Infant formulas?
No and yes. Children with milk allergies can not tolerate general infant formulas because they contain milk protein. In contrast, the good withstand high-hydrolyzed infant formulas as Nutramigen ® and Profylac ®. pate products are treated in such a way that almost all children with milk allergy can tolerate them. The high-hydrolyzed infant formulas are bought at the pharmacy.
The very few children who can not tolerate these products must have an amino acid-based formula such as Neocate ®.

Children under 1-2 years should not receive infant formula made from soy, because there is a risk that children will develop allergies to soy.

Non homogenized milk?
No. Your child will also respond allergic to proteins in non homogenized milk because proteins do not change by homogenization. Homogenization breaks the fat in milk into smaller pieces, so it does not lump together in the milk.

Unpasteurized milk? (raw milk / dairy farm gate)
No. Your child will also respond allergic to proteins in unpasteurized milk. In pasteurization milk is warmed up in a short time. It kills any harmful bacteria in the milk and affects only a small fraction of the proteins.

Organic milk?
No. The proteins are similar in organic milk and plain milk. Your child will also respond allergic to proteins in organic milk.

Milk from other animals?
No. The proteins in cow, sheep and goat milk, etc. are similar. When your child is allergic to cow’s milk, it will also respond allergic to proteins in the milk of example, goat, sheep and horses.

Soy Drink?
No and yes. Soy Drink does not contain as many nutrients as infant formula. Soya Drink can not replace infant formula for children under 2 years. Soy Drink may be included in cooking from the age of 1.

Always read the declaration, so you are sure that there is soybean milk in the drink.

Rice milk, oats and coconut milk drink?
Rice milk and oat drink and coconut milk does not contain many nutrients, compared with the infant formula and can not be used in stead of infant formula. Coconut milk contains much of it unhealthy saturated fat. Therefore, these products are not to be used as a substitute for the milk, the child should have to drink, or as a substitute for milk in the child’s porridge or moss. They can be used to a lesser extent in cooking, for example, in conjunction cooked dishes or sauce.

Always read the declaration, so you are sure that there is no milk in rice and oats drink or in coconut milk.

Porridge Powder?
No and yes. Many gruel and porridge powders contain milk and milk proteins. But there are also some without milk and milk proteins, which can add high-hydrolyzed formula or breast milk. Read the declaration.

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Chocolate allergy symptoms may include

• anxiety,
• confusion,
• headaches,
• hives,
• irritability,
• nausea,
• eczema,
• itching,
• watery eyes,
• runny nose,
• sneezing,
• wheezing,
• coughing,
• heartburn,
• difficulty breathing due to inflammation of the airway, and
• anaphylaxis or shock.

A diagnosis can be done through a skin test or a blood test that reveals antibodies in the blood stream. Treatments that can help with the symptoms include antihistamines, bronchodilators, corticosteroids, and epinephrine. The treatment largely depends upon the severity of the symptoms or reaction to the allergen. Of course, avoidance will help to prevent the reaction and discomfort.

Antihistamines can help to relieve the itching, digestive distress, watery eyes, sneezing, and the irritability. They can be obtained through a prescription or can be purchased over-the-counter at a drug store. The prescription antihistamines are less likely to cause drowsiness. People who experience asthma symptoms with chocolate allergies will probably need to use bronchodilators and corticosteroids to help with shortness of breath, wheezing, coughing, and inflammation. Epinephrine can be kept at home in an auto-injector so that it can be administered as soon as a person has a reaction. This can be used for any type of allergy and should be used as soon as possible to prevent anaphylaxis or shock.

Allergies seem to run in families and children who have both parents with symptoms seem to be at increased risk of developing them. Some sources believe that one of the main underlying reasons that lead to the development of symptoms have to do with a depressed or weak immune system. Other possible links may include chemicals and preservatives found in most processed foods. The most common foods that cause problems in susceptible individuals are wheat, dairy, shellfish, eggs, and peanuts. Chocolate allergy symptoms are similar to the reaction caused by other food sensitivities. Some of the worse reactions have been linked to peanuts and shellfish. Other possible food allergens may be found in products that contain proteins and yeast or molds. Some of these are soybeans, pickles, avocado, tomato, coffee, beans, cheese, wine, and beer.

People who have food sensitivities should make it a practice to read all product labels. Another good idea is to keep a food diary and record any time there is a reaction. This can help to narrow down the foods that a person is allergic or sensitive to so that he or she can avoid them in the future. For someone who is extremely sensitive doctors often recommend eliminated any foods that are possible culprits and then adding them back into the diet very slowly to find out which ones are offending foods. Someone with chocolate allergies will want to watch out for anything that has any of the ingredients found in chocolate such as cocoa and milk. “And Jesus said unto them, I am the bread of life: he that cometh to Me shall never hunger; and he that believeth on Me shall never thirst”(John 6:35).

To diagnose a suspected allergen there are a few different things that can help to do this. Skin tests can be done with the suspected substance to see if there is a reaction to the skin. A reaction that indicates positive would be the showing of redness, inflammation, and irritation. A doctor may choose to use blood tests to measure the amount of the antibodies in the blood stream to the suspected substance. Someone with chocolate allergy symptoms who is also suffering with asthma may need a pulmonary function test. This test measures the amount of airflow through a device called a spirometer. After airflow is measured then the patient is given a bronchodilator and airflow is measured again. With the bronchodilator the patient should have improved airflow; if this happens then the test will show positive for asthma. Doctors also use a skin patch test; the patch is soaked with the allergen and then taped to the person’s skin for up to two days. If a rash develops then the test will be positive.

Food allergies in individuals involve a response by a person’s immune system that is usually caused by a protein. When the body perceives a foreign invader then it produces antibodies to defend against that invader. These antibodies attach to the cells and contain chemicals called histamines and leukotrienes. So if the body sees cocoa or some other additive in chocolate as an invader then the chemicals are released and the person starts experiencing chocolate allergy symptoms. This reaction should not be taken lightly because it can lead to shock. Some of the beginning signs that this could be happening are itching in the roof of the mouth, swelling of the eyes, hives, shortness of breath, increased heart rate, and swelling of the throat.

There are additives in chocolate that may be the reason for the sensitivity. Much of what is purchased in stores contains milk, nuts, wheat or gluten, soy, and corn. These may be listed on the ingredient list as casein, whey, gluten, soy lecithin, and corn syrup. So individuals who think they have chocolate allergies may really have sensitivities to one or more of the ingredients. A person who has sensitivities to ingredients may not have any symptoms unless a large amount is consumed. For a proper diagnosis and the latest treatment a person should see a physician for an examination and inform the doctor about any symptoms that he or she is experiencing.

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What is food allergy?

Food allergy is an allergic reaction, that is a hypersensitivity reaction to something in the food, which we can not tolerate.
Food allergy is not the same as food intolerance, which is something quite different. In both cases you get symptoms when you eat a certain food in a normal or small quantity, so it can be easily confused.

Food allergies are actually very rare. Many refrain from eating things that they mistakenly believe they are hypersensitive to without being properly examined.
If you believe that you or your children suffer from food allergy, it is therefore very important to have the right diagnosis made, including a systematic review of diet and the symptoms. This is done best at one’s own doctor or a specialist in allergic diseases.

Why do you get food allergies?

In order to develop food allergies your immune systems must overreact to foreign proteins in the surroundings. The response must be carried out with specific IgE antibody. It is called a Type 1 allergy. Antibodies are the body’s antidote to foreign substances.

When exposed to proteins in foods, your body may develop specific IgE in such large quantities that it triggers an allergic reaction the next time you eat that particular type of food.

As a general rule you can not have an allergic reaction the first time you eat a new type of food. But this is only a qualified truth. Sometimes an allergic reaction is not due to a genuine food allergy, but to the fact that you already are allergic, for example to birch pollen. This phenomenon is called cross allergy.

Examples of food allergens

In principle, you can react allergic to all foods, but the most common allergens are:

• Seafood
• Milk
• Fish
• Soybeans
• Wheat
• Egg
• Nuts
• Fresh fruit
• Vegetables
• Peanuts

Cross reaction allergens

• Birch cross reacts with hazelnut and other nuts, apple, pear, cherry, walnut, almond, plum, kiwi, potato peel, tomato and carrot.
• Grass cross reacts with beans, lentils and green peas and peanuts.

How does food allergy feel?

The allergic reactions are very diverse and can start immediately after eating the food or may start several hours later. Typical symptoms are:

• Swollen lips, face and / or throat
• Tingling in the oral cavity and on the lips
• Vomiting, stomach cramps, diarrhea
• Headache
• Fatigue, irritability
• Hay fever
• Asthma
• Skin eruption, deterioration of child eczema, (atopic dermatitis), or hives
• Very rarely anaphylactic shock, which is a circulatory collapse that requires emergency treatment with epinephrine.

The symptoms may one time be mild, the next time be life-threatening because of Asphyxia or anaphylactic shock.
It is therefore important not to expose yourself for provocations, only because you “will not be a burden”.
If you feel starting shortness of breath, you must immediately under medical treatment. Call 911 if necessary.

What you can do to prevent food allergies?

• Pay attention to the things you are allergic to, and on whether any cross-reactions arise.
• Get advice of a specialist in allergic diseases (an allergist).
• Please note the symptoms and contact your doctor at the slightest doubt.

How does the doctor diagnosed food allergies?

The examination largely depends on how annoying the symptoms are.
Often it is possible to find another causes of the symptoms, such as the inability to digest certain foods (among other coeliac disease and laktose intolerance), non-immunological reactions (eg. histamine in shellfish) and minor food-poisoning. This is seen in about two percent of the population. It may also be a irritated colon or a chronic inflammation of the intestinal tract (ulcerosa colitis and Crohn’s disease) which can give similar symptoms.

If the symptoms are pronounced, and the suspected food allergy is justified, a proper clarification of what caused the disease will usually take place in a specialist in allergic diseases.

Allergy tests with, for example skin prick test or RAST (blood test) can be good to rule out allergies, but unfortunately, they often show reactions, which has no practical significance.

It is important that the allergy tests are made and examined by experts.

The allergist will often take you through the following program:

• Two weeks on a normal balanced diet, with a carefully diary on the diet and the possible reactions.
• If you during those two weeks observe relevant reactions, you should probably go ahead with a two-week period without the suspected food, where you keep a diary as before.
• If the symptoms improve significantly, is the next step a food provocation. To begin with an “open” provocation in which both you and the examiner knows what you are eating. If symptoms appear, you will then be exposed to a number of double-blind placebo-controlled food provocation (DBPCFC), where neither the examiner or you knows what kind of food you are eating

In order to be diagnosed with food allergies, you should in most cases, go through the program outlined above.

Possible deterioration

• Mucous membranes in the mouth and throat may swell so that breathing is troubled.
• Asthma attacks and / or anaphylactic shock may be triggered.
• It is getting increasingly difficult to get a proper nutritionally balanced diet.

Prospects for the future

Food allergy is a rare disease that primarily affects young children. Around three percent of young children are affected. Most grow from their allergy before the age of three years. Only about one percent of the adult population suffer from food allergies. Most of these can live a normal life with some limitations in their diet.

How are food allergies treated?

If, after a thorough investigation a food allergy diagnosis has been made, the main treatment is of course to stop eating the foods in question. The desease can not be cured medically, but it may possible to alleviate the symptoms by different measures. Typically antihistamines are used to alleviate the itching. But it is doubtful whether the anti-histaminerne have a preventive effect.

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