Peanuts are among the most common allergy-causing foods, and they often find their
way into things you wouldn't expect. Take chili, for example: It may be thickened
with ground peanuts.
Peanuts aren't actually a true nut; they're a legume (in the same family as peas
and lentils). But the proteins in peanuts are similar in structure to those in tree
nuts. For this reason, people who are allergic to peanuts can also be allergic to
tree nuts, such as almonds, Brazil nuts, walnuts, hazelnuts, macadamia nuts, pistachios,
pecans, and cashews.
Sometimes people outgrow some food allergies over time (like milk, egg, soy, and
wheat allergies), but peanut and tree nut allergies are lifelong in many people.
What Happens With a Tree Nut or Peanut Allergy?
When someone has a nut allergy, the body's immune
system, which normally fights infections, overreacts to proteins in the nut. If
the person eats something that contains the nut, the body thinks these proteins are
harmful invaders and responds by working very hard to fight off the invader. This
causes an allergic reaction.
Even a small amount of peanut or tree nut protein can set off a reaction. But allergic
reactions from breathing in small particles of nuts or peanuts are rare. That's because
the food usually needs to be eaten to cause a reaction. Most foods with peanuts in
them don't allow enough of the protein to escape into the air to cause a reaction.
And just the smell of foods containing peanuts won't cause one because the scent doesn't
contain the protein.
What Are the Signs & Symptoms of a Nut Allergy?
When someone with a peanut or tree nut allergy has something with nuts in it, the
body releases chemicals like
Reactions to foods, like peanuts and tree nuts, can be different. It all depends
on the person — and sometimes the same person can react differently at different times.
How Is an Allergic Reaction Treated?
Nut and peanut allergies can cause a severe reaction called anaphylaxis.
Anaphylaxis may begin with some of the same symptoms as a less severe reaction, but
then quickly get worse, leading someone to have trouble breathing, feel lightheaded,
or to pass out. If it is not treated right away, anaphylaxis can be life-threatening.
If you have a peanut or tree nut allergy (or any kind of serious food allergy),
the doctor will want you to carry an epinephrine auto-injector in
case of an emergency.
An epinephrine (pronounced: eh-puh-NEH-frin) auto-injector is a prescription medicine
that comes in a small, easy-to-carry container. It's easy to use. Your doctor will
show you how. Keep the epinephrine with you, not in a locker or in the nurse's office.
Every second counts in an allergic reaction. If you start having
serious allergic symptoms, like swelling of the mouth or throat or trouble breathing,
use the epinephrine auto-injector right away. Also use it right away if your symptoms
involve two different parts of the body, like hives with vomiting. Then call
911 and have someone take you to the emergency room. You need to be under
medical supervision because even if the worst seems to have passed, a second wave
of serious symptoms can happen.
The doctor can also give you an allergy action plan, which helps you prepare for,
recognize, and treat an allergic reaction. Share the plan with anyone else who needs
to know, such as relatives, school officials, and coaches. Also consider wearing a
medical alert bracelet.
Keeping epinephrine on hand at all times should be just part of your action plan.
It's also a good idea to carry an over-the-counter (OTC) antihistamine as this can
help treat mild allergy symptoms. But never use
as a replacement for epinephrine shot in life-threatening reactions. Always
use the epinephrine shot as the first treatment.
Living With Peanut or Tree Nut Allergy
If allergy skin testing
shows that you have a peanut or tree nut allergy, an
will provide guidelines on what to do.
The best way to prevent a reaction is to avoid peanuts and tree nuts. Avoiding
nuts means more than just not eating them. It also means not eating any foods that
might contain tree nuts or peanuts as ingredients.
The best way to be sure a food is nut free is to read
the label. Manufacturers of foods sold in the United States must state on their
labels whether foods contain peanuts or tree nuts. Check the ingredients list first.
After checking the ingredients list, look on the label for phrases like these:
"may contain tree nuts"
"produced on shared equipment with tree nuts or peanuts"
People who are allergic to nuts should avoid foods with these statements on the
label. Although these foods might not use nut ingredients, the warnings are there
to let people know the food may contain small traces of nuts. That can happen through
something called "cross-contamination." This is when nuts get into a food
product because it is made or served in a place that uses nuts in other foods. Manufacturers
are not required to list peanuts or tree nuts on the label when there might be accidental
cross-contamination, but many do.
Some of the highest-risk foods for people with peanut or tree nut allergy include:
Cookies and baked goods. Even if baked goods don't contain nut
ingredients, it is possible that they came into contact with peanut or tree nuts through
cross-contamination. Unless you know exactly what went into a food and where it was
made, it's safest to avoid store-bought or bakery cookies and other baked goods.
Candy. Candies made by small bakeries or manufacturers (or homemade
candies) may contain nuts as a hidden ingredient. The safest plan is to eat only candies
made by major manufacturers whose labels show they are safe.
Ice cream. Unfortunately, cross-contamination is common in ice
cream parlors because of shared scoops. It's also a possibility in soft-serve ice
cream, custard, water ice, and yogurt shops because the same dispensing machine and
utensils are often used for lots of different flavors. Instead, do as you would for
candy: Buy tubs of ice cream at the supermarket and be sure they're made by a large
manufacturer and the labels indicate they're safe.
Asian, African, and other cuisine. African and Asian (especially
Thai, Chinese, and Indian) foods often contain peanuts or tree nuts. Mexican and Mediterranean
foods may also use nuts, so the risk of cross-contamination is high with these foods.
Sauces. Many cooks use peanuts or peanut butter to thicken chili
and other sauces.
Always be cautious. Even if you've eaten a food in the past, manufacturers sometimes
change their processes — for example, switching suppliers to a company that uses shared
equipment with nuts. Because ingredients can change, it's important to read the label
every time, even if the food was safe in the past. And two foods that seem the same
might also have differences in how they're made.
What Else Should I Know?
Here are other things to remember:
Watch for cross-contamination that can happen on kitchen surfaces and utensils
— everything from knives and cutting boards to the toaster. Make sure the knife another
family member used to make peanut butter sandwiches is not used to butter your bread
and that nut breads are not toasted in the same toaster you use.
Avoid cooked foods you didn't make yourself — anything with an unknown list of
Tell everyone who handles the food you eat, from relatives to restaurant waitstaff,
that you have a nut allergy. If the manager, chef, or owner of a restaurant is uncomfortable
about your request for peanut- or nut-free food preparation, don't eat there.
Make school lunches and snacks at home where you can control the preparation.
Be sure your school knows about your allergy and has an action plan in place for
Keep rescue medicine (including epinephrine) on hand at all times — not in
your locker, but in a pocket, purse, or bookbag that's always with you.
Living with a food allergy can seem hard at times. But as more and more people
are diagnosed with food allergies, businesses and restaurants are increasingly aware
of the risks they face.
If friends you're visiting or eating lunch with don't know about your food allergy,
tell them in plenty of time to make some simple preparations (such as not sharing
your drink after eating that peanut butter sandwich!). Chances are, they'll understand.
As your friends, they probably hope you'll be as considerate when it comes to taking
care of them!