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Wheat Allergy

Wheat is one of the eight most common allergy-causing foods. While wheat allergy most often affects children, it can also occur in adults. Allergic reactions usually occur in susceptible individuals a few minutes to a few hours after they've consumed wheat.

Signs and symptoms of wheat allergy range from mild to severe and can include skin reactions, congestion and digestive issues. Rarely, wheat allergy can cause anaphylaxis, a life-threatening reaction.

If you or your child has a reaction to wheat, tell your doctor about it, no matter how mild the reaction may have been. Tests can help confirm a wheat allergy, so you can take steps to avoid future and potentially worse reactions.

Not all reactions to wheat are caused by wheat allergy. Some people have a digestive reaction to a sticky protein called gluten that's found in wheat and other grains. This reaction to gluten differs from a wheat allergy. It can be caused by an inability to digest gluten (gluten intolerance) or by an allergic reaction to gluten known as celiac disease or gluten sensitive enteropathy.

Signs and symptoms of wheat allergy can include:

  • Swelling, itching or irritation of the mouth or throat
  • Hives or skin irritation
  • Nasal congestion
  • Airway inflammation
  • Gastrointestinal symptoms such as cramps, nausea and vomiting

Allergy symptoms differ from person to person and generally occur a few minutes to a few hours after wheat's been ingested. In some people, allergic reactions occur:

  • When exercising after eating wheat
  • From inhaled flour in the workplace (sometimes called bakers' asthma)

Anaphylaxis
Some people have a severe reaction to wheat called anaphylaxis. This is a medical emergency and requires treatment with an epinephrine (adrenaline) shot and a trip to the emergency room. Signs and symptoms start within seconds to two hours after eating wheat and can include:

  • Constriction of airways, including a swollen throat or a lump in your throat that makes it difficult to breathe
  • Shock, with a severe drop in blood pressure
  • Rapid pulse
  • Dizziness, lightheadedness or loss of consciousness

The only way to prevent an allergic reaction is to avoid wheat and wheat proteins altogether. This can be difficult, as wheat is a common food ingredient.

Medications, such as antihistamines, may reduce signs and symptoms of wheat allergies. These drugs can be taken after exposure to wheat to control your reaction and help relieve discomfort.

Despite your best efforts, you may still come into contact with wheat. If you have a serious allergic reaction, you may need an emergency injection of epinephrine (adrenaline) and a trip to the emergency room. If you're at risk of having a severe reaction, you may need to carry injectable epinephrine (such as EpiPen) with you at all times.

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