Nut Allergies

Nut allergies are the most common type of series food allergies. Reactions happen because of contact with tree nuts, including:

  • Almonds

  • Brazil nuts

  • Cashews

  • Hazelnuts

  • Pecans

  • Pistachios

  • Walnuts

    After someone with a nut allergy has an exposure, the immune system overreacts to proteins in the nuts, which triggers an allergic reaction,

Exposure to tree nuts can happen in a few ways:

Direct contact with nuts or nut products. Eating (or sometimes touching) products that contain nuts.

Cross-contamination. When food accidentally comes into contact with nuts.

Symptoms of an allergic reaction

Allergic reactions look different for everyone. Symptoms of nut allergies can range from mild to life-threatening. They include:

  • Nausea or vomiting

  • Diarrhea

  • Itchy skin

  • Hives

  • Tingling of the mouth and throat

  • Swelling of the lips or mouth

  • Coughing

  • Hoarseness

Call 911 or head to the nearest emergency room if your child has any of these severe symptoms:

  • Trouble breathing

  • Swelling in the throat

  • A sudden drop in blood pressure

  • Pale skin or blue lips

  • Dizziness

  • Fainting

How to protect everyone

Staying informed is key to handling any allergy.

Make a plan with their doctor. If you have a nut or peanut allergy, your doctor will draft an emergency care plan. This care plan offers instructions on how to treat allergic reactions.

  • Your dietary restrictions

  • Symptoms

  • Situations that might require an EpiPen

  • When to call 911

Keep everyone in the loop. Discuss your food allergy emergency plan with anyone who spends time with you, like co-workers, coaches, friends and family.

Read labels. Products that don’t contain nuts may still be a risk of contamination. Even if it’s something you buy regularly, check the container. This can help you identify any changes to labeling or ingredients. After you’ve checked the label, look for these phrases on the package:

  • “May contain traces of tree nuts.”

  • “Processed in a facility that also processes nuts.”

If you see this phrasing, the product may be risky. To be sure the product is nut-free, choose labels that say “made in a dedicated nut-free facility” or something similar.

Practice kitchen safety. Avoiding accidental nut exposure starts with your kitchen.

To keep mealtime as safe as possible:

  • Create a dedicated nut-free cooking area

  • Wipe down surfaces before and after cooking

  • Store foods with nut ingredients in separate containers. And, if possible, in a separate fridge or cabinet.

Ask ahead of time. If you plan to eat at a restaurant, choose carefully. Start by browsing menus online. Or, for extra security, contact the restaurant directly. Ask if their menu is safe for someone with a nut allergy. If it isn’t, look for another spot.

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