Natural Remedies for Eosinophilic Esophagitis (EoE)

Modified on Jan 12, 2025 | Deirdre Layne

Eosinophilic Esophagitis (EoE) is a chronic allergic or immune-mediated condition characterized by inflammation of the esophagus. It can cause difficulty swallowing, food impaction, and esophageal damage if untreated. While medical interventions are often necessary, natural remedies can complement treatments and help reduce inflammation and symptoms.

What Causes EoE?

EoE is often triggered by food allergies or environmental allergens. Common culprits include dairy, wheat, soy, eggs, nuts, and seafood. The condition involves the overproduction of eosinophils, a type of white blood cell, in the esophagus, leading to inflammation and narrowing of the esophageal passage.

Natural Remedies for Eosinophilic Esophagitis

1. Elimination Diet

An elimination diet is one of the most effective ways to identify and avoid trigger foods. Common elimination diets include:

  • Six-Food Elimination Diet (SFED): Removes dairy, wheat, soy, eggs, nuts, and seafood.
  • Elemental Diet: Consists of amino acid-based formulas to allow the esophagus to heal.

Work with a healthcare provider or dietitian to identify safe foods and gradually reintroduce potential triggers.

2. Anti-Inflammatory Foods

Incorporate anti-inflammatory foods into your diet to reduce esophageal inflammation:

  • Leafy greens (spinach, kale)
  • Berries (blueberries, raspberries)
  • Fatty fish (salmon, mackerel, sardines)
  • Turmeric and ginger
  • Avocados and olive oil

3. Probiotics

Probiotics help support gut health and may reduce inflammation. Look for strains like Lactobacillus rhamnosus or Bifidobacterium breve. Fermented foods such as yogurt, kefir, and sauerkraut are also beneficial.

4. Aloe Vera Juice

Aloe vera juice soothes the esophagus and reduces inflammation. Drink 1–2 ounces of pure, unsweetened aloe vera juice daily. Avoid overconsumption, as it can act as a laxative.

5. Slippery Elm

Slippery elm is a demulcent that coats the esophagus, providing relief from irritation. Mix 1 tsp of slippery elm powder with warm water and drink it 1–2 times daily.

6. Marshmallow Root

Like slippery elm, marshmallow root soothes the mucosal lining of the esophagus. Take as a tea or in capsule form.

7. Omega-3 Fatty Acids

Omega-3 fatty acids found in fish oil or flaxseed oil have powerful anti-inflammatory properties. Take 1,000–2,000 mg daily to reduce inflammation.

8. Vitamin D

Adequate levels of vitamin D support immune regulation and may help manage EoE. Supplement with 1,000–5,000 IU daily, especially if levels are low.

9. Turmeric (Curcumin)

Curcumin, the active ingredient in turmeric, reduces inflammation. Take 500–1,000 mg of a curcumin supplement with black pepper for better absorption.

10. Manage Environmental Allergens

Environmental allergens like pollen, dust, and pet dander can worsen EoE symptoms. Use air purifiers, clean regularly, and reduce exposure to triggers.

Lifestyle Changes

1. Eat Smaller, Softer Meals

Eating smaller portions and soft foods reduces strain on the esophagus. Include soups, smoothies, and pureed foods to minimize discomfort.

2. Avoid Acidic Foods

Limit acidic foods and beverages like citrus, tomatoes, and soda, which can irritate the esophagus.

3. Chew Thoroughly

Chew food slowly and thoroughly to prevent food impaction and ease swallowing.

4. Stay Hydrated

Drink plenty of water throughout the day to keep the esophagus moist and aid digestion.

5. Stress Management

Stress can exacerbate EoE symptoms. Practice relaxation techniques like deep breathing, yoga, or meditation to calm the body and mind.

When to See a Doctor

If you experience severe symptoms like persistent difficulty swallowing, food impaction, or significant weight loss, consult a healthcare provider. These may indicate complications requiring medical intervention.

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