A Food allergy is an adverse immune response to a food. Your immune system makes antibodies to protect you from germs and disease, but it may also sometimes make antibodies to certain food proteins. There is about 2% to 10% of people with food allergy and is more common in children than adults. Food allergies can cause serious illness or death. The most common food allergies are to proteins in cow’s milk, eggs, peanuts, wheat, soy, fish, shellfish, and tree nuts. In people with food allergies, even a tiny amount of the food can trigger an immune response. Peanuts and tree nuts are the leading causes of severe food allergic reactions. In the immune response, IgE antibodies cause mast cells to release chemicals into the bloodstream. Histamine, one of these chemicals, causes many of the mild to severe symptoms such as runny nose, itching skin, rash or hives, tingling in tongue or lips, tightness in throat, hoarse voice, wheezing, cough, nausea, vomiting, stomach pain, or diarrhea. Anaphylaxis occurs when several of these symptoms occur simultaneously and may include decreased blood pressure, narrowed airways in the lungs, and tongue swelling.
Food intolerance is often confused with food allergy. Food intolerance is a less serious condition that does not involve the immune system. It is more common than food allergy and occurs when the digestive system is unable to properly break down food. Lactose intolerance after eating dairy foods is the most common form of food intolerance.
Food allergies are believed to have a strong genetic component but may develop at any age. The clinical history, use of skin prick tests, and blood tests for antibodies to particular foods all have a role in making a diagnosis. In some cases, oral food challenges are necessary, and these should be done by a qualified allergist (doctor specialized in diagnosing and treating allergies). Management typically includes avoidance of the specific foods identified by clinical evaluation and allergy testing and development of emergency treatment plan in the event of accidental exposure or ingestion. The plan should include what to do, whom to tell, and which medications to take. Antihistamines (medications that block histamine effects) are not a substitute for an epinephrine autoinjector, which can be self-administered by the patient for a severe allergic reaction. After using epinephrine, you should go to a hospital for evaluation and observation. Read food labels carefully and ask about ingredients before eating food prepared by other persons or restaurants. Some people wear medical alert jewelry. Many children outgrow allergies to milk and eggs, but severe allergies to foods like peanuts, some fish, and shrimp can last a lifetime.
