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Wednesday, February 24, 2010

The “Big Eight” Educational Series – Wheat Allergy

The Allergy Free Shop exists to provide parents and caretakers with allergen-free foods and products for those with food allergies and sensitivities. We also strive to provide resources that help to provide guidance to those just beginning their education about specific food allergies affecting their children.

Wheat allergy is part of the "Big Eight", one of the eight most common food allergies currently found here in the US. And similar to the other allergies, it too is growing in diagnosis and prevalence.

But what is typically referred to as "wheat allergy" is actually a collection of closely inter-related allergies. This is because there is a wide spectrum of wheat proteins, and each one can cause reactions.

The main protein classes include albumins, globulins, prolamins and glutelins. Over 40 different allergens in wheat have been detected, though gluten is the predominant factor. Many allergic individuals will also cross-react with related grains, such as barley and rye.

Related conditions include respiratory allergy to wheat pollen, an occupational disease that sometimes develops in bakers and food service workers, and is similar to typical grass allergies. And as explained in a previous post on the topic, celiac disease is also caused from exposure to gluten, but is different from wheat allergy.

Signs and Symptoms


An individual’s response to wheat allergens is similar to that found with most other food allergies. Eczema, hives, itching and swelling, abdominal pain and nausea are all typical. Migraines also seem to be a common symptom of exposure. In extreme cases, anaphylactic shock is possible. Special tests can help diagnose wheat allergy, although detection of these allergens can be harder than other food allergies.

Wheat allergy can also trigger two relatively unique conditions, 1) exercise-induced and 2) aspirin-induced anaphylaxis and urticaria. These can occur with other food allergens as well, but happen more frequently in relation to wheat allergies. Recent studies show that both aspirin and exercise increase the presence of gliadin, a common wheat allergen, in the blood stream. For this reason, sensitive individuals should talk with their doctor and possibly avoid aspirin products, and pay close attention to warning signs while exercising.

Some parents of autistic children also ascribe their child’s symptoms to wheat allergies, among other foods, although published data supporting this view is sparse.

Avoiding Wheat Products


An avoidance diet is the only certain defense. As noted, some wheat allergic people can still eat other grains and food products, allowing for substitutions such as rye bread. Gluten-free oats may be a useful source of cereal fiber, and rice flour is a commonly used alternative for those allergic to wheat.

As always reading labels is a must, considering the high prevalence of products that contain wheat. The Food Allergy Labeling Consumer Protection Act requires that labels be marked such that a 7-year old could read and understand the ingredients, and that all allergens are fully declared. For more information on this regulation, please see: Food Allergy Labeling

Allergy Free Shop offers a wide variety of foods that are Wheat Free. Some of our best sellers are Kitchen Table Bakers Aged Parmesan Mini Crisps, Bob’s Red Mill All Purpose Gluten-Free Baking Flour, and BiAglut Pasta Mia Fusilli.

Our goal is to provide you with a wide variety of allergy-free products for you and your children, a place where you can find everything you need in one convenient place. And with careful vigilance and understanding of your specific condition, you CAN avoid future exposure and allergic reactions to food allergens!

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Wednesday, January 27, 2010

Spotlight on Celiac Disease

At the Allergy Free Shop, we not only cater to the specific needs of those with food allergies, but also to those individuals with dietary requirements due to other medical conditions. One of these conditions is Celiac Disease, an autoimmune disorder of the small intestines. It can occur in people of all ages, from early infancy to adulthood, and is also known by a number of other names such as sprue or gluten enteropathy. Sometimes it is spelled "coeliac" disease.

The condition is caused by a reaction to gluten proteins found in wheat and similar crops, such as barley and rye. Some individuals even react to oats. And while the disease is caused by a reaction to wheat proteins, it is important to note that it is not the same as wheat allergy.

Direct causes of the disease are not completely understood, though the timing of an infant’s exposure to wheat, barley or rye may be related to the development of the condition. Currently, most experts believe the best time for exposure is at the age of four to six months. Breastfeeding until the introduction of these grains is also believed to reduce the risk of the disease.

Upon exposure to wheat proteins, the immune system of the affected individual reacts with the small-bowel tissue, causing inflammation. This chronic inflammation can damage the lining of the small intestines, and prevent the absorption of nutrients. Symptoms typically include chronic diarrhea and fatigue, and a "failure to thrive" in young children.

Blood tests are usually the first line of diagnosis for those suspected of Celiac Disease, and a growing number of asymptomatic people are being diagnosed due to increased screening.

Experimental treatments are currently being studied, such as the development of genetically engineered wheat, but at present the only effective treatment is a life-long gluten-free diet. No medication exists as of now that will prevent the body from attacking the intestines when gluten is present.

Strict adherence to the diet allows the intestines to heal, leading to resolution of all symptoms in most cases. Since ready-made products often contain traces of gluten, some celiacs may find it beneficial or necessary to cook meals from scratch. The good news is that a gluten free diet may be able to reduce or eliminate the heightened risk of other health problems, such as osteoporosis and intestinal cancer, which are associated with Celiac Disease.

The Allergy Free Shop has over 700 products that are gluten free, including Schar Ladyfingers for making delicious tiramisu, or Ener-G white tapioca loaf.

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