management of eosinophilic esophagitis

Managing Eosinophilic Esophagitis in Teens

Navigating Trigger Foods and Symptoms

In this article, we will delve into the dietary triggers of Eosinophilic Esophagitis in teens and discuss common signs and symptoms of the condition.

Dietary Triggers in Teens

Eosinophilic Esophagitis (EoE) is a chronic inflammatory condition that affects the esophagus, the tube connecting the mouth to the stomach. This condition is characterized by the accumulation of eosinophils, a type of white blood cell, in the esophageal tissue. In teenagers with EoE, certain foods are known to trigger or worsen the symptoms. Here are some common food triggers.

1. Fish and Shellfish

Fish and shellfish are common allergens that can trigger EoE symptoms in teens. These foods can lead to inflammation and discomfort in the esophagus. Teenagers with EoE who are triggered by fish and shellfish should consider alternative sources of protein such as poultry, lean meats and plant-based protein sources like beans and lentils.

2. Soy

Soy products, including soy milk and soy-based foods, can exacerbate EoE symptoms. Teens seeking replacements for soy can explore coconut aminos, a flavorful, deep brown sauce created by fermenting coconut palm sap and sea salt. It shares a taste similarity with soy sauce while presenting a delicate hint of sweetness. Additionally, focusing on whole soy-free foods like fruits and vegetables can help maintain a balanced diet.

3. Nuts

Nuts, another common allergen, can contribute to inflammation in the esophagus. Teens avoiding nuts can opt for seeds like sunflower seeds or pumpkin seeds as a nutrient-rich alternative. Macadamia and pine nuts have demonstrated tolerability in numerous instances of EoE.

4. Eggs

Eggs are a versatile ingredient present in many foods, making them challenging to avoid. Teens with EoE triggered by eggs can use alternatives like unsweetened applesauce or mashed bananas in baking recipes that call for eggs. Flaxseeds and arrowroot powder are also great replacements for eggs.

5. Milk

Dairy products are notorious triggers for EoE symptoms. Fortunately, there are numerous non-dairy milk options available, such as coconut milk and hemp milk. These alternatives can be used in cereal, coffee and cooking, just like regular milk.

6. Wheat

Wheat and gluten-containing foods can contribute to esophageal inflammation in teens with EoE. Fortunately, there's a wide variety of gluten-free grains available, including rice, quinoa, millet, tapioca and corn. These grains can be used as substitutes in recipes that call for wheat.

Finding Suitable Food Replacements

Teenagers with EoE can find it challenging to adapt to a diet that excludes common trigger foods. However, with careful planning and exploration of alternatives, it's possible to maintain a well-rounded and nutritious diet. It's essential to ensure that any replacements chosen provide the necessary nutrients for growth and development.

Recognizing Signs and Symptoms

Recognizing the signs and symptoms of EoE is vital for prompt diagnosis and management. Symptoms can vary, but they primarily affect the esophagus and digestive system. Here are some common indicators of EoE.

Difficulty Swallowing: Also known as dysphagia, teens with EoE may experience the sensation of food getting stuck in the esophagus, leading to discomfort and pain.

Food Impaction: EoE can result in the sudden blockage of the esophagus due to the accumulation of food particles, causing intense pain and the need for immediate medical attention.

Heartburn and Chest Pain: Teens might experience symptoms similar to gastroesophageal reflux disease (GERD), including heartburn and chest pain.

Nausea and Vomiting: Digestive symptoms like nausea and vomiting can occur due to the inflammation and discomfort in the esophagus.

Abdominal Pain: Some teenagers may complain of abdominal pain, which can be attributed to the inflammation and gastrointestinal distress caused by EoE.

Failure to Thrive: In younger individuals, EoE can lead to poor growth and development due to difficulty in eating and obtaining proper nutrition.

Delayed Gastric Emptying: EoE can slow down the emptying of the stomach, leading to feelings of fullness and prolonged digestion.

Parents, caregivers and teens themselves must be aware of these symptoms. If any of these signs are observed, it's recommended to consult a healthcare professional who can perform diagnostic tests, such as endoscopy with biopsies, to confirm the presence of EoE.

Final Notes

Eosinophilic Esophagitis can significantly impact the lives of teenagers, but proper management through diet can alleviate symptoms and improve their quality of life. Identifying trigger foods and replacing them with suitable alternatives is a key component of EoE management.

If you suspect that you or your teenager might have EoE based on the symptoms described, it's essential to consult a medical professional for an accurate diagnosis and a personalized treatment plan. With the right approach, teens with EoE can lead a fulfilling and healthy life.

Article Resources