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Food Allergies; Daignosing and Managing
Contributed by: Melinda
In June of 2006, in the northern California area, allergy season
had come on with a vengeance and I was having an unusual time with
sneezing, coughing, congestion and runny nose. While having coffee
with a friend, she mentioned that she was living on Claritin. I
had never tried a Claritin product before, Benadryl being the only
allergy medication I ever found to work. I decided that next time
I went to the market I would get a small package of Claritin to
try. After looking at all the various Claritin products I decided
on the smallest quantity which was Claritin 24. It only had 5
tablets, so I thought that if it didn't work, I'd at least not be
wasting much by giving it away or throwing it out. I went and
asked the pharmacist about whether it indeed doesn't make you
drowsy (the reason to take something other than Benadryl) and she
gave me some tips about using it for maximum effectiveness without
suffering from drowsiness.
I got home around 12:00pm and took one of the 24 hour dose
tablets. After about 10
minutes I developed a cough and about 40 minutes later also began
sneezing uncontrollably.
I decided belatedly to read about the inactive ingredients in this
product and discovered something called 'lactose monohydrate' which sounded like
a milk derivative. I contacted Claritin support online and received a
response the following day. In addition to apologies for the adverse
reaction I had experienced, they said 'lactose monohydrate is a milk
derived sugar. There are 81mgs of lactose in each pill.'
The conventional wisdom about dairy allergies is that it is the
proteins in milk that cause sinus type allergic reactions, while the
sugars are responsible for digestive and skin irritations. Although there
could be some other cause for my severe attack that day, I was in my own
environment and none of the symptoms began until I had taken the new
medication.
I was completely astounded by the idea that a medication to treat allergy
symptoms would contain an allergen as one of it's inactive ingredients. Be
careful. Know your allergy and understand how it manifests so you can be
aware of it immediately.
I had to get into the shower / steam to stop
sneezing. I actually had such a severe attack I could only lie in bed. I was still coughing and having some sneezing problems after 3
hours.
If the Claritin company had responded to me right
away as I had hoped, I would certainly have asked them if I could take a
Benadryl to counteract the effect of the symptoms I was experiencing. I would have appreciated the relief.
Check below for links to some interesting reading about dairy allergies.
My Food Allergy and How I Learned to Manage It
Several years ago while waiting for someone at a doctor's office, I was reading a story in a health magazine about a teenage girl who had been diagnosed with
allergies to dairy products. The article was in fact about how very few allergists really understood how allergies affect the body and consequently don't
diagnose most of the allergies people have. The skin test is a miniscule portion of what types of allergies people actually suffer from.
This teenage girl had been a straight-A student all her life, very
outgoing and active and always had a cheery temperament. Suddenly in her early teens,
everything changed. She began to develop daily intestinal problems and nausea, migraine headaches and her grades dropped. Because of the patient profile,
the allergist recommended an elimination diet excluding all dairy products from the girls diet. After sticking to the restrictions for
a month, the girls grades were again Straight-A's and her health problems had stopped. This started me thinking about my own health.
At this time, I was suffering from awful headaches at least once, and often twice per month. They would last for 2-3 days during which time I functioned
at a very low level, often going to bed for hours with Benadryl to escape the pain. I was also unable to work in the garden for more than a few minutes without
having terrible sneezing and watery eyes. Peripherally, everytime I used any household chemicals, I would become sick to my stomach and start sneezing and itching.
I remembered that during my high school years, I was unable to eat ice cream without getting a very upset stomach, and pizza was about the same.
To think I might have an allergy to dairy products was about the last thing I wanted to think about, since I absolutely love milk in my coffee,
vanilla custard, buttery bread and let's face it...I'm adicted to cheese! In fact, I could live on Wine and Cheese and Bread.
However, the headaches alone were disabling enough for me to decide to try an elimination diet. Now, these things are complicated, especially when it comes to
dairy products. I'm someone who has coffee every morning and really enjoy it. I also always used butter in my cooking as well as having finally mastered
the ice cream problem and indulged in that periodically. Then there's the cheese. Cheese featured in most of my days at some point. This is my weakness
and boy did that one hurt to contemplate. None the less, I decided to find some substitutes and just go cold turkey on the rest.
I read up on elimination dieting and learned that this requires a minimum of one month before you really know if you have an
allergy or sensitivity to a particular food. This is a long time, but not only does the food in question have to be entirely out of your system, but
in order to get a clear idea of how a food affects you, you need to let your body 'recover' from it, or rebalance itself before introducing it again.
So I did it. After a week I got used to the soy milk in my coffee. After two weeks, I wasn't craving milk, cheese or butter (thank God). When the month had passed and I
hadn't had a headache at all, or any sinus difficulty I decided it was an unmistakable result. I am allergic to dairy products.
To reinforce my conclusion, all the conditions I now attribute to dairy allergy are consistent. If I am 'clean' and have dairy one day, it often
won't have any effect at all. Sadly for me, this often traps me into thinking 'what will another day hurt?'. Wrong, wrong, wrong attitude! If I continue
to have small amounts on an ongoing basis, everything returns. No matter how often I put this to the test, it comes out the same. One of the good things
to come out of learning about my allergy is that over 4 months I lost 10 pounds. This was not due to dieting, because I really do eat a lot. Over the next
7 or 8 months I lost another 15 pounds. I don't necessarily eat less fat or calories, but my body is able to use the food I eat for my benefit.
Here's what I think happens. An allergy is an immune system response to something that your body believes to be harmful. This is a natural response, but
when your body is out of balance, this response can be overactive, or can respond to something that really isn't a threat. In my case of dairy allergy,
I have noticed that when I'm not eating dairy products, I almost never have hay fever, sneezing, cough or watery eyes. I also have insignificant, if any
digestive problems. I don't crave carbs, sweets or high fat foods, and my body seems to process the food I do eat more efficiently. It feels to me when
I'm eating dairy products, my immune system is in overdrive, which causes my body to use it's reserves to combat the dairy that it can't process, leaving
insufficient resources for maintenance.
Here are some of the in's and out's of deciding and trying elimination dieting to determine if you have a food allergy:
- There are different schools of thought on whether people are in fact 'allergic' to foods or just 'sensitive' to them
- Many foods cause a huge range of health conditions in people, many of which you would never guess to be associated with the food in question (hence some of the
disagreement about 'allergic' vs. 'sensitive') For example, dry skin, excema, migraines, intestinal disorders and sinus allergies, inability to concentrate.
- One of the pitfalls of trying an elimination diet is that you have to read the labels of every food item you purchase, and eating out becomes
nightmarish - either you don't do it at all, or get brave enough to ask whether the food you want contains anything you are trying to eliminate. You have to be
very specific about what you ask. Way big hassle!
- You need to find substitutes for as many of the things you normally use as you can, but be careful, sometimes things aren't what they seem. Here's an example...
I had heard for years about how Mocha Mix was a non-dairy milk substitute so I thought that would be an easy answer to my coffee. Well guess what?
Mocha Mix and many other touted 'non-dairy' solutions contain Casein, one of the components of milk that many people are very allergic to. Frankly,
most non-dairy products have Casein. While doing a dairy elimination diet, you should avoid this.
- Set up your alternatives and mentally prepare yourself in advance, then pick the day and start.
- You can only eliminate one food at a time, (so choose wisely). By food, I mean the foundational food item. Many people are allergic to corn.
In addition to fresh, frozen or canned corn, they may also have to eliminate cornstarch (paper cups and milk cartons are coated with cornstarch), ale, beers, corn sugar (dextrose, glucose, dextrin, dextrimaltose,
and fructose), corn meal, corn syrup, corn oil which are only the most obvious ones. If you discover eliminating the obvious items makes enough
difference, you need to study what other products you may use that can be causing you problems. If you're trying an elimination diet for dairy, you
should not use any prepared foods, (canned soups, boxed or packaged mixes for anything, certain condiments, etc.) because dairy and dairy derivatives
are very often part of these products.
- Keep a food journal - it's amazing how easy it is to slip without thinking about it. A journal will also help you analyze whether the item you think is a problem
is in fact the problem - it could be a combination of things. The journal should include everything (snacks and nibbles too) you eat, but also how you feel
throughout the day including energy levels, how you sleep and wake, and any unusual health conditions.
- Once you've determined whether you have a problem food, you need to stay off of it for a while, before reintroducing it into your diet. Why reintroduct
it? Because once your 'clean' you can try the food again to see how much a controlled amount affects you. Why do you care? Because it's really
tough to live without accidentally or 'on-purpose' eating something you shouldn't. If when you reintroduce it, it makes you really sick right away...well
you can guess. If you don't have much trouble, if any, a little won't hurt from time to time.
Buying a book on food allergies and/or elimination dieting is really very helpful.
A Note on Preservatives
Over the past 10 years, I've started only buying food items if I understand what the list of ingredients is. If I don't know what something listed on a label is,
I typically put it back on the shelf. Due to an
unpleasant incident a couple of years ago, I have discovered that preservatives in foods can cause very
serious reactions in certain people. Below are a couple of links to read about preservatives and food additives which is interesting.
Food Additives Chart
About Allergies
Recommended reading: Fast Food Nation by Eric Schlosser. If you don't want to know about the entire food industry or fast foods, go to the library and read
Chapter 5 Why the Fries Taste Good. Otherwise buy the book...it's important reading for those who purchase and prepare food.
Dairy Allergy Information
Food allergy as defined by the conventional medical field
Food Allergy vs. Food Intollerance
Questions about this article?
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