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

Dairy is often the first culprit when it comes to triggering EoE symptoms. Milk, cheese, yogurt, and other dairy products contain proteins that can irritate the esophagus, leading to inflammation. For many, cutting out dairy can bring noticeable relief. Opt for dairy alternatives like almond milk, coconut yogurt, or soy-based products to ensure you’re still getting the nutrients you need without the unwanted side effects.

2. Wheat

Wheat and gluten-containing products are another group that frequently aggravates EoE. Bread, pasta, and baked goods might be staples in many diets, but they can contribute to esophageal irritation for those with EoE. Luckily, the market is brimming with gluten-free alternatives. Quinoa, rice, and gluten-free oats can become your new best friends in the kitchen, offering versatility without the inflammation.

3. Eggs

Eggs are a common allergen and can be a significant trigger for those with EoE. Eliminating eggs from your diet might seem daunting at first, but there are plenty of substitutes available. Applesauce, mashed bananas, and commercial egg replacers can work wonders in recipes, allowing you to enjoy your favorite dishes without the worry of an EoE flare-up.

4. Soy

Soy products, including tofu, soy milk, and edamame, are often eliminated in the quest to calm EoE symptoms. While soy is a popular protein source, especially in vegetarian and vegan diets, it can cause problems for those with EoE. Exploring other protein-rich foods like legumes, nuts, and seeds can provide the nutrition you need while keeping symptoms at bay.

5. Nuts

Nuts, though packed with nutrients, are a common allergen and can exacerbate EoE symptoms. Almonds, peanuts, and other nuts might need to be sidelined to achieve esophageal peace. If nuts are off the table, seeds such as sunflower or pumpkin seeds can be a great alternative, offering similar nutritional benefits without the risk of triggering symptoms.

6. Seafood

For those with EoE, seafood, including fish and shellfish, can be problematic. The proteins found in seafood can lead to inflammation and discomfort. If seafood is part of your regular diet, consider exploring other sources of omega-3 fatty acids, such as flaxseeds or chia seeds, to maintain a balanced intake of essential nutrients while avoiding EoE triggers.

Eliminating these six food groups can be a game-changer for managing eosinophilic esophagitis. While it might seem challenging at first, there are plenty of delicious and nutritious alternatives available. Always consult with a healthcare provider or a registered dietitian before making significant dietary changes to ensure your nutritional needs are met. Combining dietary management with appropriate EoE drugs and EoE medications can help you maintain a balanced and symptom-free life.