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Food Allergy vs Food Intolerance: What’s the Difference?


What’s all the confusion?

Those who investigate nutrition and health have most likely come across the terms “food intolerance” and “food allergy”, while these two terms may seem similar, they are very different things. Understanding this difference is important for those who are diagnosed with a specific condition as the two are often confused and wrongly defined.

Food Allergy

According to the National Institute of Allergy and Infectious Diseases a food allergy is “an adverse health effect arising from a specific immune response that occurs reproducibly on exposure to a given food”. Only 4% of adults and 5% of children are genuinely affected by a food allergy. When someone suffers from a food allergy the body’s immune system has a negative response to a specific food. The body’s immune system mistakes a food as a threat which often results in a rapid allergic reaction often within minutes, but generally within a maximum of two hours. This type of allergic reaction is commonly associated with foods such as peanuts, tree nuts, milk, eggs and seafood.

Symptoms:

  • Immediate allergic reactions (occur within 2 hours or less)

  • Rarely caused by more than 1 to 2 foods

  • Primarily affecting skin, airways and digestive system

  • Trace amounts of foods can cause reactions

  • Lifelong

  • May be life threatening

  • Hives

  • Rashes

  • Diarrhea

  • Nausea

  • Vomiting

  • Swelling

  • Coughing

  • Sneezing

Food Intolerance

Food intolerance is quite different than food allergy and can also have adverse effects on a person’s life, however these effects are not life threatening. Food intolerance is a non-immunological to toxic contaminants, properties of the food or properties of the host such as vitamin deficiency. Due to the complexity of food intolerance it has a large variety of symptoms that are affected by many other factors which is why most of the time those who report these symptoms are not diagnosed with an allergy. Due to this, those suffering from these symptoms must always visits a doctor for a proper diagnosis and treatment.

Symptoms:

  • Reactions can last up to 72 hours after eating

  • Multiple foods can be involved in the cause of someone’s food intolerance

  • Any organ system can be affected

  • Very common among people

  • Difficult to self-diagnose

  • Symptoms can clear after avoidance of specific foods (3-6 months)

  • Common symptoms include:

  • Bloating

  • Migraines

  • Headaches

  • Cough

  • Runny nose

  • Feeling under the weather

  • Stomach ache

  • Irritable bowel

  • Hives

Prevention

If you experience any of the symptoms or characteristics listed above for an extended amount of time it is highly recommended that you visit your doctor for a diagnosis.

  • Keep a diary of the foods you eat and the symptoms you have.

  • Stop eating some foods to help figure out which one is causing symptoms.

  • Learn to read food labels and check the ingredients for trigger foods.

  • Wear a medical alert bracelet (or necklace)

  • Know what to do during an allergic reaction

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