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Fish allergy perhaps?

Question:
My boyfriend has eaten fish all of his 28 years and has never had a problem with it. However the last 3 times he has eaten fish, he has gotten sick. (both ends!) Is it possible to just wake up one day and never be able to eat fish again?


Answer:
Yes. He probably should avoid fish from now on (or at least get tested for fish allergy). Sure it's possible to develop food allergies or intolerances, though I don't think it usually happens so all-of-a-sudden. Was it the same fish each of the last 3 times? How much did your boyfriend eat at one time? Any possibility of spoilage, contamination, or adverse reaction to added ingredients? Was it the same fish species your boyfriend previously ate safely? What about other foods eaten at the same meal? If it's a digestive problem, it might be possible to eat small servings of fish in combination with raw pineapple. This would have to be approached cautiously and would depend on the intensity of the reaction and how soon after eating the reaction takes place. Pineapple contains a protein-digesting enzyme, bromelain. In addition to this website, there is also alt.support.food-allergies. It's possible. However, spoiled fish can develop histamines that can cause an allergic reaction; or just plain food poisoning. http://www.aegis.com/pubs/aidsline/1990/apr/M9040423.html Histamine poisoning (scombroid fish poisoning): an allergy-like intoxication. "Abstract: Histamine poisoning results from the consumption of foods, typically certain types of fish and cheeses, that contain unusually high levels of histamine. Spoiled fish of the families, Scombridae and Scomberesocidae (e.g. tuna, mackerel, bonito), are commonly implicated in incidents of histamine poisoning, which leads to the common usage of the term, scombroid fish poisoning, to describe this illness. However, certain non-scombroid fish, most notably mahi-mahi, bluefish, and sardines, when spoiled are also commonly implicated in histamine poisoning. Also, on rare occasions, cheeses especially Swiss cheese, can be implicated in histamine poisoning. The symptoms of histamine poisoning generally resemble the symptoms encountered with IgE-mediated food allergies. The symptoms include nausea, vomiting, diarrhea, an oral burning sensation or peppery taste, hives, itching, red rash, and hypotension. The onset of the symptoms usually occurs within a few minutes after ingestion of the implicated food, and the duration of symptoms ranges from a few hours to 24 h.



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