Peanut Allergies
Peanuts
and there Problems
Peanuts, a cheap source of dietary protein
predominantly ingested as peanut butter, have indeed become
one of the world's most allergenic foods. They are,
unfortunately, progressively finding their way into more and
more food products either directly, or by indirect
contamination of food products during the manufacturing
process. Peanut may be designated on a food label in a less
easily recognized term such as "hydrolysed vegetable
protein" or "groundnuts". It is important to
realize that for the sensitive person, this is a lifelong
allergy, and that even trace amounts can kill. Sensitization
may possible occur during a pregnancy when the mother
overindulges in or perhaps even just eats peanut products,
and peanut proteins have even been found in breast milk.
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The Allergic
(Anaphylactic) Shock Reaction
This reaction can begin and proceed rapidly,
occasionally proving fatal within minutes. It must be
treated with epinephrine immediately at the first signs of
reaction, and the reaction may recur after initial therapy
so that ongoing observation and care are required. Possible
symptoms of reaction to peanuts may include (not necessarily
in this order):
- sense of foreboding, fear, or apprehension
- tightness in mouth, chest or throat
- difficulty breathing or swallowing, drooling,
wheezing, choking, coughing
- running nose, voice change
- vomiting, nausea, diarrhea, stomach pains
- dizziness, unsteadiness, sudden fatigue, rapid
heartbeat, chills
- pallor, loss of consciousness, coma,
death.
- flushed face, hives, swollen or itchy lips, mouth,
eyes, or tongue

Factors Which May Contribute To
Fatal Peanut Reactions:
Failure To Prevent Problem,
-Failure to always read food labels carefully
-Not always inquiring about contents of foods regardless of where prepared
-Trying to taste a tiny bit of an unknown but suspected food to see if it contains peanut
-Sharing foods or utensils
-Obtaining foods from others when the contents may be unknown
-Relying on the service personnel in restaurants instead of the chef
-Kissing someone or being kissed by someone who has eaten peanut products
Failure To Identify Problem,
-Failure to appreciate that minimal amounts of peanut material can kill
-Minimization of, or denial of, symptoms of previous non-fatal reactions
-Failure to speak out when one even suspects that a reaction may be occurring
-Not wearing a bracelet showing "Allergy To Peanut"
Lifestyle Adjustments
- The sensitive individuals must recognize that
they are different, bear a large responsibility,
and know they can die of a reaction
- Residue of peanut material on a wiped counter
top, cutlery or plates may induce a reaction.
Aerosolized peanut material (e.g. opening a
sealed jar of peanut butter, or fumes from
cooking) may cause asthma in a susceptible
individual. Some may experience nausea if people
nearby are eating suspected foods.
- Peanut butter may be used to thicken chili, or
to seal egg rolls. Bakery products and ice
creams may easily be contaminated.
- It is unsafe to pick out a "safe"
nut from a mixture containing peanuts. Avoid all
nuts.
- Parents of the susceptive person must be
vigilant, and yet worry about a possible fatal
mistake. Most exposures are accidental.
- Peer pressure may be large -- One child
received anonymous E-Mail saying "I'm
Peanut, You're Dead"; another was chased
about the schoolyard by a bully brandishing a
peanut, while a third had the pouch containing
life saving epinephrine taken as a prank.
- The parents of non-sensitive children may
selfishly (or for financial reasons) argue that,
"Why should my child be deprived of peanut
when the problem is that of another child?"
Perhaps the answer lies in the counter-argument
that if their child had the life threatening
reaction, would they not be the first to demand
that all peanuts be removed from the child's
environment. Fortunately, many schools and
summer camps have come to realize the magnitude
of the problem and controlled the problem.
- Some individuals also must avoid other foods
in the legume family e.g. soya bean, pea, and
garbanzo (chickpea) if allergy to these has been
previously demonstrated.
- Education of friends, relatives and
acquaintances is essential. Divorce situations
may pose a special threat where one of the
parents chooses to deny the problem.
- Pure peanut oil is generally non-allergenic,
but cold pressed peanut oil or oil contaminated
with peanut protein through cooking may be day
Disclaimer: In no way is this information meant to replace the advice and care from your
doctor, or any other medical professional. Patients should inform their doctor/allergist/dermatologist if
they are pursuing one of these treatment routes.
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