Eosinophilic Esophagitis: Treatment

Reviewed by Kathy Pond, RN

If EoE is a result of food allergies, removing the foods from the diet is recommended. Here are some things you can do for food allergies:

  • Learn more about your food allergies and how to avoid foods you are allergic to. Talk with your doctor or a registered dietitian.
  • Avoid foods to which you are allergic.
  • Know all the different names of foods to which you are allergic.
  • Read labels carefully to identify foods in packages.
  • Ask about foods served away from your home.
  • Educate adults caring for your children about food allergies.
  • Encourage children with food allergies not to eat food given to them by friends.
  • Use and understand allergy medications.
  • Carry injectable epinephrine (EpiPen or TwinJect) and an oral antihistamine such as Benadryl as prescribed for emergencies.

If EoE is aggravated by gastroesophageal reflux, treating the reflux may help the EoE. This may include medication, lifestyle, physical and dietary measures to decrease reflux.

Inhaled steroids may be sprayed in the mouth and swallowed to help reduce inflammation in the esophagus. Ask your health care provider how to use this medication correctly.

If a constriction of the esophagus is seen during the endoscopy, widening (dilation) of the esophagus may be done. This can help with food impaction and trouble swallowing.

If allergens are determined to be the cause of EoE, your allergist will work with you on how to avoid the things that trigger your symptoms.

Research studies are currently underway to assess the effectiveness of certain medications (e.g., mepolizumab, budesonide).


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