3. Allergist or Immunologist
Tests for food or environmental allergens, performed by an allergist, may play a role in EoE management, especially if you’ve ever had any food intolerances or allergic reactions, says Schnoll-Sussman.
“If dietary elimination therapy is needed, an allergist may recommend which foods are going to be avoided,” she says. “The allergist may manage other conditions, such as seasonal allergies, as well.”
Between 50 and 80 percent of people with EoE have allergic disorders like asthma, atopic dermatitis, and food allergies. In some cases, EoE may not manifest with allergies at first, but they can develop over time. That’s why regular monitoring by an allergist or immunologist is important, Schnoll-Sussman says.
4. Registered Dietitian
For some with EoE, dietary changes are necessary to relieve symptoms, says Schnoll-Sussman. For instance, your health team may put you on an elemental diet, which involves temporarily avoiding all foods and instead drinking a formula containing amino acids, short-chain triglycerides, and short-chain maltodextrins combined with vitamins, minerals, and electrolytes. This is designed to reduce inflammation and is utilized until symptoms begin to improve.
“[Dietitians] also provide education in reading labels and lifestyle changes,” says Schnoll-Sussman. For example, they can help you learn to identify packaged foods that may contain your triggers, as well as ways to avoid accidental cross-contamination (when your allergens may be accidentally or unknowingly introduced into other foods, like at a restaurant or buffet).
5. Mental Health Professional
At times, a mental health professional such as a licensed therapist or social worker may be necessary to help manage anxiety, depression, or stress related to a chronic illness.
“It can be very hard to manage food-related diseases, because they can affect lifestyle choices on a daily basis,” says Dr. Schnoll-Sussman. “This can be especially difficult for young children and adolescents.” Research suggests that at any age, EoE can lead to mental distress, which can sometimes worsen EoE symptoms or make them more frequent.
Read the full article here
