Food intolerances are different from allergies. “Virtually everyone has an intolerance to a food at some time in their lives’” according to Dan Alkins, M.D., director of ambulatory pediatrics at the National Jewish Medical and Research facility in Denver. Intolerances, while unpleasant, are rarely life-threatening. Drinking too much coffee or a fatty meal, for example can bring on a stomachache in some people. If you always experience uncomfortable symptoms when you eat a particular food, talk to your doctor about it, who can help determine the cause of the reaction. Following are some of the most common substances that can cause problems.
■ Histamine. This chemical is released form cells during an allergic reaction. It’s also present in small amounts in certain foods including some wines and cheeses. When ingested in large amounts, histamine poisoning is the ingestion of certain fish, if it is spoiled. Symptoms of histamine poisoning includes nausea, flushing, itching, hives, headache and light-headedness.
■ Gluten. Others are irritated by an ingredient called gluten. This substance is contained in foods such as wheat, rye and barley. Gluten damages the small intestine of those with this problem, which is known as celiac disease. Such people can suffer diarrhea, weight loss and weakness. Because celiac disease can make it more difficult for the body to absorb nutrients from food, those sensitive to it should avoid gluten entirely.
■ Lactose. A problem that’s often confused with an allergy is lactose intolerance. People with this condition are low on lactase, an abdominal enzyme needed to digest lactose (found in diary foods). Excess lactose can cause diarrhea, pain gas and bloating.
■ Yellow dye number 5. Certain substances that are added to food to enhance color can cause sensitivity reactions. One coloring agent that can be problematic is yellow dye number 5. Symptoms can include a skin rash.
■ Monosodium glutamate (MSG). This compound is added to foods to enhance flavor. Those who are irritated by MSG can suffer chest pain, headache and flushing.
■ Sulfites. Sulfites are an ingredient added to foods such as fresh fruits and vegetables as a preservatives, but it can cause an intolerance in some people. Those with asthma are at particular risk and can suffer potentially life-threatening reactions. As a result, the FDA has banned the spraying of sulfites on produce as a preservative, but they’re contained in some foods and wines. – Alyssa Shaffer