Category Archives: Eating and Drinking with Allergies

Five Food Allergy Myths I Learned at the Food Allergy Canada Community Conference

Speaker at Business Conference with Public Presentations. Audience at the conference hall. Entrepreneurship club. Rear view. Horisontal composition. Background blur.

As an individual who has been living with a life-threatening allergy to peanuts and tree nuts since I was two, I have heard many misconceptions about food allergies over the years. Earlier this year, I had the opportunity to attend the Food Allergy Canada Community Conference in Halifax, Nova Scotia. Throughout the day I listened to speakers share their experiences about living with food allergies, as well as fascinating information from doctors in food allergy research. A presentation by Dr. Sandy Kapur, an Assistant Professor in the Department of Pediatrics at Dalhousie University, stood out to me as he spoke about common food allergy misconceptions and research that “de-bunks” these myths. Here are five food allergy myths that I learned from Dr. Kapur:

  1. “Hives and food allergy always go together”

This isn’t always the case. In fact, about 15-20% of anaphylactic cases do not have any symptoms on the skin. I also learned that if someone has hives and they persist for over 6 weeks, this symptom is likely not caused by food. In children, viral infections are one of the most common cases of hives, and there are numerous physical causes for hives as well.

http://www.foodallergy.org/file/anaphylaxis-webinar-slides.pdf

http://www.eaaci.org/attachments/853_Expert_Opinion_Zuberbier.pdf

  1. “All children with egg or milk allergy should avoid the food strictly”

Interestingly, 80% of children with an egg or milk allergy can tolerate the baked form. These children also have a higher chance of out growing their allergy. It is suggested that regular ingestion of baked egg or milk can help overcome the allergy.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4727327/

  1. “Reactions to peanut are often caused by inhaled exposure”

Food proteins cause allergic reactions. The odour of peanut butter does not contain proteins. Inhalation of peanut particles can cause symptoms, but anaphylaxis is unlikely. When an individual with peanut allergy feels ill from smell, it is due to aversion. Rashes are caused by skin contact, not from inhalation of particles.

http://www.ncbi.nlm.nih.gov/pubmed/12847496

  1. “Patients with food allergy have a high risk of reacting to insect stings”

If you have a food allergy it is likely that you also have one or more of asthma, eczema, and allergic rhinitis. Having a food allergy does not increase the risk of reacting to insect stings since venom, along with drug allergies, are different and not related to food allergies.

http://www.allergysa.org/Content/Journals/March2004/abc%20of%20allergology.pdf

Hornet on a hand sting in the skin

 

  1. “I feel like my child is a ‘ticking time bomb’ and will have a fatal anaphylactic reaction anytime”

Death from a food allergy is not common. When it does occur, it’s a tragedy and in most cases it is preventable by immediate use of epinephrine and calling for an ambulance. Lastly, food allergy related anxiety is common in parents, children, and individuals with allergies. Fear is understandable; we just need to find the right balance.

https://www.foodallergy.org/anaphylaxis

If you believed one or more of these myths, don’t worry – so did I! It’s important that we are always seeking to learn more about food allergies and have the knowledge to spread information of awareness to those around us.

– Michelle D.

ConferenceMichelle DMyths

Halloween as an Adult with Food Allergies

Jack O' Lantern on leaves in the woods

Halloween has always been one of my favorite holidays. I love to dress up, eat candy, and go out. I feel like it’s the one time of the year where you can let you inner child out and just simply “be” whatever you want. I feel like with allergies, though, Halloween can bring a whole storm of worries and concerns. When I was growing up and I went trick-or-treating, it would take forever to look through every single piece of candy in my bag and audit whether or not the candy was safe for me to eat. At the end of the night, I would have two piles; one pile of candy I could eat, and one pile of candy I couldn’t eat and would give to my neighbour. As an adult though, Halloween is so different. It’s one of the biggest nights of the year to go out. Don’t think that just because you’re not trick-or-treating anymore that you can let your guard down. Follow these tips to ensure a healthy happy Halloween this year:

  • Always carry your EpiPen® on you – just in case anything happens, you want to be prepared.
  • Only consume beverages and food where you know the ingredients – If you don’t know what’s in the green juice your friends are passing around, don’t drink it. Last Halloween, I went to a bar and ordered a vodka tonic. When I received the drink, it was blue. I told the bartender that he had given me the wrong order, but then he informed me that he had “spiced” up my drink by adding a blue liquor and gin to the vodka to make it more special. I’m allergic to gin. If I had decided to not ask questions and to just drink the beverage that was given to me, I would’ve put myself in a very scary situation.
  • Don’t drink too much! I always make sure that I never drink myself to the point of intoxication. When I see my friends after nights that we’ve gone out and tell me that they literally don’t remember the night, it scares me. What if that happened to me and I just happened to ingest an allergen not thinking about the consequences? It’s just not a situation you want to put yourself in.

Halloween is my favorite time of the year, and you can stay safe and still have fun with allergies. Now, I’m off to go figure out my Halloween costume this year and make my plans!

Happy Halloween,

– Giulia C.

Allergies and DrinkingGiulia C.HalloweenResponsible Drinking

Anxiety and Your Allergies

Stop me if you’ve heard this one before, you’re sitting in a restaurant or at a friend’s, or even on a plane. You’re minding your own business, when you see your allergen walk by in the hands of someone you’ve already made aware of your food allergy. You also made sure that any food around you was be allergen-free. But, there it is, walking around within smelling distance or maybe, scarily enough, within touching distance. You start to panic; you watch the food as it travels around the room, it looms closer and closer. You wonder, is that my allergen? Is it coming over here? Am I just imagining it? Do I say something? A million thoughts swirl around your head, you wonder if you should say something or just leave, but you’re stuck, the words form in your mind but can’t seem to make the journey to your mouth. And then it starts, the panic sets in as the food is placed near you, or you watch the same person handle your food with the unwashed hands that touched your allergen. You shrink into your chair, and try to fold into yourself, you can’t make a noise, your breath becomes short, and you’re frozen in that moment.

Portrait of young man suffering for depression

I’ve been in this situation one too many times, and sometimes the feeling of panic still creeps up on me unsuspectingly. You so badly want to speak up for yourself but you feel deflated and beat since they didn’t listen the first time. It’s enough to make you want to never venture out for food again. It can be hard to put into words the panicky feeling you get when your allergen pops up un-expectantly or in a situation you can’t remove yourself from, and even more so to voice that feeling and ask for help. It seems like anxiety and food allergies can sometimes go hand-in-hand, but that doesn’t mean we have to go it alone. It took me a long time to find my voice, and express my concern in risky situations, and yes sometimes its uncomfortable or even awkward but I’ve discovered it’s a fleeting feeling compared to the anxiety and dread of not saying anything or feeling trapped. It takes time and practice but expressing your concerns out loud and making an effort to rectify the situation will leave you with a little more confidence each and every time.

Trust the people around you and the people you care about, practice the situation with them, or have a statement prepared.
Now stop me if you’ve heard this one before, you’re in the same situation, you see your allergen coming close to you. Instead of backing down, you find your voice, confidently express your concerns and instead of dread, you feel happy and satisfied with not only the situation but also yourself.

– Arianne K.

My Favourite Restaurant: T-Bar NYC

I love to travel to New York – whether it be for business or pleasure, there is a magical and electric element about the city that you cannot experience anywhere else in the world. In the past year, I’ve had to travel to the city, specifically for business. One of the difficulties with travelling to the Big Apple, is the fact that most hotels do not have kitchens. In fact, most native New Yorkers eat-out very frequently. This poses some issues to those of us in the severe food allergy community, where eating-out can be a potentially dangerous experience. Having lived with the risk for an anaphylactic reaction to tree nuts for the past decade, I found myself in this position on one of my most recent trips to the city.

While in Manhattan, I researched “nut-free restaurants in New York” on Google, and stumbled across a restaurant called T-Bar: an upscale, modern restaurant on the Upper-East side. I was very eager to try this new place out, given that nut-free restaurants in Toronto are a definite rarity.

Cheerful couple with menu in a restaurant making order

When I arrived, I was greeted by a team of very friendly staff who assured me that my meal would be completely nut-free. I was ecstatic! So much so, that I ordered the left-side of the menu; everything from fried-artichokes, to fresh breadsticks, to an entire pizza. In short, the food along with the overall ambiance of the place was amazing. The restaurant is quintessentially New York – elegant, classy, modern and buzzing with activity.

Further, my experience at T-Bar was the best I’ve ever had in any restaurant in a very long time. The restaurant has now become a staple during my trips to New York – if you visit the city, definitely give this restaurant a try!

If you’re looking for more options, a college student has created a blog finding allergy-friendly places in New York City. Check it out at https://nutfreenewyork.com/

– Saverio M.

My Backpacking Experience

This spring my best friend and I graduated university, and decided to celebrate by buying oversized backpacks and booking plane tickets to Europe for a month long adventure. It was a whirlwind! We visited 12 towns throughout 6 countries in just 28 days, but it was definitely one of the best experiences I have ever had.

Most of my family was very supportive of my plans to take off and explore, but I did see some hesitation from my dad. Being two young girls travelling on our own, I do get where he was coming from, but it turns out that he was most concerned about my food allergies. Being in such unfamiliar places, with language barriers, made him nervous.

This wasn’t my first trip to Europe, so I was fairly confident in being able to keep myself safe, but there were still a lot of unknowns. I am glad I didn’t let this hold me back! I had an amazing trip and felt safe when I was eating abroad with my food allergies. If you’re planning on backpacking abroad I have a few words of advice on how to keep yourself safe.

Preparing to Take Off
More than any other flight I had been on, I was very selective of the airline I chose for my transatlantic flight. Being a very long flight, I made sure I was going to be comfortable with the food allergy policies of the airline. It is great to see that there are many Canadian airlines that no longer serve peanuts or tree nuts on-board, and are accommodating by creating buffer zones and making cabin announcements about food allergies. I made sure to call ahead and confirm the policies so that I would be comfortable.
Airplane seat and window inside an aircraft

Before leaving I had food allergy cards made by a friend who was able to translate that I have life-threatening food allergies. These really ended up coming in handy in a few situations. I found that free online translation websites were typically not accurate so having a friend who speaks French and Italian was very helpful. There are a few sites online that have pre-made allergy cards that you can order, which is very useful. I would highly recommend doing this.

It is also a good idea to stock up on any medications you might need before you go. This may seem excessive, but I brought five EpiPens® with me. I kept two in my friend’s bag in case my bag was lost, two in my purse, and a spare in my luggage. I would not want to have to deal with replacing lost EpiPens® while abroad, so I over prepared.

Accommodations
For our month long journey, hostels were our places to stay because they are economical and a great way to meet other travellers. Also, to my surprise staying in hostels was quite helpful allergy-wise. The majority of hostels have a full-shared kitchen. With this, we were able to cook a lot of our meals and that way I had control over what I was eating. Being a shared kitchen, I did have to be careful about what was going on around me. I always washed dishes before I used them, since dishes were often not cleaned well and I did not know what they were used for before they were put away. Eating-in was also helpful in keeping to our budget and being able to have healthy meals more often.
Renting apartments or condos can also be a great economical option in Europe. This generally provides you with a kitchen allowing you to cook your own meals.

Eating Out
My trip began by travelling through the United Kingdom and the Netherlands. English is well spoken in these areas so it was nice to start our trip without the language barrier. Before our departure, many people had told me that food allergies are far less common in Europe compared to North America, and that it would be challenging to explain the concept to servers. To my surprise, when we went to order at our first restaurant in London, after mentioning I had allergies, the server returned with a full food allergy guide outlining the presence of allergens in all of their meals. I was amazed to find that this was only the start of finding food allergy menus at every single restaurant I went to in these countries. Many restaurants would even have a coded system at the end of their main menu so I would not even have to ask for a special menu. I was thrilled by how easy this made dining out for me and this lessened my worries. I still took the time to explain my food allergies to servers and ensured that they would relay the message to the kitchen.

Once I arrived in Paris, eating out became a little more challenging. First of all, I faced a language barrier since my French vocabulary is very minimal. At most restaurants servers would speak English but I still used my allergy cards to ensure that we were on the same page. Allergy menus were also far less common here, but the servers were generally able to suggest what my safest options were. The only time I really had difficulties was a night we ate at a true, authentic, off-the-beaten-path French restaurant. Luckily, one of the friends we had made along the way, who was out for dinner with us, was very fluent in French and able to help communicate for me.

finger on a menu

The most shocking experience I had related to my food allergies throughout the trip happened when we arrived in Venice and picked a cute little Italian restaurant to eat at on one of the many canals. I was so excited to have my first true Italian pizza, until I looked at the menu, which did have a coded system, indicating that every single dish contained peanuts. I later learned that it is common in Venice for some restaurants to use peanut oils or peanut-based flours in their pizza and pasta. I had never heard of this before and was worried at that point that I would not be able to find any food that I could eat. Luckily during my time in Italy, there was only one other restaurant I found that did this and all others were safe, but this is something to definitely be on the look out for in your travels.

Overall, I had a great experience backpacking throughout Europe this past spring. Do not let your food allergies hold you back from exploring the world. Do your research, be prepared, and have fun!

– Sara S.

Kiwis (not the fruit), Hobbits and Rugby – Travelling to New Zealand with a Food Allergy

Kia Ora (hello in the language of the native Maori people of New Zealand)!

Milford Sound in New Zealand

I recently had the pleasure of travelling to the amazingly beautiful country of New Zealand where I spent 3 weeks driving all around the North and South Island discovering this exotic land.

After 24 hours of travel to get to New Zealand I was not only exhausted but was also starving! I started out my discovery of what the local cuisine was and began navigating my allergies while travelling. Overall, the food in New Zealand is very similar to food in Canada and North America as a whole. I wasn’t sure if they would have any bizarre delicacies or not have food I normally eat at home but I found eating with my allergies to be very easy while there!

Having a common language was probably what made travelling the easiest as I had no issues communicating my allergies with servers or chefs while eating out. Allergies are quite prevalent in New Zealand, so most people are aware of what it means to be allergic to a food.

Oysters on stone plate with ice and lemon

Seafood and shellfish are fairly common items I found on menus when eating out so if you are allergic to any of these items, you will need to be careful. However, there are lots of other options such as chicken, beef, lamb, pork etc. that can help you to avoid eating any fish. For those allergic to kiwis make sure you say kiwi fruit as the term Kiwi is often used to describe a person from New Zealand. I made this mistake a few times when referring to the fruit and was always chuckled at by a local (I’m sure it happens all the time).

One thing I would be careful of is ensuring you always have a good store of auto-injectors on you. There is often a fair distance between towns and cities throughout New Zealand. We spent most of our days driving anywhere from 4-6 hours with most of that spent on the side of a mountain or in rural farm land. Often there is not cell phone service and you can be quite far away from a hospital or a doctor. So it is important that before you leave, you stock up on auto-injectors so that you have enough to last you in case you have a reaction while travelling between places.

Overall I found New Zealand a very easy country to navigate with my allergies. They have some chains of restaurants and fast food places that we have here in Canada so you can almost always find something safe to eat!

– Lindsay S.

Travelling to the Land Down Under with Food Allergies

Kangaroos crossing.

G’Day Mate! Travelling to Australia is an amazing vacation and a beautiful place to visit. I took my first trip to Australia recently and had an amazing time seeing kangaroos, koala bears, beaches, and the outback. Of course for any trip I take, being extra vigilant about my food allergies was something I made sure was a priority.

Since they do speak English in Australia, handling my allergies was a lot easier than it has been when travelling to places where there is a language barrier. As you quickly learn though, Australians have lots of different terms and words that we don’t use in Canada. For example, green peppers are called “capsicum” and cantaloupe is called “rock melon.” To make sure people understand you when you are asking about your allergies, do a quick search online to make sure that they don’t use a different word to describe the food you are allergic to!

I wasn’t sure what to expect from “Australian food” as I didn’t know if their cuisine was substantially different from North American cuisine. Overall, they do eat a lot of similar foods that we eat here. They have some unique local dishes like kangaroo, emu, and camel (but don’t worry there are lots of other meat options for you to choose from!) Aussies also love their beet root and will often put it on burgers and in salads. Being completely surrounded by water, the coastal cities often have lots of fish on the menu as well, some of which are not found back here in Canada. So if you have a fish allergy, make sure you are careful about what you eat. They also have lots of fish and chip shops but it is important you ask about what oil they are frying the fish in as I did come across some places that used peanut oil.

Fruit and Vegetable Markets

Overall the concept of food allergies is quite well understood in Australia so if you tell your server about your allergy they should be able to easily understand and accommodate your dietary restrictions. I did find that food in the country tends to be a little more expensive than back in Canada – although tax is included in the price and they do not tip servers there. Therefore, I ended up buying a lot of food at grocery stores which have a wide variety to choose from at more affordable prices. I also found lots of peanut and nut-free snacks available so it made shopping a bit easier. Allergens are often labelled on any food product making label reading a quicker process!

I found Australia to be a really allergy-friendly place to travel as things are well labelled, no language barriers exist, and food allergies are quite prevalent in the country. If you are ever willing to make the long trek to the land down under, I would highly recommend it and would have few worries about travelling with your allergies!

– Lindsay S.