Making Sense of Your EoE Diagnosis

Being told you have eosinophilic esophagitis (EoE) can feel overwhelming. If you’re reading this, you may be trying to make sense of what this diagnosis means and how to live your life without fear or confusion around food. At Revive Wellness, we understand how daunting this can be. That is why we are here to help.

Whether you’ve just received your diagnosis or are in the early stages of treatment, this blog will walk you through:

• What Eosinophilic Esophagitis is
• Why nutrition plays such a vital role
• How working with our EoE dietitian can help you feel in control, nourished, and empowered

What Is Eosinophilic Esophagitis (EoE)?

EoE is a chronic, allergic inflammatory condition of the esophagus (1, 2). It happens when eosinophils (a type of white blood cell involved in allergic responses) build up in the esophagus (1, 2). These white blood cells build up as a reaction to certain foods (such as milk, wheat, and eggs) and possibly some environmental allergens (such as dust, mold, and pollen’s) (3). The foods and other allergens that cause inflammation are not the same for everyone. The inflammation can lead to a range of symptoms, including:

• Trouble swallowing (1,2)
• Food getting stuck in the throat (1,2)
• Chest pain or discomfort after eating (1,2)
• Heartburn that does not respond to typical treatment (1,2)

EoE can be frustrating, puzzling, and even painful. Food, which should provide nourishment and comfort, may now be a cause of stress and sickness. However, you can effectively manage EoE with the proper guidance and support.

Why Nutrition Is Key to Managing EoE

For many people with EoE, specific foods cause the inflammation. That’s why dietary therapy is often one of the first lines of treatment. There are several evidence-based approaches to managing EoE through diet, including:

• The Six-Food Elimination Diet (SFED or 6FED): Removing the most common food triggers (milk, wheat, eggs, soy, nuts, and seafood) and gradually adding them back in a specific order to spot the most likely triggers (5).
• Targeted Elimination: Based on your history of symptoms and the most common of the six main food triggers (5).

While these diets can help with symptoms and inflammation, they are much easier said than done. The diets can feel restrictive and emotionally taxing without the right support. Being told by your doctor to follow an elimination diet without much further guidance can feel like you were asked to complete an impossible task. It might feel like you can’t eat anything you currently eat without risking making your symptoms worse. Taking out all of these foods from the diet without guidance on appropriate substitutes can feel impossible on your own. Not everyone is the same in terms of what their triggers or main triggers are, which makes it both very important and very challenging to determine what they are. That’s where we come in.

How a Dietitian Can Support You

Our team includes a dietitian, Matthew, who specializes in managing EoE. He deeply understands the science of the condition and the emotional weight that often comes with it.

Here’s how we help you navigate this journey:

• Personalized Guidance: No two cases of EoE are exactly alike. We tailor plans to your lifestyle, preferences, symptoms, and nutritional needs. While your diet will look different from what it was before, we will work to make sure that you still get to enjoy food while reducing symptoms.
• Safe Elimination and Reintroduction: We help you remove possible trigger foods while still nourishing your body. We will make sure you are getting the nutrients you need and that we are filling in the gaps left by the foods that have been removed. Afterwards, we guide you through reintroductions in a structured, evidence-based way.
• Meal Planning Support: You’ll get practical tools, recipes, and shopping tips to make eating simpler and less stressful.
• Ongoing Support: You’re not alone. We’re here to answer your questions, troubleshoot challenges, and cheer you on every step of the way.

Take the Next Step Toward Feeling Better

If you have EoE, know that you don’t have to navigate this alone. Our team is here to provide the compassionate, specialized support you need to feel better, eat confidently, and live fully.

👉 Book a free 15-minute discovery call with Matthew here.

Let’s build a plan together. One that helps you feel informed, nourished, and in control of your health.

Helping You Take Care of You

At Revive Wellness, we believe food should be a source of strength, not fear. EoE may be a part of your story, but it doesn’t define you. With the right support and strategies, you can live well. We would be honoured to help you get there.

If you have questions or want to learn more about how we can support you, please don’t hesitate to reach out. You can call us at 780-450-2027 to learn more about our process and get started.

References

1. American Academy for Allergy Asthma & Immunology. (2025). Eosinophilic Esophagitis (EoE). https://www.aaaai.org/tools-for-the-public/conditions-library/allergies/eosinophilic-esophagitis
2. American Partnership for Eosinophilic Disorders. EoE. https://apfed.org/about-ead/egids/eoe/
3. American Academy for Allergy Asthma & Immunology. (2025). Eosinophilic Esophagitis (EoE). https://www.aaaai.org/conditions-treatments/related-conditions/eosinophilic-esophagitis
4. Food Allergy Canada. (2024). Managing EoE. https://foodallergycanada.ca/campaign/what-is-eosinophilic-esophagitis-eoe/managing-eoe/
5. Food Allergy Canada (2025). How is Eoe Treated? https://foodallergycanada.ca/campaign/what-is-eosinophilic-esophagitis-eoe/how-is-eoe-treated/