The allergy evaluation for eosinophilic esophagitis (EE or EoE) has been discussed in a previous sections. Once the allergy evaluation is complete, then families need to discuss with their doctors about dietary strategies for treatment of EE.
There are 3 main dietary treatment options for eosinophilic esophagitis
– Specific food elimination diet OR food restriction/avoidance diet
– Six food empiric elimination diet OR common food allergen diet
– Elemental diet with an hypoallergenic amino-acid based formula
Keep in mind that there is no one best treatment method for every person with eosinophilic esophagitis. A discussion with your treating doctor is needed to come up with a best plan for you. These dietary treatments are not necessarily exclusive, and ultimately may be a blend of these diets, and may include some type of EE medications.
Regardless of the mode of dietary therapy used – the decision should involved your medical team including gastroenterologist, allergists, and dietician. A follow-up endoscopy is usually required to evaluate the health of the esophagus on diet therapy since EE patients can experience significant relief of symptoms while having persistent and significant esophageal inflammation.