Home Food Allergies Ask the allergist – January 2024

Ask the allergist – January 2024

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Ask the allergist is a daily function in our newsletters the place Canadian allergists reply your questions! 

Please word: The allergists featured on this collection reply questions on normal subjects, please discuss to your physician when you’ve got questions on your personal well being or the well being of your youngster. 


This month Dr. Julia Upton solutions a query concerning the severity of meals allergy.  

If somebody has solely had delicate reactions to a meals, have they got a “delicate” meals allergy? 

Allergic reactions to meals can vary from delicate to extreme. Given this, the power to foretell the severity of meals allergy is essential to sufferers, their households and medical crew.  

In managed environments, equivalent to in analysis, there are extra constant outcomes when the identical meals is given to an individual by an oral meals problem and the problem is repeated a 12 months later, for instance. The dose or quantity of meals they react to is analogous, as are the indicators and signs they expertise, from one problem to the following. 

Nevertheless, the true world will be completely different. There are completely different variables that would change the response and what was delicate in analysis is likely to be extreme in a unique scenario.  

One is the quantity of meals ingested: the response could also be completely different with a tiny quantity versus a big quantity, equivalent to a sauce containing pureed tree nuts consumed by somebody with a tree nut allergy.  

Additionally, there will be variations in co-factors, which means different components which may negatively have an effect on the allergy. Co-factors which may make an allergic response to a meals worse embrace having an sickness, having uncontrolled bronchial asthma, train, sure medicines equivalent to ibuprofen (NSAIDS), timing of the menstrual cycle, sleep deprivation, and others. 

As a result of it’s laborious to foretell the severity of the following response, we are inclined to counsel sufferers and households to be prepared for a attainable extreme response with schooling concerning the indicators and signs of anaphylaxis, to hold an epinephrine auto-injector, and to make use of it promptly upon the primary indicators of anaphylaxis. 

Obtain our indicators and signs sheet 
Obtain our 5 emergency steps sheet 

Dr. Julia Upton is on employees on the Hospital for Sick Youngsters within the Immunology and Allergy Division; and an Affiliate Professor within the Division of Paediatrics on the College of Toronto. She is the previous Part Chair of the Anaphylaxis and Meals Allergy Part of the Canadian Society of Allergy and Scientific Immunology. Dr. Upton can be a member of our Healthcare Advisory Board.  

Please word: Dr. Upton is answering as a person allergist and her solutions don’t represent an official place of her affiliated organizations. Her responses are for informational functions solely and don’t represent particular medical recommendation, suggestions, prognosis, or remedy. Please discuss to your physician about any issues or questions you could have relating to your personal well being or the well being of your youngster.  

Do you’ve gotten a meals allergy-related query you’d wish to ask an allergist within the months to come back? In that case, ship it alongside to us at information@foodallergycanada.ca


Tags: Anaphylaxis, ask the allergist, Reactions, indicators and signs

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