Tag Archives: Food and Drink

Intolerance vs. Anaphylaxis: A Clarification

Having multiple severe food allergies has helped me grow a tougher skin to rude questions, dangerous misconceptions, and all around odd questions. My usual response to “What will happen if you eat a cashew or peanut?” is: “it won’t be good for my life, and I have things to do this week, so please keep it away.”

Some questions or myths make me chuckle a little before I answer or clear up some facts, but the one that makes me laugh and frown at the same time is the misconception of intolerances vs. anaphylaxis.

I was once at a cottage with friends, and in preparation for food and drinks I explained in great detail my food allergies and the dangers of cross-contamination. When we arrived and prepared lunch, one of the people there informed us they couldn’t have dairy at all. Diligently, we prepped food to ensure everyone eating would be safe and comfortable, and avoided cross-contamination at all costs. Fast forward to the next day, and iced coffee. I watched the same person put half a carton of 15% creamer into their drinks.  When I tried to warn them, they informed me they could have “cheat days” and, if I wanted to, I could as well.  The only thing I could do was laugh.

horizontal photograph of a cup of coffee with creamer being poured into it

It was funny at the time, but the more I thought about it, the misconceptions about intolerances and food allergies need to be cleared up. I certainly cannot have cheat days at all, and didn’t appreciate that kind of thinking, but instead of getting upset, I got educated. I did my best to inform myself, and anyone who was interested in the differences between intolerance and an allergy.

A food allergy can cause the immune system to react and, in turn, that affects numerous parts in the body. It has multiple symptoms and can range in severity from case to case. In some cases, an allergic reaction to a food can be severe or life-threatening. In contrast, food intolerance symptoms are generally less serious and often limited to digestive problems.

Telling me I could have a cheat day, is like telling Luke Skywalker he could go to the dark side for a bit. It just doesn’t work that way. So in order to clear up some misconceptions and to avoid future awkward situations here is some helpful information to help understand food intolerances a little better.

Some common food intolerances can include:

  • Absence of an enzyme needed to fully digest a food. Lactose intolerance is a common example.
  • Celiac disease.Celiac disease has some features of a true food allergy because it involves the immune system. However, symptoms are mostly gastrointestinal, and people with celiac disease are not at-risk of anaphylaxis. This chronic digestive condition is triggered by eating gluten, a protein found in wheat and other grains.
  • Irritable bowel syndrome.This chronic condition can cause cramping, constipation, and diarrhea.
  • Sensitivity to food additives.For example, sulfites used to preserve dried fruit, canned goods, and wine can trigger asthma attacks in sensitive people.

Source: http://www.mayoclinic.org/diseases-conditions/food-allergy/expert-answers/food-allergy/faq-20058538

If you have a reaction after eating certain foods, it’s important to see your doctor to determine whether you have a food intolerance or a food allergy. Both may mean you have to cut certain foods from your diet, but it can open up new doors to creative and delicious recipes, as well as problem solving and substitutes in the kitchen, helping create beautiful meals that are safe.

Man with stomach pain holding a glass of milk. Dairy Intolerant person. Lactose intolerance, health care concept.

Having one or the other doesn’t mean you’re better or worse. As a community of food allergies and intolerances, we have to work together to create safe spaces where we all feel comfortable. We should also be working together to help educate and inform each other, so we can bring that knowledge with us wherever we go. No matter what, we have to do our best to accommodate, and help each other because we’re all in this together.

Have you ever gotten a weird or quirky food allergy question or comment? How did you handle it? Let me know below.

– Arianne K.

 

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Travelling with Food Allergies – It’s Time for an Allergy-Friendly Get Away!

Like many of us, I have been bitten by the travel bug.  Wanderlust always leaves me searching, planning (and saving!) for another trip to a faraway destination.  My travels have taken me to four different continents outside of North America with trips ranging from a resort trip with friends to volunteer trips, along with some solo travelling. I will admit that travelling with allergies can cause some extra work in terms of planning and involves extra vigilance while travelling but can allow you to experience exciting adventures while still staying safe.

Young couple planning honeymoon vacation trip with map. Top view. Pointing to Europe Rome

Whenever I am beginning to plan a trip, I want to start with some basic research about my destination.  While part of this involves looking into the culture, history, must-see destinations, best times to go, currency, and transportation options (the list goes on and on!), I also need to do my “allergy research.” When it comes to doing allergy research I want to know about the foods commonly eaten at my destination. If this is a resort, I want to know their ability to accommodate allergies and guarantee allergy safe options. If I am travelling to a specific country or region, I want to know what their traditional cuisine consists of and what allergens might pose a potential threat to my safety. For example, when I first travelled to Costa Rica I researched what common breakfast, lunch, and dinner meals consisted of and what names common dishes went by— needless to say I was quite reassured when I found out they commonly ate beans and rice (two safe food options for me) at EVERY meal.

While you might have found out what food options will be safest while travelling, I know personally what is most intimidating is communicating your allergies with locals who do not speak English. Not only will there be a language barrier but a cultural barrier can also exist as food allergies are widely unknown in some areas of the world. For example, when I travelled to Nepal, not only were most of the people I met generally unaware of food allergies but I had to be careful not to offend locals when I had to decline food due to my food allergies.  My solution to this has been ordering “allergy cards” that are the size of a typical business card and state in any language, what my allergies are and that I cannot eat any food containing whatever specific allergens I order. I have also acquired cards that state, “I am having a medical emergency and need to be taken to the nearest medical facility.” I’ve personally used a company called “Select Wisely” and have had allergy cards ordered in: Spanish, German, Dutch, Nepalese, Swahili (you get the idea, you can order any language!). You could also try to get a native speaker to create a customized message for you. While these measures can help with staying safe while travelling with allergies, it is also necessary to use common sense and avoid risky behaviour while travelling. I also always try to pack convenient travel snacks for times when it is difficult to find allergy safe food options.

It’s also important not to forget about how you are getting to your destination and how your food allergies can come into play with this—in particular air travel. I always contact whatever airline I am using for my travels ahead of time and inform them of my food allergies.  While many cannot fully accommodate allergies it is still important to know what their allergy policy is and how best they can accommodate you. I personally tend to play it on the safe side and bring my own food as I do not trust airline food.

Airline Lunch served during long distance flight

Just as you should ensure you have all the appropriate immunizations and health checks for whatever location you are travelling to, it is also important to make sure your allergy medications are non-expired and that you have extras to bring with you. I always carry an auto-injector with me, so if I am travelling with friends or family I make sure they know how to use it, where I store it in my luggage and I also will give them an extra auto-injector in case of emergency. It’s important to know what medical services are available in the country and safe for travelers visiting the country and how to access these in an emergency. Just like any other traveler, health insurance is also a must!

Travelling is an extraordinary experience no matter the destination or length of your trip!  There is no doubt a lot to consider when planning a trip to ensure you stay safe with your allergies. Feel free to comment below and share your travelling with allergies stories and how you prepare for allergy safe travel adventures!

Helpful links:

http://foodallergycanada.ca/allergy-safety/travelling/

Allergy Translation Cards

– Caitlyn P.