What kind of allergies do i have quiz

Treatment depends on the extent of your child’s intolerance. Some children with lactose intolerance may be capable to own little amounts of dairy products without having symptoms.

Your kid may be referred to a dietitian for specialist advice.

Read more about treatment for lactose intolerance in children.


Cows’ milk allergy in babies

Cows’ milk allergy (CMA), also called cows’ milk protein allergy, is one of the most common childhood food allergies.

It is estimated to affect around 7% of babies under 1, though most children grow out of it by the age of 5.

CMA typically develops when cows’ milk is first introduced into your baby’s diet either in formula or when your baby starts eating solids.

More rarely, it can affect babies who are exclusively breastfed because of cows’ milk from the mother’s diet passing to the baby through breast milk.

There are 2 main types of CMA:

  1. immediate CMA – where symptoms typically start within minutes of having cows’ milk
  2. delayed CMA – where symptoms typically start several hours, or even days, after having cows’ milk


Could it be lactose intolerance?

Lactose intolerance is another type of reaction to milk, when the body cannot digest lactose, a natural sugar found in milk.

However, this is not an allergy.

Lactose intolerance can be temporary – for example, it can come on for a few days or weeks after a tummy bug.

Symptoms of lactose intolerance include:

  1. vomiting
  2. diarrhoea 
  3. stomach rumbling and pains
  4. wind



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Histamine Intolerance: Could it be causing your symptoms?

For a quick health quiz, consider whether you suffer from any of the following common symptoms:

• Rashes, Hives or Eczema
• Headaches or migraines
• Diarrhea
• Low blood pressure
• Itchy eyes/runny nose/congestion
• Premenstrual cramping or headaches

These are extremely general symptoms and own numerous potential causes, but one possibility that isn’t discussed often is a condition called histamine intolerance.

What to do if you ponder histamine may be a problem for you

If you ponder you may own histamine intolerance, speak to your physician to assess other possible “look-alike” conditions such as true allergies, mast cell disorders or underlying digestive disorders.

Once these possibilities own been evaluated and addressed, an elimination diet may be initiated to see if symptoms improve. A food diary is essential. Underlying issues must be corrected first to optimize improvement. Because the diet is restrictive, especially if added onto an already restricted eating plan, please consult a professional to ensure proper nutritional intake.

What is histamine intolerance?

The actual mechanism of histamine intolerance (HIT) is under investigation but is thought to be related to a build-up of histamine.

In a healthy individual, histamine is broken below on a regular basis by two enzymes: DAO and HNMT. The mechanism of HIT is proposed to be a genetic or acquired impairment in one of these two enzymes. DAO is produced in the intestine, so if the intestinal function is compromised there may not be enough DAO to degrade histamine normally.

When build-up occurs, so do symptoms.

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Decreased DAO  (enzyme) production may be why HIT seems more common in persons with gastrointestinal disorders such as inflammatory bowel disease, IBS, celiac, and SIBO. DAO activity can also be inhibited by certain medications.

Some physicians question the existence of histamine intolerance as a disease. HIT is more widely accepted in Europe as a true condition and was recognized in 2012 by the German Society for Allergology and Clinical Immunology as a true disease for which the pathophysiology has yet to be determined.

Foods high in histamines

This is controversial as the histamine content of food varies depending on the duration of storage, ripeness or maturity, cooking, and processing.

Certain foods may also not be high in histamine yet are high in compounds known as histamine liberators which can trigger similar symptoms by increasing histamine levels. The list under contains commonly accepted high histamine foods/histamine liberators, but this list is by no means exhaustive. Available lists vary and consistent data is hard to discover on histamine content of foods. What does seem to be agreed upon is that fermented and aged foods do tend to be some of the biggest culprits.

• Alcohol: Champagne, red wine, beer, white wine,
• Fermented or smoked Meats/Fish: Sardine, mackerel, herring, tuna, salami
• Pickled or canned foods: Sauerkraut, pickles, relishes, soy sauce
• Fermented milk products: Yogurt, kefir, buttermilk
• Aged cheeses: Parmesan, Gouda, Swiss, cheddar.
• Fruit: Dried fruit, strawberries, citrus
• Vegetables: Tomatoes and tomato products, spinach
• Legumes: Chickpeas, soybeans, peanuts
• Other: Cinnamon, chocolate
• Grains: Wheat
• Histamine releasers: Citrus, papaya, pineapple, nuts, strawberries, egg white, additives
• DAO blockers: alcohol, black and green tea

How histamine intolerance is diagnosed

At this time there are no proven tests to diagnose histamine intolerance short of an elimination diet.

While it is possible to measure blood DAO activity (one of the enzymes listed above), as well as histamine levels in the blood and urine, these results do not seem to correlate significantly with symptoms. Typical blood allergy tests or skin testing will not be positive, as HIT is not IgE mediated (like true allergies).

It is significant to remember that while considering HIT as a cause of symptoms you must assess for related disorders such as true allergies, mast cell disorders, inflammatory bowel disease, celiac disease, fructose malabsorption, little intestinal bacterial overgrowth, colitis etc.

After the evaluation of related disorders, a diet eliminating high histamine foods may be pursued.

If symptoms improve when histamine is lowered or eliminated from the diet you may be histamine intolerant.

It may be correlated with other health issues

Histamine intolerance appears to be more prevalent when there is underlying gastrointestinal dysfunction such as in inflammatory bowel disease, celiac disease, IBS, etc. Given the minimal data on the actual incidence of histamine intolerance, data on its correlation with other health issues is scant.

What helpful of allergies do i own quiz

In alternative medicine circles, it is thought to happen more commonly with dysbiosis or little intestinal bacterial overgrowth (SIBO).


What is histamine?

Histamine is a compound found in every cells of the body and is a natural component of numerous foods. It is an significant component of the immune and neurologic systems and is involved in the process of inflammation. Histamine causes a variety of symptoms depending on where it is released and what receptors it binds to.

Treatment for histamine intolerance

It isn’t just diet!

Treat any underlying disorder first, as this may improve histamine tolerance.

I generally love to focus on dietary treatments because I prefer to do as much as possible with diet in lieu of medication. But, histamine intolerance truly requires an integrative approach, as it often occurs in conjunction with other disorders that need to be addressed beyond dietary modifications.

Diet: A low histamine diet is the treatment of choice (food lists are below).This can be challenging if someone is already on a restricted diet such as a gluten-free or low FODMAP diet and should be done under the care of a health care practitioner so that proper nutritional intake is maintained.

The tolerance to histamine varies from person to person and the quantity of histamine tolerated must be deduced by trial and error. Some people can only tolerate extremely little amounts and others can be more liberal.

What is significant to note is that tolerance to histamine seems to improve once underlying issues are addressed. For example; if IBS or SIBO are treated, reactions to histamine often decrease. It is imperative to treat the underlying disorder in conjunction with dietary changes. Once the elimination diet is completed one must individually assess tolerance to specific foods and liberalize the diet as tolerated so that optimum nutrition and lifestyle are attained.

Sleep: 7-8 hours a night helps everything!

Support: Health issues and dietary restrictions are stressful and challenging.

Seek out support from family, community, faith organizations, online support groups, local support groups.

What helpful of allergies do i own quiz

Avoid those who provide negative interaction. Negative interactions delay healing.

Exercise: Any exercise is helpful. Purpose for 30-60 minutes daily. Don’t feel bad if you only fit in 15 – it still helps!

Relaxation: The benefits of relaxation techniques cannot be emphasized enough. Breathing exercises or progressive muscle relaxation are simple, portable and free. Yoga and meditation are grand as well. Relaxation for you may also be reading, enjoying time with friends or playing music.

Medications: Antihistamines, topical steroids/creams, oral steroids, topical homeopathic or plant-based creams and lotions for rashes.

Supplements: There is little to no data on these, but the following are sometimes used.

Vit C, B6, Zn, Cu, Magnesium, Mangosteen, Quercetin, DAO promoters and supplements, topical creams. Please use any supplement under the guidance of a practitioner. Supplements can own toxic side effects.

Histamine content app: https://itunes.apple.com/us/app/food-intolerances/id419098758

Symptom tracker app: https://itunes.apple.com/gb/app/mysymptoms-food-diary/id405231632?mt=8&ign-mpt=uo%3D4

Books: Attempt a low histamine cookbook. It will make preparing meals easier, especially during the elimination phase.

What are some of the symptoms of histamine intolerance?

• Diarrhea
• Headache
• Flushing
• Rash/Urticaria (hives)/eczema
• Arrhythmia ( irregular heartbeat)
• Low blood pressure due to vasodilation caused by the histamine
• Wheezing
• Runny nose
• Watery eyes
• Angioedema-swelling of face/hands/lips
• Heartburn-due to increased acid production
• Itching- typically of the skin
• PMS- Headaches around the menstrual cycle or painful cramps due to histamine-induced contractions in relation to hormone levels

Food to eat on a low histamine diet

• As much as possible eat unused food
• Unused meat and fish (avoid canned meat and fish)
• Unused fruit, except strawberry, citrus
• Unused vegetables, except tomatoes, spinach, and cabbage
• Grains: rice, corn, millet, oats, sorghum
• Oils: Most cooking oils

See under for lists of high histamine foods and medications to use with caution if you ponder histamine intolerance may be an issue for you.

It’s not the same as a food allergy

With histamine intolerance, symptoms can be triggered by certain foods, but the mechanism is diverse than a food allergy.

Some of the symptoms mimic a true allergic reaction, but HIT is not mediated by IgE, so skin testing and blood allergy tests will be negative.

What helpful of allergies do i own quiz

HIT is thought to be due to a cumulative build-up of histamine rather than an over-release of histamine. Because of this, the symptoms may not be immediate. Symptoms may be triggered any time your “threshold” is reached and it may be hard to pinpoint a specific food as the culprit.

For example, you may own consumed histamine wealthy foods in the morning and in the afternoon consumed a low histamine meal. But, the afternoon food was enough to put you over your level of tolerance, so symptoms would happen in the afternoon.

You would ponder your symptoms were due to the afternoon food but in reality, your morning foods were a more significant factor.

Medications to use with caution if HIT is an issue

These medications inhibit the DAO enzyme:

• Acetylcysteine
• Aspirin
• Ambroxol
• Aminophylline
• Amiloride
• Amitryptiline
• Cefuroxime
• Cefotiam
• Cimetidine (Tagamet)
• Ciprofloxacin
• Cyclophosphamide
• Contrast Media

• Docein

• Diazepam (Valium)
• Haldol
• Metamizol
• Metoclopramide (Reglan)
• Naproxen (Aleve)
• Narcotics-Thiopental (IV med.

for surgery)
• Noscapene
• Pancuronium
• Prilocaine
• Verapamil

THIS ARTICLE IS COPYRIGHTED BY AMY BURKHART, MD, RD.

Category:ArticlesBy Amy Burkhart

If you ponder your baby is having a reaction to cows’ milk, see your GP to discuss your concerns.

They will be capable to assess if your baby’s symptoms may be caused by a cows’ milk allergy or something else. Make certain you get medical advice before taking cows’ milk out of your child’s diet as it contains significant nutrients.


Further information:

Sheet final reviewed: 12 July 2019
Next review due: 12 July 2022

What is nut allergy?

An allergy occurs when your body’s immune system, which normally fights infection, overreacts to a substance called an allergen.

Most allergens are not obviously harmful and they own no effect on people who are not allergic to them. Allergic reactions to allergens can vary from mild to life-threatening.

Both peanuts and tree nuts (for example, walnuts, hazelnuts, almonds, cashews, pecans, Brazils and pistachios) can act as allergens, and can cause an allergic reaction in some people. When you come into contact with something that you are allergic to (an allergen), a group of cells in your body, called mast cells, release a substance called histamine. Histamine causes the tiny blood vessels in the tissues of your body to leak fluid which causes the tissues to swell.

This results in a number of diverse symptoms.

Strictly speaking, peanuts are not nuts, they are legumes, in the same family as peas and beans. Peanuts grow underground whereas other nuts grow on trees. The expression nut in this leaflet can mean either tree nuts or peanuts.

See also the separate leaflets calledAllergies and Food Allergy and Intolerance for more information about allergy in general.


Treatment for CMA

If your baby is diagnosed with CMA, you’ll be offered advice by your GP or an allergy specialist on how to manage their allergy.

You may also be referred to a dietitian.

Treatment involves removing every cows’ milk from your child’s diet for a period of time.

What helpful of allergies do i own quiz

If your baby is formula-fed, your GP can prescribe special baby formula.

Do not give your kid any other type of milk without first getting medical advice.

If your baby is exclusively breastfed, the mom will be advised to avoid every cows’ milk products.

Your kid should be assessed every 6 to 12 months to see if they own grown out of their allergy.

Read more about cows’ milk allergy.


Symptoms of cows’ milk allergy

Cows’ milk allergy can cause a wide range of symptoms, including:

  1. hay fever-like symptoms – such as a runny or blocked nose
  2. digestive problems – such as stomach ache, vomiting, colic, diarrhoea or constipation
  3. skin reactions – such as a red itchy rash or swelling of the lips, face and around the eyes
  4. eczema that does not improve with treatment

Occasionally CMA can cause severe allergic symptoms that come on suddenly, such as swelling in the mouth or throat, wheezing, cough, shortness of breath, and difficult, noisy breathing.

A severe allergic reaction, or anaphylaxis, is a medical emergency – call 999 or go immediately to your local hospital A&E department.


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