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What about elimination diets for treating eosinophilic esophagitis?
The leading theory about the cause of eosinophilic esophagitis is that it represents allergy to some protein found in food. Evidence has accumulated in children that diets that eliminate the allergy-inducing food can result in reversal of the esophagitis and disappearance of the eosinophils. Similar evidence now is accumulating in adult patients. Doctors have used elimination diets to define what the allergy-inciting foods might be.
There are several ways in which elimination diets can be attempted. The first is to do skin and blood tests looking for specific foods that might be causing the allergy and then eliminating these foods from the diet. The second is to eliminate the major groups of food to which allergy is common, specifically milk protein,
soy, peanut/tree nuts, eggs, wheat, and seafood. Finally,
individuals may be placed on an elemental liquid diet (a diet of digested food that no longer contains proteins that can provoke allergy), and then different foods can be added to the diet until the allergy-inducing food is found. None of these elimination diets are easy for physicians to perform or for patients to follow, especially children, and each has its pros and cons. Nevertheless, if one or two foods can be found that are responsible for the allergy, a near-normal diet can be resumed, and the need for medications can be eliminated