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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Generally, allergy shots are safe, with minimal side effects. There are no long-term complications associated with this form of therapy, but there is a small risk of allergic reactions immediately following the injection. These allergic reactions can be severe.
Typically, allergy shots may cause slight swelling or redness at the injection site. These reactions can occur immediately after the injection and/or can occur several hours later. This mild allergic reaction is usually harmless and goes away within 24 hours.
The shots may also cause symptoms similar to the allergy symptoms you experience: itchy, stuffy nose; itchy, watery eyes; sneezing. In very rare cases, these symptoms become very severe and are accompanied by other symptoms, including the following, difficulty breathing or wheezing, chest or throat tightness, rapid or irregular heart beat, dizziness or light-headedness, loss of consciousness and death.
This type of very severe allergic reaction is known as anaphylaxis. It is a very uncommon reaction to an allergy shot, but it is dangerous, even life threatening.
This is less likely to happen if you follow the schedule of shots recommended by your allergist and observe the technician administering the shot. Be sure you are receiving the correct dose of the correct extract. The dizziness, light-headedness, and loss of consciousness are due to dangerously low blood pressure, usually called “shock.” These symptoms occur when the brain is not receiving enough blood. Anaphylactic shock is a medical emergency.
Such severe reactions usually begin within 20-30 minutes after receiving the shots. For this reason, most allergists require that you wait in the office for 20-30 minutes after your shots to be monitored. If you should experience these symptoms at any time, tell the allergist or other medical professional right away.
If you have already left the allergist’s office, and are having a severe reaction, go directly to the nearest hospital emergency department. If you already have and Epi-pen, use it. If you have an antihistamine such as Benadryl, take it regardless, go to the nearest hospital emergency room or urgent care center as soon as possible. Do not attempt to drive yourself. If no one is available to drive you immediately, call 911 for emergency transport.
Immunotherapy does not treat symptoms; it treats the immune system, the source of all allergic reactions. Although the exact details of how allergy shots work is unknown, we do know the general way they affect the immune system.
An allergic reaction occurs when the body is exposed to an external substance (the antigen) that the immune system interprets as a foreign invader. In allergic individuals, the immune system then makes an unusual (allergic) response that harms the body.
Allergy shots desensitize you by turning down this immune response to the antigen. As a result of immunotherapy, the white blood cells no longer respond as strongly to the antigen, and less production of the immunoglobulin E antibody to this antigen occurs. So, when you are exposed to this antigen, less severe allergic reactions occur in affected areas like the eyes, nasal mucosal surfaces, and the bronchial airways.
