Allergies, food
Food allergies and sensitivities are on the rise,
and yet the diagnosis is difficult, since symptoms
vary from person to person. Corn may cause
muscle aches in one person and stomach
cramps in someone else. Immediate or delayed
adverse allergic reactions when eating specific
foods include dark circles and puffiness under the
eyes, chronic diarrhea, malabsorption,
chronic infections, chronic inflammation, bloating,
insomnia, swelling, cramping and the deadly
reaction known as anaphylactic shock. Diarrhea
is a very common result of food allergies, but
stomach cramps, constipation and
indigestion
are other problems. Food allergies can also
provoke hives, sore throats,
hay fever, migraines
and asthma attacks. Allergies can produce
vague symptoms too, like emotional irritability,
fatigue and anxiety. Studies show most
hyperactive children have at least one food sensitivity.
Sensitivities to food have been implicated in
causing reactive hypoglycemia, playing a role in
food addictions and cravings, and being linked to candidiasis, which can prepare the
foundation for allergic responses.
Certain allergies have the tendency to appear
quite suddenly without warning, and they can
disappear just as quickly. Delayed-onset allergies
appear gradually. This is often true if the problem
substance has been eliminated from the diet for
some time and the body has been given time to
heal itself.
A widely accepted diagnostic tool for
pinpointing allergies is the elimination diet; on the
basis of a simple, bland diet, or after a fast, suspect
foods are reintroduced one at a time. Although
this technique is time consuming, it is an
excellent method for identifying problem foods.
Food allergies is a term applied to a whole host
of reactions caused by consuming various
substances. In actual fact, allergies are only one of
three possible causes of irritation. Allergies are
caused by an overreaction of the immune
system to a particular substance. What is often
thought to be an allergy may actually be a food
intolerance because symptoms are the same or
similar. While allergies are caused by an
immune system response, food intolerances
occur when the digestive tract lacks enzymes for
proper digestion, as in lactose intolerance when
the body lacks the enzyme lactase. Food
sensitivities are a personal oversensitivity to a certain
type of food, unrelated to an immune system
response.
Any food or substance can be an allergen. Common sources of food allergies are:
- Milk
- Milk allergy can be manifested by asthma,
eczema, rhinitis, and
gastrointestinal distress, including bleeding,
pneumonia, and even
anaphylaxis. Obviously, every parent should be alert for signs of
milk allergy.
There are actually several different proteins in milk that may
produce an allergic reaction. Most of these allergens are heat
resistant, so scalding or boiling the milk will not help inmost cases, but
it may be worth a try.
People who must avoid milk because of allergies should be sure
to get adequate calcium and vitamin D in their diets. Vitamin D
helps in the absorption of calcium. Sometimes, though rarely, a
milk-sensitive person can tolerate yogurt or certain cheeses, such
as goat's cheese. A vitamin-mineral supplement is also helpful in
maintaining adequate calcium intake. A pediatrician should
routinely be certain that plenty of calcium and vitamin D are included
in the formula or in vitamin drops if a child has milk allergies. An
adult who eats a balanced diet ordinarily has nothing to worry
about with respect to calcium, but a milk-allergic woman should
consult with a physician on the best way to supplement calcium,
especially after menopause.
Cow's milk is found in the following: processed milk products,'
such as powdered or evaporated milk, breads and pastries, butter and margarine, except
margarine made with soybean oil, caramels, chocolates and other
candies, cheese, cream sauces and soups, ice cream, sherbet, puddings,
pastas, some luncheon meats and hot dogs, certain nondairy milk
substitutes containing caseinate; pies with cream filling or made with
butter; yogurt.
- Egg
- Egg allergy also can be quite dangerous in children. It is the white,
not the yolk, that causes the problem, and raw white is more likely
than cooked to provoke symptoms. But even cooked whites may be
potent allergens, and an egg-sensitive person may even have to
avoid the yolks, since they can be contaminated with whites.
Egg-sensitive children are rarely allergic to chicken and other poultry.
Reactions can include hives and angioedema, flare-ups of atopic
dermatitis, nausea, vomiting, and anaphylaxis.
Youngsters usually become more tolerant of egg whites as they
get older, but this allergy may continue into adulthood, and very
sensitive people may even have to avoid preparing foods with egg
whites. Vaccines produced in eggs may also cause a strong reaction
but the culprit may often be gelatin used in the vaccines.
- Nuts and legumes
- Soy or peanut allergies are fairly common in both children and
adults. Both foods are legumes.
Often the oil of these legumes and of nuts is safe for allergic
individuals, but we advise avoiding the oils as well as the nuts and
legumes themselves. Hot-pressed oils are extracted at
temperatures of 302°F, a process that breaks down the allergenic protein.
But some very sensitive individuals may react even to the minimal
remaining allergen. Moreover, gourmet oils are typically
cold-pressed at 149 to 203°F, which leaves the allergenic protein intact.
The oil is delicious but allergenic. The decision as to which oils are
safe must be left to your own physician.
With respect to children's allergies, soy formulas, unfortunately, are the best substitute for a milk formula for bottle-fed
babies. If your infant does not seem to do better on soy, it may be
that she or he has an allergy to that, too. Your pediatrician will
recommend a substitute diet.
One of the most potent of all allergens is the protein in peanuts. As far
as is known, it has been responsible for more food-allergy deaths than any other
allergen. The sensitive person must scrupulously avoid raw and roasted peanuts
and any form of cooked peanuts. One must constantly be alert to the possibility
that peanuts may have been added to a recipe.
For unknown reasons, there has been a striking increase in
peanut allergy in the past ten years, and children are increasingly
at risk. It may be advisable not to feed peanuts or peanut butter to
children under age three, in order to minimize the chance of the
children developing a sensitivity to peanuts.
A peanut-allergic person should beware of hydrolyzed
vegetable protein (HVP) in food products. Peanuts are sometimes used to produce this.
A person of any age who is allergic to peanuts may also be
allergic to other legumes and even to honey (the bees may have fed
upon legume blossoms). Watch out for peas, beans, acacia,
black-eyed peas, chickpeas (garbanzos), lentils,
licorice, senna, soybeans,
and tragacanth.
Soybeans may be present in bread, cake, crackers, candy, cereals,
ice cream, lecithin, margarine, infant formulas, processed meats and
sausages, salad dressings, sauces, shortening (including Crisco),
soups, soybean noodles and pasta (of course), and Chinese food.
Allergies to tree nuts are most commonly manifested by
hives and anaphylaxis. Occasionally gastrointestinal complaints
may occur.
Nuts are very difficult to avoid because they are used so widely.
However, here are the worst offenders. There are six families, and
cross-reactivity may occur within a family (in other words, if you
are allergic to one kind of nut, you are likely to be allergic to its
relatives): Family I - Brazil nuts; Family II - cashews and
pistachios (related to the mango); Family III - macadamia nuts; Family
IV - English and black walnuts, hickory nuts, and pecans; Family V
(nuts and fruits of the plum group ) - almonds, apricots, cherries,
plums, nectarines, peaches; Family VI - filberts and hazelnuts.
- Shellfish and fish
- If you are sensitive to one variety of fish or shellfish, beware of
other foods in the same class. For example, if you are allergic to
oysters, be careful with clams and scallops, but there is no reason
to think that tuna will be a problem.
If you are allergic to one kind of bony fish, you may be allergic
to other kinds or even to all bony fish. There is a common antigen
in all of them. However, there is no reason to avoid shellfish,
unless you are allergic to shellfish as well.
Fish allergen can cause atopic dermatitis, hives (urticaria), and
angioedema. It is rarely associated with asthma, but a very
fish-sensitive person may get an asthma reaction from the odor of
fish cooking. Fish allergen's greatest danger is that it can cause
anaphylaxis.
A fish-allergic person may have to be careful in using glues made from fish extract. Fish extract used as a fertilizer is also a problem.
In fishing communities, fish allergen can be found in house dust.
Fish-allergic people also have to stay away from imitation
crabmeat, which frequently is made with surimi, a processed fish
product. Surimi is also used in certain meatless food products such
as meatless hot dogs and pizza toppings.
- Wheat
- Wheat allergy is more common in childhood than among adults. It
can cause atopic dermatitis, and sometimes asthma and urticaria.
A sensitivity to the gluten in wheat and other grains is responsible
for celiac disease.
People with wheat allergy must follow restricted diets, because
wheat is so widely used. It is ordinarily found in bread, cookies,
and other baked goods; many beverages, including beer and malted
milk, breakfast food and cereals; canned baked beans; chili; flour;
pasta; meat products such as burgers, meat loaf, hot dogs, and
sausage; and sauces, gravies, and soups.
- Additives and contaminants
- Food additives can cause a variety of adverse reactions. Most are
not allergens themselves, but they may exacerbate asthma or other
allergic conditions. Sometimes a food such as milk may contain
small amounts of a drug, such as penicillin, to which a person is
allergic.
- Yellow dye #5
- Several food dyes have come under scrutiny in recent years as health
risks. Tartrazine (FD&C Yellow #5), a coal-tar derivative, has been
linked to bronchospasm in asthmatics, and to hives and
angioedema. The reaction seems to be nonallergic, in the sense of being
non-IgE mediated. The sensitivity is associated in some cases with a
sensitivity to aspirin and other nonsteroidal anti-inflammatories,
including ibuprofen and indomethacin. About 15 percent of
aspirin sensitive asthmatics cannot tolerate tartrazine.
People who have asthma and are sensitive to aspirin should
probably avoid tartrazine. The problem is that it is not always
listed on food-product labels as an ingredient. It is now used less
than in the past, but it may be present in flavored drinks, candies,
sherbet, pudding, frosting, dry cereals, and even medicines. Any
food product or medicine colored yellow or green may contain
tartrazine.
- Monosodium glutamate
- Monosodium glutamate, which is naturally present in some foods,
such as Camembert cheese, is widely used as a flavor enhancer by
cooks in restaurants and in commercially prepared food. MSG,
routinely used in many Chinese restaurants, is famous for producing
the "Chinese restaurant syndrome" that afflicts some people after
eating Chinese food. The symptoms include headache and general
aches and pains, chest tightness, sweating, and
nausea. It will
produce hives in some patients and sometimes provokes a flare-up of
asthma, which can be delayed up to twelve hours.
As mentioned above, this is not an allergy. Indeed, everyone
will experience at least some of these symptoms if they ingest a
large amount of MSG. Particularly susceptible people should avoid
the substance. (Unfortunately, food manufacturers often do not
list monosodium glutamate specifically on labels). Many Chinese restaurants will eliminate MSG if the customer so requests.
- Sulfites
- Sodium bisulfite and other sulfite compounds are effective, cheap,
and tasteless food preservatives. Unfortunately, sulfites can cause a
range of allergy like reactions, from rhinitis to anaphylaxis. Anyone
who has ever suffered an unexplained episode of anaphylaxis
should consult an allergist to determine whether sulfite sensitivity
might be the cause.
Sulfites also can cause severe, even devastating asthma attacks
in asthmatics.
The cause of these attacks was a mystery for many years,
because such a wide range of food was involved and sometimes
patients would react to a particular food and sometimes not. It
took scientists quite a while to figure out that it was the
preservative, not the food, that was causing the asthma attacks and other reactions.
Fresh vegetables caused trouble because they were often
sprinkled with sulfites to keep them colorful and crisp. Patients
also sometimes, but not always, reacted to beer, wine, pizza, and other foods.
Today the foods in which sulfites are most commonly found are
dried fruits and vegetables; gelatin products; pickles; sausage; wine;
vinegar; some fruit juices; cider; molasses; shellfish; beer; citrus
drinks; prepared potatoes and potato chips; mushrooms; and guacamole.
- Lesser additives
- The artificial sweetener aspartame is 700 times as sweet as sugar
and has no caloric value. The substance is believed to be relatively
safe, but there have been some reported cases of asthma and hives
associated with ingesting it.
The following additives also have been implicated in adverse
reactions, but less is known about them.
Benzoates, butylated hydroxytoluenes (BHT), and
hydroxyanisole can occasionally cause hives. These substances are used as
preservatives in ready-made foods, bread, milk, fats, oils,
margarine, mayonnaise, soft drinks, and instant drinks. Sodium
benzoate can exacerbate asthma, although this occurs only rarely.
Papain, present in meat tenderizer, has been implicated in cases of anaphylaxis.
- Toxins
- Various types of food poisoning result from toxins produced by
bacteria and other organisms. Some types, especially botulism, can be fatal.
A number of toxic reactions resemble allergic reactions, and
one, produced by a fish toxin, mimics allergy almost exactly
because it is caused by histamine. But the histamine, rather than
being released by the victim's own immune system, is produced
instead by bacteria in the fish. The fish involved are of the scombroid family and include tuna, bonito, mackerel, swordfish, sailfish,
marlin, sardines, anchovies, and herring. The poisoning can occur
when the fish have been inadequately refrigerated. Symptoms
occur fifteen minutes after ingestion and last eight to twelve hours.
Typically the patient suffers nausea and other gastrointestinal
problems, as well as hives, headache, and flushing of the face.
An allergic reaction to fish usually involves one person, whereas
a toxic reaction will involve everyone who eats the fish.
Allergy-causing food additives are
particularly difficult to avoid, and can make dining out
impossible. Corn, for instance, is found in starches
and syrups added to hundreds of groceries, and
sulfites are used in everything from wine and beer
to baked and frozen goods. A relationship also
exists between the foods repeatedly eaten and
those that cause allergic responses. In Japan, for
instance, fish allergies are more common; in
North America, wheat is more of a problem.
The underlying cause or initial trigger that provokes the immune system
response is more obscure. However, chemicals added to food to preserve or change
the color or taste, or used as pesticides, are still increasing, weakening our
bodies and our immune systems. Food additives and pesticides (especially in the
many canned, processed and frozen food), and overuse of antibiotics contribute
to a build-up of toxins in the body.
Allergies have been linked to improper
digestion and leaky gut syndrome. Patients with food
intolerance often have an abnormal intestinal
flora. It is thought that the intestines allow
incompletely digested particles to enter the
bloodstream. These are then recognized as
foreign substances and attacked by the immune
system. Causes of improper digestion are often
related to poor enzyme or stomach acid
production.
Introducing solid food to babies too early in
life has also been linked to allergies, as the
enzymes are not yet available for proper
digestion. Homogenized and pasteurized cow's milk
fed to babies often has a similar effect, as the
proteins are foreign and difficult to digest, and the
fat particles enter the bloodstream without
having been fully digested. Human milk is much
easier to digest than cow's milk and contains
substances such as gamma-linolenic acid (GLA)
which support babies' immune systems.
Especially in children, emotional triggers should
be ruled out as an underlying problem. Stress
can impair the immune system from functioning
optimally, allowing allergies to appear.
Supplements and herbs
Supplements should focus on improving
digestion and adding nutrients that are lacking from
poor absorption. The lack of nutrients, especially
vitamins C, E and A, results in an instability of
the cell walls, which allows allergens to enter
more easily. Nutrients and vitamins are also
important for the immune system, particularly
the minerals zinc and
selenium. With
vitamin E,
be sure to choose the natural form with mixed tocopherols.
Bioflavonoids, especially quercetin, work with
vitamin C and also stabilize cell walls. For
digestive support, vitamin B complex and
magnesium should be added.
Digestive enzymes are
also recommended to improve digestion and
assimilation. Friendly bacteria such as
acidophilus should be supplemented to help fight
bacterial infections which may be causing the
allergy.
Before starting any therapy, it is strongly
advised to detoxify the body by fasting for at
least three days. If the liver is plugged up with
fatty tissue and an excess of toxins which it
cannot neutralize, inadequate secretion and
allergies often result. It is also important to
support the adrenals, the immune system and the
digestive function.
- People who have allergies often suffer from
calcium deficiency. Take 1 tbsp. of stinging
nettle
juice and 15-20 drops of horsetail tincture
twice daily to supplement the body's need for
calcium.
- Calendula helps control candida overgrowth
in the bowels, which inhibits proper digestion.
Take as a tea or 5 drops of tincture with water.
Combine with Echinacea,
lemon balm or
agrimony.
- Agrimony heals damaged mucous membranes
and soothes bowel irritation. Take as a tea or 4
drops of tincture three times daily. Combine
with chamomile for better effect.
- To heal mucous membranes and soothe gastric
sensitivity, take 2-4 drops of goldenseal
tincture, with liquid or one 200 mg capsule three
times daily for a couple of days at a time only.
Combine with agrimony (avoid during
pregnancy or if high blood pressure is indicated).
- Black walnut husks clear out parasites that
cause a food allergy. Take 2 capsules twice
daily.
- Birch juice or tea cleanses the blood and helps
eliminate uric acid. Pour 1 cup of boiling water
over 1-2 tsp. of dry birch leaves. Drink 3 cups
daily for two to three weeks.
- The following mixture stimulates the liver
and digestive tract and is very beneficial for
most allergic conditions. Combine 2 tbsp.
each of lemon balm leaves, agrimony, peppermint and
celandine. Pour 1 cup of boiling
water over 1 tsp. of the herb mix. Drink
1 cup in the morning and 1 cup in the
evening.
What else you can do
- Strengthen the immune system by getting
plenty of sleep, fresh air and moderate sun.
- Avoid prolonged stressful situations. Worry,
guilt and incomplete digestion also weaken
the immune system.
- Lymph drainage, rising-temperature baths,
herbal and clay wraps, and water therapy will
enhance herbal and all other therapies applied.
- Relaxation techniques and deep-breathing
exercises should be incorporated in the regular
daily routine.
- Always eat slowly, in a relaxed atmosphere.
How much to take
- Vitamin C, with bioflavonoids, 1,000 mg three times daily
- Quercetin, 500 mg three times daily
- Vitamin B complex, 100 mg
- Acidophilus, 3 capsules or 1 tsp
- Vitamin E, with mixed tocopherols, 400 IU
- Vitamin A, 25,000 IU daily
- Bromelain, 1,000 mg three times daily
- Zinc, 35mg, with 3 mg
copper
- Selenium, 200 mg
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