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Food Allergy

WHAT YOU SHOULD KNOW

An allergic reaction to food is a mistaken attack by the body's immune system against a substance that other people find harmless. Food allergies are more common in children than adults.

Causes

Just about any food can be the source of an allergic reaction. However, the most common culprits are cow's milk, eggs, wheat, soybeans, peanuts, fish, chocolate, shellfish and tree nuts such as walnuts or pecans. You are at higher risk if you have a family history of food allergies.

Signs/Symptoms

A mild reaction may produce diarrhea, stomach pain, gas, or a full feeling in your stomach. You may develop a skin rash with hives and itching. There may be nausea and vomiting, a bad headache, or fainting. Swelling around the mouth is common. In a severe reaction (known medically as anaphylaxis (AN-uh-fuh-LAX-is)), you may become congested, lose your breath, and be in danger of suffocating.

WHAT YOU SHOULD DO

  • If you are not sure what caused the reaction, keep a diary of the foods you have eaten and any symptoms that followed. Don't eat any of the foods that cause reactions.
  • If you develop hives or a rash:
    • Take the medicine prescribed for your hives exactly as your doctor directs.
    • You may use a nonprescription antihistamine. Take it until the hives have been completely gone for 24 hours.
    • Apply cold compresses to the skin or take baths in cool water. Don't take hot baths or showers; the warmth will make the itching worse.
    • Wear loose fitting clothes and avoid tight underwear.
  • If you are severely allergic:
    • Following a severe reaction, someone will need to stay with you for 24 hours in case the symptoms return.
    • You should wear a medic-alert bracelet or necklace stating the nature of your allergy.
    • Your doctor will suggest you buy an anaphylaxis kit and will teach you and your family when and how to give adrenaline shots.
    • If you have had a severe reaction before, always carry your anaphylaxis kit with you.

Call Your Doctor If...

  • You suspect a food allergy. Symptoms usually occur within 30 minutes of eating, but sometimes take up to 2 hours to appear.
  • The symptoms have not gone away within 2 weeks.
  • You develop new symptoms.
  • You want to retest a child with a food you think causes an allergic reaction.

Seek Care Immediately If...

  • You develop wheezing, a tight feeling in your chest or throat, a swollen mouth, and difficulty breathing. THIS IS AN EMERGENCY. Call 0 (operator) or 911 for medical help or have someone drive you to the nearest emergency room.
  • You develop hives, swelling, or itching ALL OVER your body.

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