Cashew allergy what to do
Tree Nut Allergy
Tree nut allergy is the second most common allergy in infants and young children. Approximately 0.4- 0.5% of American children own a tree nut allergy. Tree nuts are a common allergen reported to cause fatal and near-fatal allergic reactions.
Tree nut allergy is generally life-long once acquired. Approximately 9% of children allergic to tree nuts may outgrow their allergy.
Children with a tree nut allergy must avoid that tree nut and every products containing that type of tree nut.
Children with a tree nut allergy also must avoid anything containing traces of ingredients containing that tree nut. There is a potential of tree nut products having cross-contact other tree nuts and with peanuts. For this reason, your child’s doctor may advise you to avoid every tree nuts and peanuts.
The FDA lists coconut as a tree nut. In fact, coconut is a seed of a drupaceous fruit. Most people allergic to tree nuts can safely eat coconut. Coconut allergy is reasonably rare. If you are allergic to tree nuts, talk to your allergist before adding coconut to or eliminating coconut from your diet.
What Are the Signs & Symptoms of a Nut Allergy?
When someone with a peanut or tree nut allergy has something with nuts in it, the body releases chemicals love histamine (pronounced: HISS-tuh-meen).
This can cause symptoms such as:
- trouble breathing
- itchy, watery, or swollen eyes
- a drop in blood pressure
- dizziness or fainting
- throat tightness
- anxiety or a feeling something bad is happening
Reactions to foods, love peanuts and tree nuts, can be diverse.
It every depends on the person — and sometimes the same person can react differently at diverse times.
In the most serious cases, a nut or peanut allergy can cause anaphylaxis (say: an-uh-fuh-LAK-sis). Anaphylaxis is a sudden, life-threatening allergic reaction. A person’s blood pressure can drop, breathing tubes can narrow, and the tongue can swell.
People at risk for this helpful of a reaction own to be extremely careful and need a plan for handling emergencies, when they might need to use special medicine to stop these symptoms from getting worse.
What Will the Doctor Do?
If your doctor thinks you might own a nut or peanut allergy, he or she will probably send you to see a doctor who specializes in allergies.
The (allergy specialist) will enquire you about past reactions and how endless it takes between eating the nut or peanut and getting the symptoms, such as hives.
The allergist may also enquire whether anyone else in your family has allergies or other allergy conditions, such as eczema or asthma. Researchers aren’t certain why some people own food allergies and others don’t, but they sometimes run in families.
The allergist may also desire to do a skin test. This is a way of seeing how your body reacts to a extremely little quantity of the nut that is giving you trouble. The allergist will use a liquid extract of the nut that seems to be causing you symptoms.
During skin testing, a little scratch on your skin is made (it will be a quick pinch, but there are no needles!).
That’s how just a little of the liquid nut gets into your skin. If you get a reddish, itchy, raised spot, it shows that you may be allergic to that food or substance.
Skin tests are the best test for food allergies, but if more information is needed, the doctor may also order a blood test. At the lab, the blood will be mixed with some of the food or substance you may be allergic to and checked for antibodies.
It’s significant to remember that even though the doctor tests for food allergies by carefully exposing you to a extremely little quantity of the food, you should not attempt this at home! The only put for an allergy test is at the allergist’s office, where they are specially trained and could give you medicine correct away if you had a reaction.
Have an Emergency Plan
If you own a nut or peanut allergy, you and a parent should create a plan for how to handle a reaction, just in case.
That way your teachers, the school nurse, your basketball coach, your friends — everyone will know what a reaction looks love and how to respond.
To immediately treat anaphylaxis, doctors recommend that people with a nut or peanut allergy hold a shot of epinephrine (say: eh-puh-NEH-frin) with them. This helpful of epinephrine injection comes in an easy-to-carry container. 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 desire to own antihistamine medicine on hand too for mild reactions. If anaphylaxis is happening, this medicine is never a substitute for epinephrine.
After getting an epinephrine shot, you need to go to the hospital or other medical facility, where they will hold an eye on you for at least 4 hours and make certain the reaction is under control and does not come back.
Tree Nut Substitutions
It is extremely simple to replace nuts in a recipe. There are numerous seeds and seed products available including sunflower butter and pumpkin seed butter. Roasted chickpeas can replace nut snacks.
Pretzels can substitute for pecans in pecan pie.
Learn more about NUT SUBSTITUTES.
What Else Should I Know?
If you discover out you own a nut or peanut allergy, don’t be bashful about it.
It’s significant to tell your friends, family, coaches, and teachers at school. The more people who know, the better off you are because they can assist you stay away from the nut that causes you problems.
Telling the server in a restaurant is also really significant because he or she can steer you away from dishes that contain nuts.
Likewise, a coach or teacher would be capable to select snacks for the group that don’t contain nuts.
It’s grand to own people love your parents, who can assist you avoid nuts, but you’ll also desire to start learning how to avoid them on your own.
Allergic reactions to tree nuts
An allergic reaction generally happens within minutes after being exposed to an allergen, but sometimes it can take put several hours after exposure. Anaphylaxis is the most serious type of allergic reaction.
Symptoms of anaphylaxis generally include two or more of the following body systems:
- Skin: hives, swelling (face, lips, tongue), itching, warmth, redness
- Gastrointestinal (stomach): nausea, pain/cramps, vomiting, diarrhea
- Cardiovascular (heart): paler than normal skin colour/blue colour, feeble pulse, passing out, dizziness or lightheadedness, shock
- Respiratory (breathing):coughing, wheezing, shortness of breath, chest pain/tightness, throat tightness, hoarse voice, nasal congestion or hay fever-like symptoms (runny itchy nose and watery eyes, sneezing), trouble swallowing
- Other:anxiety, sense of doom (the feeling that something bad is about to happen), headache, uterine cramps, metallic taste
If you own an allergy to tree nuts, hold an epinephrine auto-injector (e.g., EpiPen®) with you at every times.
Epinephrine is the first-line treatment for severe allergic reactions (anaphylaxis).
Note: The above lists are not finish and may change.
What Happens With a Tree Nut or Peanut Allergy?
Your immune system normally fights infections. But when someone has a nut allergy, it overreacts to proteins in the nut. If the person eats something that contains the nut, the body thinks these proteins are harmful invaders and responds by working extremely hard to fight off the invader.
This causes an allergic reaction.
How to Read a Label for Tree Nuts
Always read the entire ingredient label to glance for the names of the tree nut(s) you need to avoid. Tree nut ingredients may be within the list of the ingredients. Or tree nuts could be listed in a “Contains” statement beneath the list of ingredients. Examples are «Contains Walnut» or «Contains Almond». This is required by the federal Food Allergen Labeling and Consumer Protection Act (FALCPA). Study more about the U.S. food allergen labeling law.
FALCPA requires that every packaged foods regulated by the FDA must list the common names of tree nuts clearly on the ingredient label if it contains tree nuts.
Advisory statements such as “may contain hazelnuts” or “made in a facility with tree nuts” are voluntary. Advisory statements are not required by any federal labeling law.
Discuss with your doctor if you may eat products with these labels or if you should avoid them.
Did you know that marzipan, mortadella and mandelonas every contain tree nuts? The FDA food allergen label law requires foods to state if they contain a top 8 allergen such as tree nuts. But, there are numerous foods and products that are not covered by the law, so it is still significant to know how to read a label for tree nut ingredients. Products exempt from plain English labeling rules: (1) Foods that are not regulated by the FDA.
(2) Cosmetics and personal care items. (3) Prescription and over-the-counter medications. (4) Toys, crafts and pet food.
CONTAIN TREE NUTS
The following ingredients found on a label indicate the presence of tree nuts. Every labels should be read carefully before consuming a product, even if it has been used safely in the past.
COMMON TREE NUT NAMES (FDA LIST)
COMPLETE LIST OF TREE NUT NAMES (BOTANICAL NAMES AND DERIVATIVES)
Anacardium occidentale (Anacardiaceae) [botanical name, Cashew]
Bertholletia excelsa (Lecythidaceae) [botanical name, Brazil nut]
Butyrospermum Parkii [botanical name, Shea nut]
Canarium ovatum Engl.
in A. DC. (Burseraceae) [botanical name, Pili nut]
Carya illinoensis (Juglandaceae) [botanical name, Pecan]
Carya spp. (Juglandaceae) [botanical name, Hickory nut]
Castanea pumila (Fagaceae) [botanical name, Chinquapin]
Castanea spp. (Fagaceae) [botanical name, Chestnut (Chinese, American, European, Seguin)]
Chestnut (Chinese, American, European, Seguin)
Cocos nucifera L. (Arecaceae (alt. Palmae)) [botanical name, Coconut]
Corylus spp. (Betulaceae) [botanical name, Filbert/hazelnut]
Fagus spp. (Fagaceae) [botanical name, beech nut]
Ginkgo biloba L.
(Ginkgoaceae) [botanical name, Ginko nut]
Juglans cinerea (Juglandaceae) [botanical name, Butternut]
Juglans spp. (Juglandaceae) [botanical name, Walnut, Butternut, Heartnut]
Karite (shea nut)
Litchi chinensis Sonn. Sapindaceae [botanical name, Lichee nut]
Macadamia spp. (Proteaceae) [botanical name, Macadamia nut/Bush nut]
Natural nut extract (for example, almond extract)
Nut butters (e.g., Almond butter, Hazelnut butter, Brazil nut butter, Macadamia nut butter, Pistachio nut butter, Shea nut butter, Karike butter, as well as other nut butters)
Nut oil (e.g., Walnut oil as well as other nut oils)
Pine nut (Indian, piñon, pinyon, pigndi, pigñolia, pignon nuts)
Piñon or Piñon nut
(Pineaceae) [botanical name, Pine nut/piñon nut]
Pistacia vera L. (Anacardiaceae) [botanical name, Pistachio]
Prunus dulcis (Rosaceae) [bontanical name, almond]
Vitellaria paradoxa C.F. Gaertn. (Sapotaceae) [botanical name, Shea nut]
Walnut (English, Persian, Black, Japanese, California)
TREE NUTS ARE SOMETIMES FOUND IN
However, if the product is an FDA regulated food, the common tree nut name must appear on the label.
Tree nuts and peanuts
There’s often confusion between peanuts and tree nuts.
Peanuts are legumes, not nuts; still, between 25 and 40 percent of individuals who are allergic to peanuts also react to at least one tree nut, according to studies.
Allergists generally advise people who are allergic to tree nuts also to avoid peanuts because of the risk of cross-contact and cross-contamination between tree nuts and peanuts in food processing facilities. If you or your kid is allergic to either peanuts or tree nuts, enquire your allergist whether you should avoid both products.
The prevalence of these allergies in children appears to be growing, according to a 2010 study that compared data from telephone surveys of 5,300 U.S.
households in 1997, 2002 and 2008. In the 2008 survey, 2.1 percent of respondents reported having a kid with an allergy to peanuts, tree nuts or both. In the 2002 survey, 1.2 percent of subjects said they had a kid with one or both of these allergies; five years earlier, in 1997, only 0.6 percent of respondents reported having a kid with one or both of these allergies.
Allergies to tree nuts and peanuts are among the most common causes of anaphylaxis in the United States. An allergist will advise patients with these allergies to carry an auto-injector containing epinephrine (adrenaline), which is the only treatment for anaphylactic shock, and will teach the patient how to use it.
If a kid has the allergy, teachers and caregivers should be made aware of his or her condition as well.
People with tree nut allergies often wonder if they must also avoid coconut and nutmeg.
Coconut is not a botanical nut; it is classified as a fruit, even though the Food and Drug istration recognizes coconut as a tree nut. While allergic reactions to coconut own been documented, most people who are allergic to tree nuts can safely eat coconut. If you are allergic to tree nuts, talk to your allergist before adding coconut to your diet.
Nutmeg is a spice that is derived from seeds, not nuts. It may be safely consumed by people with a tree nut allergy.
Use the Discover an Allergist tool to discover expert care for your tree nut allergy.
Note to journalists: Please report that this research will be presented at a meeting of the American Chemical Society.
SAN FRANCISCO, Aug. 11, 2014 — For the millions of adults and children in the U.S. who own to shun nuts to avoid an allergic reaction, assist could be on the way.
Scientists are now developing a method to process cashews — and potentially other nuts — that could make them safer to eat for people who are allergic to them.
The researchers are presenting their work at the 248th National Meeting & Exposition of the American Chemical Society (ACS), the world’s largest scientific society. The meeting, being held here through Thursday, features almost 12,000 presentations on a wide range of science topics.
“The only widely accepted practice for preventing an allergic reaction to nuts is strict avoidance — stay away from the food,” notes Chris Mattison, Ph.D.
“Clinical trials to test immunotherapy are underway, but we’re approaching it from an agricultural perspective rather than medical. Can we change the food, instead of treating the person, so we can eliminate or reduce severe reactions?”
For those with food allergies, responses to offending products can range from mild itching in the mouth or skin to life-threatening anaphylaxis, which makes it hard to breathe. Once every three minutes, someone in the U.S. ends up in the emergency room due to a food allergy reaction — that adds up to about 200,000 visits a year.
To attempt to reduce those numbers, Mattison’s team is looking at ways to modify proteins in tree nuts and peanuts (which are legumes) that trigger an immune response in people who are allergic.
The response is launched by antibodies called immunoglobulin E (IgE), which recognize and latch onto the proteins. Mattison explains that changing the shape of the proteins makes it harder for IgE to discover them.
But past research taking this approach has involved harsh chemicals. Mattison, a researcher with the Agricultural Research Service branch of the U.S. Department of Agriculture, wanted to see if his team could achieve the same results, but using compounds that are “generally regarded as safe,” or GRAS. These are substances that are accepted by the Food and Drug istration for use in food and pharmaceuticals.
“We found that the GRAS compound sodium sulfite can effectively disrupt the structure of a couple of the cashew allergens,” Mattison says.
“And we’ve done a couple of diverse tests to show we reduced IgE binding to the proteins when they’ve been treated with sodium sulfite.”
Next, they plan to conduct experiments on whole nuts and test the modified proteins on cells in the lab to see how they reply. They’re also looking at enzymes, which are molecules that can cut up proteins, as candidates to disrupt the allergens.
And, although this specific report focuses on cashew proteins, Mattison says the work could own broader implications. The kinds of allergenic proteins the GRAS compound and enzymes affect are not exclusive to one helpful of nut.
“One of our goals is to apply our knowledge from the cashew experiments to other tree nuts and to peanuts,” he says.
Mattison acknowledges funding from the U.S.
Department of Agriculture-Agricultural Research Service.
The American Chemical Society is a nonprofit organization chartered by the U.S. Congress. With more than 161,000 members, ACS is the world’s largest scientific society and a global leader in providing access to chemistry-related research through its multiple databases, peer-reviewed journals and scientific conferences. Its main offices are in Washington, D.C., and Columbus, Ohio.
en españolAlergia a los frutos secos y a los cacahuetes
Oh, nuts! They certain can cause you trouble if you’re allergic to them — and a growing number of kids are these days.
So what helpful of nuts are we talking about? Peanuts, for one, though they aren’t truly a nut.
They’re a legume (say: LEH-gyoom), love peas and lentils. A person also could be allergic to nuts that grow on trees, such as almonds, walnuts, pecans, cashews, hazelnuts, Brazil nuts, and pistachios.
When you ponder of allergies, you might picture lots of sneezing and runny noses. But unlike an allergy to spring flowers, a nut or peanut allergy can cause difficulty breathing and other extremely serious health problems. That’s why it’s very important for someone with a nut or peanut allergy to avoid eating nuts and peanuts, which can be tough because they’re in lots of foods.
Over 1100 nut-free recipes are available in KFA’s Safe Eats™ Recipes.
Search for Nut-Free Recipes
Medical review February 2015.
As with most food allergies, the best way to avoid triggering an allergic reaction is to avoid eating the offending item.
People who are diagnosed with an allergy to a specific tree nut may be capable to tolerate other tree nuts, but allergists generally advise these patients to avoid every nuts. Tree nuts are often used as garnishes in salads, as an ingredient in Asian dishes, and as an ice cream topping. They may also be found in baking mixes, breading, sauces, desserts and baked goods.
Tree nuts are among the eight most common food allergens affecting adults and children, and are specifically mentioned in the Food Allergen Labeling and Consumer Protection Act (FALCPA) of 2004.
This means that the presence of these items must be highlighted, in clear language, on ingredient lists. Some companies may voluntarily include information that their food products that don’t contain nuts were manufactured in a facility that also processes nuts, though such a statement is not required by law. It is significant for people with tree nut allergies to read labels carefully.
Some alcoholic beverages may contain nuts or nut flavoring added in the distillation process.
Most alcoholic beverages aren’t covered by the FALCPA requirements; if “natural flavors” or “botanicals” are cited as an ingredient, you may need to call the manufacturer to determine whether that indicates the presence of nuts or nut flavoring.
Tree nut oils, which may contain nut protein, can be found in lotions, hair care products and soaps; those allergic to tree nuts should avoid using these products. Fortunately, allergists are specially trained to assist identify these hidden sources of tree nut allergens.
How Is a Tree Nut or Peanut Allergy Treated?
There is no special medicine for nut or peanut allergies and numerous people don’t outgrow them.
The best treatment is to avoid the nut. That means not eating that nut, and also avoiding the nut when it’s mixed in foods. (Sometimes these foods don’t even taste nutty! Would you believe chili sometimes contains nuts to assist make it thicker?)
Staying safe means reading food labels and paying attention to what they tell about how the food was produced. Some foods don’t contain nuts, but are made in factories that make other items that do contain nuts. The problem is the equipment can be used for both foods, causing "cross-contamination." That’s the same thing that happens in your own home if someone spreads peanut butter on a sandwich and dips that same knife into the jar of jelly.
After checking the ingredients list, glance on the label for phrases love these:
- "may contain tree nuts"
- "produced on shared equipment with tree nuts or peanuts"
People who are allergic to nuts also should avoid foods with these statements on the label.
Some of the highest-risk foods for people with peanut or tree nut allergy include:
- cookies and baked goods
- ice cream
- Asian and African foods
- sauces (nuts may be used to thicken dishes)
Talk to your allergist about how to stay safe in the school cafeteria. Also enquire about how you should handle other peanut encounters, love at restaurants or stadiums where people are opening peanut shells. People with nut allergies generally won’t own a reaction if they breathe in little particles. That’s because the food generally has to be eaten to cause a reaction.
Nutrition for a Nut-Free Diet
Tree nuts are a excellent source of protein, vitamins and minerals in a child’s diet.
However, if your kid needs to avoid nuts of any type, they should not be at nutritional risk since there are numerous other sources of protein to eat instead.
WHEN AVOIDING TREE NUTS
|SUGGESTED ALTERNATE SOURCES
(if not allergic)
|Protein, Vitamins, Minerals||Increase other protein foods such as meat, legumes, fish, poultry, eggs, dairy
(if safe for your child);
fruit, vegetables, and enriched grains
Cross Reactivity: Do You Need to Avoid Other Foods?
Cross-reactivity occurs when the proteins in one food are similar to the proteins in another.
When that happens, the body’s immune system sees them as the same.
Tree nuts are in a diverse plant family than peanuts. Peanuts are legumes and are not related to tree nuts (almonds, walnuts, cashews, etc.). However, about 35% of peanut-allergic toddlers in the U.S. own or will develop a tree nut allergy. Doctors often recommend that young children avoid tree nuts if they are allergic to peanuts. This is because it is fairly common to be «co-allergic» to tree nuts if a kid is allergic to peanuts.
There is a high degree of cross-reactivity between cashew and pistachio and between walnut and pecan.
Most people who are allergic to one tree nut are not allergic to every tree nuts. But some doctors will advise their patients to avoid every tree nuts if allergic to one or more tree nuts. Check with your doctor to discover out if you need to avoid every tree nuts.
Emerging Allergen Reporting Tool
If your kid has had a reaction in the final 12 months to a food other than a priority allergen, participate in an significant research survey. Your participation will assist researchers, and advocacy groups love ours, better understand emerging allergens.
Study more and take the survey
- Tree nuts are considered priority allergens by Health Canada.
- Peanuts are part of the legume family and are not considered a tree nut.
- Tree nuts considered as priority allergens include almonds, Brazil nuts, cashews, hazelnuts, macadamia nuts, pecans, pine nuts (pignolias), pistachio nuts and walnuts.
- Some people with a tree nut allergy may be allergic to more than one type of tree nut.
- Priority food allergens are the foods that cause the majority of allergic reactions.
- People who are allergic to tree nuts generally avoid every nuts and peanuts because of the risk of cross contamination.
- Coconut and nutmeg are not considered tree nuts for the purposes of food allergen labelling in Canada and are not usually restricted from the diet of someone allergic to tree nuts.
- A coconut is a seed of a fruit and nutmeg is obtained from the seeds of a tropical tree.
- However, some people allergic to tree nuts own also reacted to coconut and nutmeg. Consult your allergist before trying coconut- or nutmeg-containing products.
Be Allergy-Aware: How to avoid tree nuts
If you do not recognize an ingredient, if there is no ingredient list available, or if you don’t understand the language written on the packaging, avoid the product.
- If a tree nut is part of the ingredients, the specific tree nut(s) must be declared by their common name (almond, Brazil nut, etc.) in the list of ingredients or in a separate “contains” statement immediately following the list of ingredients.
- Once at the store before buying it.
- Check with manufacturers directly if you are not certain if a product is safe for you.
- Always carry your epinephrine auto-injector. It’s recommend that if you do not own your auto-injector with you, that you do not eat.
- Be careful when buying imported products, since labelling rules differ from country to country.
- Once when you get home and put it away.
- Again before you serve or eat the product.
- Watch for cross-contamination, which is when a little quantity of a food allergen (e.g., almond) gets into another food accidentally, or when it’s present in saliva, on a surface, or on an object. This little quantity of an allergen could cause an allergic reaction.
Common tree nuts
- Brazil nuts
- Macadamia nuts
- Pine nuts (pinon, pignolias)
- Hickory nuts
- Hazelnuts (filberts)
Other names for tree nuts
- Anacardium nuts
- Nut meats
- Mandelonas (a nut-flavoured peanut confection)
- Queensland nut (macadamia)
Possible sources of tree nuts
- Barbecue sauce
- Nut-flavoured coffees, boiling cocoa, specialty drinks
- Peanut oil
- Smoke flavourings
- Health and Nutritional supplements, such as herbal remedies and vitamins
- Spreads and Nut butters (e.g., Nutella and gianduia/gianduja)
- Pesto sauce
- Baked goods such as biscotti, cakes, cookies, crackers, donuts, granola bars, pastries and pies, baklava, baking mixes
- Natural flavourings and extracts
- Ice cream, gelato, frozen desserts, sundae toppings, frozen yogurt, pralines
- Main course dishes such as butter chicken, chicken korma, mole sauce, pad thai, satay, chili, other gravy dishes
- Snack food love chips, popcorn, snack mixes, trail mix
- Candies, such as calisson, mandelonas, marzipan, some chocolates, chocolate bars
- Cereals, granola, muesli
- Salads and salad dressings
- Alcoholic beverages, such as Frangelico, amaretto liqueurs and others
- Herbal teas
- Hot cocoa and cocoa mixes
- Vegetarian dishes
Non-food sources of tree nuts
- Beanbags, kick sacks/hacky sacks
- Massage oils
- Cosmetics, skin and hair care products, lotions, soap, body scrubs, sun screens
- Pet food
- Bird seed
- Sandblasting materials
Report a reaction
If you believe you may own reacted to an allergen not listed on the packaging, you can report it to the Canadian Food Inspection Agency, which may issue a product recall.
Discover out more on our Food Labelling page.