Allergies and intolerances
24 questions
How does allergy differ from intolerance?
•Allergy — immune response, can be life-threatening.
•Intolerance — digestive problem.
•Allergy: swelling, rash, anaphylaxis.
•Intolerance: bloating, diarrhea.
•Allergy diagnosed by an allergist.
What is lactose intolerance?
•Lack of enzyme lactase.
•Symptoms: bloating, gases, diarrhea from dairy.
•Severity varies — dosage can be adjusted.
•Lactase supplements help.
•Lactose-free products are available.
How to identify food allergy?
•Skin tests by an allergist.
•Blood test for IgE.
•Elimination diet with provocation.
•Do not trust IgG tests — unreliable.
•Keep a food diary.
What is celiac disease?
•Autoimmune disease, not allergy.
•Gluten damages the intestines.
•Symptoms: diarrhea, anemia, fatigue.
•Diagnosis: antibodies + biopsy.
•Treatment: lifelong gluten-free diet.
How to live with a food allergy?
•Always read labels.
•Inform restaurants.
•Carry adrenaline (EpiPen) for severe reactions.
•Wear an information bracelet.
•Educate others on how to help.
What is histamine and its role in allergies?
•Inflammatory and allergy mediator.
•Causes itching, swelling, redness.
•Antihistamines block its action.
•Sources: aged cheeses, wine, smoked foods.
•Diet helps with histamine intolerance.
How to recognize anaphylactic shock?
•Rapid onset after contact with allergen.
•Breathing difficulty, throat swelling.
•Drop in blood pressure, loss of consciousness.
•Immediately inject adrenaline.
•Call an ambulance, even if symptoms improve.
What is cross-reactivity?
•Reaction to similar proteins in different foods.
•Birch-apple, pollen-nuts.
•Heat processing often helps.
•An allergist will map cross-reactions.
•Keeping a reaction diary is important.
How does adrenaline work in anaphylaxis?
•Quickly constricts blood vessels, raises blood pressure.
•Relaxes airways.
•Blocks further histamine release.
•Effects appear in 3-5 minutes.
•Dose: 0.3-0.5 mg intramuscularly in the thigh.
What is atopic dermatitis?
•Chronic inflammatory skin disease.
•Often linked to food allergies in children.
•Dryness, itching, redness.
•Moisturizing is the main treatment.
•Avoiding triggers helps.
How to read labels when allergic?
•Look for 'Contains' on the label.
•Study the allergen list at the end.
•'May contain' — risk of cross-contamination.
•Learn to recognize hidden allergens.
•When in doubt — the manufacturer is responsible.
What is oral allergic syndrome?
•Itching in the mouth from raw fruits/vegetables.
•Associated with pollen allergy.
•Cooking/baking usually removes the reaction.
•Apples, peaches, cherries — common triggers.
•Antihistamines before eating help.
How to eat safely in a restaurant?
•Inform about severe allergy immediately.
•Ask about ingredients and cross-contamination.
•Choose simple dishes.
•Avoid buffets and shared pans.
•Keep medications with you.
What is non-specific food intolerance?
•Non-immune, non-enzymatic reaction.
•Symptoms vary and are unpredictable.
•Often related to the amount eaten.
•Difficult to diagnose.
•Keeping a diary is the best method.
How to cook for a family with allergies?
•Separate cutting boards, dishes, utensils.
•Prepare hypoallergenic dishes first.
•Label food containers.
•Clean surfaces thoroughly.
•Teach children safety rules.
What is FODMAP and their intolerance?
•Short-chain carbohydrates fermented in the gut.
•Cause bloating, gas, pain in sensitive individuals.
•Onion, garlic, wheat, dairy — main sources.
•Low-FODMAP diet helps with IBS.
•Introduce foods gradually.
How to distinguish allergy from IBS?
•Allergy is immune, IBS is a functional disorder.
•Allergy can be systemic, IBS affects only the gut.
•Specific markers exist for allergy.
•IBS is a diagnosis of exclusion.
•Symptoms may overlap.
What is sulfite sensitivity?
•Reaction to preservatives in wine, dried fruits.
•Symptoms: asthma, headache, rash.
•Not true allergy, but intolerance.
•Avoid 'sulfites' in ingredients.
•Organic wine may contain sulfites.
How does immunotherapy work for allergies?
•Gradual introduction of allergen in small doses.
•'Trains' the immune system.
•Course lasts 3-5 years.
•Effective for pollen, insect stings.
•Conducted only under an allergist's supervision.
What to do if food allergy is suspected?
•Immediately stop eating the suspected product.
•Record symptoms and time.
•Consult a doctor for referral.
•Do not exclude many foods at once.
•Keep a diary until the doctor visit.
Allergies and intolerances: how to keep a food diary for diagnosis?
Start with a plate: half vegetables/fruits, a quarter protein, a quarter complex carbs + healthy fats. This is a simple base.
Allergies and intolerances: how to safely exclude foods?
Practice for 'Allergies and intolerances': plan 2–3 basic dishes per week and prepare stock. Easier to maintain a stress-free diet.
Allergies and intolerances: what symptoms require urgent attention?
Answer for 'Allergies and intolerances': focus on regularity and balance, not on 'perfect' foods. Calorie and protein deficits/excesses matter most.
Allergies and intolerances: how to reduce cross-contamination risk?
For 'Allergies and Intolerances', it is helpful to read labels: sugar, salt, fiber, protein. Compare products per 100 g.