Food Allergies

A food allergy happens when your immune system reacts to something that you’ve eaten.

When you eat something you are allergic to, your body makes antibodies. Over time, sometimes as soon as the second time you eat it, the antibodies spring into action, starting a process that includes the release of lots of histamine to fight what it believes is invading your body.

Histamine is a powerful chemical that can affect your respiratory system, digestive tract, skin, and heart and blood vessels.

What Are the Symptoms of a Food Allergy?

Symptoms may appear almost immediately or up to 2 hours after you've eaten the food (rarely, they appear 4-6 hours later). Symptoms can include:

Severe reactions, called anaphylaxis, can result in death.

You can get a rash in areas that come in contact with foods. 

Which Foods Most Often Cause Allergic Reactions?

The most common food allergies are reactions to:

  • Milk
  • Eggs
  • Peanuts
  • Seafood
  • Tree nuts (such as walnuts, pecans, almonds, pine nuts, and Brazil nuts)

How Are Food Allergies Diagnosed?

If you keep a food diary, your doctor will have a better starting point to figure out foods that could trigger your allergies.

Your doctor may suggest a food elimination diet. If they do, you may be asked to eliminate one or several foods to see if the reaction goes away.

Oral food challenges -- exposing the person to the suspected food under medical supervision -- are thought to be helpful as well. These are usually done after the elimination diet.

Your doctor may do a radioallergosorbent blood test (they may call it a RAST) to see how many antibodies your immune system makes. High levels of some antibodies can help your doctor spot specific food allergies.

You may also get an allergy skin test.

Some food allergies are very mild, and in difficult-to-diagnose cases, a promising new antibody test may help. More research is needed. Also, there are now genetic tests, especially for gluten and celiac (wheat, barley, rye, and some oats).


How Are Food Allergies Treated?

The best way to avoid a reaction is to stay away from foods that cause it. Mild reactions usually will go away without treatment. For rashes, skin creams may ease discomfort, while antihistamines can help reduce itching and other symptoms.

For more serious reactions, corticosteroids like prednisone will reduce swelling. In life-threatening situations, an epinephrine injection can start to reverse symptoms and is the only effective treatment.

How Can I Be Prepared for an Allergic Reaction?

Once you and your doctor have found which foods cause your allergies, stay away from them. But you need to maintain a healthy, nutritious diet. Ask your doctor to suggest foods that will give you the nutrients you need.

You should also be aware of the ingredients in processed foods. Learn to read labels, and read them every time to know what you are about to eat. Your doctor, nurse, or a registered dietitian can help you learn how to read food labels to learn about hidden sources of food allergens.

If you are prone to allergic reactions, ask your doctor to prescribe an epinephrine injection kit (Auvi-Q, EpiPen, Symjepi) and carry two with you at all times.

Don’t hesitate to use the epinephrine auto-injector pen if you show any symptom of anaphylaxis. The injection won’t hurt you and could save your life.

Dial 911 even if you have injected yourself because the relief the pen may provide could be only temporary.

WebMD Medical Reference Reviewed by Melinda Ratini, DO, MS on February 18, 2020



News conference, National Institute of Allergy and Infectious Diseases, Dec. 3, 2010.

National Institute of Allergy and Infectious Diseases. 

The Food Allergy Initiative.

The Food Allergy and Anaphylaxis Network.

American College of Allergy, Asthma and Immunology.

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