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Negative Food Allergy
Testing Is Not The Same As Food
Intolerance And Food Sensitivity
Testing, by
Dr Scot Lewey
You can be intolerant to a food
to which you are not "allergic".
Food intolerance or sensitivity
is much more common that food
allergy. It estimated that
somewhere between 6-10% of
people are allergic to a food or
foods but between 30-60% of
people are intolerant to one or
more foods or the additives or
chemicals in food.
Food allergy testing will be
negative if you are not allergic
even though you are intolerant
or sensitive to a food, additive
or chemical. Food allergy is an
abnormal immune response or
reaction to a food protein. It
is due to the same response to
inhaled pollens or allergens. It
results when the body makes a
specific type antibody or
immunoglobulin, known as IgE, to
a food. When the food is eaten
the IgE antibody recognizes the
food protein as foreign and
triggers the release of
chemicals, especially histamine,
from allergy cells in the body.
This results in characteristic
symptoms of swelling, itching,
rash or hives, wheezing,
shortness of breath, cough, low
blood pressure and rarely death
when the food is eaten.
Testing for food allergy
consists of blood tests for the
IgE antibodies (RAST) or the
presence of a hive like
reactions produced from
histamine released at the site
of skin prick, injection or
patch contact with the food. The
many food reactions that are not
due to an allergic immune
response involving IgE or
histamine will have normal RAST
IgE antibody levels and negative
skin testing. Some of these food
sensitivity or intolerance
reactions are due to other
antibodies such as IgA, IgM, or
IgG. These antibodies may be
detected in the blood, stool or
saliva though such tests are not
as well validated, accepted or
available, especially in the
U.S.
Diet treatments involving
elimination of foods based on
elevated IgG, IgM or IgA
antibodies in the blood,
evacuated stool samples, saliva
or intestinal fluid retrieved
from the body have shown mixed
or to moderate success in people
with rheumatoid arthritis and
irritable bowel syndrome. The
most well understood but still
under recognized autoimmune food
sensitivity with a genetic basis
is gluten sensitivity, also
known as Celiac disease.
Non-celiac gluten sensitivity is
much more common than Celiac
disease but even less well
recognized. Lactose intolerance
is the most common food
intolerance and often confused
with the second most common food
sensitivity, cow's milk protein
or casein sensitivity. Gluten
free casein free diet is now
commonly employed as a treatment
for autism. The medical
community has generally been
slow to accept gluten free
casein free diet for autism,
considering it unproven, though
there is substantial scientific
and experiential data to support
this safe and often dramatically
effective treatment.
Testing for IgG antibodies to
foods in the blood is available
from a few commercial
laboratories. Saliva IgA
antibody testing for foods is
also available through several
laboratories. These tests are
generally not universally by
health insurance and are often
rejected as not valid or
reliable by many doctors. Stool
testing for IgA antibodies to
gluten, tissue transglutaminase,
dietary yeast, cow's milk
protein (casein), soy, and
chicken egg is available from
Enterolab. This laboratory does
not contract with any health
insurance and most will not
reimburse for the cost of
testing. Most doctors either are
unaware of this testing and
either don't accept the tests as
valid or don't know how to
interpret the results.
Testing for mediator release
(MRT) testing looks for an
evidence of release of chemical
mediators from immune blood
cells triggered by foods,
additives or chemicals. The
presence of such a reaction is
presumed to indicate sensitivity
to such foods, additives or
chemicals that can produce
various symptoms and when
substances producing such
reactions are avoided or
eliminated symptoms are suppose
to improve significantly or
resolve. MRT is available
commercially through Signet
Diagnostic Corporation
(www.nowleap.com). Several
insurance carriers pay for at
least a portion of the cost of
this testing however because it
is considered "out of network"
for most plans patients are
usually responsible for payment
of the service. Some carriers
consider the testing
"experimental" or not validated
and therefore do not cover the
testing.
The principle of MRT testing is
that certain foods, additives
and chemicals are capable of
triggering non-allergy
immune-based reactions. These
reactions release various immune
chemical mediators into the
blood. If an immune reaction is
triggered and these mediators
are released, changes occur in
the ratio of solids (cells) to
liquid (blood serum) that can be
measured. The white blood cells
and platelets shrink and the
volume of the liquid increases.
The degree of change can be
measured and reported as mild or
moderate to severe corresponding
with the degree of sensitivity
to that particular food,
additive or chemical.
Signet claims success with
reducing or eliminating a myriad
of symptoms or conditions
including migraines, headaches,
autistic behavior, anxiety,
depression, ADD, sinus and ear,
nose and throat problems,
irritable bowel syndrome,
vomiting syndromes, Celiac,
chronic stomach aches, bladder
problems, fibromyalgia,
arthritis, eczema, hives, and
chronic fatigue syndrome. The
testing includes a comprehensive
color report booklet containing
a results specific diet plan
with detailed information
supplemented with several hours
of personalized counseling from
a dietician.
Of all the food intolerance or
sensitivity testing MRT is the
most broad and comprehensive. It
looks for actual reaction
produced by the body in response
to foods or chemicals. Signet
provides testing for 150 foods
or chemicals (123 foods and 27
chemicals) including nitrates,
nitrites, MSG and various food
dyes. The limitation of all
these tests is lack of universal
acceptance by physicians and
coverage by insurance. However,
for those with suspected
intolerance to foods or
chemicals in whom available
testing is negative or
indeterminate, such testing can
be quite helpful.
The Food Doc, Dr. Scot Lewey, is
an expert medical doctor
specializing in digestive
diseases and food related
illness, especially food
allergies, celiac disease and
colitis. Dr. Lewey's expert
reputation as the Food Doc is
established by a foundation of
formal training in internal
medicine, pediatrics, and
gastroenterology (diseases of
the digestive tract), his
personal and family experience
with gluten and milk
sensitivity, and over two
decades as a practicing
physician, clinical researcher,
author and speaker. Access this
expert knowledge online today at
www.thefooddoc.com
Does drinking a glass of milk
cause you stomach to hurt? Have
you eaten something, and later
felt nauseous? Are there
specific foods or beverages that
cause you to feel sick? Many
people share these symptoms with
you. There is a condition called
food intolerance, and millions
suffer from it. You too may have
this condition.
When the body cannot properly
digest a certain food, we call
this a food intolerance. Some
people are born with
intolerances to certain foods,
and others may develop
intolerances much later in life.
Lactose intolerance, a problem
handling the sugar in milk, is
very common in about 10% of the
US population, and it can be
congenital or may develop with
aging. Some intolerance last for
life, while others may occur
sporadically.
Do you have any symptoms of food
intolerance? Not everyone will
have the same types of problems,
but some signs of the condition
can include abdominal
discomfort, scratchy throat,
nausea, bloating, and diarrhea.
This malady is no fun whatsoever
and may indicate that years of
sickness and suffering may be
ahead.
Don not confuse these symptoms
with those caused by food
allergies. Allergies can cause
all of the aforementioned
symptoms, plus itching, skin
hives, vomiting, swollen lips
and throat, and wheezing. These
reactions start immediately
after the offending food is
consumed, and can be serious or
even life-threatening. Call for
medical help immediately if you
suffer these symptoms after
eating.
An initial step in the
management of food intolerance
is to be certain you do not have
an allergy to a food instead,
and this can be a bit tricky.
Visit a physician, preferably an
allergist for allergy test for
the suspect foods. If testing is
negative, you have ruled out
food allergy and can be
reasonably sure it is
intolerance.
Once you've figured out that you
are sensitive to a certain food,
how do you go about managing
your intolerance? First of all,
remove the offending food from
your diet. Be sure to avoid
hidden ingredients in processed
foods that may trigger your
intolerance. After you have
completely eliminated the food
that makes you ill, you will
probably feel much better.
Dairy foods are difficult to
completely remove from your
diet, so if you are lactose
intolerant, some problems may
arise. Fortunately, most such
people can eat some forms of
dairy without much trouble. One
strategy that you might use is
to avoid all dairy foods for two
weeks, and then slowly
reintroduce certain dairy
products into your diet to see
which ones cause your problems.
Many people can eat yogurt or
cheese but cannot drink liquid
milk, for example.
Food intolerance is a
condition and millions suffer
from it. When the body cannot
properly digest a certain food,
this is intolerance to food.
Some people are born with
intolerances to certain foods;
others may develop it later in
life. Food allergies cause
abdominal discomfort, such as:
pain, diarrhea, nausea.
Difference between food
allergy and intolerance, by
Evelyn Lim
It is important that you
determine if you are having a
food intolerance versus a food
allergy, if eating a specific
food causes you to suffer from
some symptoms. Many people
mistake and confuse the two
together. Finding out the
difference between the two helps
you decide on the best treatment
option for your ailment.
When you have a food allergy,
your immune system response is
triggered. Having said that,
only 2 percent of adults and 6
percent of children have a true
food allergy that can be
dangerous to their health.
Common food allergens include
peanuts, shellfish, soy and
wheat. You do not need to
consume a whole plateful of your
food allergen for it to be
fatal. Just a small amount can
endanger your life.
With this, having a food allergy
is considered more severe than
having a food intolerance alone.
Some of the most common symptoms
of a food allergy include hives,
eczema, wheezing, swelling of
the throat, abdominal pain, and
headaches. However, if your
allergic reactions are severe,
you can also suffer from shock,
airway constriction, loss of
consciousness and rapid pulse.
This can mean death if you are
not given the required treatment
in a timely manner.
On the other hand, if you get a
tummy ache or diarrhea due to
eating certain foods, you may be
having a food intolerance. You
still can eat these foods and
yet suffer no symptoms if they
are eaten in small amounts. This
is another distinguishing factor
from a true food allergy.
For a food allergy, it is
obvious that you would have to
avoid eating that specific food.
Severe food allergy symptoms
necessitate medical treatment.
To keep you from going into
anaphylectic shock, a shot of
epinephrine may be needed as
soon as possible. You may also
need to be warded in a hospital
for emergency treatment and
observation.
To know for sure if you are
having a true food allergy, you
can go for medical testings. It
will also help if you can
maintain a food diary so that
you can record down your
observations. When visiting your
doctor, bring the food diary
along with you. It can help your
doctor determine whether you are
just having a food intolerance
or a food allergy.
A sufferer of chronic allergy
symptoms for years, Evelyn Lim
writes on food allergy as well
as other types of allergy. For
free research and tips, please
refer to
http://www.Allergy-Attacks.com.