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CHOCOLATE ALLERGY


WHAT IS A CHOCOLATE ALLERGY?
 

Chocolate causes a range of adverse reactions. Symptoms of a chocolate allergy are usually mild, but in some cases, someone can experience a life-threatening reaction called anaphylaxis. It is very serious, and for some people, the only way to avoid these problems is to avoid chocolate.

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However, true chocolate allergies are quite rare. If you experience adverse symptoms after you eat chocolate, it is more likely that you are allergic to another ingredient in the chocolate, or that you suffer from a chocolate intolerance.

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An intolerance is a reaction of your gastrointestinal system rather than your immune system, and it is a reaction to an ingredient or chemical in the chocolate, rather than the protein in the chocolate. Some of the chemicals in chocolate are soy lecithin, tyramine, phenylethylamine, theobromine, caffeine, flavorings, and emulsifiers.

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The top eight food allergens are eggsmilksoywheatpeanutstree nutsfish, and shellfish. Several of these ingredients are very common in chocolate bars, cakes, brownies, puddings, and more. If you react when you eat chocolate, it is probable that you are allergic to one of these major allergens. However, it’s important to get a proper diagnosis from a board-certified allergist.


CHOCOLATE ALLERGY SYMPTOMS
 

  • Migraines

  • Heartburn

  • Cramps

  • Swelling

  • Cough

  • Itching, hives, or chocolate allergy rash

  • Anaphylaxis

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If you experience the above symptoms after eating chocolate, contact Dr. Tamayev. Dr. T provides chocolate allergy testing to confirm your allergy. Other symptoms that may arise after eating chocolate are diarrhea, indigestion, and bloating. These are due to a chocolate intolerance. Symptoms of an intolerance will subside on their own, but medication can help you feel better faster.

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Whether you suffer from a chocolate allergy or intolerance, you should avoid foods with chocolate. We provided a chocolate allergy food list to help you navigate through this allergy.


CHOCOLATE ALLERGY FOODS TO AVOID
 

  • Candy

  • Baked Goods

  • Packaged Snacks

  • Ice Cream

  • Pudding

  • Chocolate-covered fruit

  • Crepes and Pancakes

  • Packaged Snacks

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Companies aren’t required to label chocolate on packaged goods. However, chocolate is rarely a hidden ingredient. This makes it easy to identify chocolate in certain foods. Contact Dr. Tamayev for a complete list of chocolate foods to avoid.


CHOCOLATE ALLERGY DIAGNOSIS
 

​Drinking hot chocolate or eating a brownie is NOT the way to test for a chocolate allergy or intolerance. The only way to diagnose a chocolate allergy is to be tested by an allergist. Dr. T may suggest a blood test or a food challenge. A blood test for allergies measures Immunoglobulin E (IgE), an antibody that your immune system develops in reaction to a specific allergen.

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During a food challenge, you will be asked to eat a small amount of chocolate in a clinical setting only. Food allergies can be severe, so you must be around a board-certified allergist during this test. They will keep an EpiPen or AUVI-Q nearby in case you experience a severe chocolate allergy reaction.

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Dr. Tamayev may also perform a chocolate allergy patch test or skin prick test to rule out other food allergies that are a common ingredient in chocolate-based foods, such as milk and eggs. Milk and egg allergies can be severe, so a proper diagnosis is necessary.


CHOCOLATE ALLERGY TREATMENT
 

Treatment for allergies begins with avoidance. If you’re allergic to chocolate, refrain from eating chocolate and its byproducts. Dr. Tamayev will also prescribe an epinephrine auto-injector that you should carry with you.

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For less severe allergies, such as itching and hives, try over-the-counter treatment options. Cortisone creams can help with inflammation of the skin. Antihistamine pills also help with mild reactions.


CHOCOLATE ALLERGY FREQUENTLY ASKED QUESTIONS
 

What’s the Difference Between A Chocolate Allergy and A Chocolate Intolerance?

A chocolate allergy relates to the immune system. Your immune system registers the protein in chocolate as harmful and evokes an allergic reaction. A chocolate intolerance relates to the digestive system. In this case, your body can’t digest the sugars in chocolate.

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Can Chocolate Give You A Rash?

Yes, chocolate can give you a rash. The rash can be immediate or delayed. If you develop a rash after eating chocolate, contact a food allergy specialist for treatment.

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Is Chocolate Allergy Curable?

No, chocolate allergy is not curable. However, you can easily manage your symptoms with the help of an allergy specialist. Dr. T provides a full treatment plan based on your symptoms. Your treatment plan also includes expert training on how to administer certain drugs, such as epinephrine or inhaled corticosteroids.

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Why Are People Allergic to Chocolate?

There are many proteins in chocolate that cause allergic reactions, but most people react to cocoa. Other ingredients may also cause an allergic reaction such as soy lecithin, tyramine, phenylethylamine, theobromine, caffeine, flavorings, and emulsifiers. To determine what protein or ingredient you’re allergic to, contact Dr. T.

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Can I Be Allergic to Chocolate?

If you experience the above symptoms, you can be allergic to chocolate. Contact Dr. Tamayev for a quick diagnosis.

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How Is Chocolate Allergy Treated?

Most chocolate allergy symptoms are treated with antihistamines. For more severe allergies, epinephrine may be prescribed.

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How Is Chocolate Allergy Diagnosed?

Chocolate allergy is diagnosed with allergy testing. Visit Dr. T for an allergy assessment.


SUMMARY
 

If you are concerned about a chocolate allergy, Dr. Tamayev is here to help.  Dr. T has access to the latest testing & treatments and can help you find relief for your asthma, ENT (ear, nose, and throat) symptoms, respiratory allergies, and skin conditions. Dr. T sees pediatric and adult patients. Schedule an appointment today by using the button below!

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