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Kirsten Jackson Consultant BSc Hons PG Cert RD

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How To Get An Accurate Allergy Test

by Kirsten Jackson Consultant Dietitian BSc Hons, RD, PG Cert 3 Comments

Many people report having a food allergy and are keen to try an allergy test to get a diagnosis. But, exactly how do you get an accurate allergy test?

This article will discuss the common symptoms of food allergies and how you can get an accurate test.

food allergy test

Table of Contents

  • Food allergy symptoms
  • What is a food allergy?
  • How common is a food allergy?
  • Food allergy tests that should be avoided (3, 4) 
  • Ways to get a food allergy diagnosis
    • IgE & mixed-type allergies
  • Diagnosing IgE & mixed-type allergies
    • Medical and symptom history (by a specialist doctor)
    • An allergen-specific IgE serum blood test or skin prick test
    • Food exclusion diet followed by reintroduction to confirm the diagnosis
  • Diagnosing Non-IgE mediated food allergies
  • What is an elimination diet?
  • Summary

Food allergy symptoms

Food allergy symptoms can be anaphylactic but can also involve digestive symptoms such as diarrhoea and constipation. Symptoms may also include eczema and skin problems.

What is a food allergy?

When an individual has a food allergy, their body mistakenly creates antibodies (IgE – antibodies) in response to coming into contact with that food. This can then result in the symptoms described above.

How common is a food allergy?

The World Health Organization estimates that 10 – 40% of the global population has a food allergy (1). 

Luckily, we know that allergies are less common in adult years (2). 

Food allergy tests that should be avoided (3, 4) 

There are multiple food allergy tests on the market which are inaccurate and considered fads. 

The following tests should be avoided:

  • Alternative blood tests (leukocytotoxic tests) – detects food allergies when white blood cells (leukocytes) swell when mixed with the allergen. 
  • Basophil histamine release/ activation – a food allergen stimulates white blood cells (basophils) in a test tube.
  • Endoscopic allergen provocation – an allergen is inserted into the colon. The mucous membrane is examined for an allergic response.
  • Facial thermography – to examine the effects of antihistamine on the skin of the nose.
  • Gastric juice analysis – suspected food allergen is ingested. A feeding tube is used to gather some gastric juice from the stomach to be examined.
  • Hair analysis – Energy fields of a sample of your hair are sent to a lab where they are scanned.
  • IgG/IgG4 testing – checks for immunoglobulin G (IgG), an antibody created by your body to fight a particular allergenic food
  • Kinesiology testing – This is based on how certain foods can cause an energy imbalance in your body. Your muscle response is tested by holding the suspected allergen in a container.
  • MRT test and LEAP protocol – MRT (mediator release test) is a blood test that quantifies how strongly your immune cells react to foods. LEAP (lifestyle eating and performance) is an eating plan based on your MRT results.
  • Provocation neutralization – allergen is injected under the skin or placed under the tongue to provoke stimulation.
  • Electrodermal (Vega) testing – This measures the electromagnetic conductivity in your body. The offending food will show a dip in the electromagnetic conductivity.

Ways to get a food allergy diagnosis

Food allergy diagnosis is complicated and varies in method depending on what type of allergy you have.

IgE & mixed-type allergies

IgE-mediated food allergies can result in an immediate reaction within a few minutes to 2 hours. They are often caused by foods such as (5): 

  • Wheat
  • Fish
  • Shellfish
  • Nuts
  • Eggs
  • Milk
  • Soy

The body reacts to the food allergy and produces allergen-specific immunoglobulin E (IgE) antibodies in the bloodstream (6).

Some people can suffer from both IgE and non-IgE-mediated allergies. This is known as a mixed-type allergy. Examples include atopic dermatitis and eosinophilic esophagitis (EoE) (7).

You can read more about eosinophilic esophagitis here.

Diagnosing IgE & mixed-type allergies

The gold standard for testing for these types of food allergies is a complicated 3 step process. This process involves medical testing, doctors’ assessment and a specialist diet.

Medical and symptom history (by a specialist doctor)

A food allergy has specific patterns, which a specialist doctor can check from your medical history. They will also rule out other possible causes of your condition. 

The blood test or skin prick test only shows an ‘allergic sensitisation’ but not necessarily an allergy (5).

An allergen-specific IgE serum blood test or skin prick test

This testing shows that an immune reaction may be present.

Food exclusion diet followed by reintroduction to confirm the diagnosis

You firstly avoid the suspect food for a set amount of time, following be a reintroduction period. This further improves the accuracy of the overall diagnosis (6). 

Depending on your food allergy symptoms, your doctor may advise you to follow a reintroduction protocol in a clinical setting in case of anaphylaxis.

Diagnosing Non-IgE mediated food allergies

Some food allergies fall under the category of ‘non-IgE mediated’ such as cow’s milk protein allergy. This type of allergy is more likely to be undiagnosed during childhood and adulthood.

The best way to diagnose these is through a medical history, symptom evaluation and exclusion diet (7). Non-IgE mediated allergies are often indicated in those with delayed reactions, which can take up to several days or who appear to have no pattern in their symptoms.

What is an elimination diet?

An elimination diet is when one or several allergens are excluded from an individual’s diet for a set period. This is not a diet for life but more of a way to diagnose. After this, the food challenges/reintroduction phase is when you confirm your allergy.

It is important to note that you must NOT attempt this diet alone. 

Missing out on expert help can mask an underlying medical condition such as coeliac disease, which is not an allergy. This can lead to nutritional deficiencies in the long term that can otherwise be prevented.

Summary

Food allergies are increasingly common and can result in symptoms similar to other conditions like IBS. Allergies can be categorised into 3 types such as IgE, non-IgE and a mixture of both. Their diagnosis and treatment plans are different, so it is important to work with an allergy specialist.

Alternative allergy tests should be avoided as they lack scientific evidence. They can be expensive, and you may be unnecessarily restricting foods in your diet. 

Safety Note: If you think you have an allergy, you must report this to your GP. They will get you on the correct path to a safe diagnosis. Attempting to tackle an allergy on your own may result in death, as some reactions are life-threatening.

Updated by Leeona Lam MSc, ANutr (2022), reviewed by Serena Bansal Registered Dietitian BSc Hons and Kirsten Jackson Consultant Dietitian BSc Hons, RD, PG Cert 

Kirsten Jackson Consultant Dietitian BSc Hons, RD, PG Cert

Kirsten Jackson is a UK registered Consultant Gastroenterology Dietitian and founder of The Food Treatment Clinic. She has undergone many qualifications to get where she is today, including a UK BSc Honours Degree in Dietetics and Post-Graduate Certificate in Advanced Dietetics. In addition to this, she has FODMAP Training from Kings College London University. Kirsten set up The Food Treatment Clinic in 2015 after first experiencing digestive problems herself. She felt that the NHS was unable to provide the support individuals needed and went on to specialise in this area before opening a bespoke IBS service. Kirsten also participates in charity work as an Expert Advisor for the IBS Network. In addition, she can be seen in publications such as Cosmopolitan and The Telegraph discussing IBS as an Official Media Spokesperson to the IBS Network.

Filed Under: Treatments, Testing and Diagnosis Tagged With: allergy, IBS testing

About Kirsten Jackson Consultant Dietitian BSc Hons, RD, PG Cert

Kirsten Jackson is a UK registered Consultant Gastroenterology Dietitian and founder of The Food Treatment Clinic. She has undergone many qualifications to get where she is today, including a UK BSc Honours Degree in Dietetics and Post-Graduate Certificate in Advanced Dietetics. In addition to this, she has FODMAP Training from Kings College London University. Kirsten set up The Food Treatment Clinic in 2015 after first experiencing digestive problems herself. She felt that the NHS was unable to provide the support individuals needed and went on to specialise in this area before opening a bespoke IBS service. Kirsten also participates in charity work as an Expert Advisor for the IBS Network. In addition, she can be seen in publications such as Cosmopolitan and The Telegraph discussing IBS as an Official Media Spokesperson to the IBS Network.

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Reader Interactions

Comments

  1. Debra Rodriguez says

    at

    When you or a family member has a food allergy, you resign yourself to the realization that there is no cure. Though the solution seems simple eliminate the food that you are allergic to that’s anything but simple in our fast-paced lives of eating packaged and restaurant foods.

    Reply
    • kirstencrothers says

      at

      Hi Debra, well said! This is why a dietitian can be so useful in guiding those with allergies on how to maintain a healthier diet whilst avoiding the allergen.

      Reply
  2. kirstencrothers says

    at

    Hi Braden! Yes of course! As this post outlines though, just make sure you get one via your doctor and not off the high street to be sure you can trust it. Following this, see a registered dietitian. It is a long process but you will get there in the end. Good luck!

    Reply

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🙋‍♀️At the start of the Take Control Programme, I talk through the importance of testing. The reason is that IBS symptoms could also be symptoms of numerous other conditions such as IBD, coeliac disease and even cancer. So best to get tested!​​​​​​​​
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🤓The tests above are recommended tests from NICE guidelines (the gold standard in the UK). You will also need testing for an inflammatory marker known as CRP. Your doctor may wish to do additional testing if you are showing symptoms or potential increased risk of other conditions, but these are not standard and not always required.​​​​​​​​
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🤓On the right-hand side, you have tests which are NOT required. The first one is mapping or testing your gut microbiome. Regardless of how accurate this is, it is pointless. This is because we don't yet know what a normal gut microbiome looks like, so what are you going to do with those results? It is a waste of $.​​​​​​​​
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😫 Your day may not go to plan when you have IBS - you could spend ages on the toilet, unsure what clothes to wear due to the bloat, and be in so much pain that you have to cancel your plans with your friends and family!​​​​​​​​
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😭 I think this post emphasises the point that NOT EVERY DISABILITY IS VISIBLE. As IBS sufferers we often hide our pain in silence day in day out, hoping nobody notices or asks questions. When people ask how we’re doing, we do the polite thing and reply with “I’m fine”. Leaving the burden of IBS to be dealt with alone…​​​​​​​​​​​​​​​​​​​​​​​​
​​​​​​​​​​​​​​​​​​​​​​​​
🤔 But what about instead of struggling alone in silence, you embody the Take Control Method whereby you prioritise emotional support. Open up to a friend, a colleague or a loved one - problem shared is a problem halved. ❤️​​​​​​​​​​​​​​​​​​​​​​​​
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Link in stories 😊
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😭 Do you feel like you've lost the previous you? You're trying to shove your symptoms & feelings under the rug. This takes a toll on not only your physical but also your mental health.​​​​​​​​
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Your feelings ARE validated. Being open about your feelings instead of hiding them can allow you to receive the support you need. By taking this approach, you won't have to fight this battle alone ❤️​​​​​​​​
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💩💩 30% of people in this study who were diag 💩💩 30% of people in this study who were diagnosed with IBS-D were found to have bile salt malabsorption.

🤓 Bile salts are needed in digestion to break down fats. After the salts have been used they are recycled and when this process is broken you can end up with inadequate amounts of bile acid available. This means that your dietary fat is unable to be broken down and you can end up with loose stools.

➡️ If you have watery stools 3 or more times a day and have IBS please mention this to your doctor 🙏.

📚 DOI: 10.1111/apt.13227

#theibsdietitian #irritablebowelsyndrome
Do you have these symptoms? Comment below ⬇️ ​​​​​​​​​
🤔 Endometriosis is when the lining of the uterus is found in other areas of the body. Many IBS symptoms are also symptoms of endometriosis, so it often is misdiagnosed as IBS. Unfortunately, many women wait 7-10 years before a diagnosis.

🙋‍♀️ Interestingly, following the low FODMAP diet for 4 weeks showed a 50% improvement of symptoms in 72% of women who suffer from endometriosis. However, please consult a doctor for a proper diagnosis and a dietitian before following a restrictive diet!

🩸ALWAYS mention any unusual period-related symptoms to your doctor!

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😭 Can you relate? Comment below 👇 ​​​​​​​​​​​​​​​​​​​​​​​​
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😢 Having IBS can really take a toll on your mental health. In turn your IBS can cause anxiety and your anxiety can then cause IBS symptoms leading to a viscous cycle. Your fears are REAL and they are VALID and they can be really debilitating! IBS can impact so many aspects of your life big and small! ⠀⠀⠀⠀⠀​​​​​​​​​​​​​​​​
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🤔 But what if you no longer had to deal with any of these fears and could get your symptoms under control! Instead of continuing with these behaviours adopt the take control method of social support and open up about your IBS to someone!⠀⠀⠀⠀⠀⠀​​​​​​​​​​​​​​​​
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Do you suffer from bloating? ❤️ SAVE THIS CHEC Do you suffer from bloating? ❤️ SAVE THIS CHECKLIST ​​​​​​​​​
Bloating can impact our daily lives - lower our self-esteem as we look like 9 months pregnant and trying to find loose clothing to wear 😫

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🎉 Tired of advice that just doesn't work? Download my FREE IBS morning routine! Link in bio.​​​​​​​​

#ibsawareness #ibsbloating #bloatingtips #ibs #bodypositivity #ibsdiet #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #dietitian
Can you add any more? Comment below!👇👇​​ Can you add any more? Comment below!👇👇​​​​​​​​​​​​​​​​​​​​​​​​
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😥 IBS has widespread implications on our overall health and well-being and it can feel like a never ending battle.​​​​​​​​​​​​​​​​​​​​​​​​
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😊 Our gut health plays a big role in our overall health and well! The Take Control Method focuses on all aspects of well-being not just nutrition! ​​​​​​​​Sleep, movement and mental health optimisation are just as important!​​​​​​​​ This this can help you achieve that ultimate symptom relieve! ​​​​​​​​​​​​​​​​
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👏👏Fed up of trying everything you can but nothing seems to be working? Download my FREE IBS morning guide! Link in bio.​​​​​​​​​​​​​​​​​​​​​​​​
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#loveyourgut #loveyourgutweek2022 ibsdiet diet #ibs #guthealth #ibsfood #guthealth #lowfodmapdiet #guthealthy #guthealing #guthealthdiet #guthealthiskey #bloating #gutmicrobes #gutscience #healthylife #bloating #irritablebowelsyndrome #fodmapfree  #healthygut #goodguthealth #gutfood #fermentedfoods #trustyourgut #chronichealth #microbiome #tipsforgoodguthealth #guthealth #guthealthtips
💩 What movement are you planning today? Comment 💩 What movement are you planning today? Comment below👇

➡️ Did you know that regular movement has been proven by research to improve IBS symptoms?

➡️ I use the term 'movement' in my Take Control method because we have already built up so many negative emotions and ideas around 'exercise.'

💩 Movement should be daily and can be anything from an HIIT class to simple stretches.

➡️➡️➡️ For more tips like this one, check out my FREE IBS morning routine guide (link in the bio) 

#theibsdietitian #lowfodmapdiet #irritablebowelsyndrome
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