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ALLERGY.TXT
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1995-03-13
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VegSocUK Information Sheet
THE VEGETARIAN SOCIETY
FOOD ALLERGY & INTOLERANCE
Food allergy is often mistaken for food intolerance. It is important to note
that allergy is only one of a number of possible reasons for food
intolerance.
Food intolerance can be defined as a condition where particular adverse
effects occur after eating a particular food or food ingredient. Genuine food
intolerance is different from psychologically based food aversion, where a
person strongly dislikes a food and believes that a food produces a
particular reaction.
A genuine food allergy is when a specific immune reaction occurs in the body
in response to consuming a particular food. Allergies often run in families,
and people who are allergic to some foods may also be allergic to other
environmental factors, such as house dust, animal fur and pollen.
A true allergic response involves an altered or abnormal tissue reaction to
an antigen. An antigen can be a protein, a substance bound to a protein, a
food additive or less commonly, a polysaccharide. The antigen combines with
an antibody and produces an immune response, which results in cell damage and
the release of histamine. The immune system plays an essential role in our
bodies in protecting us from the invasion of harmful substances. An allergy
occurs when the mechanism operates inappropriately in response to a harmless
substance such as a particular food protein.
Food intolerances, other than allergies, can occur for a variety of reasons
including;
Non allergic histamine release
The signs are very similar to an allergy and include headache, swelling,
urticaria, vomiting and diarrhoea. A substance called histamine is released
(it is also released in true allergic reactions) in response to foods such as
shellfish or strawberries.
Metabolic defects
A lack or deficiency of enzymes responsible for the digestion of food can
cause many types of food intolerance. For example, a deficiency in lactase,
the enzyme responsible for digesting milk, causes intolerance to milk.
Coeliac disease is a gut intolerance to a protein found in wheat, called
gluten, it would not be considered an allergy. The symptoms of coeliac
disease are controlled by following a gluten-free diet. It is unknown exactly
why or how gluten harms the gut, although it is now thought to be an abnormal
immunological response rather than an enzyme deficiency. It is still not
considered to be a food allergy in the true sense of the definition (see
Gluten-free Diet infosheet).
Pharmacological effects
Some food substances can act like drugs, particularly if taken in large
quantities. The most familiar of these substances is caffeine, found in tea,
coffee, chocolate and cola drinks. A large intake of caffeine can cause
tremor, migraine and palpitations. Other pharmacologically active substances
found in food include histamine, tyramine, tryptamine and serotonin, which
may be consumed in foods such as red wine, cheese, yeast extract, avocados
and bananas. In susceptible people, these foods can trigger urticaria, facial
flushing and headaches.
Food intolerance of unknown origin
Reactions can be provoked by many foods and food products which we cannot be
clear about. They may or may not be allergic reactions. Food additives,
particularly tartrazine and sodium benzoate, can provoke urticaria, rhinitis
and asthma. Yeasts can provoke a number of reactions in some people,
particularly skin disorders.
___________________________________
COMMON CAUSES OF FOOD INTOLERANCE
The most common food intolerances, in order of frequency are milk, eggs,
nuts, fish/shellfish, wheat/flour, chocolate, artificial colours, pork/bacon,
chicken, tomato, soft fruit, and cheese and yeast.
Whilst not all food intolerances are related to meat and dairy products, it
can be seen from the above list that vegetarians, and particularly vegans,
will suffer less from food intolerance because they already eliminate some of
the most common causes of intolerance.
___________________________________
SYMPTOMS
The most common symptoms of allergy include asthma, gastro-intestinal
symptoms (nausea, vomiting, and diarhhoea), eczema, urticaria (hives),
rhinorrhea (heavy discharge from the nose), and angio-oedema (swelling of the
blood vessels). Other more long-term symptoms include can depression,
anxiety, fatigue, migraine, sleeplessness and hyperactivity in children.
___________________________________
TREATMENT
As it is sometimes quite difficult to distinguish between a genuine food
allergy and a food intolerance, treatment is often similar. The first step is
to diagnose the food intolerance. This should not be done without medical
supervision as some reactions to food intolerance can be dangerous.
Sometimes the cause of a particular food intolerance is obvious, by the
immediate effect that occurs on eating a particular food. In this case the
treatment is simply to avoid that particular food. In most cases the
suspected food is more difficult to track down. A diary kept of foods eaten
and symptoms experienced can sometimes help detect the offending food or
foods. Other factors such as the weather, menstrual cycles and difficult
relationships can affect the symptoms.
Sometimes simple exclusion diets are advised where record keeping
suggests a particular food may be the cause. So, for example, milk, egg
or wheat may be avoided to see if symptoms improve.
Other more restrictive diets may be advised, which only include a limited
amount of foods which rarely cause a reaction. These diets are usually called
exclusion diets. The idea of an exclusion diet is to identify an allergy or
intolerance, by limiting the food to a very small choice, checking for
symptoms and then very gradually introducing test foods to see if there is a
reaction. An exclusion diet should not be followed without sound nutritional
advice.
You can seek the help and advice of The Vegetarian Society if you have any
problems with your vegetarian or vegan diet, relating to diagnosis or
treatment of a food allergy or intolerance.
___________________________________
FURTHER INFORMATION
Food Watch, 9 Corporation Street,
Taunton, Somerset, TA1 4AJ. Tel: 0823 325022.
Supplies specialised foods for allergy sufferers.
Action Against Allergy,
43 The Downs, London, SW20.
Coeliac Society, PO Box 220,
High Wycombe, Bucks, HP11 2HY.
National Society for Research into Allergy,
PO Box 45, Hinckley, Leicestershire.
___________________________________
FURTHER READING
The Food Allergy Plan,
Dr Keith Mumby, Urwin Paperbacks.
The Allergy Connection,
Barbara Paterson, Thorsons.
Food Intolerance Fact and Fiction,
Dr Juliet Gray, Grafton Books.
___________________________________
//
This article is copyright to the Vegetarian Society (UK), but may be freely
copied for non-commercial use provided it is kept intact, not altered
and these lines are included.
For futher information contact: The Vegetarian Society, Parkdale, Dunham Road,
Altrincham, Cheshire WA14 4QG, England. Tel: (England) 061 928 0793
email: vegsoc@vegsoc.demon.co.uk
//
[The text of this file was obtained from the Vegetarian Society (UK) in
March 1995.]