What to Expect
Treatment for EGIDs required specialized elimination diets and medications.
The dietary options are guided by an experienced dietitian, and include:
- Elemental diet (primary calorie source is hypoallergenic formula)
- Standard or empiric elimination diet
- 1 Food Elimination Diet (1FED) involves removal of milk protein-based foods
- 4 Food Elimination Diet (4FED) involves removal of milk/soy/wheat/egg protein-based foods
- 6 Food Elimination Diet (6FED) involves removal of milk/soy/wheat/egg/nut/seafood protein-based foods
The drug treatment options include proton pump inhibitors (PPI), oral ‘systemic’ steroids and swallowed ‘topical’ steroids:
- PPI (typically twice daily):
- omeprazole
- lansoprazole
- esomeprazole
- dexlansoprazole
- rabeprazole
- pantoprazole
- Swallowed ‘topical’ steroid (typically twice daily):
- Fluticasone inhaler
- Viscous budesonide (mixed with splenda/honey/syrup)
- Oral ‘systemic’ steroid