Problem Foods: Is it an Allergy or Intolerance?

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What is a food allergy?
A food allergy is an immune system response. It is caused when the body mistakes an ingredient in food-usually a protein-as harmful and creates a defense system (antibodies) to fight it. An allergic reaction occurs when the antibodies are battling an "invading" food protein. The most common food allergies in adults are shellfish, peanuts, fish and eggs. The most common food allergies in children are milk, soy products, peanuts and shellfish.

What is food intolerance?
Food intolerance is a digestive system response rather than an immune system response. It occurs when something in food irritates a person's digestive system or when a person is unable to properly digest, or breakdown, the food. Intolerance to lactose, which is found in milk and other dairy products, is the most common food intolerance.

What are the symptoms of a food allergy?
Symptoms of a food allergy can range from mild to severe, and the amount of food necessary to trigger a reaction varies from person to person. Symptoms of a food allergy may include:

  • Rash or hives
  • Nausea
  • Cramping stomach pain
  • Diarrhea
  • Itchy skin
  • Shortness of breath
  • Chest pain
  • Swelling of the airways to the lungs

Anaphylaxis is a very serious and potentially fatal allergic reaction that involves a sudden drop in blood pressure, loss of consciousness and body system failure.

What are the symptoms of food intolerance?
Symptoms of food intolerance include:

  • Nausea
  • Stomach pain
  • Gas, cramps or bloating
  • Vomiting
  • Heartburn
  • Diarrhea
  • Headaches
  • Irritability or nervousness

How common are food allergies and intolerances?
Food allergies affect about 1 percent of adults and 7 percent of children, although some children outgrow their allergies. Food intolerances are much more common. In fact, nearly everyone at one time has had an unpleasant reaction to something they ate. Some people have specific food intolerances. Lactose intolerance, the most common specific food intolerance, affects about 10 percent of Americans.

What causes food allergies and intolerances?
Food allergies arise from sensitivity to chemical compounds (proteins) in food, even compounds that are found naturally in food. Food allergies are more common in people whose family members have allergies, suggesting a genetic-or hereditary-factor may be involved with the development of food allergies.

Food allergies develop after you are exposed to a food protein that your body thinks is harmful. The first time you eat the food containing the protein, your immune system responds by creating specific disease-fighting antibodies (called immunoglobulin E or IgE). When you eat the food again, it triggers the release of IgE antibodies and other chemicals, including histamine, in an effort to expel the protein "invader" from your body. Histamine is a powerful chemical that can affect the respiratory system, gastrointestinal tract, skin or cardiovascular system.

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Last Updated: 4/30/2009

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