Eosinophilic esophagitis (EoE) is a chronic disease of the esophagus. Your esophagus is the muscular tube that carries food and liquids from your mouth to the stomach. If you have EoE, white blood cells called eosinophils build up in your esophagus.
Your provider will likely first prescribe an acid blocker such as a PPI . This treatment is the easiest to use, but most people's symptoms don't improve. Topical steroid. If you do not respond to the PPI , your provider will then likely prescribe a steroid, such as fluticasone or budesonide.
During the early 2000s, researchers found that eliminating six common food triggers of esophageal injury—milk, egg, wheat, soy, fish and nuts—substantially reduced signs and symptoms of EoE. This six-food elimination diet (6FED) became a common approach to managing the disease.
EoE is a life-long condition. Management includes avoiding the foods or allergens that cause the allergic reaction.It can take patience to identify and then remove allergens from your diet. However, your quality of life will improve as your management plan progresses.
Food allergies clearly contribute to EoE; however, no one has yet to determine which foods might be the cause. The more common foods associated with food allergies are milk, eggs, peanuts and tree nuts, beef, wheat, fish, shellfish, corn and soy.
Natural treatment
Natural treatments may help manage your symptoms, but they won't cure eosinophilic esophagitis. Some herbal remedies, such as licorice and chamomile, may help reduce acid reflux symptoms. Acupuncture and relaxation techniques such as meditation can also help prevent reflux.
Overall in the various studies throughout the world, milk is the most common allergen causing disease in about 2/3 of patients followed by egg and wheat in another ¼ of the patients. Although milk is the most common antigenic trigger for EoE, EoE is also triggered in many patients by other foods.
Your diet must comprise fruits, vegetables, lentils, fats, protein, and whole grains. You must also avoid allergy-causing food items to reduce the eosinophil count. These food items are soy, egg, wheat, fish, and milk.
EoE is usually considered to be related to allergies, not autoimmunity. However, some research has found a higher risk for autoimmune conditions among people with EoE. If you have concerns about your risk for autoimmune disease, speak to your health care provider about risk factors.
Living with eosinophilic esophagitis can be challenging. If you're like most people, your symptoms will go away after treatment for inflammation and reducing scar tissue. But you may feel anxious or nervous about swallowing food, especially if you experience food impaction (food stuck in your esophagus).
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