How to deal with food allergies

Epinephrine pens, when used, can reverse symptoms of allergic reactions caused by food such as prawns.
PHOTOS: THE NEW PAPER FILE, REUTERS
Epinephrine pens, when used, can reverse symptoms of allergic reactions caused by food such as prawns.
Epinephrine pens, when used, can reverse symptoms of allergic reactions caused by food such as prawns. PHOTOS: THE NEW PAPER FILE, REUTERS

The best way to prevent food allergies is to know which foods cause allergy signs and symptoms, and avoid them.

According to the Health Hub website, which is contributed by the Health Promotion Board, people with allergies should read food labels for the ingredients.

When dining out, they should also ask the establishments for information on the ingredients in their food. They can also carry emergency epinephrine - a drug used for treating severe allergic reactions.

Assistant Professor Guillaume Thibault of the School of Biological Sciences, Nanyang Technological University, said that allergic reactions to food happen when a person's system thinks a foreign substance is trying to invade the body.

He added: "The immune system then overreacts to defend the body against what it assumes are dangerous invaders. This leads to allergic symptoms."

In the case of Ms Khoo Siew Hong,who died on March 8 after eating prawns despite her allergy to the shellfish, State Coroner Marvin Bay said yesterday that an injectable epinephrine device can reverse symptoms of a reaction by opening airways and stabilising blood pressure.

He added: "Susceptible persons may benefit from carrying an epinephrine pen on their person for emergency use. Caregivers of young children or the elderly may consider affixing a medical bracelet or necklace containing allergy information to persons under their care."

The Health Hub website said that common allergenic foods include eggs, soya beans, peanuts and fish. Symptoms of food allergy include swelling of the lips, face, tongue, throat or other parts of the body, flushing, itching of the eyes, hives or eczema and breathing difficulties.

Health Hub also said anaphylaxis - the cause of death for Ms Khoo - is a severe allergic reaction that can be fatal if left untreated. It may occur without the usual symptoms of itchy rashes and swelling of eyes and lips.

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A version of this article appeared in the print edition of The Straits Times on August 22, 2017, with the headline How to deal with food allergies. Subscribe