; milk, egg, soy, wheat, fish/ shellfish, peanuts/tree nuts. This is also called a Six-Food Elimination Diet (6FED).
- Elemental Diet – amino acid-based formula that supplies the child’s caloric and nutritional needs.
A dietitian will help make sure your child is getting the proper nutrition.
Many people with EoE avoid foods that trigger their disease. Food trialing is a process used to determine which foods are safe for a patient to eat. Patients first remove several foods from the diet that may cause EoE, and then add these foods back into their diet one at a time. Your physician will lead this process. Patients eat a food that they want to add into their diet in a very systematic way. After several weeks, the patient is scoped to see if that food caused an increase in eosinophils and disease symptoms. If eating the food causes a patient’s EoE to worsen, patients then avoid that food. If it does not impact their disease state, it is considered a passed food trial and the patient can continue to keep this food in their diet.
- Proton Pump Inhibitors- acid reducing medicines
- Swallowed steroids – most common are fluticasone (Flovent) or budesonide (Pulmicort)
- These medicines help reduce the number of eosinophils in the esophagus.
Clinical trials to study how these medicines can help children with EoE are ongoing at our hospital.
Treatment helps the symptoms of EoE but does not cure it. EoE is a life-long condition. Having scopes with tissue samples regularly is needed to check EoE and to see if the treatment is working.