When to See an Allergist for Food Allergies?

Mother upset that her child has food allergies

Food Allergies can increase stress, anxiety and induce depressive symptoms.

When should you see an Allergist for Food Allergies? Find out below as we take a deep dive into several factors.

Recognizing Food Allergies and Their Impact

Food allergies can significantly impact one's quality of life. Recognizing the signs and symptoms of food allergies is crucial for timely intervention. Dr. Atul Shah, a renowned allergist at NY Food Allergy & Wellness, specializes in advanced diagnostics and personalized treatments for food allergies. With over 20 years of experience and 15,000 success stories, Dr. Shah is a trusted expert in desensitizing food allergies.

Understanding Food Allergies

Food allergies occur when the immune system mistakenly identifies certain proteins in food as harmful. This can trigger a range of symptoms, from mild to severe. Common food allergens include milk, eggs, peanuts, tree nuts, soy, wheat, fish, sesame, sunflower seeds and shellfish.

Common Allergens

  • Milk

  • Eggs

  • Peanuts

  • Tree nuts (e.g., almonds, walnuts, pecans)

  • Soy

  • Wheat

  • Sesame, Sunflower Seeds

  • Fish (e.g., bass, flounder, cod)

  • Shellfish (e.g., crab, lobster, shrimp)

Mild Symptoms of Food Allergies

Mild symptoms of food allergies can be bothersome but are not typically life-threatening. These include:

  • Itchy throat

  • Swelling of lips, face, eyes

  • Hives or welts

  • Tingling mouth

  • Abdominal pain, vomiting and/or diarrhea

Severe Symptoms of Food Allergies

Severe symptoms of food allergies require immediate medical attention as they can lead to life-threatening conditions such as anaphylaxis. These symptoms include:

  • Shortness of breath

  • Repetitive coughing

  • Weak pulse

  • Hives

  • Tightness in the throat

  • Trouble breathing or swallowing

  • Swelling of the lips, face, tongue, and throat

  • Wheezing, nasal congestion

  • Belly pain, diarrhea, nausea, or vomiting

  • Dizziness, lightheadedness, or fainting

If you experience severe symptoms such as shortness of breath, repetitive coughing, weak pulse, hives, tightness in your throat, trouble breathing or swallowing, or a combination of symptoms from different body areas, such as hives, rashes, or swelling on the skin coupled with vomiting, use epinephrine immediately and seek emergency medical attention (source).

When to See an Allergist

You need to see an expert to help you make a proper diagnosis and to design an efficient treatment plan to improve your quality of life. It is essential to consult an allergist if you experience persistent mild symptoms or recurring severe symptoms. Food allergies can significantly impact your quality of life, and professional intervention can help manage and alleviate these symptoms effectively.

Common signs that you should see an allergist for food allergies

  • Persistent itching or swelling after eating certain foods

  • Recurring gastrointestinal issues such as diarrhea or abdominal pain

  • Difficulty breathing or swallowing

  • Frequent hives or skin rashes

  • Anaphylactic reactions after eating specific foods

Dr. Atul Shah’s Expertise

Dr. Atul Shah is a highly experienced allergist with numerous accolades, including being named America's Top Physician and receiving the Patients' Choice Award. With a unique and proprietary approach to diagnosing and treating food allergies, Dr. Shah has successfully treated over 15,000 patients. His expertise and dedication make him a leading allergist in New York City.

Dr. Shah’s proprietary methods and compassionate care are central to his practice. He offers advanced food allergy testing and personalized treatment plans tailored to each patient’s needs, ensuring the best possible outcomes.

An image of Jacob, desensitized to sesame and soy

Jacob, Allergic to Sesame & Soy

Desensitized after 15 months

Skin Tests


Source: Lincoln Diagnostics

At NY Food Allergy & Wellness, we offer a range of advanced food allergy testing methods to accurately diagnose and manage food allergies.

Skin Tests

Skin prick tests are a quick and effective way to identify specific allergens. During the test, a small amount of allergen is placed on the skin, which is then gently pricked to allow the allergen to enter. Results are typically visible within 15-20 minutes, making it a fast and reliable option. Needle-free tests are ideal for children and needle-phobic patients. Using advanced technology, these tests provide precise results without the discomfort associated with traditional testing methods.

Blood Tests

Blood tests are highly accurate and comprehensive, suitable for all age groups. They measure the presence of specific IgE antibodies in the blood, which can indicate an allergy. This method is particularly useful for patients who cannot undergo skin testing.

Basophil Activation Test (BAT)

The Basophil Activation Test (BAT) is a highly sensitive test available ONLY at NY Food Allergy & Wellness. It helps diagnose food allergies by measuring the activation of basophils (a type of white blood cell) in response to allergens.

Oral Food Challenge (OFC)

The Oral Food Challenge (OFC) is considered the gold standard for diagnosing food allergies. During an OFC, the patient consumes gradually increasing amounts of a suspected allergen under close medical supervision to monitor for any allergic reactions (source).

Sublingual Immunotherapy (SLIT)

Sublingual Immunotherapy (SLIT) involves placing small doses of an allergen under the tongue to build tolerance over time. This method is less invasive than traditional allergy shots and can be done at home.

Diagnostic Process

When you visit an allergist, the diagnostic process typically begins with a detailed medical history. Your allergist will ask questions about your allergy symptoms, diet, family's medical history, and home environment.

Detailed Medical History

Your allergist will ask about the specific symptoms you experience after eating certain foods, how often they occur, and their severity. This information helps identify potential allergens and guides further testing (source).

Family History and Environmental Factors

Understanding your family's medical history and environmental factors, such as exposure to pets or pollutants, can provide valuable insights into your allergies.

Gold Standard Testing: Oral Food Challenge

The Oral Food Challenge (OFC) is the most accurate test to confirm food allergies. It involves consuming gradually increasing amounts of a suspected allergen under medical supervision. This test helps determine whether you have a food allergy and if you have outgrown it (source).

Young boy doing Food Challenge

Oral Food Challenge

Procedure and Accuracy

During an OFC, you will be closely monitored for any allergic reactions. The test's accuracy makes it the gold standard for diagnosing food allergies, ensuring that patients receive the correct diagnosis and treatment.

Monitoring and Safety

Safety is a top priority during an OFC. The test is conducted in a controlled environment with immediate access to medical care if needed.

Managing Food Allergies

Managing food allergies involves more than just avoiding allergens. It requires a comprehensive approach that includes desensitization therapies and lifestyle adjustments.

Desensitization Therapies

Desensitization therapies, such as Oral Immunotherapy (OIT) and Sublingual Immunotherapy (SLIT), aim to increase the patient's tolerance to allergens over time. These therapies can significantly reduce the risk of severe allergic reactions (source).

Lifestyle Adjustments

Making lifestyle adjustments, such as reading food labels carefully, avoiding cross-contamination, and carrying emergency medication, is essential for managing food allergies effectively.

Personalized Treatment Plans

At NY Food Allergy & Wellness, we offer personalized treatment plans through our Food Allergy Tolerance Enhancement (FATE) Program. Each plan is tailored to the patient's specific needs and allergy profile.

Overview of the FATE Program

The FATE Program is designed to provide comprehensive care for food allergy patients. It includes advanced diagnostic testing, desensitization therapies, and ongoing support to help patients achieve food allergy freedom.

Customization and Patient-Centric Care

Our patient-centric approach ensures that each treatment plan is customized to meet the unique needs of the patient. This personalized care leads to better outcomes and improved quality of life.

Mild vs. Severe Symptoms

Understanding the difference between mild and severe symptoms is crucial for managing food allergies.

Differentiating Between Mild and Severe

Mild symptoms include itching, hives, and gastrointestinal issues. Severe symptoms, such as difficulty breathing, swelling, and anaphylaxis, require immediate medical attention.

Appropriate Responses to Each

Mild symptoms can often be managed with antihistamines and avoiding the allergen. Severe symptoms require the use of epinephrine and emergency medical care.

Case Studies and Success Stories

Real-life examples from Dr. Shah’s practice highlight the effectiveness of his treatment methods.

Real-Life Examples

Case studies of patients who have successfully managed their food allergies through Dr. Shah’s care demonstrate the potential for significant improvement in quality of life.

Patient Testimonials

Testimonials from patients who have experienced life-changing results under Dr. Shah’s care underscore his expertise and dedication to helping those with food allergies.

NY Food Allergy & Wellness office in New York City

Food Allergy Freedom

Timely medical intervention for food allergies is crucial for managing symptoms and improving quality of life. Dr. Atul Shah’s expertise and personalized treatment plans at NY Food Allergy & Wellness provide patients with the best possible care. If you are experiencing food allergy symptoms, schedule an appointment with Dr. Shah to begin your journey to food allergy freedom.

FAQs

When should you see a doctor about food allergies?

You should see a doctor if you experience persistent mild symptoms like an itchy throat and diarrhea, or severe symptoms that require immediate emergency medical attention.

When should I be worried about food allergies?

You should be worried if you experience severe symptoms such as shortness of breath, repetitive coughing, weak pulse, hives, tightness in your throat, trouble breathing or swallowing, or a combination of symptoms from different body areas.

What is the first step an allergist will take to diagnose a food allergy?

The first step is taking a detailed medical history, including questions about your allergy symptoms, diet, family medical history, and environmental factors.

What is the most definitive test to confirm food allergies?

The Oral Food Challenge (OFC) is the most accurate test to determine if you have a food allergy. It involves consuming pre-measured doses of a suspected allergen under medical supervision.

What is the gold standard for food allergy testing?

The gold standard for diagnosing food allergies is an oral food challenge, which accurately diagnoses or rules out a true food allergy through supervised consumption of the allergen.

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