Eosinophilic Esophagitis (EoE) is a chronic condition where the esophagus becomes inflamed due to an overactive immune response. Biologics, a type of medication that targets specific parts of the immune system, are often used to manage EoE. While these medications can be effective, certain foods can interfere with their effectiveness or worsen symptoms. Here are the key foods to avoid when taking biologics for EoE.
Common Allergens
Many people with EoE have food allergies that can trigger symptoms. Common allergens like milk, eggs, wheat, soy, peanuts, tree nuts, fish, and shellfish should be avoided if they’re known triggers for you. Even small amounts can irritate your esophagus and counteract the benefits of biologics.
Acidic Foods
Foods that are highly acidic, such as citrus fruits (oranges, lemons, grapefruits), tomatoes, and vinegar-based dressings, can irritate the esophagus. This irritation can make EoE symptoms worse, even if you’re on biologics.
Spicy Foods
Spicy foods like chili peppers, hot sauces, and dishes seasoned with heavy spices can aggravate the lining of your esophagus. Avoiding these foods can help reduce inflammation and discomfort.
High-Fat and Fried Foods
Fatty and fried foods can relax the lower esophageal sphincter, making it easier for stomach acid to flow back into the esophagus. This can increase irritation and make it harder for biologics to work effectively.
Processed and Packaged Foods
Many processed and packaged foods contain additives, preservatives, and artificial ingredients that can trigger inflammation. Foods like chips, cookies, and ready-to-eat meals often have hidden allergens or irritants that can worsen EoE symptoms.
Carbonated Beverages
Carbonated drinks, such as soda and sparkling water, can cause bloating and pressure in the esophagus. This can lead to discomfort and exacerbate symptoms, reducing the benefits of biologics.
Alcohol
Alcohol can irritate the esophagus and interfere with the way biologics work. Beverages like wine, beer, and spirits should be avoided to prevent additional irritation and inflammation.
Cold or Very Hot Foods
Extremely cold foods like ice cream or very hot foods like soups can cause temporary discomfort in the esophagus. Maintaining moderate temperatures in your meals can help minimize irritation.
By avoiding these foods and focusing on a diet that supports your treatment plan, you can help biologics work more effectively and manage EoE symptoms more successfully. Always consult with your healthcare provider or dietitian for personalized advice.