WEBVTT 00:00:00.200 --> 00:00:03.300 Peanuts are the most common food allergy in. 00:00:03.300 --> 00:00:04.600 Kids is actually cow's milk. 00:00:04.600 --> 00:00:07.000 You can cure food allergies. 00:00:07.000 --> 00:00:09.400 You cannot cure food allergies right now, 00:00:09.400 --> 00:00:11.200 to best way to find out. 00:00:11.200 --> 00:00:15.200 If you have a food allergy is to get tested Miss. 00:00:15.200 --> 00:00:16.600 Hi, my name is dr. 00:00:16.600 --> 00:00:17.100 Wei Wei Li. 00:00:17.100 --> 00:00:20.300 I am a board-certified Adult & Pediatric, 00:00:20.300 --> 00:00:22.300 Allergy Immunology Specialists. 00:00:22.300 --> 00:00:25.400 I have beaten practice in New Jersey for the past 10 years. 00:00:25.400 --> 00:00:27.400 Hi everyone. My name is dr. 00:00:27.400 --> 00:00:31.900 Gupta and I and the co-founder and chief medical officer. 00:00:31.900 --> 00:00:35.200 I cleared and I've been practicing in New York City for over 00:00:35.200 --> 00:00:38.000 12 years. Today will be debunking myths, 00:00:38.000 --> 00:00:42.200 about food, allergies, peanuts are the most common food allergy. 00:00:42.200 --> 00:00:44.900 So even though peanuts is a common food allergy. 00:00:44.900 --> 00:00:46.000 It is not the most. 00:00:46.000 --> 00:00:49.400 Common in adults is actually a cross between peanuts and shellfish, 00:00:49.400 --> 00:00:51.200 and kids is actually cow's milk. 00:00:51.200 --> 00:00:55.300 So the nine most common food allergens are cows, 00:00:55.300 --> 00:01:00.000 milk eggs, peanuts, tree nuts, shellfish. 00:01:00.400 --> 00:01:03.700 Fish wheat. Soy and sesame. 00:01:03.700 --> 00:01:07.100 Peanut allergy scrap more hotline because they tend to cost 00:01:07.100 --> 00:01:13.000 more. Severe reactions is specially in kids and eggs. 00:01:13.000 --> 00:01:15.700 When you have those allergies and infancy, 00:01:15.700 --> 00:01:16.800 you'll grow out of that. 00:01:16.800 --> 00:01:20.800 But for peanuts that allergy, you're not going to go out of. 00:01:20.800 --> 00:01:22.900 And so I think that for those reasons, 00:01:22.900 --> 00:01:26.200 it just kind of caught on a little bit more than some of the 00:01:26.200 --> 00:01:29.900 other food allergens, you can use Benadryl to treat an allergic 00:01:29.900 --> 00:01:34.100 reaction. You should not use Benadryl as the only means of treating 00:01:34.100 --> 00:01:35.800 an allergic reaction for food. 00:01:35.800 --> 00:01:39.100 Allergies in particular, Benadryl is an oral antihistamine 00:01:39.100 --> 00:01:40.900 it can help with mild symptoms. 00:01:40.900 --> 00:01:42.400 Such as itching is so high. 00:01:42.400 --> 00:01:45.200 But if you have more than just itching, 00:01:45.200 --> 00:01:49.000 as a hive-like symptoms of anaphylaxis, such as trouble breathing 00:01:49.000 --> 00:01:53.000 difficulty, swallowing tongue swelling or feeling dizzy, 00:01:53.000 --> 00:01:55.900 because of blood pressure dropping, you really should go to your 00:01:55.900 --> 00:01:57.400 epinephrine auto-injector. 00:02:01.100 --> 00:02:04.400 Who allergies and food intolerance has the same thing? 00:02:04.400 --> 00:02:08.900 I see. A lot of people even sometimes Medical Professional 00:02:08.900 --> 00:02:13.600 will confuse the two that are really different mediated 00:02:13.600 --> 00:02:16.900 by your immune system and are caused by an antibody called 00:02:16.900 --> 00:02:21.800 ige and our immune system that reacts to food when it shouldn't 00:02:21.800 --> 00:02:23.000 when that happens. 00:02:23.000 --> 00:02:25.900 We release a chemical called his three witches, 00:02:25.900 --> 00:02:29.600 dying produces. All of those symptoms like hives difficulty 00:02:29.600 --> 00:02:33.600 breathing blood pressure or swelling of the face with the eyes 00:02:33.600 --> 00:02:35.900 of the tongue vomiting. 00:02:35.900 --> 00:02:40.700 And sometimes, even death food, intolerances, or sometimes 00:02:40.700 --> 00:02:43.800 called food. Sensitivities, don't have any of that. 00:02:43.800 --> 00:02:46.300 Dan, not mediated by out immune system. 00:02:46.300 --> 00:02:49.800 You have more gastrointestinal symptoms and dad. 00:02:49.800 --> 00:02:54.000 Not life-threatening. For example, lactose intolerance 00:02:54.000 --> 00:02:57.100 is a big one that people have an issue with. 00:02:57.100 --> 00:03:00.900 It's actually an enzyme deficiency in your body where you can, 00:03:01.000 --> 00:03:05.000 Not digest lactose because you don't have the enzyme called 00:03:05.000 --> 00:03:09.100 lactase. And so you're going to have that bloating and has diarrhea 00:03:09.100 --> 00:03:13.600 and just general feeling of not feeling good after ingesting, 00:03:13.600 --> 00:03:17.000 with cows milk, or with lactose knowing the difference 00:03:17.000 --> 00:03:20.600 between food allergies, and Fulton tolerance will determine 00:03:20.600 --> 00:03:23.500 what kind of treatment you need to receive Food. 00:03:23.500 --> 00:03:25.800 Sensitivity. Testing is accurate. 00:03:25.800 --> 00:03:28.300 You just don't have good test to determine. 00:03:28.300 --> 00:03:31.800 If somebody has a food sensitivity, they are or commercially 00:03:31.800 --> 00:03:36.700 available test call IGG, who specific IGG testing, 00:03:36.700 --> 00:03:37.800 did not FDA-approved. 00:03:37.800 --> 00:03:43.600 We see IGG as a memory test to show that you have eaten the 00:03:43.600 --> 00:03:46.700 food. Not an allergic reaction to the food, 00:03:46.700 --> 00:03:48.900 which is different than true food. 00:03:48.900 --> 00:03:53.500 Allergy testing, which is an ige test for those IGG test that are 00:03:53.500 --> 00:03:54.700 often sold online. 00:03:54.700 --> 00:03:58.000 We don't go buy them instead of texting. 00:03:58.000 --> 00:04:00.700 We would recommend a food diary where you can keep 00:04:01.000 --> 00:04:03.800 Back of your symptoms, the foods that you've been eating and 00:04:03.800 --> 00:04:06.900 then over time will start to see some patterns. 00:04:06.900 --> 00:04:10.600 That's actually the most accurate and helpful tool that we have 00:04:10.600 --> 00:04:12.900 at this time to help determine food sensitivity. 00:04:12.900 --> 00:04:17.100 The best way to find out if you have a food allergy is to 00:04:17.100 --> 00:04:21.300 get tested. Miss the best way to find out. 00:04:21.300 --> 00:04:24.500 If you have food, allergies is to eat it and to see if you 00:04:24.500 --> 00:04:26.800 have symptoms after eating it. 00:04:26.800 --> 00:04:30.600 So that's called oral challenge, which is considered the gold standard 00:04:30.600 --> 00:04:33.300 in diagnosing food allergies. 00:04:33.300 --> 00:04:35.700 It's very safe and it's in the control. 00:04:35.700 --> 00:04:42.000 Starting with emergency medication on hand blood test done at 00:04:42.000 --> 00:04:46.700 home. We might get people showing up as possible positives 00:04:46.700 --> 00:04:47.500 to some of the food. 00:04:47.500 --> 00:04:51.400 It doesn't mean anything unless you actually reacted to the food. 00:04:51.400 --> 00:04:53.600 For example, if I have a patient that comes in, 00:04:53.600 --> 00:04:57.800 who ate peanut and shrimp sauce and then they had a reaction 00:04:57.800 --> 00:05:01.500 and we're trying to determine was it the shrimp or was Peanut 00:05:01.500 --> 00:05:05.500 that they were reacting to that's when those ige test and the 00:05:05.500 --> 00:05:08.600 skin test that we do are super helpful in helping us determine 00:05:08.600 --> 00:05:12.300 what the person reacted to you can cure food allergies 00:05:12.300 --> 00:05:14.600 that you can not your food allergies right now. 00:05:14.600 --> 00:05:19.000 The only food that we currently have an FDA-approved 00:05:19.000 --> 00:05:23.100 protocol for is for peanut, allergy oral immunotherapy, 00:05:23.100 --> 00:05:27.700 for peanut allergies, where you get small amounts of the meeting 00:05:27.700 --> 00:05:29.400 at allergen overtime. 00:05:29.400 --> 00:05:32.100 In the beginning, you get monitor to make sure that you're 00:05:32.100 --> 00:05:33.900 not having reactions right away. 00:05:33.900 --> 00:05:38.400 And then the critical thing is it take that amount of peanut 00:05:38.400 --> 00:05:39.500 every single day. 00:05:39.500 --> 00:05:43.400 If they don't, if they miss a dose then it could could have 00:05:43.400 --> 00:05:46.400 set things back and they could have a reaction the next time that 00:05:46.400 --> 00:05:47.900 they're exposed to the peanut protein. 00:05:47.900 --> 00:05:49.200 And I will too. 00:05:49.200 --> 00:05:54.100 So poor immunotherapy, lead to a temporary state of desensitization 00:05:54.100 --> 00:05:57.200 or tolerance but not a permanent cure. 00:05:57.200 --> 00:06:00.600 I will avoid the work here because it can lead to a misunderstanding. 00:06:01.000 --> 00:06:04.200 Patients, allergic reactions won't happen. 00:06:04.200 --> 00:06:09.000 If you didn't swallow the food, even touching the food without 00:06:09.000 --> 00:06:11.600 ingesting, the food can cause allergic reaction. 00:06:11.600 --> 00:06:15.400 That's why it's important to not you don't touch a food and then 00:06:15.400 --> 00:06:19.000 touch somebody that has an allergy to that food with shellfish, 00:06:19.000 --> 00:06:23.200 allergy in particular because shellfish is usually steamed 00:06:23.200 --> 00:06:28.500 or boiled. Sometimes the food allergen protein from the shellfish 00:06:28.500 --> 00:06:33.800 can actually end up in some of that Seymour that vapor and so 00:06:33.800 --> 00:06:37.000 therefore it is to certain degree airborne. 00:06:37.000 --> 00:06:39.900 And if somebody who is highly allergic to that food, 00:06:39.900 --> 00:06:44.100 enters a room where the shellfish is being boiled or cook, 00:06:44.100 --> 00:06:47.700 they may start having symptoms even without ingesting. 00:06:47.700 --> 00:06:50.800 The food options will be worse than the last, 00:06:50.800 --> 00:06:52.600 so that's a miss. 00:06:52.600 --> 00:06:57.000 The reaction can be unpredictable reactions to food are unpredictable, 00:06:57.000 --> 00:07:00.700 because there are multiple factors that 00:07:01.000 --> 00:07:04.000 Going to play the, what was the exposure and how much of it? 00:07:04.000 --> 00:07:07.400 I smelt that can worsen the severity of your reactions 00:07:07.400 --> 00:07:11.200 and so adding an additional a component of inflammation 00:07:11.200 --> 00:07:14.700 and irritation. Well, make your symptoms worse. 00:07:14.700 --> 00:07:16.400 If your child has eczema. 00:07:16.400 --> 00:07:21.000 They will also develop food allergy, not every child with eczema 00:07:21.000 --> 00:07:22.300 is going to have a food allergy, 00:07:22.300 --> 00:07:25.400 but if the child has have eczema, 00:07:25.400 --> 00:07:28.500 there might be a higher likelihood that they could have a food 00:07:28.500 --> 00:07:33.000 allergy having eczema and having allergies, they all belong 00:07:33.000 --> 00:07:38.400 to the atopic diseases Spectrum, which refers to asthma eczema, 00:07:38.400 --> 00:07:41.800 and seasonal, or environmental allergies. 00:07:41.800 --> 00:07:44.700 So easier infant develop eczema at a very young age. 00:07:44.700 --> 00:07:48.500 It's important to determine if the child has other atopic diseases 00:07:48.500 --> 00:07:50.600 as a trigger foot eczema symptoms. 00:07:50.600 --> 00:07:53.900 If your first child has a food allergy, 00:07:53.900 --> 00:07:59.200 your next child will have one also food allergy within the family. 00:07:59.200 --> 00:08:00.500 Member is a risk factor. 00:08:01.000 --> 00:08:03.300 But it doesn't mean that you'll definitely have a food allergy 00:08:03.300 --> 00:08:04.900 having risk factors. 00:08:04.900 --> 00:08:07.600 Really just increase the risk of developing the food allergies, 00:08:07.600 --> 00:08:10.900 and it also doesn't mean that you have the same food allergies. 00:08:10.900 --> 00:08:12.800 So if your dad has a shellfish allergy, 00:08:12.800 --> 00:08:15.300 that doesn't mean that you're destined to have shellfish 00:08:15.300 --> 00:08:19.500 allergy yourself. And we don't know a lot about factors contributing 00:08:19.500 --> 00:08:21.300 to the development of food allergies. 00:08:21.300 --> 00:08:22.600 All we know are the risk factors. 00:08:22.600 --> 00:08:27.600 Throwing up will make you allergic reaction less severe. 00:08:27.600 --> 00:08:28.700 That is not true. 00:08:28.700 --> 00:08:33.500 You're allergic reactions to food is dependent on exposure 00:08:33.500 --> 00:08:37.200 to the allergens, throwing up would not make the exposure 00:08:37.200 --> 00:08:41.600 less essentially throwing up and just exposing your body to that 00:08:41.600 --> 00:08:44.100 food. All over again and a different way. 00:08:44.100 --> 00:08:47.000 It's coming up instead of going down having to throw up. 00:08:47.000 --> 00:08:50.500 After have eaten, the food could be assigned of anaphylaxis, 00:08:50.500 --> 00:08:53.700 which is a life-threatening reaction, but self-induced vomiting 00:08:53.700 --> 00:08:58.000 will not lessen, the symptoms of allergic reactions. 00:09:01.000 --> 00:09:02.600 Something at least three times a day. 00:09:02.600 --> 00:09:05.500 And so we don't want to put unnecessary stress around it. 00:09:05.500 --> 00:09:06.800 If you're worried at all. 00:09:06.800 --> 00:09:10.700 It's super important to go and see a specialist with a few passionate 00:09:10.700 --> 00:09:15.500 about food allergies, so that we can help figure out what your 00:09:15.500 --> 00:09:18.200 history is and figure out what the right testing and what the 00:09:18.200 --> 00:09:19.700 right treatment plan will be for you.