Eosinophilic esophagitis is a chronic immune-mediated inflammatory condition that affects the esophagus. It is the muscular tube that connects the throat and the stomach. This condition is characterized by the accumulation of specific WBCs in the esophageal lining. The gathering of eosinophils is triggered as an allergic reaction to certain foods, therefore, knowing the following foods that could trigger the condition and worsen EoE symptoms is important. Let us learn which foods one must avoid.

Chocolate
Usually considered a healthy dessert, eosinophilic esophagitis patients must avoid chocolate because of its theobromine content. It relaxes the lower esophageal sphincter or LES and allows the stomach acid to flow back up the esophagus. This can cause inflammation and irritation of the esophagus, further worsening EoE symptoms.

Tomatoes
Tomatoes are acidic and are a part of several everyday foods. Their acidic nature and tomato seeds can irritate the esophageal lining and may cause flare-ups in patients with eosinophilic esophagitis.

Citrus fruits
Fruits like oranges, lime, grapefruits, and other citrus fruits can irritate the lining of the esophagus. It can also elevate the immune reaction in the body of an EoE patient. This can further complicate the patient’s condition and increase the severity of their symptoms.

Corn
Corn can be found as part of the ingredient list of multiple foods. This includes cereals, snacks, some sweets, and even baked goods. Zein, a protein found in corn, can trigger EoE patients and give rise to an immune response.

Shellfish
Another source of allergic inflammation is fish and shellfish. It can raise the histamine levels in the body and cause esophagus swelling. Avoiding these foods is better for improving symptom management and the severity of the condition.

Nuts
Nut allergies are common in people and mainly refer to walnuts, almonds, and peanuts. Allergic reaction in the body leads to increased inflammatory levels and swelling. In addition, the increased eosinophils in the esophagus can lead to severe symptoms and possible complications.

Eggs
A lot of people are allergic or sensitive to eggs. They experience increased inflammation in the body by eating eggs or egg-based foods. Egg whites are common trigger foods for EoE that further worsen symptoms.

Wheat
Pasta, bread, and most baked goods contain wheat in them. Gluten can trigger an immune response in people with gluten sensitivity, celiac disease, and EoE. Skipping foods containing wheat has decreased patient flare-ups and allowed for better symptom management.

Soy
Soy is another common food allergen that is used regularly in meals. It can cause inflammation in the body. Soy is also a common product in numberable processed foods. Regular intake of soy milk, soy sauce, and tofu needs to be avoided to keep EoE symptoms in check.

Milk
Common allergen milk is known to increase inflammation levels in the body, including in the esophagus. It is a common trigger for children and adults with EoE, and casein in milk has also been proven to trigger EoE symptoms.