Food Elimination Methods for EoE (Eosinophilic Esophagitis)
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- Опубліковано 20 сер 2023
- Do you have EoE (Eosinophilic Esophagitis) and are trying to figure out what your food triggers are? Have you tried various EoE diets and aren't getting relief? Are you thinking about getting a lab test to determine your food triggers? If so, watch this video to learn about various food elimination diets, lab tests for food triggers, and new data on EoE.
I discuss the difference between empiric observation and lab tests and how that pertains to EoE. How does the immune system behave differently in the blood vs the GI tract? What are the triggers for EOE? And what are the different types of elimination diets available?
Additionally, I discuss a new study that evaluates the different types of elimination diets and a diet that is targeted based on lab tests. I provide the data on how patients reacted to the different elimination diet and how that can help ypu.
Finally, I talk about what I normally do in my practice for patients with EoE and why I tend to do some diets over others.
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DISCLAIMER: While I am a Gastroenterologist, I am not acting as your Gastroenterologist. The information provided on this channel is intended to be general educational content and not directed towards any one individual. If you believe you have a medical condition that deserves attention please seek care from your healthcare provider. If you are experiencing a life threatening emergency, call 911.
Thank you for this unusually clear video of diet option journeys one can do to discover what the trigger(s) are for EOE. So that you can eventually go back to eating a wide variety of foods while avoiding your particular EOE triggers. Additionally it is so refreshing to hear from you as a GI, working with this disease through diet rather than throw a lifetime of pharma at it. When I say pharma I include meaning the known possible/probable long-term side effects.
Very helpful video Dr. Cooper. Thanks so much!
Thanks for this, Mark! When I was first diagnosed, I tried the six food elimination diet and whoa...I lost entirely too much weight, had no energy, and ended up with low blood sugar at one point. Hearing you support the one food elimination is great. Unfortunately, my symptoms are back so it's DUECES DAIRY! Praying for more advancements with this annoying disease.
Glad the information helped and I hope you find some relief of your symptoms.
My son just got diagnosed! He’s 20, his esophagus was 10 is dilated to 15 and one more to 18 maybe one more after that to 20! What I felt so sad is the GI doc told my son he won’t succeed in keeping eliminations method bc he’s 20 and he had no choice but do the dupixent which he doesn’t want to do. Getting rid of dairy so far the esophagus looks improved just in 3 weeks! I’m so mad at the GI! He is good but closed minded and he told him he’s gonna fail keeping up the diet!
Sounds like your son is doing well which I’m glad to hear. If diet works and people appreciate the results they will often stick to it. It can be hard to identify a food trigger so I’m glad he has. I’m inclined to support either option (food or meds) as it’s the patient actually doing it, not me. Admittedly I have some preference for the elimination diet as it’s undoubtedly fewer side effects compared to meds. Congratulations to your son. Thanks for watching.
@@MarkCooperMD thank you! Let’s see his has a dilation in 2 weeks to move it to 18mm! He said he feels good getting rid of dairy. I thank you! This condition is so weird and so scary! In looking back it was overwhelming as a parent bc we just didn’t think his esophagus would get this small, we thought it was college stress! I am actually so thankful to the GI doc and his expertise! I just didn’t like the way they looked at me when they see him and I wish they would just support him and if he fails it’s ok, at least he knows he tried! I am all about food is medicine always have been. It’s very hard for me being so healthy to understand how kids eat now! It is kinda gross!
You’re awesome
This is really helpful and encouraging! So the 90% of people that removing only dairy were able to go into remission? Or only improvement of the symptoms?
Thanks a lot for making videos on eoe
God bless you
Want to show you my report
Need your suggestion
Is it possible
I have EOE, are there multiple types because the foods that seem to bother me are tomatoes, onions, chocolate, lemons, etc.
Any thoughts on dupixent as a therapy for Eoe?
The data has been very good and it’s done well for many patients with asthma. EoE is sort of like asthma of the esophagus and so dupixent (dupilimumab) should often be effective.
Will my swallowing issues go away soon? I have been on a puréed diet for about four weeks now. Stopped eating dairy, soy, and a bunch of other stuff.
Question I have EOE and haven’t been able to find a doctor that knows. I’ve cut out a lot but if I have Dairy or Gluten every once in awhile and it just makes my stomach hurt and make me belch just a little bit is it ok? I just don’t want my EOE to get worse over time by doing this
@Mark Cooper, MD
What about meat? I’m hearing that beef could be a trigger
There’s question whether meat is getting stuck because it is tough or provokes an immune response. There’s a condition termed FIRE that may be the reason for some of the food obstructions.
I think I have eoe. I had to eliminate eggs, chocolate, spicy foods, pasta sauce so far, some dairy like pizza. I developed this condition in my 30s I was heart broken. I can't eat the foods I use to eat. I'm not sure how long I had the condition because I was a heavy drinker and smoker.
This as much sounds like plain old reflux. Did you have biopsy showing predominant eosinophilia?
Any updates on your progress?
Do you have any tips for how often EoE patients can reasonably consume their allergen/trigger once they identify it?
I have been able to narrow down my trigger to dairy and am so anxious about reintroducing it (fear of damaging my body) but would like to enjoy dairy from time to time.
Because EoE is an immune mediated condition even a small amount can trigger inflammation which can then take some time to subside. So occasional indulgence can drive a low level of inflammation. This is a key distinction between an immune mediated condition like EoE and a food intolerance like lactose intolerance. We don’t really recommend reintroduction of a clear trigger. I doubt substantial harm comes of a spoonful of ice cream. But there are so many great dairy substitutes that you may do best to explore those and avoid the issue all together.