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Willowmed
Health library

Dietetics

Food allergies and intolerances

The important difference between the two, and why self-diagnosis is risky.

4 min read

What it is

An allergy is an immune reaction, can be triggered by a tiny amount, and may be severe. An intolerance — lactose being the most common — is a digestive difficulty that is uncomfortable but not dangerous, and often dose-dependent. Cutting out major food groups on suspicion alone risks nutritional gaps, particularly in children.

What to look for

Allergy: hives, swelling of the lips or face, vomiting, wheeze, usually within minutes to two hours

Intolerance: bloating, cramps, wind or diarrhoea, often hours later

Symptoms that appear only with certain foods and repeat reliably

Sensible things to do at home

  • Keep a food and symptom diary for two weeks before your appointment
  • Do not remove entire food groups from a child's diet without guidance
  • If an adrenaline auto-injector has been prescribed, carry it and check the expiry date
  • Read labels and learn the alternative names for your trigger

When to see us

  • Any suspected true allergy — this needs proper assessment, not an elimination guess
  • Your child is avoiding several foods and growth or energy is affected
  • Any swelling of the lips, tongue or throat, or difficulty breathing — this is an emergency

To book, phone the practice on 058 813 2777 or send us a message. In an emergency, go to the nearest emergency department or call 10177.