Allergies

Immunoglobulin E antibodies, or IgE antibodies, may bind to an allergen, effectively labeling it as a threat. That triggers a cascade of actions in the body, including the release of histamine, which causes the characteristic itching and hives of allergies. Sometimes a cooked version of an allergen—like a cooked carrot—may look different enough from its raw form to the immune system that antibodies ignore it, and no allergic response takes place.

Although food allergies are on the rise in modern times, they have been documented in written records for thousands of years. More than 3,000 years ago, Chinese emperors advised patients to avoid certain foods, and Hippocrates noted in his work that food could cause serious harm to certain individuals, and even lead to death.

Lactose intolerance is a digestive condition that occurs when the small intestine has difficulty breaking down lactose, a sugar found in products like milk or cheese, leading to symptoms such as diarrhea or bloating. Almost 70% of the world’s population may have lactose processing issues, particularly in Asia and Africa. This is different from a condition called cow's milk protein allergy—an immune system disorder that can cause hives and anaphylaxis.

Milk, egg, peanut, tree nuts, soy, wheat, fish, shellfish and most recently, sesame, are recognized as the most common food allergies in the US. Together, they are responsible for at least 90% of the serious food allergy responses in the country.

Only about 7% of Amish children in a northern Indiana community have tested positive for common allergens in routine skin prick tests, whereas half of the general US population tests positive for them. Asthma is also extremely uncommon among the Amish, even when compared with other farming communities. Researchers are interested in exploring if approaches like exposing kids across the general population to Amish farm dust might stave off some allergies.

Alpha-gal syndrome is on the rise globally as ticks spread due to climate shifts. Bites from some ticks can trigger a sensitivity to a sugar molecule called alpha-gal found in mammal meat, which can lead to allergic responses to hamburgers and steak, among other products. Listen to an expert’s tips for avoiding this allergy, including quickly removing any ticks to limit exposure to their saliva or vomit.

Although scientists do not know if allergies manifest among wild animals—and if animals can survive with them—in a zoo setting, veterinarians have observed zoo animals with common allergy symptoms, including itchiness, crusty skin, and runny eyes. Veterinarians have identified Asian elephants with pollen allergies and at least one jaguar with an allergy to fleas.

If someone has a severe allergic response, including trouble breathing or two or more allergic symptoms, it may be necessary to administer epinephrine, usually through an injection. Epinephrine autoinjectors—often called EpiPens—should be injected into the mid-outer thigh, even through clothing, for about 10 seconds, depending on brand. Sometimes another injection with a separate EpiPen is required if the patient does not get better after a few minutes.

The hygiene hypothesis, first proposed in 1989 by British immunologist David Strachan, suggests that early life exposure to microbes—like those from farm dust or pets—properly trains our immune systems to respond to threats. But sometimes the idea is misinterpreted: It doesn’t mean that poor hygiene—like failing to wash hands–will help ward off allergies; that type of behavior leads to infections and won’t help with allergy prevention.

Between 60% and 80% of kids with allergies to milk or eggs outgrow them by age 16. The immune system doesn’t always recognize and respond to baked forms of these allergens, so when kids eat muffins and other cooked food products, their immune system may become more habituated to them and overcome food sensitivities. Aging out of other allergies is less common.