Specific food elimination diet is a dietary management approach based upon results of food allergy testing with combination of skin prick, atopy patch, and/or RAST testing. An allergist familiar with this disease would need to complete testing and discuss results with the patient about removal of foods from the diet.
Foods that are recommended to be restricted should be carefully avoided because even small amounts as a secondary ingredient may be enough to results in persistent substantial inflammation of the esophagus. The most common foods are detected on skin and patch testing are milk, egg, wheat, soy, peanuts, treenuts, chicken, beef, and corn. It is important to note that milk is probaby one of the most common foods to trigger EE, however, unfortunately it appears that even with negative milk allergy testing by skin prick and patch testing cow’s milk protein is often a cause for EE. Therefore, your physician may recommend avoidance of milk even though testing was negative.
Specific food elimination diets can be difficut to adhere to, especially if a major common allergen is involved. So a dietitian or nutritionist who is familiar with food allergies can be an invaluable resource to help guide these diets. A dietitian can assess the nutritional status, provide dietary suggestions, and ensure adequate nutrition is maintained while on the diet. Furthermore, familiarity with reading ingredient labels is essential for successfully maintaining these diets.