What Is a Food Allergy?
Food allergies occur when your immune system makes a mistake. Normally, your
immune (say: ih-myoon) system protects you from germs and disease. It does this
by making antibodies that help you fight off bacteria, viruses, and other tiny
organisms that can make you sick. But if you have a food allergy, your immune
system mistakenly treats something in a certain food as if it’s really dangerous
to you.
The same sort of thing happens with any allergy, whether it’s a medicine
(like penicillin), pollen in the air (from flowers and trees), or a food, like
peanuts. So the thing itself isn’t harmful, but the way your body reacts to it
is.
If a kid with peanut allergy would have eaten that peanut-topped brownie,
here’s what would happen. Antibodies to something in the food would cause mast
cells (a type of immune system cell in the body) to release chemicals into the
bloodstream. One of these chemicals is histamine (say:
his-tuh-meen).
What’s a Reaction Like?
The histamine then causes symptoms that affect a person’s eyes, nose, throat,
respiratory system, skin, and digestive system. A person with a food allergy
could have a mild reaction – or it could be more severe. An allergic reaction
could happen right away or a few hours after the person eats it. Some of the
first signs that a person may be having an allergic reaction could be a runny
nose, an itchy skin rash such as hives, or a tingling in the tongue or lips.
Other signs include:
- tightness in the throat
- hoarse voice
- wheezing
- cough
- nausea
- vomiting
- stomach pain
- diarrhea
In the most serious cases, a food allergy can cause anaphylaxis (say:
ah-nuh-fuh-lak-sis). This is a sudden, severe allergic reaction in which several
problems occur all at once and can involve the skin, breathing, digestion, the
heart, and blood vessels. A person’s blood pressure can drop, breathing tubes
can narrow, and the tongue can swell.
People at risk for this kind of a reaction have to be very careful and need a
plan for handling emergencies, when they might need to get special medicine to
stop these symptoms from getting worse.
Many kids outgrow allergies to milk and eggs as they grow older. But severe
allergies to foods like peanuts, certain kinds of fish, and shrimp often last a
lifetime.
How Do You Know if You Have One?
Sometimes it’s easy to figure out that a kid has a food allergy. He or she
might get hives or have other problems after eating it. But other times, it’s
more of a mystery what’s causing the problem. Most foods have more than one
ingredient, so if a kid has shrimp with peanut sauce, what’s causing the allergy
– the peanut sauce or the shrimp?
Doctors believe that allergies could be hereditary, which means if your
parent or other close relative has certain allergies like hay fever, you’re more
likely to develop the allergies. Some kids are born allergic to certain foods,
whereas others develop food allergies over time. This may be due to someone’s
surroundings or changes in the body as they grow older.
Many people react to a certain food but are not actually allergic. For
example, people with lactose intolerance (say: lak-tose in-tah-luh-runtz) get
belly pain and diarrhea from milk and other dairy products. That doesn’t mean
they’re allergic to milk. They don’t feel good after drinking milk because their
bodies can’t properly break down the sugars found in milk.
If you think you may be allergic to a certain food, let your parents know.
They will take you to the doctor to get it checked out.
If your doctor thinks you might have a food allergy, he or she will probably
send you to see a doctor who specializes in allergies. The allergy specialist
will ask you about past reactions and how long it takes between eating the food
and getting the symptom, such as hives. The allergist also may ask about whether
anyone else in your family has allergies or other allergy-related conditions,
such as eczema or asthma.
The allergist may also want to do a skin test. This is a way of seeing how
your body reacts to a very small amount of the food that is giving you trouble.
The allergist will use a liquid extract of the food and, possibly, other common
allergy-causing foods to see if you react to any of them. (A liquid extract is a
liquid version of something that usually isn’t liquid.)
The doctor will make a little scratch on your skin (it will be a quick
pinch!) and drop a little of the liquid extract on the scratched spot or spots.
Different extracts will go on the different scratch spots, so the doctor can see
how your skin reacts to each substance. If you get a reddish, raised spot, it
shows that you are allergic to that food or substance.
Some doctors may also take a blood sample and send it to a lab. That’s where
it will be mixed with some of the food or substance you may be allergic to and
checked for certain antibodies.
It’s important to remember that even though the doctor tests for food
allergies by exposing you to a very small amount of the food, you should not try
this at home! The best place for an allergy test is at the doctor’s office,
where they are specially trained and could give you medicine right away if you
had a serious reaction.
How Are Food Allergies Treated?
There is no special medicine for food allergies. Some can be outgrown, and
others a kid will have his or her whole life. The best treatment is simply to
avoid the food itself and any foods or drinks that contain the food.
One way to figure that out is to read food labels. Any foods that might cause
an allergic reaction will be listed near or in the ingredient list. Doctors and
allergy organizations also can help by providing lists of safe foods and unsafe
foods. Some people who are very sensitive may need to avoid foods just because
they are made in the same factory that also makes their problem food. You may
have seen some candy wrappers that say the candy was made in a factory that
processes nuts, too.
Have a Plan
No matter how hard you try, you may eat the wrong thing by accident. Stay
calm and follow your emergency plan. What’s an emergency plan? Before a slipup
happens, it’s a good idea to create a plan with your doctor and parents. The
plan should spell out what to do, who to tell, and which medicines to take, if
you have a reaction.
This is especially important if you have a food allergy that can cause a
serious reaction (anaphylaxis). For serious reactions, people may need a shot of
epinephrine (say: eh-pih-neh-frin) with them. This kind of epinephrine injection
comes in an easy-to-carry container that looks like a pen. You and your parent
can work out whether you carry this or someone at school keeps it on hand for
you. You’ll also need to identify a person who will give you the shot.
You might want to have antihistamine medication on hand as well, though if
anaphylaxis is occurring, this medicine is not a substitute for epinephrine.
After receiving an epinephrine shot, you would need to go to the hospital or a
medical facility, where they would keep an eye on you and make sure the reaction
is under control.
Written By SAA