When eosinophils are high, a condition often associated with Eosinophilic Esophagitis (EoE), avoiding certain food triggers is crucial. Research has identified six common foods that frequently contribute to esophageal inflammation. These foods, when eliminated, have been shown to reduce signs and symptoms of EoE. Here's what you should avoid:
Common Food Triggers to Avoid
Based on research findings from the early 2000s, the following foods are frequently implicated in triggering EoE symptoms when eosinophils are high:
| Food Group | Examples |
|---|---|
| Milk | Cow’s milk, cheese, yogurt, butter, ice cream |
| Egg | Whole eggs, egg products in baked goods, mayonnaise |
| Wheat | Bread, pasta, cereals, baked goods, many processed foods |
| Soy | Tofu, soy milk, soy sauce, edamame, soy-based processed foods |
| Fish | Salmon, tuna, cod, any type of seafood |
| Nuts | Peanuts, almonds, walnuts, cashews, all tree nuts, nut butters |
Why These Foods?
These foods are among the most common allergens and can trigger an immune response that leads to inflammation and increased eosinophil activity in the esophagus. By eliminating these foods, the inflammatory process can be reduced, which can improve the symptoms of EoE.
Practical Steps to Avoid These Foods:
- Read Food Labels Carefully: Check all food labels for hidden sources of milk, egg, wheat, soy, fish, and nuts.
- Use Alternatives: Explore alternative products for cooking and baking, such as soy-free, wheat-free, and dairy-free options.
- Eat Whole Foods: Focus on whole foods, such as fruits, vegetables, and unprocessed meats, to avoid hidden allergens.
- Consult a Dietitian: A dietitian specializing in allergies or EoE can help develop a personalized meal plan.
- Gradual Reintroduction: After a period of elimination, foods may be gradually reintroduced, under medical supervision, to identify specific triggers.
By avoiding these common food triggers, people experiencing high eosinophil counts, especially those with EoE, can better manage their symptoms and improve their overall well-being. Remember that dietary changes should be made under the guidance of a healthcare provider or registered dietitian.
