Eosinophilic Esophagitis Diets

The two main eosinophilic esophagitis diets are the elemental diet and the six food elimination diet. Each diet has pros and cons, and it may be difficult for you to decide the best treatment for your child. You've probably already researched the two diets already and may be a little confused, so let’s list the pros and cons of each.

Elemental Diet- pros and cons


  • Estimated 88-95% cure rate


  • Expensive
  • Unpalatable
  • No food allowed
  • Child may need tube

Six Food Elimination Diet- pros and cons


  • Inexpensive
  • More options
  • No tube needed
  • More socially accepted


  • Not as successful

Please note: Although I understand this list makes it look as if the SFED is the way to go, please realize the elemental diet is much more effective which is more important to many parents than the pros on the SFED. Consider each diet carefully and think realistically about the impact it will have on your child and your family.

In many cases, especially those with siblings, parents decide to take the route of trying the six food elimination diet so that at least the child is able to sit at the table and eat something. This diet is very difficult to follow as well though, so the family still needs to be careful not to allow the siblings to sneak the child foods not allowed on the SFED. Some find an elemental diet easier to follow since the child isn't allowed anything at all. This way there isn't much to learn in regards to diet, and since it's so effective the kids are cured soon enough anyway. The options need to be very carefully considered before deciding which eosinophilic esophagitis diet is best.

Either way, consider meeting with a pediatric dietitian to ensure your child is receiving the best diet possible.