Gastroenterology

The researches find that the Irritable bowel syndrome, crohn’s disease and anaphylactic are all instigated by food allergies. Doctors order restrictive diets to help patients control inflammation and food reactions. While less well known; eosinophilic esophagitis (EOE) is another inflammatory disease triggered by food allergies. One of the most effective treatments, especially for young children, is a restricted diet that reduces the allergy-induced inflammation.

The Irritable bowel syndrome

In a new study, University of Utah Health explored the long-term psychological impact of food restrictions on normal eating patterns in patients. The results are available in the April issue of the Journal of Pediatric Gastroenterology and Nutrition. While medically prescribed restrictive diets are quite common; we have to work to educate families; so they know that all medical interventions have risks and benefits. There is no perfect treatment and it’s all about balance.”

Jacob Robson, MD, assistant professor in Pediatrics at U of U Health and Primary Children’s Hospital and lead author on the paper EOE can be a painful and frightening experience; consisting of vomiting, heartburn, and the sensation of food lodged in the throat when eating. Available treatments include proton pump inhibitors (a type of acid blocker) and coating the esophagus with topical steroids. Long-term use of either treatment has adverse health effects; especially in young children.

Proton pump inhibitors

The remaining option is restrictive dieting, which eliminates offending foods such as milk, soy, wheat, egg, fish, and nuts from the dinner plate. However, as children grow older, physicians are beginning to notice a disturbing pattern-;avoidant or restrictive food intake disorder (ARFID). While first described as a condition 25 years ago, the number of cases is on the rise.

In this study, Robson and his colleagues identify more than 1,000 children who are newly diagnose with EOE in Utah in the past five years. Of these, 44 exhibited avoidant or restrictive eating patterns. Six of these patients were below the fifth percentile for weight-for-age.

Eliminates offending foods

According to Robson, the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM) only defined two eating disorders bulimia and anorexia. ARFID is newly defined in the newest edition of the DSM. In the study, Robson highlighted two patients to illustrate the importance of monitoring young patients on a restricted diet.

Patient one was diagnosed with EOE at three years of age. As the patient grew older, he expressed frustration with not being able to eat with friends and disdain for food textures and flavors. Despite improvement in his condition, the patient was unable to consume enough calories and preferred obtaining nutrients through a feeding tube.