Eosinophilic Oesophagitis
Dietetic Gut Clinic
Once you have been diagnosed with Eosinophilic Oesophagitis, your GP or Gastroenterologist may advise you to see a Gastrointestinal Dietitian at the Dietetic Gut Clinic. Management of Eosinophilic Oesophagitis
is one of the services our team has been offering to patients in Perth since the launch of our Gut Clinic in Nedlands and Murdoch.
Eosinophilic Oesophagitis Diet
What is Eosinophilic Oesophagitis?
Eosinophilic Oesophagitis (EoE) is the infiltration of eosinophils (white blood cells) into the lining of the oesophagus (food pipe), causing symptoms such as chest pain, heartburn or painful swallowing and food getting stuck in the throat.
EoE can be caused by allergies to food or the environment. In 70% of cases, the symptoms can resolve or at least diminish if the responsible food allergy can be identified.
Eosinophilic Oesophagitis Perth
How is EOE
diagnosed?
EOE is diagnosed by biopsy of the oesophagus via gastroscopy (scope).
Eosinophilic Oesophagitis Diet Nedlands and Murdoch
How can a Dietitian help?
Diet plays a key role in the management of Eosinophilic Oesophagitis. Some interventions that may be considered include:​​​​
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Six Food Elimination Diet (SFED
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Four Food Elimination Diet (FFED) for EOE
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Step-up diet for EOE
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EOE Elimination Diet
What is the Six Food Elimination Diet (SFED) for EOE
These usually include the removal of cow’s milk, wheat, egg, soy, seafood (fish+ shellfish), and nuts (tree nuts+peanuts). Literature shows that this results in 72% endoscopic remission. This is followed by structured re-introduction and endoscopic assessment.
What is the Four Food Elimination Diet (FFED) for EOE
These usually include the removal of cow’s milk, wheat, egg, soy. This can result in 50% remissions, most patients having one food trigger. It is a less restrictive option and only eliminating the 4 most common allergen. This is followed by structured re-introduction and endoscopic assessment.
Instead of removing many foods at the same time, one to two foods are removed at first, to see if symptoms improve, repeating a biopsy if they do, but removing more foods later on (e.g 1-2-4-6) if inflammation persist on biopsy. Elimination of the most common food triggers (milk and wheat) and increase level of restriction for non-responders.
Dietetic Gut Clinic
Why Dietetic Gut Clinic for EOE?
The Dietetic Gut Clinic is a Perth based private practice with special focus on diet and gastrointestinal health and disease.
We believe that Eosinophilic Oesophagitis is best managed by gastrointestinal dietitian with an interest in that field.
At Dietetic Gut Clinic our mission is to empower and support our patients, to take charge of their digestive condition and health in order to optimise their quality of life.
We have clinics both north and south of the river which means that we are able to accommodate patients across the Perth metropolitan area, in addition to also providing Telehealth services.
Rebates
You may be eligible for a Medicare rebate for your dietary consultation. In order to receive a Medicare rebate, you must obtain a care plan from your GP. Medicare rebates can be processed in our office at the time of your consultation. Out of pocket expenses apply for dietitian consultations.