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Food Intolerance

A food intolerance is not the same as a food allergy, even though the symptoms can be the same. There are several common types of food intolerance, including food poisoning, histamine toxicity, and lactose intolerance. Other types include gluten intolerance and reactions to food additives (such as MSG and sulfites).

 

An Overview of Food Intolerance

If you go to your healthcare provider and say, "I think I have a food allergy," your healthcare provider has to consider other possibilities that may cause symptoms and could be confused with food allergy, such as food intolerance. To find out the difference between food allergy and food intolerance, your provider will go through a list of possible causes for your symptoms. This is called a "differential diagnosis." This type of diagnosis helps confirm that you do indeed have a food allergy rather than a food intolerance or other illness.
 

Common Types of Food Intolerance

There are several common types of food intolerance. These types of food intolerance can include:
 
  • Food poisoning
  • Histamine toxicity
  • Lactose intolerance
  • Food additives
  • Gluten intolerance
  • Psychological causes.
     
Food Intolerance: Food Poisoning
One possible cause of symptoms like those of food allergy is foods contaminated with microbes, such as bacteria, and bacterial products, such as toxins. Contaminated meat and dairy products sometimes cause symptoms, including GI discomfort, that resemble a food allergy when it is really a type of food poisoning.
 
Food Intolerance: Histamine Toxicity
Another type of food intolerance is histamine toxicity. There are substances -- such as histamine present in certain foods -- that cause a reaction like an allergic reaction. For example, histamine can reach high levels in cheese, some wines, and certain kinds of fish such as tuna and mackerel.
 
In fish, histamine is believed to come from contamination by bacteria, particularly in fish that are not refrigerated properly. If you eat one of these foods with a high level of histamine, you could have a reaction that strongly resembles an allergic reaction to food. This reaction is called "histamine toxicity."
(Food Intolerance Continued: Page 2)
Written by/reviewed by: Arthur Schoenstadt, MD
Last reviewed by: Arthur Schoenstadt, MD