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Posing the urgent questions that anyone with food allergies will think to askand then someFood Allergies provides practical, sensitive, and scientific guidance on the topics that affect your life. Allergy expert Scott H. Sicherer addresses the full spectrum of food allergies, from mild to life threatening and from single foods to food families, clearing up misconceptions along the way. He explores how exposure to foods can bring about an allergic response, describes the symptoms of food allergy, and illuminates how food allergies develop.
Organized in an accessible Q&A format and illustrated with case studies, the book thoroughly explains how to prevent exposure to a known allergen at home, at school, in restaurants, and elsewhere. Dr. Sicherer also gives valuable advice about what to do if exposure occurs, including how to handle an anaphylactic emergency. Finally, he describes tests for diagnosing food allergies and chronic health problems caused by food allergies, such as eczema, hives, and respiratory and gastrointestinal symptoms.
In this thoroughly updated new edition, Dr. Sicherer
• describes new approaches to prevent food allergies
• presents cutting-edge theories on risk factors for developing food allergies
• describes innovative allergy tests to improve diagnosis
• explains how to administer emergency medications for severe reactions
• focuses on new allergens of concern, such as pink peppercorns
• analyzes studies suggesting that resolution of an allergy might be predictable
• talks about the role of "healthy diet"
• lists additional resources, including allergy-related apps
• provides revised school food allergy guidelines
• offers insights into food allergy bullyingand advice to reduce it
Dr. Sicherer also reviews food reactions that are not allergic (such as lactose intolerance and celiac disease), advises how to get adequate nutrition when you must avoid dietary staples, and discusses whether allergies ever go away (they doand sometimes they return).
About the Author
Scott H. Sicherer, MD, is a professor of pediatrics and chief of the Division of Pediatric Allergy and Immunology at Icahn School of Medicine at Mount Sinai and a researcher in the Jaffe Food Allergy Institute. He is the author of Understanding and Managing Your Child’s Food Allergies.
Table of Contents
Foreword Maria Laura Acebal xi
Introduction Hugh A. Sampson, M.D. xv
Chapter 1 What Are the Basic Facts about Food Allergy? 1
Allergy and Other Adverse Reactions to Foods 1
Symptoms and Illnesses 3
When Symptoms Are Not a Food Allergy 9
Masqueraders of Food Allergy 10
Prevalence of Food Allergies 14
Causes and Triggers of Food Allergies 15
Cow's Milk 20
Wheat and Other Grains 24
Tree Nuts 25
Vegetables and Starches 33
Alcoholic Beverages 41
Miscellaneous Food Allergens and Colors, Additives, and Preservatives 42
When to Seek Help 46
Delving Deeper: Latex and Food Allergies 47
Also of Interest: Unusual Food Reactions 47
Chapter 2 What Do I Need to Tell the Doctor to Help Get a Food Allergy Diagnosis? 49
When to Talk to Your Doctor 49
How to Prepare for a Doctor Visit 50
Finding the Right Doctor and Other Health Professionals 54
Delving Deeper: Alternative Therapies 56
Also of Interest: Tests to Avoid 58
Chapter 3 These Food Allergy Tests Are Confusing! What Do They Mean? 59
General Questions about Testing 59
Skin Tests 60
Blood Tests (and How They Compare with Skin Tests) 67
Elimination Diets 74
Oral Food Challenges (Feeding Tests) 77
Additional Tests 84
Unproven and Disproven Tests 86
Delving Deeper: Improved Diagnostic Tests and Component Testing 88
Also of Interest: Reasons for Unexpected Test Results 90
Chapter 4 What Is Anaphylaxis and How Do I Treat It? 91
General Questions on Anaphylaxis 91
Additional Medications and Treatments for Anaphylaxis 111
Written Emergency Plans, Education, Medical Identification Jewelry, Management Issues 113
Delving Deeper: Predicting Anaphylaxis and Taking a Treatment Quiz 115
Also of Interest: Exercise and Anaphylaxis 118
Answers to Delving Deeper: Anaphylaxis Treatment Quiz 118
Chapter 5 What Chronic Health Problems Are Caused by Food Allergy? 120
General Questions about Chronic Illnesses and Foods 120
Respiratory Symptoms 121
Atopic Dermatitis (Eczema) 124
Gastrointestinal, Digestive Illnesses 127
Colic, Constipation, Irritable Bowel Syndrome, and Reflux 128
Celiac Disease (Gluten-Sensitive Enteropathy) 132
Proctocolitis (Food Protein-Induced Proctocolitis) 133
Food Protein-Induced Enterocolitis Syndrome 135
Food Protein Enteropathy and Protein Intolerance 141
Eosinophilic Esophagitis and Other Eosinophilic Gut Diseases 141
Delving Deeper: Delayed Allergic Reactions 147
Also of Interest: Chronic Illnesses That Are Not Related to Food Allergies 147
Chapter 6 How Do I Avoid Allergic Reactions to Foods? 149
General Questions about Avoiding Allergic Reactions 149
Amounts That Trigger a Reaction and Casual Exposure 152
Avoidance at Home 157
Purchasing Manufactured Products 159
Social Outings and Family Gatherings 168
Dating and Relationships 188
Age-Related Responsibilities 189
Special Exposure Risks 192
Delving Deeper: Risks and Risk Reduction Controversies 195
Also of Interest: The Peanut-Sniffing Dog 195
Chapter 7 How Do I Manage a Food Allergy While Living a Normal and Healthy Lifestyle, with Adequate Nutrition? 197
General Questions on Lifestyle and Quality of Life 197
Emotional Concerns and Anxiety 199
Interpersonal Relationships and Bullying 204
Delving Deeper: An Allergic Reaction's Effect on Quality of Life 213
Also of Interest: Anxiety Reactions 213
Chapter 8 Will These Food Allergies Ever Go Away? 214
General Questions about Food Allergy Resolution 214
The Course of Allergies to Specific Foods 215
The Course of Illnesses Caused by Food Allergies 217
Evaluations for Resolution of Food Allergy 218
Recurrence of a Food Allergy and Development of New Food Allergies 219
Factors Affecting the Course of Food Allergies 220
Delving Deeper: Resolution of Food Allergies 221
Also of Interest: The Air-Food Connection 222
Chapter 9 Is There Any Way to Prevent Food Allergies? 223
General Questions on Prevention 223
Pregnancy Diets 228
Breast Feeding and Formulas 229
Introducing Solid Foods 232
Current Recommendations 233
Nondietary Aspects of Prevention 235
Delving Deeper: Difficulties in Studying Allergy Prevention 237
Also of Interest: Insights on Prevention from Worldwide Observations 238
Chapter 10 Will There Be a Cure or Better Treatment of Food Allergy? 239
General Questions about Food Allergy Research 239
Approaches to Treat Any Type of Food Allergy 243
Approaches to Treat Allergies to Specific Foods 246
Treatments of Specific Food-Allergic Diseases 251
Unproven Treatments 251
Participating in Food Allergy Research 254
Delving Deeper: Chinese Herbal Therapies 258
Also of Interest: Why Has Research Been So Slow? 259
Chapter 11 How Do I Get More Help and Information to Manage Food Allergies? 260
Educational Resources 260
Support Groups, Advocacy, and Research 266
Handy Forms 267
Selected Medical References 270
What People are Saying About This
"Dr. Sicherer answers all the questions parents and others have about food allergies. From practical considerations, to emotional issues, to the latest in the search for a cureit’s all here. The easy-to-read Question and Answer format will make this a reference book you reach for time and again. I wholeheartedly recommend it!"
"A must-read for teens and adults with food allergies, and for anyone living with or caring for someone with food allergies. Here they will find answers to many of their questions as well as interesting case histories and essential principles of diagnosis and treatment, including a realistic overview of future approaches."
"Destined to be earmarked and underlined, these pages are an incredible resource for food-allergic individuals as well as for parents, families, and schoolsin short, anyone who cares about someone with food allergies. And, because I love someone with food allergies, I will recommend it for years to come."
"Dr. Sicherer draws on his years of experience as a master clinician, researcher, author, and thought leader in this field to provide practical advice and countless insights that are sure to provide the reader with the knowledge needed to understand and manage food allergies. The Question and Answer format makes this comprehensive book highly accessible to people with food allergies and parents of children with food allergies, while the extensive insights and depth of detail make it an important resource for health care providers as well. Dr. Sicherer describes in detail how to integrate food allergies into a family lifestyle. A family’s ability to anticipate a food reaction and then treat the symptoms if they happenand not expect a reaction to happen all the timehelps a family cope thoughtfully with food allergies in a child."
"The information in this book is so comprehensive and timely that it should be required reading not only for adults with food allergies and parents of children with food allergies, but also for physicians, teachers, school nurses, camp personnel, spouses, and everyone who plays a role in caring for those with food allergies. It will help them to understand and more effectively and safely manage food allergies, which is why I certainly plan to keep a copy of this book in my clinic and recommend it."
"Food Allergies is required reading for patients, parents, and physicians who want to help patients who have food allergiesyoung or old. Parents should keep a copy of this book next to Understanding and Managing Your Child's Food Allergies (also by Dr. Sicherer) so they can better understand food allergies, obtain better medical care, and ultimately enjoy a better quality of life. As a parent of children with life-threatening food allergies, these are my essential reference books."
"In this definitive guide to food allergies, Scott Sicherer offers his readers a complete food allergy education. He demystifies everything from science to symptoms to label reading, and offers encouragement for living life to its fullestin spite of food allergies. Destined to be the go-to resource for patients and parents striving to live well with food allergies."
"An indispensable book for anyone who has food allergies or any parent of a child with food allergies. As an allergist treating food-allergic patients every day, I keep this book within easy reach, on my bookshelf. It’s a unique source of knowledge for those of us who treat such patients."