Medical and nutrition management of eosinophilic esophagitis in children. When does a child need a feeding tube? This diet typically trials the exclusion of wheat, milk, egg, nuts, soy, fish and shellfish. Alexander, M. Elimination diets take away foods that are thought to cause an allergic reaction. Treatment of eosinophilic esophagitis with specific food elimination diet directed by a combination of skin prick and patch tests. Coconut, hemp, oat, almond, or rice milk Dairy-free yogurts Dairy-free cheeses Coconut or cashew ice cream Hemp products Coconut milk products. Most responders to a 2-or 4-food were shown to have one or two food triggers, so these patients may be best candidates for long-term treatment by avoidance of the culprit foods.
Eosinophilic esophagitis, an increasingly recognized chronic inflammatory disorder isolated to the esophagus, is triggered by an abnormal allergic response to dietary antigens. Current treatment includes swallowed topical steroids and dietary modification, which aim to resolve symptoms and prevent long-term complications such as formation of strictures. The dietary approach has become more widely accepted because long-term steroid therapy is associated with potential risks. Dietary treatment includes elemental and elimination diets. However, compliance with this approach is challenging because of poor taste and monotony. The high cost of formula and the associated psychosocial problems are additional drawbacks of this approach. Empiric and allergy test-directed elimination diets have gained popularity given that elimination of a limited number of foods is much easier and as such is more readily acceptable. There is a growing body of literature supporting this type of therapy in both children and adults. This paper reviews the evidence for all types of dietary therapy in eosinophilic esophagitis. Eosinophilic esophagitis EoE is a rapidly emerging allergic disease driven by a dysfunctional immune response to food antigens.
Make Appointment. Find a Specialist. Get Directions. Refer a Patient. Research has shown a strong connection between food allergies and eosinophilic esophagitis EoE. Studies have shown that particular foods cause allergy cells to build up in the esophagus.