Individuals managing eosinophilic esophagitis (EoE) often experience exacerbated symptoms during allergy season, prompting a need for integrated management strategies, according to medical experts.
EoE, a chronic inflammatory disease of the esophagus, frequently co-exists with allergies, whether in the form of allergic rhinitis or food sensitivities. “Most people [with EoE] have a lot of allergies…or they’ve dealt with them in the past,” explains Ashkan Farhadi, MD, a gastroenterologist at MemorialCare Orange Coast Medical Center in Fountain Valley, California.
A primary approach to managing both conditions involves identifying and eliminating trigger foods. “Elimination diets are often a first-line treatment,” says Jenny Huang, MD, an allergist and immunologist at UC San Diego Health. The process typically begins with removing common allergens – including eggs, nuts, and soy – from the diet, followed by a gastroenterological assessment, often involving an esophageal biopsy, to monitor inflammation levels. If inflammation subsides, foods are gradually reintroduced to pinpoint specific triggers.
Dairy and wheat are frequently implicated in EoE, and can contribute to food impaction, a condition where food becomes lodged in the esophagus. Studies indicate that eliminating milk from the diet can reduce esophageal symptoms by as much as 34 percent.
Beyond dietary adjustments, addressing environmental allergens is also crucial. Consultation with an allergist can help identify specific sensitivities and determine the appropriate course of action, such as allergy shots or regular antihistamine apply. During peak pollen seasons, monitoring pollen counts and limiting outdoor exposure, keeping windows closed, and showering at night to remove allergens from the body are recommended preventative measures.
Effective management also requires ongoing communication with a physician to assess the adequacy of current medications and adjust treatment plans as needed. The varied nature of EoE and its related conditions necessitates a tailored approach and prompt medical attention to prevent complications.
