What is Prawn Allergy ?

Prawn allergy is immunologically mediated reaction to prawn which occurs within minutes to hours after taking prawn. Even a small amount of food is sufficient to trigger allergy symptoms. In some individuals, a food allergy can cause severe allergy symptoms or even a life-threatening reaction called anaphylaxis.

The terms shrimp and prawn are common names, not scientific names.  In modern days the terms are almost interchangeable. Although the term shrimp is sometimes applied to smaller species, while prawn is more often used for larger forms. There is no clear distinction between both terms. Some countries used the term Shrimp while other countries use the term prawn and their usage is often confused.

Prawn/Shrimp are not a kind of fish, but are simply water-dwelling animals.

Symptoms of Prawn Allergy

The most common symptoms include:

  • Tingling sensation or itching in and around the mouth
  • Swelling of the lips, tongue, face, throat or other parts of the body
  • Hives, itching or eczema
  • Cough, wheezing or trouble breathing
  • Nasal congestion
  • Abdominal pain, nausea, vomiting, diarrhea
  • Dizziness, lightheadedness or fainting
  • Anaphylaxis

Causes of Prawn Allergy

In food allergy, our immune system recognizes food as a harmful substance and react against it leading to symptoms of food allergy.

In Prawn allergy, our immune system recognizes prawn as a harmful substance and react against it leading t symptoms of food allergy.

Diagnosis of Prawn Allergy

Till date there is no ideal test for Prawn allergy. A physician should consider the following:

  • Symptoms. Tell your physician /allergist, the symptoms you are experiencing.
  • Family history of allergies. Tell your physician whether other family members are suffering from any form of allergic disorders.
  • A physical examination. To find out any urticarial lesion in the body and to exclude other cause of similar symptoms.
  • A skin prick test. A skin prick test using food allergen can be performed. Expertise in this regard is necessary to perform skin test. A positive prick test is only indicate the people is sensitized to particular food allergen tested.
  • A blood test. A blood test can be performed to measure the allergen-specific immunoglobulin E (IgE).
  • Elimination diet.
  • Oral food challenge.

Treatment of Prawn Allergy

Avoidance is the best preventive measure.

However an individual may unknowingly come in contact with the food and lead to allergic reaction.

For mild to moderate allergic reaction:  over-the-counter or prescribed antihistamines are helpful.

For severe allergic reaction: If there is severe reaction or anaphylaxis one must inject adrenaline/ epinephrine in appropriate dosage. If someone has adrenaline autoinjector then he can use it otherwise one have to attend nearest hospital as early as possible. One must carry his adrenaline autoinjector all the time if an allergist prescribed it.

Prevention of Prawn Allergy

Avoidance of the Tree nut is the best way to prevent food allergy.

If you have food allergy, then follow these steps:

  • Know what you’re eating and drinking. Always read the food labels.
  • If you have already had a severe reaction/anaphylaxis, wear a medical alert bracelet or necklace that lets others know that you have a food allergy.
  • Have an action plan ready. Always have your epinephrine /adrenaline autoinjector with you.
  • Be careful while eating at restaurants.
  • Plan your meals and snacks before leaving home.

If your child has a food allergy, you must follow few steps to ensure your child is safe:

  • Always notify key people about the child’s food allergy.
  • Explain food allergy symptoms to persons who spend time with the child.
  • Have a written action plan.
  • Have your child wear a medical alert bracelet or necklace.

Food Allergy Mimickers

Common conditions that mimic food allergy include:

  • Lactase deficiency / lactose intolerance
  • Food poisoning
  • Celiac disease. sometimes called to as a gluten allergy
  • Sensitivity to food additives.eg sulfites used in dried fruit, canned goods
  • Histamine toxicity from certain not refrigerated fish

Read in-depth of Prawn Allergy

To read details click on Read More

Point to be remembered in managing Food Allergy

Avoidance of the offending food is the best way to prevent food allergy. One must know the causative food to which he is allergic. A person with food allergy must be cautious when eating in  restaurants and in social events.

If you have  food allergy, then follow these steps:

  • Know what you’re eating and drinking. Always read the food labels while you eating something.
  • If you have already had a severe reaction/anaphylaxis, wear a medical alert bracelet or necklace that will alert others and you have a food allergy.
  • Have an action plan ready. Always have a action plan of your food allergy.
  • Have an Epinephrine / Adrenaline Autoinjector with you.
  • Be careful while eating at restaurants.
  • Plan your meals and snacks before leaving home.

If your child has food allergy, you must follow few steps to ensure your child is safe:

  • Always notify key people about the child’s food allergy. Inform your child care providers, school personnel, parents of your child’s friends and other adults who regularly interact with your child. Tell them that food allergy may be life threatening and may require urgent intervention to save life of the child.
  • Explain food allergy symptoms to persons who spend time with the child.
  • Have a written action plan.This plan should include the appropriate management strategies to care the child in case of food allergy and in emergency case of anaphylaxis. One copy of the plan must be given to school authority.
  • Have your child wear a medical alert bracelet or necklace to display that he/she has Food Allergy.

In-depth reading about of Prawn Allergy

What is  Prawn Allergy?

Food allergy is immunologically mediated reaction to certain foods which occurs within minutes to hours after taking food. Even a small amount of food is sufficient to trigger allergy symptoms. In some individuals, a food allergy can cause severe allergy symptoms or even a life-threatening reaction called anaphylaxis.

The terms shrimp and prawn are common names, not scientific names.  In modern days the terms are almost interchangeable. Although the term shrimp is sometimes applied to smaller species, while prawn is more often used for larger forms. There is no clear distinction between both terms. Some countries used the term Shrimp while other countries use the term prawn and their usage is often confused.

Prawn/Shrimp are not a kind of fish but are simply water-dwelling animals.

Sometimes few people develop indigestion, gaseous distention of abdomen or diarrhea after taking some food but it may not be due to food allergy but another condition called food intolerance. This reaction is not immunologically mediated and it is less severe than allergy.

Symptoms of Prawn Allergy

Symptoms of Prawn allergy can range from mild allergic reaction to severe allergic reaction or even life-threatening reaction called anaphylaxis. Usually, food allergy symptoms develop within a few minutes to two hours after eating the offending food.

The most common symptoms include:

  • Tingling sensation or itching in and around the mouth
  • Swelling of the lips, tongue, face, throat or other parts of the body
  • Hives, itching or eczema
  • Cough, wheezing or trouble breathing
  • Nasal congestion
  • Abdominal pain, nausea, vomiting, diarrhea
  • Dizziness, lightheadedness or fainting

Anaphylaxis

In few individuals, a food allergy can cause anaphylaxis. Life-threatening signs and symptoms of anaphylaxis include:

  • Respiratory distress
  • A swollen throat or the sensation of a lump in your throat
  • Shock with a severe drop in blood pressure
  • Rapid pulse
  • Dizziness, lightheadedness or loss of consciousness

Anaphylaxis is a medical emergency treatment. Emergency treatment with intramuscular epinephrine/adrenaline is crucial for the survival of patients.

Causes of Prawn Allergy

In Prawn allergy, our immune system recognizes Prawn as a harmful substance and react against it leading to symptoms of food allergy.

Risk factor for Prawn allergy include:

  • A family history of Allergy. If your family members are suffering from some form of allergies like asthma, eczema, urticaria, allergic rhinitis then you are at risk of developing a food allergy.
  • If you are suffering from food allergy to one of the food items. If you’re already allergic to one food, then you are at risk of developing food allergy to other foods.
  • Age. Overall food allergies are more common in children. Your food allergy may disappear when you grow older. In most of the cases of food allergy to eggs, milk, soy, and wheat in children may resolve automatically when they grow older. But an allergy to shellfish and nuts may remain lifelong.
  • Asthma. Asthma and food allergy can occur together. In such patient, both food allergy and asthma symptoms are more likely to be severe.

Diagnosis of Prawn Allergy

Till date there is no ideal test for Prawn allergy. A physician should consider the following:

  • Symptoms. Tell your physician /allergist, the symptoms you are experiencing. Tell your allergist about the possible food items, eating of which lead to start of your symptoms. inform him when this symptoms start occurring, how much time the symptoms last and how you get relief.
  • A family history of allergies. Tell your physician whether other family members are suffering from any form of allergic disorders.
  • A physical examination. To find out any urticarial lesion in the body and to exclude other cause of similar symptoms.
  • A skin prick test. A skin prick test using food allergen can be performed. Expertise in this regard is necessary to perform a skin test. A positive prick test only indicates sensitization.
  • A blood test. A blood test can be performed to measure the allergen-specific immunoglobulin E (IgE).
  • Elimination diet. This can be done by first eliminating the suspected food items for 2-4 weeks then reintroducing the food items one by one to see when the symptoms return back. However, an elimination diet cannot distinguish true food allergy from a food sensitivity. Another thing one must be kept in mind that if a person is already experienced severe allergic reaction or anaphylaxis, one must not do an elimination diet as it may be disastrous.
  • Oral food challenge. Here the physician will give you a small but gradually increasing amount of prawn or prawn containing  product to see whether the symptoms are occurring or not. One must be kept in mind that if a person is already experienced severe allergic reaction or anaphylaxis, one must not do oral food challenge test as it can be disastrous.

Treatment of Prawn Allergy

Avoidance is the best preventive measure. However, an individual may unknowingly come in contact with the food and lead to an allergic reaction.

For mild to moderate allergic reaction:  over-the-counter or prescribed antihistamines are helpful.

For severe allergic reaction: If there is severe reaction or anaphylaxis one must inject adrenaline/ epinephrine in an appropriate dosage. If someone has adrenaline autoinjector then he can use it otherwise one has to attend the nearest hospital as early as possible. One must carry his adrenaline autoinjector all the time if an allergist prescribed it.

How to Prevent Prawn Allergy

Avoidance of the offending food is the best way to prevent food allergy. One must know the causative food to which he is allergic. A person with a food allergy must be cautious when eating in a restaurant and in social events.

If you have a food allergy, then follow these steps:

  • Know what you’re eating and drinking. Always read the food labels.
  • If you have already had a severe reaction/anaphylaxis, wear a medical alert bracelet or necklace that lets others know that you have a food allergy.
  • Have an action plan ready. Always have your epinephrine /adrenaline autoinjector with you.
  • Be careful while eating at restaurants.
  • Plan your meals and snacks before leaving home.

If your child has a food allergy, you must follow a few steps to ensure your child is safe:

  • Always notify key people about the child’s food allergy. Inform your child care providers, school personnel, parents of your child’s friends and other adults who regularly interact with your child. Emphasize that food allergy may be life-threatening and may require urgent intervention.
  • Explain food allergy symptoms to persons who spend time with the child.
  • Have a written action plan. This plan should include the appropriate management strategies to care for the child in case of food allergy.
  • Have your child wear a medical alert bracelet or necklace.

Lifestyle and home remedies

Avoidance of the offending food in the utmost importance in food allergy.

  • Don’t assume offending food in any form. Always check food labels while you eating outside especially in restaurants and in social events.
  • If you are in doubt then don’t eat. One must keep in mind that even a very small amount of food particle can trigger symptoms of food allergy or may trigger anaphylaxis. So if you are in doubt then it is better to avoid the food.
  • Involve caregivers of the child. If your child has a food allergy, then you have to inform the school staff and other caregivers of the child so that they can manage the child in case of any symptoms of food allergy.
  • Hand washing/ clean kitchen room.

Alternative medicine

Limited use. Research needs to be conducted. Some people, however, claim few improvements of symptoms.

Common conditions that mimic food allergy include:

  • Lactase deficiency / lactose intolerance
  • Food poisoning
  • Celiac disease. sometimes called to as a gluten allergy
  • Sensitivity to food additives.eg sulfites used in dried fruit, canned goods
  • Histamine toxicity from certain not refrigerated fish

Complications of Prawn allergy include:

  • Anaphylaxis. This is a severe life-threatening allergic reaction.
  • Atopic dermatitis /Eczema. Food allergy can cause eczema.
CFAA

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