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Getting Educated on Peanut Allergies

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Peanuts are a common food ingredient, but they're also quite controversial. With allergic reactions to peanuts running as high as 4% in the general population, there's a lot of interest in ensuring people know how to handle the little nuts.

This post will take an in-depth look at specific types and sources of allergies and what you should know about them.

It'll also cover what you can do if you find yourself developing some symptoms that may be related to an allergy.

Getting Educated on Peanut Allergies

What are the different types of peanut allergy?

According to the U.S. Food and Drug Administration, there are three main types of food allergies: IgE-mediated, non-IgE-mediated, and mixed or undefined. With IgE-mediated allergies, your immune system reacts directly to specific foods with a histamine release that causes itching, redness, blisters, or hives. In non-IgE-mediated food allergies, your immune system may recognize the foods as potential invaders and release antibodies that trigger allergic reactions. A mixed or undefined allergy is when your system reacts to food, but you don't know what that is. Either way, understanding what foods cause allergies and how they react can be incredibly helpful when it comes to avoiding them.

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What are some common sources of peanut allergy?

They all stem from peanuts being a legume, which means they're related to peas and lentils. Peanut allergies occur more frequently than most other legume-related allergies, though, and are widely known because of the high protein content. Peanuts are much different than most legumes in that they can't be digested by our bodies and have to pass through the digestive tract whole. This means they're going to feed certain bacteria in your intestines, and that's where the problems begin. If our guts aren't balanced with proper amounts of bacteria, we can develop sensitivities to foods that wouldn't otherwise pose a threat.

Common sources of peanut allergy besides peanuts themselves include:

Tree nuts

Almonds, cashews, hazelnuts, macadamias, pecan nuts, walnuts, and pistachios are all legumes containing large amounts of protein that can trigger the release of histamines. If you have one of these allergies from any other source besides peanuts, you may develop a peanut allergy as well.

Crackers, cookies and pastries

These all contain large amounts of peanuts and other nuts, which can trigger allergic reactions.

Legumes

These are one of the biggest sources of peanut allergy, as soy and legumes, in general, contain large levels of protein. Other common legumes include beans like kidney beans, black beans, and lima beans. Soy-based products like soy milk and tofu can also trigger reactions to peanut allergies.

Candy

Candy is often made out of nuts and can contain traces of peanuts that may cause allergic reactions.

Pet food

When your pets eat foods that contain large amounts of peanuts, the protein can trigger a chain reaction in your body and cause an allergic reaction as well. This doesn't happen often, but it's a good idea to pay attention to pet food ingredients if you have a peanut allergy.

What are the most common signs of a peanut allergy?

These symptoms can range in severity from mild symptoms such as hives and itching to severe reactions like lung failure. If you begin showing signs of a reaction to peanuts, you should seek medical attention immediately:

Hives and rashes

This is one of the most common symptoms of an allergic reaction. It's caused by histamine release in your body that triggers an inflammatory response.

Itching

This symptom is widespread and can cause itching in various parts of the body.

Stomach upset

This is caused by histamine release that prompts vomiting.

Sneezing

This is caused by histamine release from your lungs, causing your nose to run. It's also a sign of allergy-induced asthma. If you develop symptoms like this, you should try to stay home and limit any exposure as much as possible.

Difficulty breathing

This is another way that peanut allergies can cause respiratory problems. Your lungs may constrict, leading to difficulty breathing and congestion.

Anaphylaxis

If you have an allergic reaction due to a severe reaction, or if your symptoms are progressing to cause hypovolemic shock, you could have a life-threatening reaction known as anaphylaxis. This is caused by histamine release in your body and occurs when you're already having a severe sensitive reaction. It needs fast medical attention and can be fatal without treatment. Symptoms include swelling, shortness of breath, vomiting, hives, and even fainting.

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What should I do if I'm allergic to peanut?

More than 80% of people who have a peanut allergy are non-IgE-mediated, which means you don't experience symptoms immediately as a result of histamine release. Instead, your body has a delayed response to the food. If symptoms are severe and not responding to allergy treatment, you should get medical attention right away. 

If you're unsure about having a peanut allergy, consult your doctor. If confirmed, it's advisable to avoid peanuts or some people opt for cooked/diluted peanuts instead if the allergy is not severe, but your doctor will advise you. Cooked/diluted peanuts refers to peanuts that have been cooked thoroughly or mixed with other ingredients to reduce their potency or allergenic potential. Cooking or diluting peanuts can sometimes make them less likely to trigger an allergic reaction in individuals who are sensitive to them.

If you're concerned about a peanut allergy but haven't experienced symptoms, try eating peanut skin after peeling or consuming boiled peanuts. Stop if you notice breathing issues or nausea and consult a doctor if needed. If you react negatively, consider allergy testing for peanuts or intolerance.  Or, undergoing allergy testing is a more direct and reliable method to confirm or rule out the allergy than trial-and-error with consuming peanuts.

Conclusion

It's possible to develop a peanut allergy and have an allergic reaction from other sources, just as it's possible to develop an allergy to tree nuts. The list of other foods that could cause a reaction is extensive, so you should be sure to ask your doctor like ENT Doctor in Philadelphia before adding any new foods to your diet. If you have a peanut allergy and are unsure of what types of food trigger allergies in you, you should speak with your doctor about the safest way for you to react.