FCAAIA Notes: If you surf the internet, read magazines at the grocery checkout, or talk to your friends and neighbors you are going to read or hear about all the bad things gluten does to you. What about walking through the grocery store or going to your favorite restaurant? There are dozens of “gluten-free” options. With all this exposure to the dangers of gluten, it must be REALLY bad for you right? Well, not for most people who don’t have Celiac Disease or non-Celiac gluten gastrointestinal disorders.
But, is it BAD to avoid gluten if you don’t need to? Continue reading “GLUTEN-FREE DIETS: HEALTHY OR POTENTIALLY TOXIC?”
FCAAIA Notes: I firmly believe that patients and families with food allergy must “live their lives”. Far too often, I see people crippled by fear because of food allergy. A big part of my advice is, “Relax!” Do not let your food allergy control you; you should control your food allergy.
There is a misconception about the frequency of fatal food anaphylaxis. There are fewer than 100 (and perhaps as few as 20) food-anaphylactic fatalities per year in the United States. That does not imply we should be cavalier. In contrast, it is important to remain vigilant and diligent. Continue reading “EATING OUT WITH A FOOD ALLERGY IN THE UK: CHANGE IN THE EATING OUT PRACTICES OF CONSUMERS WITH FOOD ALLERGY FOLLOWING INTRODUCTION OF ALLERGEN INFORMATION LEGISLATION”
FCAAIA Notes: The best first test to identify triggers to anaphylaxis is a detailed history. Most cases of anaphylaxis that have an identifiable and trigger start within a very short time after exposure to that trigger. A notable exception is described in this article. Some people have delayed onset of symptoms, most commonly from sensitivity to alpha-gal, a sugar on the DNA back bone. Almost all of those patients were bitten by the Lone Star tick. The tick is not just in Texas! It is present in large parts of the eastern half of the United States, including the Cape Cod and the islands off the Cape.
Do we think you have idiopathic anaphylaxis? Continue reading “IDENTIFICATION OF ALPHA‐GAL SENSITIVITY IN PATIENTS WITH A DIAGNOSIS OF IDIOPATHIC ANAPHYLAXIS”
FCAAIA Notes: There is still a great deal of debate about the best way to treat eosinophilic esophagitis (EoE). I believe that debate will continue because one size does not fit all.
When an individual food or a limited number of foods are identified as triggers, the avoidance diet might be sufficient. For others, nothing but extreme dietary intervention (few or no solids and an amino acid based formula) is very useful. That is an unpleasant and impractical alternative. Topical esophageal steroids (e.g., steroid inhalers or nebulizer medications that are swallowed, not inhaled) are the first choice of medications for EoE.
So what foods to eliminate when trying? I think there are several reasonable approaches Continue reading “FOOD ELIMINATION DIETS ARE EFFECTIVE FOR LONG-TERM TREATMENT OF ADULTS WITH EOSINOPHILIC OESOPHAGITIS”