If you are allergic to a pollen you may be allergic or react to certain foods such as apples, celery, nuts, melons or bananas. Numerous studies have confirmed the reports of people who have pollen allergies reacting to certain foods. The most well described and studied of the food-pollen syndromes is the oral allergy syndrome (OAS) or as it is also called “the burning mouth syndrome” because of the typical reaction noted by affected people. After eating a food that cross reacts with a pollen to which you are allergic, burning or tingling sensations begin in your mouth. Itching, pain, swelling and difficulty swallowing or breathing may occur. True anaphylaxis resulting in total body collapse from shock and death if not reversed has rarely been reported.
Typical pollen allergy symptoms such as runny nose and congestion, itchy watery eyes, and wheezing are also commonly reported. Other symptoms described include nausea, stomachaches, headaches, diarrhea and chest or throat tightness. Very few people are aware of these associations. Most doctors, except a few allergists and gastroenterologists, do not explore patients allergy history in the context of possible food reactions. Educating people about these types of conditions is one of the primary goals of “the food doc”, Dr. Scot Lewey, a practicing gastroenterologist (stomach-intestine specialist).
Ragweed pollen has been shown to be associated with these type of reactions after people eat bananas and fruits in the gourd family such as watermelon, honeydew, and cantaloupe. Pollen from Mugwort, another weed also known as Sagebrush, in the Artemisia family, has been associated with allergic reactions to celery, carrots, fruits in the Rosaceae family (apples, cherries, peaches) and those in the Gourd family (melons). Pistachio, persimmon, peanuts, almonds, sunflower seeds, hazelnuts, lettuce, camomile tea, and honey have also been reported to cause reactions in some people who are Mugwort pollen allergic.
Birch tree pollen is associated with numerous food cross reactions including celery. Cross-reactivity between celery and Birch pollen occurs more in central Europe whereas in Southern Europe celery and Mugwort reactions are more common. A Mugwort-Birch-Celery-Spice syndrome has also been described. People allergic to both Birch tree and Mugwort weed pollen may react to spices like pepper and paprika in addition to celery, carrot, and mango. Birch pollen is strongly associated with food reactions to Rosaceae family fruits (apples, apricots, peaches, pears, cherries), tree nuts (walnut, hazelnut, Brazil nut), legumes (peanut, various beans and peas), members of the Parsnip family (parsnip, parsley, anise, cumin, caraway, coriander) and the potato-nightshades (potato, tomato, peppers).
House dust mite, a serious allergen for many people, cross reacts with mangos, shellfish, bananas, melons, tomato, avocado, papaya, pineapple, peaches, Kiwi fruit and various spices. Kiwi, an unusual fruit in a class by itself, may elicit a reaction in people allergic to Birch trees, Mugwort weed pollen, and latex. The Latex-Fruit Allergy Syndrome is characterized by allergy to foods in the Rosaceae family including almond (classified as a fruit not a nut) and plums, as well as other fruits such as passion fruit, papaya, pineapple, mango, melons, and bananas. It is also associated with reactions to spices such as dill, ginger, and oregano and the nightshades, potato and tomato and chestnuts.
A few articles in scientific literature have reported associations of specific HLA gene patterns to pollen allergy and fewer still have noted HLA DR and DQ gene pattern associations with food-pollen cross-reaction syndromes. HLA DQ genetics are well known in celiac disease. There is also limited published data associating certain DQ patterns with microscopic colitis, collagenous colitis and non-celiac gluten sensitivity. HLA typing may be clinically useful in evaluation and elimination diet recommendations for suspected food allergic, intolerant or sensitive individuals. This type of information will be one of the goals of thefooddoc.com website. A table that lists the common pollens and foods that have been reported to cross-react with those pollens will be posted on the site very soon.
Though extensive research has been done and many of the protein structures contributing to these cross-reactions is known, little is known about these reactions by most of the lay public and many doctors. Seasonal pollen allergies may be associated with more severe reactions. Those with documented cross-reactions or prior OAS reactions may be at increased risk and certain HLA gene or DQ patterns may be associated. People with known or suspected pollen allergies should be aware of these possible food reactions. If you would like further help sorting out if you are intolerant or allergic to certain foods please visit http://www.thefooddoc.com in the near future to undergo a free online assessment and sign up for the online diet symptom diary, updates, and access the free educational content.
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Posts Tagged ‘Oral Allergy Syndrome’
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Signs and symptoms
For some people an allergic reaction to a particular food can be uncomfortable, but not serious. For other people, a food-allergic reaction can be frightening and even life-threatening. Signs and symptoms of a food allergy usually develop within a few minutes to an hour after eating the offending food.
The most common signs and symptoms of a true food allergy are: *
Tintelingen in the mouth
* Galbulten, itching or eczema
* Swelling of the lips, face, tongue and throat, or other parts of the body
* A wheezing, nasal congestion or difficulty in breathing
* Abdominal pain, diarrhea, nausea or vomiting
* Dizziness, light or fainting
symptoms depends on what type of food allergy you have.
In a severe allergic reaction to food, called anaphylaxis, You can have more extreme symptoms including this life-threatening signs and symptoms:
* Design of the airways, such as a swollen throat or a lump in the throat, which makes it difficult to breathe
* Shock With a sharp drop in blood pressure
* Fast heartbeat
* Dizziness, light or loss of consciousness
Emergency treatment is of crucial importance in the treatment of anaphylaxis. Food anaphylaxis is responsible for thousands of emergency room visits and as many as 200 deaths in the United States each year.
Exercise-induced food allergy
Some people have an allergic reaction to a food which is caused by exercise. If the body is stimulated by exercise, a person with an exercise-induced food allergy May feel itchy and lightheaded. In severe cases it can lead to reactions such as hives or anaphylaxis. Not eating for a few hours before the exercise of this problem can be avoided.
Oral allergy syndrome
Some fresh vegetables and fruits can lead to a mild allergic reaction that causes the foot to Tingle or itching. This is an example of cross-reactivity, proteins in vegetables and fruits because they cause the reaction ‘re similar to those allergy causing proteins found in certain pollens. For example, if you ‘re allergic to ragweed, you may also react to melons, if you ‘ re allergic to birch pollen, you may also react to apples. Most cooked vegetables and fruits generally do not lead to cross-reactive oral allergy symptoms.
By Rishabh Sood
