What nuts are included in a peanut allergy

When you start introducing solid foods to your baby from around 6 months ancient, introduce the foods that can trigger allergic reactions one at a time and in extremely little amounts so that you can spot any reaction.

These foods are:

  1. seeds (serve them crushed or ground)
  2. eggs (eggs without a red lion stamp should not be eaten raw or lightly cooked)
  3. foods that contain gluten, including wheat, barley and rye
  4. soya
  5. shellfish (don’t serve raw or lightly cooked)
  6. cows’ milk
  7. nuts and peanuts (serve them crushed or ground)
  8. fish

See more about foods to avoid giving babies and young children.

These foods can be introduced from around 6 months as part of your baby’s diet, just love any other foods.

Once introduced and if tolerated, these foods should become part of your baby’s usual diet to minimise the risk of allergy.

Evidence has shown that delaying the introduction of peanut and hen’s eggs beyond 6 to 12 months may increase the risk of developing an allergy to these foods.

Lots of children outgrow their allergies to milk or eggs, but a peanut allergy is generally lifelong.

If your kid has a food allergy, read food labels carefully.

Avoid foods if you are not certain whether they contain the food your kid is allergic to.


How will I know if my kid has a food allergy?

An allergic reaction can consist of 1 or more of the following:

  1. diarrhoea or vomiting
  2. a cough
  3. itchy skin or rash
  4. wheezing and shortness of breath
  5. runny or blocked nose
  6. itchy throat and tongue
  7. swollen lips and throat
  8. sore, red and itchy eyes

In a few cases, foods can cause a severe allergic reaction (anaphylaxis) that can be life-threatening.

Get medical advice if you ponder your kid is having an allergic reaction to a specific food.

Don’t be tempted to experiment by cutting out a major food, such as milk, because this could lead to your kid not getting the nutrients they need. Talk to your health visitor or GP, who may refer you to a registered dietitian.


Food additives and children

Food contains additives for numerous reasons, such as to preserve it, to help make it safe to eat for longer, and to give colour or texture.

All food additives go through strict safety testing before they can be used. Food labelling must clearly show additives in the list of ingredients, including their name or «E» number and their function, such as «colour» or «preservative».

A few people own adverse reactions to some food additives, love sulphites, but reactions to ordinary foods, such as milk or soya, are much more common.

Read more about food colours and hyperactivity.

Further information

Sheet final reviewed: 24 July 2018
Next review due: 24 July 2021



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:

  1. Skin: hives, swelling (face, lips, tongue), itching, warmth, redness
  2. 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
  3. Cardiovascular (heart): paler than normal skin colour/blue colour, feeble pulse, passing out, dizziness or lightheadedness, shock
  4. Gastrointestinal (stomach): nausea, pain/cramps, vomiting, diarrhea
  5. 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.

Talk to your child.

What you tell your kid about his or her food allergies should depend on age, temperament and maturity level.

“Most children are diagnosed when they are younger, so correct away, you can introduce the concept of ‘Abby’s cookies’ or ‘Abby’s sandwich’ to let your kid know that sometimes her snack or sandwich will be different,” Clowes said. Once children reach preschool age, she recommends telling them about their allergies and the thought that certain foods could make them really sick.

“When a kid is young, conveying the serious nature of the allergy is demonstrated by a parent always carrying the epinephrine auto-injectors, always reading ingredient labels and asking detailed questions about food preparation and ingredients at family gatherings and restaurants,” Clowes explained.

“When kids are older they’ll often enquire questions when they are ready for the answers.

For example, ‘What would happen if I ate a nut?’ or ‘What does peanut taste like?’ ‘Could I die from this?’” she added. “These questions should be answered with care. Answer truthfully, but in a simple and age-appropriate way and always by instilling hope and confidence.”

Campbell and MacGinnitie both said a excellent start is just making certain your kid does not accept food from anyone other than Mom, Dad, or another trusted adult love a grandparent or teacher in the know.

Bergman recommended being matter-of-fact and explaining things without fear or anger. “If you accept it and give them the tools to manage their allergy without emotion, that is what they will do,” she said, adding that she’s raised her son to feel comfortable saying no to offers of food.

Rather than feeling alone or left out, Bergman’s son understands that life is more about making social connections than food or material things.

“Matthew also knows the world won’t change for him ― it’s up to us to adapt to our surroundings with what we own or don’t have,” said the mom. “And just as he realizes the world won’t change for him, it’s OK for him to tell no and never own to apologize for deciding what makes him feel safe and secure.”

Campbell emphasized teaching your kid to advocate for themselves as they grow up. “They can enquire simple questions. Is this safe for me? Does it contain my allergens?” she explained. ”My daughter reads labels and asks if food is safe for her.

She eats out and is a genuine foodie. She is a world traveler and does not let food allergies stop her. We always own Plan B. She is positive and proactive. If a restaurant cannot accommodate us we go elsewhere. We talk to the manager when we make reservations and again on arrival.”

Make action plans.

The first helpful of plan involves understanding which nuts your kid is or isn’t allergic to, said Dr. Andrew MacGinnitie an allergist-immunologist affiliated with Boston Children’s Hospital and Harvard Medical School.

“A peanut allergy is one of the most common, but there can also be cross reactivity,” he explained. “So it’s significant to own a plan that you’re going to avoid peanuts or tree nuts or every nuts, for example.”

Also hugely significant is an emergency action plan, to assist caretakers recognize an allergic reaction and know what to do.

Gina Clowes, national director of training and community outreach at Food Allergy Research & Education, told HuffPost the FARE website and other online sources offer emergency plan documents you can print out for free.

“These explain exactly when and how to treat a mild or severe allergic reaction,” she said, adding that an epinephrine auto-injector (Auvi-Q, Adrenaclick or EpiPen) is the treatment for a severe allergic reaction, or anaphylaxis.

“The epinephrine auto-injectors come with trainers so that you can practice,” Clowes continued. “It can feel love a bit of a hurdle for a non-medical professional to inject someone, but it’s crucial that you commit to doing what is needed to save a life.”

“Make copies of the plan, make certain everyone who is in charge of your kid ― parent, caregiver, teacher, grandparents ― understand the plan and know how and when to act,” Melissa Campbell, the mom of a 9-year-old with a peanut allergy and an istrator of the group No Nuts Moms Group, told HuffPost.

Look to expert research.

“It’s significant to discover reputable sources for support, as we are inundated with information today, but not every source can be trusted,” said Clowes, adding that the FARE website offers information that has been reviewed by the organization’s medical advisory board.

“Allergic Living magazine is a great resource that includes new products, recipes, research updates and the latest news in the food allergy world,” Clowes added.

Mandelbaum also recommended Allergic Living (“the Martha Stewart for people with food allergies”) and pointed to groups love FARE, as well as Kids With Food Allergies and the Allergy and Asthma Network.

“It’s so simple to take advice online and sometimes it’s really excellent, but sometimes it’s not relevant to your situation,” Mandelbaum said, adding that your child’s doctor ― who is familiar with their specific case ― should always be the top resource.

Figure out your food strategy.

“Don’t be afraid to empty your pantry and refrigerator and start over,” said Bergman, adding that she thinks of it as another eating style, love vegan or low-carb.

“It can be enjoyment. it doesn’t own to be scary … And you can make your home a nut-free zone. You can’t control the school, extracurricular and sports your kid might participate in, but you can control your home.”

MacGinnitie said families should do what makes them feel comfortable ― whether that’s getting rid of every nuts, or continuing to let certain family members eat nuts in a safe way. “You desire to hold it out of reach of toddlers, though ― especially if there are two young kids in the home, and one is eating peanuts while the other is allergic.

“You desire them to eat it in an isolated setting, not with the other kid next to them,” he added.

“And make certain everything is wiped up.”

Campbell said she’s taught her daughter to avoid food-sharing and eating products with no label. They also don’t eat from places where there’s a chance of cross-contamination, love bakeries, buffets and restaurants serving nut-heavy cuisines.

Bergman relies on David Bloom’s online Snack Safely food guide. Clowes recommends allergy-friendly cookbooks and blogs, which offer recipe ideas and substitute ingredients.

“Always focus on what your kid can own, rather than what he or she can’t have,” said Clowes.

“And if you’re brand-new to food allergies, it might be best to avoid restaurants until you own enough expertise to enquire the correct questions and confirm answers. The stakes are high when a serious error is made.”

Many brands also provide allergen-free options, love A La Mode, which offers ice cream made in a fully nut-free facility.

Educate your community.

Clowes also advises explaining your child’s allergy to friends and family in clear and easily comprehensible terms.

“Stick to the most significant facts at first.

For example, Ian can own a serious reaction and could even die from a extremely little quantity of peanut,” she said. “He can’t own a donut from the corner bakery because these foods own trace amounts of peanuts and nuts.”

Sharing a tale of a kid who died from anaphylaxis often hits home for people who own trouble believing an innocent food could cause a life-threatening reaction.

“Seeing those photos and reading about these tragic losses breaks through their denial or disbelief,” said Clowes. ”Taking your parents or in-laws to the allergist’s office with you is another way to bring home the seriousness. When they hear about the dangers of food allergies from an expert, they are often more willing to comply.”

Bergman said she tries to dispel myths around food allergies, love the notions that they can’t be severe, or that every kids outgrow them.

As her son’s advocate, she focuses on sharing her experience and knowledge with a sense of kindness. “No one wants to feel love they’re being put below or treated love they’re dumb because they don’t understand something,” she said.

Mandelbaum emphasized the power of facts. “Go to a vetted website or advocacy group to collect stats, videos, and more,” she said.

“Sharing your experience with other people can be overwhelming, so you can become extremely emotional. When you get upset, the person you’re explaining this to tends to just shut off,” she continued.

“So, sometimes just handing them a resource is a much better situation ― a really well done video or articles from Allergic Living, even stories about deaths resulting from allergic reactions. It’s more useful than a mom screaming.”

Educating your community can involve educating other children as well. Campbell said there are amazing, age-appropriate books on this topic.

“One of my favorites is The BugaBees: Friends With Food Allergies

Peanut is one of eight allergens with specific labeling requirements under the Food Allergen Labeling and Consumer Protection Act of 2004.

Under that law, manufacturers of packaged food products that contain peanut as an ingredient that are sold in the U.S. must include the expression “peanuts” in clear language on the ingredient label.

To avoid the risk of anaphylactic shock, people with a peanut allergy should be extremely careful about what they eat. Peanuts and peanut products may be found in candies, cereals and baked goods such as cookies, cakes and pies. If you’re eating out, enquire the restaurant staff about ingredients — for example, peanut butter may be an ingredient in a sauce or marinade.

Be additional careful when eating Asian and Mexican food and other cuisines in which peanuts are commonly used. Even ice cream parlors may be a source for accidental exposures, since peanuts are a common topping.

Foods that don’t contain peanuts as an ingredient can be contaminated by peanuts in the manufacturing process or during food preparation. As a result, people with a peanut allergy should avoid products that bear cautionary statements on the label, such as “may contain peanuts” or “made in a factory that uses nut ingredients.” Note that the use of those advisory labels is voluntary.

It may be a excellent thought to discuss with your allergist the risks of consuming products with voluntary labeling.

If you’re cooking from scratch, it’s simple to modify recipes to remove peanut ingredients and substitute ingredients that aren’t allergens, such as toasted oats, raisins or seeds. Most people who can’t tolerate peanuts or eat peanut butter can consume other nut or seed butters. Hold in mind that these products may be manufactured in a facility that also processes peanuts — so check the label carefully and contact the manufacturer with any questions.

Many individuals with an allergy to peanuts can safely consume foods made with highly refined peanut oil, which has been purified, refined, bleached and deodorized to remove the peanut protein from the oil.

Unrefined peanut oil — often characterized as extruded, cold-pressed, aromatic, gourmet, expelled or expeller-pressed — still contains peanut protein and should be avoided. Some products may use the phrase “arachis oil” on their ingredient lists; that’s another term for peanut oil. If you own a peanut allergy, enquire your allergist whether you should avoid every types of peanut oil.

While some people report symptoms such as skin rashes or chest tightness when they are near to or smell peanut butter, a placebo-controlled trial of children exposed to open peanut butter containers documented no systemic reactions.

Still, food particles containing peanut proteins can become airborne during the grinding or pulverization of peanuts, and inhaling peanut protein in this type of situation could cause an allergic reaction. In addition, odors may cause conditioned physical responses, such as anxiety, a skin rash or a change in blood pressure.

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

Quick facts

  1. Tree nuts are considered priority allergens by Health Canada.
  2. Priority food allergens are the foods that cause the majority of allergic reactions.

  3. Peanuts are part of the legume family and are not considered a tree nut.
  4. Tree nuts considered as priority allergens include almonds, Brazil nuts, cashews, hazelnuts, macadamia nuts, pecans, pine nuts (pignolias), pistachio nuts and walnuts.
  5. Some people with a tree nut allergy may be allergic to more than one type of tree nut.
  6. People who are allergic to tree nuts generally avoid every nuts and peanuts because of the risk of cross contamination.

Remember

  1. 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.

  2. A coconut is a seed of a fruit and nutmeg is obtained from the seeds of a tropical tree.
  3. However, some people allergic to tree nuts own also reacted to coconut and nutmeg. Consult your allergist before trying coconut- or nutmeg-containing products.

__aware

Be Allergy-Aware: How to avoid tree nuts

  • Read ingredient labels every time you purchase or eat a product. If the label indicates that a product “Contains” or “may contain” tree nut, do not eat it. 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.
  • According to Health Canada:
    1. 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.

  • Do The Triple Check and read the label:
    1. Once at the store before buying it.
    2. Once when you get home and put it away.
    3. Check with manufacturers directly if you are not certain if a product is safe for you.
    4. Again before you serve or eat the product.
    5. Be careful when buying imported products, since labelling rules differ from country to country.
    6. 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.
    7. 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.

    __types

    Common tree nuts

    1. Almonds
    2. Brazil nuts
    3. Macadamia nuts
    4. Cashews
    5. Pistachios
    6. Chestnuts
    7. Pine nuts (pinon, pignolias)
    8. Hickory nuts
    9. Hazelnuts (filberts)
    10. Pecans
    11. Walnuts

    __other

    Other names for tree nuts

    1. Anacardium nuts
    2. Mandelonas (a nut-flavoured peanut confection)
    3. Nut meats
    4. Queensland nut (macadamia)

    __sources

    Possible sources of tree nuts

    1. Alcoholic beverages, such as Frangelico, amaretto liqueurs and others
    2. Baked goods such as biscotti, cakes, cookies, crackers, donuts, granola bars, pastries and pies, baklava, baking mixes
    3. Natural flavourings and extracts
    4. Barbecue sauce
    5. Spreads and Nut butters (e.g., Nutella and gianduia/gianduja)
    6. Health and Nutritional supplements, such as herbal remedies and vitamins
    7. Smoke flavourings
    8. Hot cocoa and cocoa mixes
    9. Herbal teas
    10. Snack food love chips, popcorn, snack mixes, trail mix
    11. Peanut oil
    12. Salads and salad dressings
    13. Nut-flavoured coffees, boiling cocoa, specialty drinks
    14. Ice cream, gelato, frozen desserts, sundae toppings, frozen yogurt, pralines
    15. Pesto sauce
    16. Main course dishes such as butter chicken, chicken korma, mole sauce, pad thai, satay, chili, other gravy dishes
    17. Candies, such as calisson, mandelonas, marzipan, some chocolates, chocolate bars
    18. Cereals, granola, muesli
    19. Vegetarian dishes

    __non_sources

    Non-food sources of tree nuts

    1. Beanbags, kick sacks/hacky sacks
    2. Bird seed
    3. Massage oils
    4. Cosmetics, skin and hair care products, lotions, soap, body scrubs, sun screens
    5. Pet food
    6. Sandblasting materials

    __report

    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.

    Lianne Mandelbaum’s son Josh was 2 years ancient when he asked to attempt a peanut butter sandwich she was eating.

    Within 30 seconds of taking his first bite, Josh was covered in hives, his lips were swollen, his tongue began to swell and he started clutching his throat, unable to breathe. They rushed to the emergency room and eventually received a diagnosis that thrust her family into the overwhelming world of nut allergies.

    Mandelbaum’s son is one of the millions of children who own been diagnosed with nut allergies in the U.S. Along with peanuts (which are technically a legume), common allergens can include walnuts and almonds, among others.

    With so numerous diverse individual cases, bodies of research and online discussions, it can be hard for parents of newly diagnosed children to know where to start.

    To assist alleviate some of the early confusion, HuffPost spoke to parents and experts in the nut allergy world.

    Here are their tips for responding to a nut allergy diagnosis.

    Can peanut allergy be prevented?

    In 2017, the National Institute for Allergy and Infectious Disease (NIAID) issued new updated guidelines in order to define high, moderate and low-risk infants for developing peanut allergy. The guidelines also address how to proceed with introduction of peanut based on risk in order to prevent the development of peanut allergy.

    The updated guidelines are a breakthrough for the prevention of peanut allergy.

    Peanut allergy has become much more common in recent years, and there is now a roadmap to prevent numerous new cases.

    According to the new guidelines, an baby at high risk of developing peanut allergy is one with severe eczema and/or egg allergy. The guidelines recommend introduction of peanut-containing foods as early as 4-6 months for high-risk infants who own already started solid foods, after determining that it is safe to do so.

    If your kid is sure to be high risk, the guidelines recommend having them tested for peanut allergy. Your allergist may do this with a skin test or blood test. Depending on the results, they may recommend attempting to attempt peanut for the first time in the office.

    A positive test alone does not necessarily prove your kid is allergic, and studies own shown infants who own a peanut sensitivity aren’t necessarily allergic.

    For high-risk infants, if the skin test does not reveal a large wheal (bump) updated guidelines recommend that infants own peanut fed to them the first time in the specialist’s office. However, if the skin test reaction is large (8 mm or larger) the guidelines recommend not pursuing an oral challenge, as the baby is likely already allergic at that point.

    Therefore, an allergist may decide not to own the kid attempt peanut at every if they own a extremely large reaction to the skin test. Instead, they might advise that the kid avoid peanuts completely due to the strong chance of a pre-existing peanut allergy. An allergist might also still proceed with a peanut challenge after explaining the risks and benefits to the parents.

    Moderate risk children – those with mild to moderate eczema who own already started solid foods – do not need an evaluation.

    These infants can own peanut-containing foods introduced at home by their parents starting around six months of age. Parents can always consult with their primary health care provider if they own questions on how to proceed. Low risk children with no eczema or egg allergy can be introduced to peanut-containing foods according to the family’s preference, also around 6 months.

    Parents should know that most infants are either moderate- or low-risk for developing peanut allergies, and most can own peanut-containing foods introduced at home. Whole peanuts should never be given to infants as they are a choking hazard. More information can be found here and also in the ACAAI video, “Introducing peanut-containing foods to prevent peanut allergy.”

    Although parents desire to do what’s best for their children, determining what “best” means isn’t always simple.

    So if your son or daughter is struggling with peanut allergies, take control of the situation and consult an allergist today.

    This sheet was reviewed and updated 3/14/2019.

    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.

    Assemble a excellent medical team.

    Finding a team of doctors you love and believe is a key first step. Typically, a board-certified pediatric allergist is the specialist of choice to advise families and prescribe epinephrine auto-injectors.

    “If you don’t feel comfortable with your doctor and are seeking every your information online, then discover another one who can better relate,” Mandelbaum, who founded the website No Nut Traveler, told HuffPost. “Find the doctor that’s the correct fit, that makes you feel comfortable, that answers every your questions.”

    Becky Bergman, founder of the Peanut Allergy Mom blog and mom of a 14-year-old son with a peanut allergy, echoed that sentiment.

    “If you don’t love a certain doctor, then leave. Go to the next one,” she advised. “Don’t worry about offending people because it’s your child’s safety at stake. If they’re not a correct fit, they’re not a correct fit.”

    Find your tribe.

    Beyond the main advocacy groups, it’s helpful to seek support from your “mom tribe” or “parent tribe,” said Bergman. A group of fellow allergy parents can assist by answering questions, hearing out rants or even just being there to drink a bottle of wine and weep during hard times.

    “Connect with a village that has your back.

    They will be your best friends as you go through this.” Bergman said. ”[My tribe and I] watch out for each other’s kids and make certain if one of us can’t be nearby, or available (during field trips, class parties, etc.), someone else is around. It’s an huge peace of mind that I feel blessed to own had every these years.”

    Bergman also touts local parent groups that do things love organize events for people in the food allergy community. Mandelbaum noted that these groups can assist parents formulate excellent questions to enquire their children’s doctors at appointments.

    Groups can provide emotional support and a sense of understanding, according to Campbell.

    “I found a support group online and own made life endless friends. Fairly often people who don’t live it don’t understand,” she said. “Thankfully, every my family and friends own been accommodating and kind.”

    The support doesn’t own to come from fellow allergy parents. “Let others know what you’re going though,” said Clowes. “A excellent friend doesn’t own to be a familiar with food allergies to hear or be there for you.”

    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.

    Exclusive breastfeeding or first baby formula is recommended for around the first 6 months of life.

    If your baby has a cow’s milk allergy and is not being breastfed, talk to your GP about what helpful of formula to give your baby.

    Pregnant or breastfeeding women don’t need to avoid foods that can trigger allergic reactions (including peanuts), unless you’re allergic to them.

    If your baby already has an allergy such as a diagnosed food allergy or eczema, or if you own a family history of food allergies, eczema, asthma or hay-fever, you may need to be particularly careful when introducing foods, so talk to your GP or health visitor first.


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