Eosinophilic Esophagitis (EoE) is a condition where the esophagus becomes inflamed due to an allergic reaction. For people with EoE, managing food intake is crucial to reducing symptoms and preventing flare-ups. Biologic treatments, often prescribed for EoE, help control inflammation by targeting specific parts of the immune system. However, even with biologics, the right food choices can make a big difference in managing the condition effectively.
Understanding EoE and Biologics
EoE is triggered by food allergies or sensitivities, which cause a buildup of white blood cells (eosinophils) in the esophagus. Biologics work by reducing the activity of these immune cells, providing relief from inflammation. While biologics are an essential part of treatment, avoiding certain foods remains an important strategy in managing EoE and preventing flare-ups.
Avoiding Common Trigger Foods
Certain foods are known to trigger inflammation in individuals with EoE. These often include dairy products, gluten, eggs, nuts, and soy. These foods can cause allergic reactions that worsen symptoms like difficulty swallowing, chest pain, and acid reflux. While biologics help control inflammation, it’s essential to avoid these triggers to prevent irritation and flare-ups.
Considering an Elimination Diet
An elimination diet is a useful tool in identifying food triggers. This approach involves removing common allergens from your diet for a few weeks and gradually reintroducing them one at a time. This allows you to pinpoint which foods cause reactions and should be avoided. Consult with a healthcare professional before starting an elimination diet to ensure you’re getting all the necessary nutrients.
Choosing Anti-Inflammatory Foods
Focusing on foods that reduce inflammation can help soothe the esophagus and reduce flare-ups. Foods like lean meats, fish, fruits, and vegetables are often well-tolerated by people with EoE. These foods provide essential nutrients without triggering allergic reactions. Including healthy fats from sources like olive oil and avocados can also help reduce inflammation.
Hydration is Key
Drinking plenty of water throughout the day is essential for everyone, but especially for those managing EoE. Proper hydration helps keep the esophagus lubricated, making it easier to swallow food and reduce discomfort. Avoid acidic beverages like citrus juices and sodas, which can irritate the esophagus.
Work with Your Healthcare Team
It’s important to work closely with your doctor, dietitian, or allergist when managing EoE. They can help you develop a personalized plan for avoiding food triggers and maintaining a healthy, balanced diet while on biologics. They can also help monitor your response to treatment and make adjustments as needed.
While biologics can significantly improve EoE symptoms, food choices play a crucial role in managing the condition. Avoiding trigger foods, following an elimination diet, focusing on anti-inflammatory foods, and staying hydrated can help reduce flare-ups and improve quality of life. Always consult with a healthcare provider for personalized advice to ensure the best outcomes in managing EoE with biologics.