What are the signs of a tree nut allergy

Fast action is essential when a severe allergic reaction occurs. Here are the steps to take:

Step #1: Epinephrine

ister an epinephrine injection (EpiPen®), if available. This adrenaline-like drug counteracts the immune response. Numerous people with known food allergies carry one, so if someone is having a reaction, enquire if they own an EpiPen on them. You typically inject the medicine directly into the thigh.

Step #2: Call 911

Call 911 and seek emergency care. It’s crucial to get immediate care because anaphylaxis can quickly worsen, even if the person already received an epinephrine injection.

One dose may not be enough to control the symptoms.

Also, a second wave of anaphylaxis can happen four to eight hours after the initial episode.

While waiting for 911 to reach, you can loosen tight clothing and cover the person with a blanket. Turn them onto their side to prevent choking if they vomit. If breathing stops, start CPR.

Step #3: Identify the cause

Identifying the foods and ingredients the person ate recently can assist narrow below the cause of the reaction. If you can determine the cause, report it to the medical team. An allergy specialist will also desire to know the possible foods that triggered the attack.



Allergic reactions to tree nuts

An allergic reaction generally happens within minutes after being exposed to an allergen, but sometimes it can take put several hours after exposure.

Anaphylaxis is the most serious type of allergic reaction.

Symptoms of anaphylaxis generally include two or more of the following body systems:

  1. Skin: hives, swelling (face, lips, tongue), itching, warmth, redness
  2. Gastrointestinal (stomach): nausea, pain/cramps, vomiting, diarrhea
  3. Respiratory (breathing):coughing, wheezing, shortness of breath, chest pain/tightness, throat tightness, hoarse voice, nasal congestion or hay fever-like symptoms (runny itchy nose and watery eyes, sneezing), trouble swallowing
  4. Cardiovascular (heart): paler than normal skin colour/blue colour, feeble pulse, passing out, dizziness or lightheadedness, shock
  5. Other:anxiety, sense of doom (the feeling that something bad is about to happen), headache, uterine cramps, metallic taste

If you own an allergy to tree nuts, hold an epinephrine auto-injector (e.g., EpiPen®) with you at every times.

Epinephrine is the first-line treatment for severe allergic reactions (anaphylaxis).

Note: The above lists are not finish and may change.

What Happens With a Tree Nut or Peanut Allergy?

Your immune system normally fights infections. But when someone has a nut allergy, it overreacts to proteins in the nut. If the person eats something that contains the nut, the body thinks these proteins are harmful invaders and responds by working extremely hard to fight off the invader.

This causes an allergic reaction.

How Is a Tree Nut or Peanut Allergy Treated?

There is no special medicine for nut or peanut allergies and numerous people don’t outgrow them. The best treatment is to avoid the nut. That means not eating that nut, and also avoiding the nut when it’s mixed in foods. (Sometimes these foods don’t even taste nutty! Would you believe chili sometimes contains nuts to assist make it thicker?)

Staying safe means reading food labels and paying attention to what they tell about how the food was produced. Some foods don’t contain nuts, but are made in factories that make other items that do contain nuts.

The problem is the equipment can be used for both foods, causing "cross-contamination." That’s the same thing that happens in your own home if someone spreads peanut butter on a sandwich and dips that same knife into the jar of jelly.

After checking the ingredients list, glance on the label for phrases love these:

  1. "may contain tree nuts"
  2. "produced on shared equipment with tree nuts or peanuts"

People who are allergic to nuts also should avoid foods with these statements on the label.

Some of the highest-risk foods for people with peanut or tree nut allergy include:

  1. cookies and baked goods
  2. ice cream
  3. candy
  4. Asian and African foods
  5. sauces (nuts may be used to thicken dishes)

Talk to your allergist about how to stay safe in the school cafeteria. Also enquire about how you should handle other peanut encounters, love at restaurants or stadiums where people are opening peanut shells. People with nut allergies generally won’t own a reaction if they breathe in little particles.

That’s because the food generally has to be eaten to cause a reaction.

What Are the Signs & Symptoms of a Nut Allergy?

When someone with a peanut or tree nut allergy has something with nuts in it, the body releases chemicals love histamine (pronounced: HISS-tuh-meen).

This can cause symptoms such as:

  1. coughing
  2. itchy, watery, or swollen eyes
  3. hoarseness
  4. wheezing
  5. swelling
  6. throat tightness
  7. dizziness or fainting
  8. stomachache
  9. a drop in blood pressure
  10. hives
  11. trouble breathing
  12. vomiting
  13. sneezing
  14. diarrhea
  15. anxiety or a feeling something bad is happening

Reactions to foods, love peanuts and tree nuts, can be diverse.

It every depends on the person — and sometimes the same person can react differently at diverse times.

In the most serious cases, a nut or peanut allergy can cause anaphylaxis (say: an-uh-fuh-LAK-sis). Anaphylaxis is a sudden, life-threatening allergic reaction. A person’s blood pressure can drop, breathing tubes can narrow, and the tongue can swell.

People at risk for this helpful of a reaction own to be extremely careful and need a plan for handling emergencies, when they might need to use special medicine to stop these symptoms from getting worse.

Emerging Allergen Reporting Tool

If your kid has had a reaction in the final 12 months to a food other than a priority allergen, participate in an significant research survey.

Your participation will assist researchers, and advocacy groups love ours, better understand emerging allergens.

Study more and take the survey

Quick facts

  1. Tree nuts are considered priority allergens by Health Canada.
  2. Peanuts are part of the legume family and are not considered a tree nut.
  3. Priority food allergens are the foods that cause the majority of allergic reactions.
  4. Tree nuts considered as priority allergens include almonds, Brazil nuts, cashews, hazelnuts, macadamia nuts, pecans, pine nuts (pignolias), pistachio nuts and walnuts.
  5. Some people with a tree nut allergy may be allergic to more than one type of tree nut.

  6. People who are allergic to tree nuts generally avoid every nuts and peanuts because of the risk of cross contamination.

Remember

  1. Coconut and nutmeg are not considered tree nuts for the purposes of food allergen labelling in Canada and are not usually restricted from the diet of someone allergic to tree nuts.
  2. A coconut is a seed of a fruit and nutmeg is obtained from the seeds of a tropical tree.
  3. However, some people allergic to tree nuts own also reacted to coconut and nutmeg.

    Consult your allergist before trying coconut- or nutmeg-containing products.

__aware

Be Allergy-Aware: How to avoid tree nuts

  • Read ingredient labels every time you purchase or eat a product. If the label indicates that a product “Contains” or “may contain” tree nut, do not eat it. If you do not recognize an ingredient, if there is no ingredient list available, or if you don’t understand the language written on the packaging, avoid the product.
  • According to Health Canada:
    1. If a tree nut is part of the ingredients, the specific tree nut(s) must be declared by their common name (almond, Brazil nut, etc.) in the list of ingredients or in a separate “contains” statement immediately following the list of ingredients.

  • Do The Triple Check and read the label:
    1. Once when you get home and put it away.
    2. Check with manufacturers directly if you are not certain if a product is safe for you.
    3. Again before you serve or eat the product.
    4. Once at the store before buying it.
    5. Be careful when buying imported products, since labelling rules differ from country to country.
    6. Always carry your epinephrine auto-injector. It’s recommend that if you do not own your auto-injector with you, that you do not eat.
    7. Watch for cross-contamination, which is when a little quantity of a food allergen (e.g., almond) gets into another food accidentally, or when it’s present in saliva, on a surface, or on an object.

      This little quantity of an allergen could cause an allergic reaction.

    __types

    Common tree nuts

    1. Brazil nuts
    2. Macadamia nuts
    3. Chestnuts
    4. Almonds
    5. Pine nuts (pinon, pignolias)
    6. Hazelnuts (filberts)
    7. Pistachios
    8. Hickory nuts
    9. Pecans
    10. Cashews
    11. Walnuts

    __other

    Other names for tree nuts

    1. Anacardium nuts
    2. Nut meats
    3. Mandelonas (a nut-flavoured peanut confection)
    4. Queensland nut (macadamia)

    __sources

    Possible sources of tree nuts

    1. Candies, such as calisson, mandelonas, marzipan, some chocolates, chocolate bars
    2. Peanut oil
    3. Health and Nutritional supplements, such as herbal remedies and vitamins
    4. Alcoholic beverages, such as Frangelico, amaretto liqueurs and others
    5. Salads and salad dressings
    6. Herbal teas
    7. Spreads and Nut butters (e.g., Nutella and gianduia/gianduja)
    8. Ice cream, gelato, frozen desserts, sundae toppings, frozen yogurt, pralines
    9. Snack food love chips, popcorn, snack mixes, trail mix
    10. Smoke flavourings
    11. Barbecue sauce
    12. Hot cocoa and cocoa mixes
    13. Cereals, granola, muesli
    14. Main course dishes such as butter chicken, chicken korma, mole sauce, pad thai, satay, chili, other gravy dishes
    15. Nut-flavoured coffees, boiling cocoa, specialty drinks
    16. Natural flavourings and extracts
    17. Baked goods such as biscotti, cakes, cookies, crackers, donuts, granola bars, pastries and pies, baklava, baking mixes
    18. Pesto sauce
    19. Vegetarian dishes

    __non_sources

    Non-food sources of tree nuts

    1. Beanbags, kick sacks/hacky sacks
    2. Massage oils
    3. Bird seed
    4. Cosmetics, skin and hair care products, lotions, soap, body scrubs, sun screens
    5. Pet food
    6. Sandblasting materials

    __report

    Report a reaction

    If you believe you may own reacted to an allergen not listed on the packaging, you can report it to the Canadian Food Inspection Agency, which may issue a product recall.

    Discover out more on our Food Labelling page.

    en españolAlergia a los frutos secos y a los cacahuetes

    Oh, nuts! They certain can cause you trouble if you’re allergic to them — and a growing number of kids are these days.

    So what helpful of nuts are we talking about?

    What are the signs of a tree nut allergy

    Peanuts, for one, though they aren’t truly a nut. They’re a legume (say: LEH-gyoom), love peas and lentils. A person also could be allergic to nuts that grow on trees, such as almonds, walnuts, pecans, cashews, hazelnuts, Brazil nuts, and pistachios.

    When you ponder of allergies, you might picture lots of sneezing and runny noses. But unlike an allergy to spring flowers, a nut or peanut allergy can cause difficulty breathing and other extremely serious health problems. That’s why it’s very important for someone with a nut or peanut allergy to avoid eating nuts and peanuts, which can be tough because they’re in lots of foods.

    Have an Emergency Plan

    If you own a nut or peanut allergy, you and a parent should create a plan for how to handle a reaction, just in case.

    That way your teachers, the school nurse, your basketball coach, your friends — everyone will know what a reaction looks love and how to respond.

    To immediately treat anaphylaxis, doctors recommend that people with a nut or peanut allergy hold a shot of epinephrine (say: eh-puh-NEH-frin) with them. This helpful of epinephrine injection comes in an easy-to-carry container. You and your parent can work out whether you carry this or someone at school keeps it on hand for you.

    You’ll also need to identify a person who will give you the shot.

    You might desire to own antihistamine medicine on hand too for mild reactions. If anaphylaxis is happening, this medicine is never a substitute for epinephrine. After getting an epinephrine shot, you need to go to the hospital or other medical facility, where they will hold an eye on you for at least 4 hours and make certain the reaction is under control and does not come back.

    What Will the Doctor Do?

    If your doctor thinks you might own a nut or peanut allergy, he or she will probably send you to see a doctor who specializes in allergies.

    The (allergy specialist) will enquire you about past reactions and how endless it takes between eating the nut or peanut and getting the symptoms, such as hives.

    The allergist may also enquire whether anyone else in your family has allergies or other allergy conditions, such as eczema or asthma. Researchers aren’t certain why some people own food allergies and others don’t, but they sometimes run in families.

    The allergist may also desire to do a skin test. This is a way of seeing how your body reacts to a extremely little quantity of the nut that is giving you trouble. The allergist will use a liquid extract of the nut that seems to be causing you symptoms.

    During skin testing, a little scratch on your skin is made (it will be a quick pinch, but there are no needles!).

    That’s how just a little of the liquid nut gets into your skin. If you get a reddish, itchy, raised spot, it shows that you may be allergic to that food or substance.

    Skin tests are the best test for food allergies, but if more information is needed, the doctor may also order a blood test. At the lab, the blood will be mixed with some of the food or substance you may be allergic to and checked for antibodies.

    It’s significant to remember that even though the doctor tests for food allergies by carefully exposing you to a extremely little quantity of the food, you should not attempt this at home! The only put for an allergy test is at the allergist’s office, where they are specially trained and could give you medicine correct away if you had a reaction.

    What Else Should I Know?

    If you discover out you own a nut or peanut allergy, don’t be bashful about it.

    It’s significant to tell your friends, family, coaches, and teachers at school. The more people who know, the better off you are because they can assist you stay away from the nut that causes you problems.

    Telling the server in a restaurant is also really significant because he or she can steer you away from dishes that contain nuts. Likewise, a coach or teacher would be capable to select snacks for the group that don’t contain nuts.

    It’s grand to own people love your parents, who can assist you avoid nuts, but you’ll also desire to start learning how to avoid them on your own.

    To prevent a reaction, it is extremely significant that you avoid every tree nuts and tree nut products.

    If you’re allergic to one type of tree nut, you own a higher chance of being allergic to other types.

    For this reason, your doctor may recommend you avoid every nuts. You may also be advised to avoid peanuts because of the higher likelihood ofcross-contact with tree nuts during manufacturing and processing.

    Tree nuts are one of the eight major allergens that must be listed on packaged foods sold in the U.S., as required by federal law.

    Avoid foods that contain tree nuts or any of these ingredients:

    1. Cashew
    2. Nut milk (e.g., almond milk, cashew milk)
    3. Coconut
    4. Almond
    5. Pesto
    6. Filbert/hazelnut
    7. Walnut
    8. Litchi/lichee/lychee nut
    9. Pistachio
    10. Shea nut
    11. Chestnut
    12. Marzipan/almond paste
    13. Ginkgo nut
    14. Butternut
    15. Nut meal
    16. Nut distillates/alcoholic extracts
    17. Chinquapin nut
    18. Brazil nut
    19. Pecan
    20. Pine nut (also referred to as Indian, pignoli, pigñolia, pignon, piñon and pinyon nut)
    21. Praline
    22. Nut butters (e.g., cashew butter)
    23. Black walnut hull extract (flavoring)
    24. Nut meat
    25. Nut paste (e.g., almond paste)
    26. Gianduja (a chocolate-nut mixture)
    27. Nut oils (e.g., walnut oil, almond oil)
    28. Artificial nuts
    29. Nut pieces
    30. Pili nut
    31. Natural nut extract (e.g., almond, walnut—although artificial extracts are generally safe)
    32. Macadamia nut
    33. Nangai nut
    34. Hickory nut
    35. Beechnut
    36. Walnut hull extract (flavoring)

    Some Unexpected Sources of Tree Nuts

    Allergens are not always present in these food and products, but you can’t be too careful.

    Remember to read food labels and enquire questions about ingredients before eating a food that you own not prepared yourself.

    Tree nut proteins can be found in some surprising places, such as cereals, crackers, cookies, candy, chocolates, energy bars, flavored coffee, frozen desserts, marinades, barbeque sauces and some freezing cuts, such as mortadella.

    Ice cream parlors, bakeries and certain restaurants (e.g., Chinese, African, Indian, Thai and Vietnamese) are considered high risk for people with tree nut allergy.

    What are the signs of a tree nut allergy

    Even if you order a tree nut-free dish, there is high risk of cross-contact.

    Tree nut oils, such as walnut and almond, are sometimes used in lotions, hair care products and soaps.

    Some alcoholic beverages may contain nut flavoring, so consider avoiding these as well. Because these beverages are not federally regulated, you may need to call the manufacturer to determine the safety of ingredients such as natural flavoring.

    Argan oil is derived from the nut of the argan tree and has rarely been reported to cause allergic reactions.

    While it is not a common food in the U.S., you will often discover it in Morocco.

    People with cashew allergy may be at higher risk for allergy to pink peppercorn (known as Brazilian Pepper, Rose Pepper, Christmasberry and others). This dried berry (Schinus, related to cashew) is used as a spice but is diverse from standard black pepper and fruits with “pepper” in their name (e.g., bell peppers, red peppers or chili peppers).

    There is no evidence that coconut oil or shea nut oil and butter are allergenic. Coconut, the seed of a drupaceous fruit, has typically not been restricted in the diets of people with a tree nut allergy. However, in October 2006, the FDA began identifying coconut as a tree nut.

    Medical literature documents a little number of allergic reactions to coconut; most occurred in people who were not allergic to tree nuts.

    Peanut butter and jelly: Once a favorite lunchbox sandwich, now a potential nightmare. That’s because tree nut and peanut allergies are becoming more widespread and dangerous, says a recent study.

    Researchers found that medical claims for the treatment of food-related emergency allergic reactions are skyrocketing. In the past several years, claims own increased by 133 percent in Indiana, 201 percent in Illinois and 377 percent nationwide.

    Of those cases, almost half were due to a nut allergy.


    Food Allergy Testing

    If you suspect that you or your kid may be allergic to peanuts, tree nuts or another type of food, take it seriously.

    Every three minutes, a food allergy sends someone to the emergency room.

    An allergist, a doctor who specializes in asthma and allergies, can act out food allergy testing. There are three types of tests:

    1. GENETICS – The risk of any food allergy increases if family members own food allergies.
    2. AGE – Tree nut and peanut allergies happen most commonly in infants, toddlers, and school age children. However, people at any age can develop allergic reactions to foods. Sometimes children outgrow food allergies as their digestive systems mature.
    3. ECZEMA – A link is sometimes seen between the skin condition known as atopic dermatitis (eczema) and food allergies.
    4. KNOWN ALLERGIES – Having another type of allergy (such as to mold or pollen) or being allergic to any food increases the likelihood of developing a food allergy to another food.
    5. Skin prick test: The doctor creates little scratches on the skin and applies diverse allergen solutions.

      After a few minutes, the doctor checks the area. If the skin becomes red and itchy, it indicates an allergy to that substance.

    6. Food challenge test: During this test, you ingest or inhale little amounts of allergens, under the supervision of an allergist.
    7. Blood test: This test measures how your immune system responds to diverse foods. Doctors can check for substances in your blood to see if your immune system is perceiving a certain food as a threat.
    8. DIRECT CONTACT – The most common cause of an allergic reaction is eating or touching any food containing tree nuts or peanuts.
    9. INDIRECT CONTACT (CROSS CONTAMINATION) – This can happen during food handling and processing.

      Processed foods run the risk of allergen contamination if prepared in factories that also prepare foods with tree nuts or peanuts. Eating at salad bars and ice cream parlors, purchasing unused bakery products, using store coffee grinders, and purchasing foods from bulk containers are additional potential sources of allergens. Remember that manufacturers that produce specific food products free from peanuts or any one nut may process other nuts on the same equipment.

    10. HISTORY – A food allergy can resurface even after an allergy is believed to own been outgrown.
    11. INHALATION – Breathing in particles from tree nuts and peanuts can lead to allergic reactions.

      Peanut and tree nut flours as well as peanut and tree nut oils and extracts are common sources.

    For more information on allergy testing, contact a specialist in allergy and immunology.


    Contributed by Fran Weiss, MS RDN CDN, Consultant Dietitian

    Have you ever noticed the eye roll of a parent informed that their child’s classroom was nut-free and that they need to be mindful, sensitive, supportive and aware when bringing foods into the classroom? That parent obviously never had a kid with a food allergy. Although they are separate allergies, tree nut and peanut allergies can coexist.

    Both tree nut and peanut allergies are major precipitators of anaphylactic reactions. These allergies are no joke!

    Risk Factors

    Although there are numerous unknowns as to why some people develop allergies and others do not, the following risk factors are common.

    • GENETICS – The risk of any food allergy increases if family members own food allergies.
    • ECZEMA – A link is sometimes seen between the skin condition known as atopic dermatitis (eczema) and food allergies.
    • AGE – Tree nut and peanut allergies happen most commonly in infants, toddlers, and school age children.

      However, people at any age can develop allergic reactions to foods. Sometimes children outgrow food allergies as their digestive systems mature.

    • KNOWN ALLERGIES – Having another type of allergy (such as to mold or pollen) or being allergic to any food increases the likelihood of developing a food allergy to another food.
    • HISTORY – A food allergy can resurface even after an allergy is believed to own been outgrown.

    Common Foods That May Contain Peanuts

    peanut butter, peanut flour, peanut oil, beer nuts, nutmeats, mixed nuts, artificial nuts, goobers, beer nuts, nut pieces, artificial nuts, ground nuts, Cracker Jacks, monkey nuts, marzipan, enchilada sauce, peanut protein hydrolysate, egg rolls, salad garnishes, baking mixes, baked products, breadings, sauces, kernels, goober nuts, goober peas, arachis oil, arachide, mandelonas, valencias, cultural foods

    What Triggers An Allergic Reaction?

    Common Foods That May Contain Peanuts

    peanut butter, peanut flour, peanut oil, beer nuts, nutmeats, mixed nuts, artificial nuts, goobers, beer nuts, nut pieces, artificial nuts, ground nuts, Cracker Jacks, monkey nuts, marzipan, enchilada sauce, peanut protein hydrolysate, egg rolls, salad garnishes, baking mixes, baked products, breadings, sauces, kernels, goober nuts, goober peas, arachis oil, arachide, mandelonas, valencias, cultural foods

    What Triggers An Allergic Reaction?

    • INDIRECT CONTACT (CROSS CONTAMINATION) – This can happen during food handling and processing.

      Processed foods run the risk of allergen contamination if prepared in factories that also prepare foods with tree nuts or peanuts. Eating at salad bars and ice cream parlors, purchasing unused bakery products, using store coffee grinders, and purchasing foods from bulk containers are additional potential sources of allergens.

      What are the signs of a tree nut allergy

      Remember that manufacturers that produce specific food products free from peanuts or any one nut may process other nuts on the same equipment.

    • DIRECT CONTACT – The most common cause of an allergic reaction is eating or touching any food containing tree nuts or peanuts.
    • INHALATION – Breathing in particles from tree nuts and peanuts can lead to allergic reactions. Peanut and tree nut flours as well as peanut and tree nut oils and extracts are common sources.

    Allergic Reactions

    Signs of anaphylaxis include swelling, rapid pulse, wheezing, difficulty breathing, rash, rapid pulse, lightheadedness/dizziness, and loss of consciousness.

    Anaphylaxis is a medical emergency. Epinephrine injection should be given immediately and 911 called for emergency care.

    In addition to potential life-threatening anaphylaxis, less severe allergic reactions to peanuts and tree nuts include itchy skin, itchy eyes, itchy ears, rashes, conjunctivitis, hives, swelling, eczema, runny nose, sneezing, tingling, dryness in the mouth and throat areas, diarrhea, stomach cramps, abdominal pain, and nausea. Medical advice and attention is indicated for anyone with any symptoms to guarantee appropriate monitoring should symptoms progress.

    Is Nutmeg A Tree Nut?

    Despite its name, nutmeg is not a tree nut.

    Nutmeg is a spice derived from the nutmeg tree. Nutmeg is technically a seed. If you own a seed allergy, nutmeg should be avoided. Similarly, if you notice an allergic reaction associated with eating nutmeg, you numerous own an allergy to seeds.

    Are Peanuts Tree Nuts?

    Peanuts are technically legumes and do not drop under the tree nut category. Because peanuts grow underground, they are not considered in the same class as tree nuts.

    Although possible, having an allergy to peanuts does not necessarily mean a higher incidence of an allergy to legumes (peas, beans, lentils, soybeans). However, there is a higher likelihood of allergic reactions to lupins (aka lupines) in individuals who experience peanut allergies. Sometimes a peanut allergy is an indicator for the need to also avoid seeds such as sunflower, flax, poppy, pumpkin, and sesame. Always check with your allergist with any allergy concerns. Peanut and tree nut allergies can coexist or can manifest as separate allergies. It is significant to hold in mind that tree nuts and peanuts are often found together in nut mixes and during food processing.

    Is Coconut A Tree Nut?

    Botanically, coconut is a fruit.

    Most people with tree nut allergies do not experience allergic reactions to coconut. The FDA (US Food and Drug istration) classifies coconut as a nut for labelling purposes. If coconut is not part of your current diet, it is best to check with your allergist prior to eating coconut and coconut products.

    What Is A Tree Nut?

    Tree nuts include: almonds, beechnuts, brazil nuts, butternuts, cashews, chestnuts, chinquapins, filberts (aka hazelnuts), gingkoes, hickory nuts, lichee nuts, macadamia nuts, pecans, pili nuts, pine nuts (aka pignolia, pignoli, pinoli, pinon), pistachios, shea nuts, pecans, and walnuts.

    Although it is possible to be allergic to only one tree nut, most people with nut allergies are allergic to several or more nuts.

    Nut allergies are sometimes based on the protein pattern found. Such pairs include almonds and hazelnuts, walnuts and pecans, cashews and pistachios. Being allergic to one of the nuts in such a pair puts one at risk for being allergic to the other nut. For example, a person allergic to pecans has a high likelihood of being allergic to walnuts. The risk of cross contact is high when multiple tree nuts are used during food production. For that reason, it may be recommended that a person who is allergic to any tree nut(s) avoid every tree nuts.

    Common Foods That May Contain Tree Nuts

    nut butters, nut flour, baklava, pesto, pralines, marzipan, nut liquors, nougat, nut flours, baking mixes, macaroons, mixed nuts, nut pieces, marinades, salad dressings, Nutella, granola bars, trail mixes, cereals, fudge, baked items, ice cream, candy bars, cookies, crackers, sauces, lunchmeat, energy bars, caponata, salad garnishes, breadings, almond extract, walnut extract, wintergreen extract; nut flavorings, cultural foods

    What To Do When Choosing Foods

    Always read food labels.

    Manufacturing practices and ingredients can change at any time and without warning or change in taste or appearance of the food or drink item.

    The best way to avoid triggering an allergic reaction is to avoid the allergen!

    As common food allergens, tree nuts and peanuts are required by the FDA (US Food and Drug istration ) to be listed on food labels. The Food Allergy Labeling and Consumer Protection Act (FALCPA) requires that manufacturers clearly indicate the specific nut(s) a product contains. If a label mentions a specific nut such as “contains almonds,” it is significant to remember that another nut such as walnuts may be used in the same factory for other foods. Mention of the presence of any tree nuts or peanuts used on the same production lines or in the same factory is not required.

    Numerous companies voluntarily indicate possible tree nut and peanut cross contamination as precautionary allergens on their labels. Examples of such voluntary and unregulated labeling include “ may contain peanuts,” “may contain traces of peanuts,” “manufactured in a facility that also processes nuts,” and “manufactured in a facility that also processes peanuts.” Unless produced in a dedicated nut free or peanut free facility, products that do not list possible cross contaminants should be avoided by persons who own tree nut or peanut allergies.

    Sometimes prepackaged foods that include any of the eight major allergens (tree nuts, peanuts, milk, eggs, fish, crustacean shellfish, wheat, soybeans) are incorrectly labelled in the manufacturing process. The FDA recalls such products. There is no such worry for Enjoy Life Foods products as the majority of their products are manufactured in the bakery they opened in Jeffersonville, IN in 2016 – North America’s largest dedicated nut-free, allergy-friendly, and certified gluten-free bakery. Not every products are made in Jeffersonville, but they are always manufactured in a facility with validated allergen cleaning and testing processes.

    Alcoholic beverages are not covered under FALCPA.

    If natural flavors or botanicals are listed as ingredients, you can contact the manufacturer to enquire if those ingredients include nuts or nut flavors.

    The following message that I received from a thoughtful and loving mom whose kid has multiple food allergies summarizes this blog well:

    “As the parent of a kid with multiple food allergies, I am always looking for products with clear, simple ingredient lists. I also really appreciate clear alerts on packages when they own changed their ingredient lists in any way. Nut allergies can be challenging in bakeries because nut extracts are added to so numerous vanilla and chocolate cookies and cakes.

    When making similar items at home, I attempt to extremely explicitly point out why our home version is okay and the bakery versions are NOT. Being capable to own Enjoy Life products in my bag in a pinch when we’re out also helps take the pressure and anxiety out of making an inadvertent error in the bakery.”


    Fran Weiss, MS RDN CDN, is a nationally registered dietitian and athletic member of the Academy of Nutrition and Dietetics as well as a certified dietitian/nutritionist for the State of New York.

    What are the signs of a tree nut allergy

    She received her Master of Science degree in Nutrition and Food Science from Cornell University in 1976. Since then, Fran has dedicated over 40 years to helping people of every ages with their food and medical nutrition therapy needs. Fran thoughtfully uses her years of experience and enthusiasm for nutrition to bridge the gap between supermarket shopping and personal and community health awareness. Her dedication was nationally acknowledged in 2018 when she was selected as one of four National Retail Registered Dietitian finalists.

    Allergic Reactions

    Signs of anaphylaxis include swelling, rapid pulse, wheezing, difficulty breathing, rash, rapid pulse, lightheadedness/dizziness, and loss of consciousness.

    Anaphylaxis is a medical emergency. Epinephrine injection should be given immediately and 911 called for emergency care.

    In addition to potential life-threatening anaphylaxis, less severe allergic reactions to peanuts and tree nuts include itchy skin, itchy eyes, itchy ears, rashes, conjunctivitis, hives, swelling, eczema, runny nose, sneezing, tingling, dryness in the mouth and throat areas, diarrhea, stomach cramps, abdominal pain, and nausea.

    Medical advice and attention is indicated for anyone with any symptoms to guarantee appropriate monitoring should symptoms progress.

    Is Nutmeg A Tree Nut?

    Despite its name, nutmeg is not a tree nut.

    What are the signs of a tree nut allergy

    Nutmeg is a spice derived from the nutmeg tree. Nutmeg is technically a seed. If you own a seed allergy, nutmeg should be avoided. Similarly, if you notice an allergic reaction associated with eating nutmeg, you numerous own an allergy to seeds.

    Are Peanuts Tree Nuts?

    Peanuts are technically legumes and do not drop under the tree nut category. Because peanuts grow underground, they are not considered in the same class as tree nuts. Although possible, having an allergy to peanuts does not necessarily mean a higher incidence of an allergy to legumes (peas, beans, lentils, soybeans).

    However, there is a higher likelihood of allergic reactions to lupins (aka lupines) in individuals who experience peanut allergies. Sometimes a peanut allergy is an indicator for the need to also avoid seeds such as sunflower, flax, poppy, pumpkin, and sesame. Always check with your allergist with any allergy concerns. Peanut and tree nut allergies can coexist or can manifest as separate allergies. It is significant to hold in mind that tree nuts and peanuts are often found together in nut mixes and during food processing.

    Is Coconut A Tree Nut?

    Botanically, coconut is a fruit. Most people with tree nut allergies do not experience allergic reactions to coconut.

    The FDA (US Food and Drug istration) classifies coconut as a nut for labelling purposes. If coconut is not part of your current diet, it is best to check with your allergist prior to eating coconut and coconut products.

    What Is A Tree Nut?

    Tree nuts include: almonds, beechnuts, brazil nuts, butternuts, cashews, chestnuts, chinquapins, filberts (aka hazelnuts), gingkoes, hickory nuts, lichee nuts, macadamia nuts, pecans, pili nuts, pine nuts (aka pignolia, pignoli, pinoli, pinon), pistachios, shea nuts, pecans, and walnuts.

    Although it is possible to be allergic to only one tree nut, most people with nut allergies are allergic to several or more nuts.

    Nut allergies are sometimes based on the protein pattern found. Such pairs include almonds and hazelnuts, walnuts and pecans, cashews and pistachios. Being allergic to one of the nuts in such a pair puts one at risk for being allergic to the other nut. For example, a person allergic to pecans has a high likelihood of being allergic to walnuts. The risk of cross contact is high when multiple tree nuts are used during food production. For that reason, it may be recommended that a person who is allergic to any tree nut(s) avoid every tree nuts.

    Common Foods That May Contain Tree Nuts

    nut butters, nut flour, baklava, pesto, pralines, marzipan, nut liquors, nougat, nut flours, baking mixes, macaroons, mixed nuts, nut pieces, marinades, salad dressings, Nutella, granola bars, trail mixes, cereals, fudge, baked items, ice cream, candy bars, cookies, crackers, sauces, lunchmeat, energy bars, caponata, salad garnishes, breadings, almond extract, walnut extract, wintergreen extract; nut flavorings, cultural foods

    What To Do When Choosing Foods

    Always read food labels.

    Manufacturing practices and ingredients can change at any time and without warning or change in taste or appearance of the food or drink item.

    The best way to avoid triggering an allergic reaction is to avoid the allergen!

    As common food allergens, tree nuts and peanuts are required by the FDA (US Food and Drug istration ) to be listed on food labels. The Food Allergy Labeling and Consumer Protection Act (FALCPA) requires that manufacturers clearly indicate the specific nut(s) a product contains. If a label mentions a specific nut such as “contains almonds,” it is significant to remember that another nut such as walnuts may be used in the same factory for other foods.

    Mention of the presence of any tree nuts or peanuts used on the same production lines or in the same factory is not required. Numerous companies voluntarily indicate possible tree nut and peanut cross contamination as precautionary allergens on their labels. Examples of such voluntary and unregulated labeling include “ may contain peanuts,” “may contain traces of peanuts,” “manufactured in a facility that also processes nuts,” and “manufactured in a facility that also processes peanuts.” Unless produced in a dedicated nut free or peanut free facility, products that do not list possible cross contaminants should be avoided by persons who own tree nut or peanut allergies.

    Sometimes prepackaged foods that include any of the eight major allergens (tree nuts, peanuts, milk, eggs, fish, crustacean shellfish, wheat, soybeans) are incorrectly labelled in the manufacturing process. The FDA recalls such products. There is no such worry for Enjoy Life Foods products as the majority of their products are manufactured in the bakery they opened in Jeffersonville, IN in 2016 – North America’s largest dedicated nut-free, allergy-friendly, and certified gluten-free bakery. Not every products are made in Jeffersonville, but they are always manufactured in a facility with validated allergen cleaning and testing processes.

    Alcoholic beverages are not covered under FALCPA.

    If natural flavors or botanicals are listed as ingredients, you can contact the manufacturer to enquire if those ingredients include nuts or nut flavors.

    The following message that I received from a thoughtful and loving mom whose kid has multiple food allergies summarizes this blog well:

    “As the parent of a kid with multiple food allergies, I am always looking for products with clear, simple ingredient lists. I also really appreciate clear alerts on packages when they own changed their ingredient lists in any way. Nut allergies can be challenging in bakeries because nut extracts are added to so numerous vanilla and chocolate cookies and cakes.

    When making similar items at home, I attempt to extremely explicitly point out why our home version is okay and the bakery versions are NOT. Being capable to own Enjoy Life products in my bag in a pinch when we’re out also helps take the pressure and anxiety out of making an inadvertent error in the bakery.”


    Fran Weiss, MS RDN CDN, is a nationally registered dietitian and athletic member of the Academy of Nutrition and Dietetics as well as a certified dietitian/nutritionist for the State of New York. She received her Master of Science degree in Nutrition and Food Science from Cornell University in 1976.

    Since then, Fran has dedicated over 40 years to helping people of every ages with their food and medical nutrition therapy needs.

    What are the signs of a tree nut allergy

    Fran thoughtfully uses her years of experience and enthusiasm for nutrition to bridge the gap between supermarket shopping and personal and community health awareness. Her dedication was nationally acknowledged in 2018 when she was selected as one of four National Retail Registered Dietitian finalists.


    Signs Of Anaphylaxis

    Anaphylaxis is the term used to describe a life-threatening allergic reaction. Recognize the signs of anaphylaxis – and know when to call for immediate medical help.

    A severe allergic reaction generally starts within 30 minutes after exposure to an allergen but can sometimes take more than an hour.

    Anaphylaxis symptoms include:

    1. Coughing or throat discomfort
    2. Lip or tongue swelling
    3. Trouble swallowing or breathing
    4. Nausea or vomiting
    5. Hives, rash or itching
    6. Dizziness or lightheadedness
    7. Stomach cramping or diarrhea
    8. Feeling love something terrible is about to occur


    Allergic Reactions To Food

    An allergic reaction to food is caused by the immune system overreacting and responding to a harmless substance as if it were a major threat.

    This immune system response starts a cascade of symptoms that can block airways, cause blood pressure to plummet and may even lead to death.

    There’s no cure for food allergies. The best approach is prevention and knowing the signs of a severe allergic reaction.


    Avoid Provoking Nut Allergies

    Because food allergies in children are increasing, be especially thoughtful about what you pack for your child’s lunch and the treats you serve at children’s events.

    Check allergy warnings on packaged goods. There are lots of allergy-friendly recipes for potlucks that you can discover, too, when you need to bring a sharable dish to an event.


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