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		<title>A soup-to-nuts guide to dining out for people with food allergies</title>
		<link>http://symptomadvice.com/a-soup-to-nuts-guide-to-dining-out-for-people-with-food-allergies/</link>
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		<pubDate>Mon, 03 Jan 2011 12:00:11 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[mouth symptoms]]></category>
		<category><![CDATA[advertisement]]></category>
		<category><![CDATA[food allergies]]></category>
		<category><![CDATA[fridge]]></category>
		<category><![CDATA[pediatrician]]></category>
		<category><![CDATA[school field trip]]></category>

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		<description><![CDATA[A few weeks ago &#109;&#121; 17-year-old daughter brought home the &#115;&#101;&#099;&#111;&#110;&#100; &#104;&#097;&#108;&#102; &#111;&#102; a Thai wrap she&#8217;d bought for lunch on a school field trip. Before stashing it &#105;&#110; the fridge, &#115;&#104;&#101; plucked a peanut from the filling &#097;&#110;&#100; put it &#105;&#110; her mouth. Next &#116;&#104;&#105;&#110;&#103; &#115;&#104;&#101; knew, her throat started to itch. &#116;&#104;&#101;&#110; the [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/01/1294056011-85.jpg" style="clear:both;clear:both;margin:0 15px 15px 0" />
<p>A few weeks ago &#109;&#121; 17-year-old daughter brought home the &#115;&#101;&#099;&#111;&#110;&#100; &#104;&#097;&#108;&#102; &#111;&#102; a Thai wrap she&#8217;d bought for lunch on a school field trip. Before stashing it &#105;&#110; the fridge, &#115;&#104;&#101; plucked a peanut from the filling &#097;&#110;&#100; put it &#105;&#110; her mouth.</p>
<p>Next &#116;&#104;&#105;&#110;&#103; &#115;&#104;&#101; knew, her throat started to itch. &#116;&#104;&#101;&#110; the sensation migrated to her &#105;&#110;&#110;&#101;&#114; ear. &#098;&#121; the time &#115;&#104;&#101; &#099;&#097;&#109;&#101; to tell me &#097;&#098;&#111;&#117;&#116; it, her face had turned red, &#097;&#110;&#100; &#115;&#111;&#111;&#110; &#115;&#104;&#101; had a headache &#097;&#110;&#100; stomachache. Her pediatrician suggested keeping &#097;&#110; eye on her &#097;&#110;&#100; giving her a Benadryl, which relieved &#115;&#111;&#109;&#101; symptoms. &#115;&#104;&#101; also prescribed keeping on hand &#097;&#110; EpiPen, &#097;&#110; adrenaline injector &#116;&#104;&#097;&#116; &#099;&#097;&#110; stall &#097;&#110; allergic reaction long &#101;&#110;&#111;&#117;&#103;&#104; to get the patient to the emergency room.</p>
<p> Advertisement
<p>But &#109;&#121; daughter&#8217;s skin test for a peanut allergy &#099;&#097;&#109;&#101; up negative, as &#100;&#105;&#100; a subsequent blood test. &#105;&#110; January her allergist &#119;&#105;&#108;&#108; perform a controlled peanut challenge &#105;&#110; his office, &#105;&#110; which he &#119;&#105;&#108;&#108; feed her peanuts &#097;&#110;&#100; see &#104;&#111;&#119; &#115;&#104;&#101; responds.</p>
<p>Welcome, Huget family, to the maddening world &#111;&#102; food allergies.</p>
<p>We once coasted &#116;&#104;&#114;&#111;&#117;&#103;&#104; life &#119;&#105;&#116;&#104;&#111;&#117;&#116; paying the slightest attention to potential allergens &#105;&#110; our food. Now &#119;&#101; read &#108;&#097;&#098;&#101;&#108;&#115; &#097;&#110;&#100; harbor suspicions like never before.</p>
<p>We regret the loss (for now, anyway) &#111;&#102; peanuts &#105;&#110; &#109;&#121; daughter&#8217;s life, &#098;&#117;&#116; at least &#116;&#104;&#097;&#116; &#115;&#101;&#101;&#109;&#101;&#100; manageable. &#116;&#104;&#097;&#116; is, until Thanksgiving dinner at &#109;&#121; mom&#8217;s house, where &#109;&#121; daughter had &#097;&#110;&#111;&#116;&#104;&#101;&#114; reaction. This time our &#098;&#101;&#115;&#116; amateur guess &#119;&#097;&#115; &#116;&#104;&#097;&#116; lima beans &#119;&#101;&#114;&#101; the culprits; limas, like peanuts, &#097;&#114;&#101; legumes.</p>
<p>It&#8217;s not unheard &#111;&#102; for grown people to suddenly develop a food allergy. &#119;&#105;&#116;&#104; the holidays nigh, I wondered &#104;&#111;&#119; people &#111;&#102; &#097;&#110;&#121; age &#119;&#105;&#116;&#104; food allergies navigate the season&#8217;s food-centered festivities. I talked &#119;&#105;&#116;&#104; three experts to get &#115;&#111;&#109;&#101; guidance. &#116;&#104;&#101;&#121; &#097;&#114;&#101; Stanley Fineman, the Atlanta-based president-elect &#111;&#102; the American College &#111;&#102; Allergy, Asthma &#097;&#110;&#100; Immunology; Jeffrey Factor, a Hartford, Conn., area allergist (who, as it &#104;&#097;&#112;&#112;&#101;&#110;&#115;, is &#105;&#110; the same practice group as &#109;&#121; daughter&#8217;s allergist); &#097;&#110;&#100; Dee Sandquist, a spokeswoman for the American Dietetic Association.</p>
<p>One &#116;&#104;&#105;&#110;&#103; &#116;&#104;&#101;&#121; all agreed on &#119;&#097;&#115; &#116;&#104;&#097;&#116; getting a solid diagnosis from &#097;&#110; allergist is key to managing &#121;&#111;&#117;&#114; condition. Once &#121;&#111;&#117; &#111;&#114; a loved one receives a diagnosis, &#099;&#111;&#110;&#115;&#105;&#100;&#101;&#114; &#116;&#104;&#101;&#115;&#101; steps to stay safe while dining away from home:</p>
<p>&bull; &#099;&#097;&#108;&#108; &#097;&#104;&#101;&#097;&#100;. Let &#121;&#111;&#117;&#114; host, &#111;&#114; the restaurant you&#8217;ll be eating at, know &#105;&#110; advance &#097;&#098;&#111;&#117;&#116; &#121;&#111;&#117;&#114; allergy so &#116;&#104;&#101;&#121; &#099;&#097;&#110; make accommodations.</p>
<p>&bull; Share safe food. Offer to bring a dish &#111;&#114; &#116;&#119;&#111; to a gathering. &#116;&#104;&#097;&#116; way you&#8217;ll be &#115;&#117;&#114;&#101; there&#8217;s &#115;&#111;&#109;&#101;&#116;&#104;&#105;&#110;&#103; &#121;&#111;&#117; &#099;&#097;&#110; eat.</p>
<p>&bull; &#097;&#115;&#107; questions. Don&#8217;t be shy &#097;&#098;&#111;&#117;&#116; &#097;&#115;&#107;&#105;&#110;&#103; &#121;&#111;&#117;&#114; host detailed questions &#097;&#098;&#111;&#117;&#116; the ingredients &#105;&#110; the foods they&#8217;re serving. Milk, eggs, peanuts, wheat &#097;&#110;&#100; tree nuts &#097;&#114;&#101; among the most common food allergens (soy, fish &#097;&#110;&#100; shellfish &#097;&#114;&#101; others), &#097;&#110;&#100; &#116;&#104;&#101;&#121; &#099;&#097;&#110; lurk &#105;&#110; all kinds &#111;&#102; foods. (For instance, Sandquist notes, sausages &#097;&#110;&#100; luncheon meats &#099;&#097;&#110; contain milk products.)</p>
<p>If &#121;&#111;&#117; &#099;&#097;&#110;, &#097;&#115;&#107; to read &#108;&#097;&#098;&#101;&#108;&#115; &#111;&#102; packaged foods included &#105;&#110; the offerings. &#097;&#110;&#100; &#102;&#105;&#110;&#100; out whether cooking tools &#097;&#110;&#100; serving vessels might &#104;&#097;&#118;&#101; been used to handle foods containing &#121;&#111;&#117;&#114; allergen. (If you&#8217;re hosting &#097;&#110; event, Fineman suggests putting &#108;&#097;&#098;&#101;&#108;&#115; next to serving dishes listing the potential allergens &#116;&#104;&#101;&#121; contain.)</p>
<p>&bull; &#097;&#115;&#107; more questions, especially &#097;&#098;&#111;&#117;&#116; potential cross-contamination. &#8220;It&#8217;s &#106;&#117;&#115;&#116; &#115;&#111;&#109;&#101;&#116;&#104;&#105;&#110;&#103; &#116;&#104;&#097;&#116; a lot &#111;&#102; people don&#8217;t think &#097;&#098;&#111;&#117;&#116;,&#8221; Factor &#115;&#097;&#121;&#115;, noting &#116;&#104;&#097;&#116; a cook might bake &#116;&#119;&#111; batches &#111;&#102; cookies, one &#119;&#105;&#116;&#104; nuts &#097;&#110;&#100; the &#111;&#116;&#104;&#101;&#114; &#119;&#105;&#116;&#104;&#111;&#117;&#116;, &#098;&#117;&#116; &#117;&#115;&#101; the same spatula &#111;&#114; cookie sheet for both. &#8220;It doesn&#8217;t cross their mind because &#116;&#104;&#101;&#121; don&#8217;t &#104;&#097;&#118;&#101; a child &#111;&#114; relative who has a food allergy.&#8221;</p>
<p>&bull; Quiz the chef. &#105;&#110; a restaurant, &#097;&#115;&#107; to speak &#100;&#105;&#114;&#101;&#099;&#116;&#108;&#121; &#119;&#105;&#116;&#104; the chef &#097;&#098;&#111;&#117;&#116; &#121;&#111;&#117;&#114; allergy, &#097;&#110;&#100; don&#8217;t be satisfied unless you&#8217;re confident &#116;&#104;&#097;&#116; he &#111;&#114; &#115;&#104;&#101; is knowledgeable &#097;&#110;&#100; understands &#121;&#111;&#117;&#114; concerns, Factor advises. If &#121;&#111;&#117; &#099;&#097;&#110;, &#099;&#097;&#108;&#108; &#097;&#104;&#101;&#097;&#100; to speak &#119;&#105;&#116;&#104; the chef during a time when he &#111;&#114; &#115;&#104;&#101; is not &#108;&#105;&#107;&#101;&#108;&#121; to be &#116;&#111;&#111; busy cooking. Sandquist suggests printing cards listing &#121;&#111;&#117;&#114; food allergies; &#121;&#111;&#117;&#114; server &#099;&#097;&#110; &#116;&#097;&#107;&#101; the card &#098;&#097;&#099;&#107; to the chef, &#097;&#110;&#100; &#121;&#111;&#117; don&#8217;t &#104;&#097;&#118;&#101; to worry &#097;&#098;&#111;&#117;&#116; information getting lost &#105;&#110; translation.</p>
<p>&bull; Bring &#121;&#111;&#117;&#114; own. If you&#8217;re not &#115;&#117;&#114;&#101; a restaurant &#099;&#097;&#110; meet &#121;&#111;&#117;&#114; needs, don&#8217;t be shy &#097;&#098;&#111;&#117;&#116; packing &#121;&#111;&#117;&#114; own lunch &#111;&#114; dinner. &#8220;&#116;&#104;&#097;&#116; &#109;&#097;&#121; be the safest way to avoid the risk &#111;&#102; a reaction,&#8221; Factor &#115;&#097;&#121;&#115;. &#099;&#097;&#108;&#108; &#097;&#104;&#101;&#097;&#100; to ensure the restaurant &#119;&#105;&#108;&#108; allow this.</p>
<p>&bull; Be prepared. &#097;&#108;&#119;&#097;&#121;&#115; &#107;&#101;&#101;&#112; &#121;&#111;&#117;&#114; epinephrine injector (such as &#097;&#110; EpiPen) handy, &#106;&#117;&#115;&#116; &#105;&#110; case. &#8220;The onus is &#114;&#101;&#097;&#108;&#108;&#121; on the person who has the allergy,&#8221; &#115;&#097;&#121;&#115; Fineman.</p></p>
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