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An elimination diet is one common treatment option for eosinophilic oesophagitis. 

It is important to speak with an Allergist and/or Gastroenterologist, and have a Dietitian experienced in food allergy before undertaking an elimination diet. Some individuals may be able to identify specific food(s) that trigger symptoms, but most cannot. More than one food may be involved. 

Some doctors suggest removal of up to 6 common food allergens (milk, egg, soy, wheat, peanut/tree nut, shellfish/fish). A common approach is the ‘step-up’ elimination diet with at first, only one or two food groups (usually milk/dairy and wheat as the most common triggers) being eliminated and then more if required. Foods outside of the common allergens can also be EoE triggers. 

There is currently no test (skin prick test, blood test etc.) that can reliably indicate the specific food trigger(s) in EoE. With any elimination diet it is important to ensure diet is balanced, growth is maintained and a plan is in place to re-assess.