Top Foods to Steer Clear Of
Eosinophilic esophagitis (EoE) happens when a type of white blood cell called eosinophils gathers in the esophagus, which is the tube that carries food from your mouth to your stomach. This buildup causes swelling, making it hard to swallow and causing discomfort. Managing EoE means not only taking medicine but also choosing your food carefully. Some foods can make EoE symptoms worse; let's take a look.
Worst Foods for EoE
Dairy Products
Dairy can be a common trigger for people with EoE. Milk, cheese, and yogurt might cause symptoms like throat irritation and difficulty swallowing.
Wheat and Gluten
Foods that contain wheat and gluten, like bread and pasta, can provoke EoE symptoms. Gluten sensitivity can exacerbate inflammation in the esophagus.
Nuts and Seeds
Nuts and seeds are often difficult to digest and can irritate the esophagus, worsening EoE symptoms.
Seafood
Some people with EoE react to seafood such as shrimp, fish, and shellfish. These can lead to flare-ups and increased discomfort.
Spicy Foods
Spices and hot sauces can irritate the esophagus lining, leading to increased inflammation and pain.
Acidic Foods
Citrus fruits, tomatoes, and other acidic foods can aggravate EoE symptoms by increasing the acidity in the esophagus.
Processed Foods
Foods with additives, preservatives, and artificial flavors might trigger EoE symptoms. These can be hard on the digestive system and lead to flare-ups.
Fibrous Vegetables
Vegetables like broccoli, cauliflower, and carrots can be hard to chew and digest, potentially causing irritation in the esophagus.
Best Foods for EoE
Soft Fruits
Fruits like bananas, applesauce, and peeled pears are easy to digest and less likely to irritate the esophagus.
Lean Proteins
Skinless chicken, turkey, and tofu are good options that provide necessary nutrients without causing irritation.
Cooked Vegetables
Vegetables that are well-cooked and soft, such as carrots and squash, can be easier on the digestive system.
Oatmeal and Rice
These are gentle on the esophagus and can be a good source of fiber without causing inflammation.
Non-Dairy Milks
Almond, rice, or oat milk can be a good alternative to cow's milk for those with dairy sensitivities.
Low-Acidity Foods
Foods that are not acidic, such as cucumbers and bell peppers, can be less irritating to the esophagus.
Smooth Soups
Blended soups without chunky ingredients can be soothing and easy to swallow.
Pureed Foods
Foods that are pureed can be easier to swallow and less likely to irritate.
Treatment Options
Medications
Treatment for EoE often includes medications to reduce inflammation and manage symptoms. These might include proton pump inhibitors (PPIs) or corticosteroids.
Elimination Diets
Identifying and avoiding specific food triggers through an elimination diet can help manage your symptoms. This often involves working with a dietitian to determine which foods to avoid.
Dilation Therapy
For some people, esophageal dilation may be needed. This procedure helps to widen the esophagus if it has become narrowed due to inflammation.
Allergy Testing
Testing for food allergies or sensitivities can help identify triggers that should be avoided to manage EoE effectively.
Regular Follow-Up
Regular visits to a healthcare provider are important to monitor the condition and adjust treatment as needed.
EoE and Your Diet
Managing EoE requires careful attention to diet and treatment. By avoiding problematic foods and following recommended treatments, individuals can help control their symptoms and improve their quality of life.