{"id":841,"date":"2019-05-07T11:24:26","date_gmt":"2019-05-07T11:24:26","guid":{"rendered":"https:\/\/norihealth.com\/?p=841"},"modified":"2019-05-07T11:24:26","modified_gmt":"2019-05-07T11:24:26","slug":"food-allergies-intolerances-relation-ibd-ibs","status":"publish","type":"post","link":"https:\/\/norihealth.com\/food-allergies-intolerances-relation-ibd-ibs\/","title":{"rendered":"Food allergies and intolerances (and the relationship to IBD &#038; IBS)"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Traveling in Thailand, Spain, and even Italy (home of the glorious gluten foods), I was shocked to see \u201cgluten-free\u201d menu items <\/span><i><span style=\"font-weight: 400;\">everywhere<\/span><\/i><span style=\"font-weight: 400;\">. Airlines have stopped serving peanut packets and ask that you to keep nuts stowed away. Schools have implemented peanut-free zones, fading out the classic PB&amp;J. Over the last 30 years, food allergies have rapidly increased. But before eliminating an entire food group in your diet, it\u2019s important to ask, what\u2019s the difference between an allergy and an intolerance? <\/span><!--more--><\/p>\n<h2><span style=\"font-weight: 400;\">What is a food allergy?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Your immune system has it\u2019s very own personal military defense system. It\u2019s a group of cells (white blood cells) that helps protect your body from infectious or harmful foreigners. If you have a true allergic reaction to food, your immune system responds by \u201ctagging\u201d the food in order to make it \u201cvisible\u201d. Then anytime we eat it, your bodies sound the alarms, bringing attention to the troops to fight this foreign invader. <\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Allergies versus intolerances &#8211; what\u2019s the difference?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Don\u2019t be fooled by clever marketing ploys or expensive allergy tests. There\u2019s a difference between an allergy, intolerance, and sensitivity. <\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Allergy<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">A true food allergy only affects about 1-5% of the U.S. population and involves the immune system (as described above). Symptoms manifest quickly after exposure and can lead to a severe and life-threatening reaction called <\/span><a href=\"https:\/\/www.webmd.com\/allergies\/anaphylaxis\"><span style=\"font-weight: 400;\">anaphylactic shock<\/span><\/a><span style=\"font-weight: 400;\">. Symptoms happen almost instantly after eating the food. <\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Standard symptoms: difficulty breathing, hives, swollen lips, tongue, or closing throat <\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Common culprits: eggs, peanut, tree nuts, milk, fish, shellfish, soy, wheat<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you experience any of these symptoms after eating, please contact an emergency medical provider immediately. <\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Intolerance <\/span><\/h3>\n<p><span style=\"font-weight: 400;\">A food intolerance, means your body lacks or has limited amounts of an enzyme needed to break down certain carbohydrates in food (think milk sugar &#8211; lactose intolerance). You may be able to have small amounts of the food, but the more you have, the worse the symptoms get. Intolerances impact up to about 25% of Americans and reactions can change and fluctuate over your lifetime. Symptoms occur about one to four hours after eating. <\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Standard symptoms: gas, bloating, diarrhea, mucus, nausea, stomach pains <\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Common culprits: gluten (wheat), lactose (milk), fructose (fruit), soy <\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Sensitivities<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Sensitivities to food are seen in about 10-20% of the population. These tend to have a delayed reaction, a few hours to a few days after exposure. As you can imagine, this makes it very difficult to track down the culprit. Almost any food can cause a sensitivity and they can be related to <\/span><a href=\"https:\/\/norihealth.com\/leaky-gut-syndrome\/\"><span style=\"font-weight: 400;\">leaky gut syndrome<\/span><\/a><span style=\"font-weight: 400;\">. <\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Standard symptoms: sinus pressure, skin irritation (rashes, itchiness, dry patches), gastrointestinal discomfort (gas, bloating, diarrhea, pain)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Common culprits: beef, egg, citrus, dairy, pork, wheat \u00a0<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Relationship to IBD<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The standard gut digests the majority of the food it\u2019s given. However, barriers come into play with food allergies, food intolerances, IBD, and stomach flu. The gut lining becomes irritated and damaged, leading to less nutrient absorption. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">It gets tricky. Certain foods can cause <\/span><a href=\"https:\/\/norihealth.com\/crohns-disease-treatment-diet-according-rd\/\"><span style=\"font-weight: 400;\">flare-ups<\/span><\/a><span style=\"font-weight: 400;\">, making symptoms worse, but diet and nutrition are one of the most important aspects of IBD management. According to the <\/span><a href=\"https:\/\/www.crohnscolitisfoundation.org\/resources\/diet-nutrition-ibd-2013.pdf\"><span style=\"font-weight: 400;\">Crohn\u2019s &amp; Colitis Foundation of America<\/span><\/a><span style=\"font-weight: 400;\">, there\u2019s no evidence to suggest that any particular food or diet causes, prevents, or cures IBD. Each of you are different and and deserve specific attention when it comes to what to eat. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">To help narrow it down, the <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/27997434\"><span style=\"font-weight: 400;\">Crohn\u2019s &amp; colitis foundation partners research program<\/span><\/a><span style=\"font-weight: 400;\">, completed a survey of 4,001 patients with Crohn\u2019s and 2,156 with ulcerative colitis. The survey displayed that these foods helped improve symptoms the most:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">yogurt, white rice, bananas <\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">While these made matters worse:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">non-and leafy vegetables, spicy foods, fruits, nuts, fried foods, red meat, soda, popcorn, dairy, alcohol, high-fiber foods, corn, fatty foods, seeds, coffee, beans <\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">Steps to identifying your allergies<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Break it down into simple steps. First talk to your physician about the possibility of a true food allergy. Once you rule this out, start by keeping track of what you\u2019re eating and how you\u2019re feeling. Notice any links. For instance, when you have bread in the evening and a headache or bloating in the morning. \u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Journal <\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Use <\/span><a href=\"https:\/\/norihealth.com\/\"><span style=\"font-weight: 400;\">Nori<\/span><\/a><span style=\"font-weight: 400;\"> or a simple journal to help you discover and eliminate common allergens. Once you have an idea which ones are causing you gruff, eliminate them for at least two weeks then slowly reintroduce one back at a time and see how you feel. Otherwise known as an<\/span><a href=\"https:\/\/www.webmd.com\/allergies\/allergies-elimination-diet\"><span style=\"font-weight: 400;\"> elimination diet <\/span><\/a><span style=\"font-weight: 400;\">that can be done with your physician or dietitian. <\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Tweak your meal<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Once you identify foods that don\u2019t serve you well, get creative about substituting them. There are hundreds of recipe options out there with many websites that allow you to search by allergen-free dishes. When you go out to eat, don\u2019t be afraid to ask the server to modify your order. Let them know about your allergy or order things on the side, minimize sauces or seasonings, and go simple. <\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Gut health <\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Once you identify your food culprits, avoid them as best you can. It can be helpful to vary your diet for a variety of nutrients. Aim to support your gut in doing it\u2019s best work to heal by limiting caffeine, alcohol, spicy foods, and aspirin or <\/span><a href=\"https:\/\/www.medicinenet.com\/nonsteroidal_antiinflammatory_drugs\/article.htm\"><span style=\"font-weight: 400;\">NSAIDs<\/span><\/a><span style=\"font-weight: 400;\">. Practice stress management techniques such as yoga or meditation and get a good night\u2019s sleep as much as possible. \u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Normalized eating <\/span><\/h2>\n<p><span style=\"font-weight: 400;\">We know it can be very frustrating trying to uncover a food allergy, then learn how to live with it. We want you to feel your best, while enjoying social activities and the pleasure of eating. Food reactions can be quite confusing so let <\/span><a href=\"https:\/\/norihealth.com\/\"><span style=\"font-weight: 400;\">Nori Health<\/span><\/a><span style=\"font-weight: 400;\"> help you play detective and discover the offenders. As always always reach out to your physician, dietitian, or allergist for guidance and education along the way. <\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Traveling in Thailand, Spain, and even Italy (home of the glorious gluten foods), I was shocked to see \u201cgluten-free\u201d menu items everywhere. Airlines have stopped serving peanut packets and ask that you to keep nuts stowed away. Schools have implemented peanut-free zones, fading out the classic PB&amp;J. Over the last 30 years, food allergies have&hellip;<\/p>\n","protected":false},"author":1,"featured_media":843,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[4],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v15.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>From our RD: Food allergies and intolerances (&amp; relationship to IBD \/ IBS)<\/title>\n<meta name=\"description\" content=\"Before eliminating an entire food group in your diet, it\u2019s important to ask, what\u2019s the difference between an allergy and an intolerance? 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