
Eosinophilic esophagitis (EoE) is a chronic immune and allergic condition where certain foods trigger inflammation and damage in the oesophagus. An elimination diet is a key treatment approach for managing EoE, where common trigger foods are removed from the diet for several weeks and then reintroduced one at a time to identify problematic foods. Wheat and wheat flours contain gluten, a protein that can trigger EoE symptoms for some people. It is a common cause of EoE, which is why it is one of the first food groups to be removed in an EoE elimination diet. While gluten-free diets may help certain people with EoE, not enough research has been done to know for sure. If you suspect that your symptoms are connected to gluten, it is important to get expert advice before making dietary changes, as following a gluten-free diet comes with certain risks.
| Characteristics | Values |
|---|---|
| What is EoE? | A chronic immune and allergic condition where certain foods trigger inflammation and damage in the esophagus. |
| What is a gluten-free diet? | A diet that excludes foods containing gluten, a protein found in wheat, barley, rye, and spelt. |
| Is gluten-free OK for EoE? | There is no conclusive evidence, but some studies suggest that a gluten-free diet may help reduce EoE symptoms, especially in those with celiac disease. An elimination diet can help identify specific food triggers. |
| Risks of a gluten-free diet | May miss out on important nutrients like whole grains, fiber, vitamins, and minerals. Gluten-free processed foods may contain high amounts of sodium, sugar, and fat. |
| Recommendations | Consult with a healthcare professional before making dietary changes. Work with a registered dietitian to ensure nutritional needs are met. |
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What You'll Learn

Gluten-free diets may help with EoE symptoms
Eosinophilic esophagitis (EoE) is a chronic immune and allergic condition where certain foods trigger inflammation and damage in the oesophagus. An elimination diet is a key treatment approach for EoE, where common trigger foods are removed from the diet for several weeks and then reintroduced one at a time to identify problematic foods.
However, not enough research has been done to know for sure whether gluten-free diets help with EoE symptoms. It is important to get expert advice before making dietary changes, as following a gluten-free diet comes with certain risks. Many foods that contain gluten also have important nutrients, such as fibre, vitamins, and minerals, that help you stay healthy. If you cut out gluten, you will need to make sure you are getting enough of these nutrients from other sources.
If you suspect that your symptoms are connected to gluten, you may want to ask about allergy testing or having your blood tested for celiac disease. Work with your healthcare team before making dietary changes, as they can help determine if gluten elimination is appropriate and ensure you maintain proper nutrition.
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Gluten-free foods include fruits, vegetables, meats, and eggs
Eosinophilic esophagitis (EoE) is a chronic immune and allergic condition where certain foods trigger inflammation and damage in the oesophagus. An elimination diet is a key treatment approach for managing EoE, where common trigger foods are removed from the diet for several weeks and then reintroduced one at a time to identify problematic foods.
Gluten-free diets may help certain people with EoE, although not enough research has been done to know for sure. Wheat, which contains gluten, commonly causes an allergic response in people with EoE, so it’s possible that gluten-free diets may help simply by eliminating this grain.
If you suspect that your EoE symptoms are connected to gluten, it is important to get expert advice before making dietary changes, as following a gluten-free diet comes with certain risks. Many foods that contain gluten also have important nutrients that help you stay healthy. For example, whole-grain foods contain a lot of fibre, which supports healthy digestion and may reduce your risk of developing a chronic condition such as heart disease.
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Gluten-free diets can be expensive and lack important nutrients
Eosinophilic esophagitis (EoE) is a chronic immune and allergic condition where certain foods trigger inflammation and damage in the oesophagus. An elimination diet is a key treatment approach for EoE, where common trigger foods are removed from the diet for several weeks and then reintroduced one at a time to identify problematic foods. Wheat and wheat flours contain gluten, a protein that can trigger EoE symptoms for some people. It is a common cause of EoE, which is why it is one of the first food groups to be removed in an EoE elimination diet.
Gluten-free diets may help certain people with EoE, although not enough research has been done to know for sure. Wheat, which contains gluten, commonly causes an allergic response in people with EoE, so it is possible that gluten-free diets may help simply by eliminating this grain. If you suspect that your symptoms are connected to gluten, you may want to ask about allergy testing or having your blood tested for celiac disease. It is important to get expert advice before making dietary changes, because following a gluten-free diet comes with certain risks. Many foods that contain gluten also have important nutrients that help you stay healthy. For example, whole-grain foods contain a lot of fibre, which supports healthy digestion and may reduce your risk of developing a chronic condition such as heart disease. Additionally, many common foods that have gluten, including bread, cereal, and pasta, are fortified with extra vitamins. If you cut out gluten, you will need to make sure you are getting enough of these nutrients from other sources.
Gluten-free diets can be expensive. All commercially available products labelled gluten-free were significantly more expensive than comparable products. However, there are ways to ensure you are getting enough nutrients while on a gluten-free diet. Eating foods as "whole" as possible is important, as whole foods—meaning unprocessed foods that are as close to the way they grow in nature—have nutrients that processed foods no longer contain. A well-balanced diet that includes a variety of gluten-free whole and plant foods can provide the good nutrition you need to help keep you healthy. For example, green leafy vegetables are a good source of folate (vitamin B9), vitamin E, vitamin K, and calcium.
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Wheat is the main source of gluten
Eosinophilic esophagitis (EoE) is a chronic immune and allergic condition where certain foods trigger inflammation and damage in the oesophagus. An elimination diet is a key treatment approach for EoE, where common trigger foods are removed from the diet for several weeks and then reintroduced one at a time to identify problematic foods.
Wheat is one of the six common food triggers for EoE, along with milk, eggs, soy, fish, and nuts. Wheat contains gluten, a protein that can trigger EoE symptoms for some people. It is a common cause of EoE, which is why it is one of the first food groups to be removed in an EoE elimination diet. Wheat flours can be found in bread, pasta, cereals, couscous, and many processed foods. Wheat is also often processed with other grains such as barley and rye, which may also trigger EoE due to cross-reaction and/or cross-contamination with wheat.
Gluten is a general name for the proteins found in wheat, rye, barley, and triticale (a cross between wheat and rye). It helps foods maintain their shape and acts as a glue that holds food together. Gluten can be found in many types of foods, even unexpected ones, and is added to some foods as a thickening agent or to provide texture and flavour. Whole grains like wheat, barley, and rye are linked to a lower risk of heart disease, stroke, and diabetes. However, gluten can cause health concerns for some people, and adverse reactions have been reported. The peptides (amino acids) found in gluten are resistant to stomach acids, which can make it hard for some people to digest. These peptides can cause various symptoms, from mild indigestion to more serious health conditions.
For people with EoE, a gluten-free diet may help manage symptoms, although not enough research has been done to know for sure. It is important to get expert advice before making dietary changes, as following a gluten-free diet comes with certain risks. Many foods that contain gluten also have important nutrients, such as fibre, which supports healthy digestion and may reduce the risk of chronic conditions. Additionally, many common gluten-containing foods like bread, cereal, and pasta are fortified with extra vitamins. If cutting out gluten, it is necessary to ensure these nutrients are obtained from other sources.
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Consult a doctor before making dietary changes
Eosinophilic esophagitis (EoE) is a chronic immune and allergic condition where certain foods trigger inflammation and damage in the oesophagus. An elimination diet is a key treatment approach for managing EoE. This involves removing common trigger foods from a person's diet and then reintroducing them one by one to identify problematic foods.
If you suspect that gluten is triggering your EoE symptoms, it is important to consult a doctor before making any dietary changes. Here are some reasons why:
Diagnosis and Treatment Planning
A doctor will first need to diagnose EoE and rule out other conditions that may be causing similar symptoms. They will perform a thorough evaluation, which may include endoscopies and tissue samples, to confirm the diagnosis and determine the specific food triggers. Based on the diagnosis, your doctor can recommend appropriate treatments, which may include dietary changes, medications, or other interventions.
Expert Guidance on Elimination Diets
Elimination diets can be challenging to implement and may require careful planning. Healthcare professionals, such as allergists, gastroenterologists, and dietitians, can guide you through the process. They can help you identify your specific food triggers and ensure you maintain proper nutrition during the elimination and reintroduction phases. This expert advice is crucial for effectively managing your EoE symptoms and maintaining a balanced and healthy diet.
Individualised Approach
Different types of elimination diets exist, such as the six-food elimination diet (6-FED), four-food elimination diet (4-FED), and two-food elimination diet (2-FED). Your doctor will consider your individual needs, preferences, age, life stage, and nutritional status when recommending the most suitable elimination diet for you. They can also help you navigate any challenges or restrictions within your chosen diet plan.
Managing Symptoms and Complications
EoE is a lifelong condition, and managing symptoms can be complex. Consulting a doctor before making dietary changes allows for ongoing monitoring and adjustments to your treatment plan. They can help you manage and control your exposure to trigger foods effectively, reducing the risk of complications. Additionally, they can provide guidance on managing symptoms such as impaction, reflux, and chronic cough, which may be alleviated by identifying and eliminating specific food allergens.
Nutritional Considerations
Gluten is found in many foods, including whole grains, bread, cereal, and pasta. These foods provide important nutrients such as fibre and vitamins. A gluten-free diet may impact your nutritional intake, and it is essential to ensure you are still getting adequate nutrition. A doctor or dietitian can advise you on how to maintain a balanced diet while avoiding gluten and other trigger foods, helping to prevent potential nutritional deficiencies.
In summary, consulting a doctor before making dietary changes is crucial for receiving a proper diagnosis, expert guidance, and individualised treatment for EoE. They can help you navigate the complexities of elimination diets, manage symptoms, and ensure you maintain proper nutrition while avoiding gluten and other trigger foods.
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Frequently asked questions
An EoE diet is an elimination diet where common trigger foods are removed from the diet for several weeks and then reintroduced one at a time to identify problematic foods. The six-food elimination diet is the most common type of elimination diet for EoE, where the six food groups removed are dairy, eggs, wheat, soy, fish, and nuts.
Gluten-free diets may help certain people with EoE, although not enough research has been done to know for sure. Wheat, which contains gluten, commonly causes an allergic response in people with EoE, so it is possible that gluten-free diets may help by eliminating this grain.
Common foods that are associated with EoE include eggs, milk, soy, wheat, and corn. In addition, gluten-containing grains such as wheat, barley, rye, and oats may need to be excluded from an EoE diet.
Many foods that contain gluten also contain important nutrients. For example, whole-grain foods contain a lot of fiber, which supports healthy digestion and may reduce your risk of developing heart disease. If you cut out gluten, you will need to ensure you are getting enough of these nutrients from other sources.











































