Food Allergy

An unpleasant or dangerous immune system reaction after a certain food is eaten.

Food allergies are abnormal immune system responses to normally harmless foods.

When someone with a food allergy ingests the food they are allergic to, their immune system mistakenly identifies it as harmful and the resulting immune response results in the various symptoms.

How common is food allergy?

Food allergy affects 10% of children up to one year of age, 8% of children up to five years of age, and approximately 2% of adults.  Prevalence of food allergy has increased in Australia over the last 10-years.

Most of the time there is no parental history of food allergy in affected children. Siblings of children with food allergy are more likely to have food allergy themselves however.

Frequently Asked Questions

Food allergy affects 10% of children up to one year of age, 8% of children up to five years of age, and approximately 2% of adults.  Prevalence of food allergy has increased in Australia over the last 10-years.

Most of the time there is no parental history of food allergy in affected children. Siblings of children with food allergy are more likely to have food allergy themselves however.

Broadly speaking, allergic reactions to foods fall into 2 categories; IgE-mediated and non-IgE-mediated. 

  • IgE-mediated reactions typically occur very soon after ingestion and result in hives, swelling, difficulty/noisy breathing, etc. A severe reaction of this type of food allergy is called anaphylaxis.
  • Non-IgE mediated food allergy encompasses a broad range of conditions including eosinophilic oesophagitis, food-protein induced enterocolitis syndrome, and proctocolitis. These types of food allergy are typically delayed from time of ingestion by hours or days and involve the gastrointestinal system. They may present with vomiting, diarrhoea, difficulty swallowing and failure to thrive depending on which part of the gut is involved.

Symptoms of food allergies can vary from person to person and can range from mild to severe. Common symptoms of IgE-mediated food allergy include:

  • Skin: hives, swelling (especially of the face, lips, tongue, or throat).
  • Gastrointestinal symptoms: nausea, vomiting, acute abdominal pain.
  • Respiratory symptoms: wheezing, shortness of breath, persistent cough, voice change.
  • Cardiovascular symptoms: light-headedness, reduced level of consciousness, fainting.

Several foods are known to cause allergic reactions more frequently than others. Nine out of ten cases of food allergy are triggered by the following foods:

  • Eggs
  • Peanuts
  • Cow’s milk
  • Tree nuts (such as walnuts, almonds, cashews)
  • Fish
  • Crustaceans (such as shrimp, crab, lobster)
  • Soy
  • Wheat
  • Sesame

Diagnosis typically involves a combination of medical history, physical examination, and allergy testing, such as skin prick tests or blood tests.

It is important to differentiate food allergy from adverse reactions to foods. Food poisoning, food aversion, and local skin irritation from food contact are just some examples of adverse reactions to foods that are not an allergy.

False positive skin prick testing or specific IgE testing to foods is not uncommon, especially in people with eczema. Not everybody who has a positive skin prick or blood test to a food has an allergic reaction to that food on ingestion.

In addition, false negative skin prick testing can occur to some foods.

Supervised oral challenges, as the gold standard diagnostic test for food allergy, may be required in some individuals.

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Our specialists hold sub-specialised qualifications in allergy and immunology, and pathology, and offer significant clinical experience.

If you have a question about a condition or treatment, or would like to book an appointment, please contact us and we will be happy to assist you.