Food Allergies in Children: Shrimp and Crab Sensitivities

Food Allergy

Doctor: May I ask, my child is over 4 years old and has undergone allergy testing at the hospital.
The report shows that he is allergic to shrimp and crab in terms of food, and is also allergic to dust mites and Bermuda grass in the environment.
Does this mean he should not eat shrimp and crab?

Yangzi, 30~39 year old female. Ask Date: 2016/05/19

Dr. Xiao Kaiwen reply Pediatrics

In terms of allergen testing for food and respiratory allergies, as children grow and their intestinal immune systems develop properly, most food allergens that initially caused reactions will gradually diminish.
Blindly restricting dietary intake solely based on positive reactions from allergen tests can interfere with a child's normal nutritional intake.
Therefore, it is important to observe whether clinical symptoms occur after the child consumes these foods.
However, the situation is different for respiratory allergens, which typically elicit a significant immune response, leading to airway inflammation and symptoms.
Thus, it is essential to avoid these allergens as much as possible.

Reply Date: 2016/05/19

More Info

When it comes to food allergies in children, particularly with sensitivities to shrimp and crab, it is crucial to approach the situation with caution and informed decision-making. Given that your child has been diagnosed with allergies to these specific seafood items, it is generally advisable to avoid them entirely. Food allergies can provoke a range of reactions, from mild symptoms such as hives or stomach upset to severe anaphylactic reactions, which can be life-threatening.
In your child's case, the allergy test results indicating a sensitivity to shrimp and crab suggest that these foods could trigger an allergic response. Even small amounts of these foods can lead to reactions, so strict avoidance is typically recommended. It is important to read food labels carefully, as shrimp and crab can be hidden ingredients in many processed foods, sauces, and even some snacks. Cross-contamination is also a concern, especially in restaurants or homes where seafood is prepared.

In addition to avoiding shrimp and crab, it is essential to consider the broader context of your child's diet. Children with food allergies often have limited food choices, which can lead to nutritional deficiencies if not managed properly. Therefore, it is vital to ensure that your child receives a balanced diet that meets their nutritional needs. Consulting with a pediatrician or a registered dietitian who specializes in food allergies can be beneficial. They can help you create a meal plan that avoids allergens while ensuring adequate intake of essential nutrients.

Moreover, since your child is also allergic to dust mites and Bermuda grass, it is important to manage these environmental allergens as well. This may involve regular cleaning to reduce dust accumulation, using hypoallergenic bedding, and minimizing exposure to outdoor allergens during peak seasons.
In summary, given your child's allergies to shrimp and crab, it is best to avoid these foods entirely to prevent allergic reactions. Focus on providing a balanced diet rich in fruits, vegetables, whole grains, and proteins from safe sources. Regular follow-ups with healthcare providers can help monitor your child's growth and nutritional status, ensuring they remain healthy and well-nourished despite their food allergies.

Similar Q&A

Understanding Seafood Allergies: Symptoms and Management Tips

Before sixth grade, I had no food allergies. After eating shrimp and crab in sixth grade, I experienced itching in my mouth (lips and tongue), but my body did not itch. Then, in middle school, while peeling shrimp for my niece, my hands became very itchy. During this developmenta...

Dr. Wu Yuxin reply Dermatology
What is your question?

Understanding Shellfish Allergy: Symptoms and Management Tips

Whenever I eat shellfish like shrimp or crab, my lips become itchy, and the taste is overwhelmingly fishy, making my throat and esophagus feel uncomfortable. In severe cases, I even feel like vomiting. I can only barely eat grilled shrimp, but it still feels strange. However, I d...

Dr. Liao Yaopan reply Family Medicine
Hello, based on your description, there is a possibility of an allergic reaction, as allergic responses are not solely limited to urticaria. It is advisable to consult an allergist for further evaluation. Online consultations are not equivalent to in-person medical visits and can...

Allergy Concerns: Dietary Guidelines for Infants with Allergic Parents

Hello, doctor~~ Both my husband and I have allergic tendencies, and my daughter is currently 7 and a half months old. The pediatrician advised us not to introduce any protein foods, including eggs, meat, and fish, before she turns one. I would like to ask if I can use kombu or ke...

Dr. Pei Rensheng reply Pediatrics
Hello: (1) If both parents have allergic tendencies, the likelihood of their children having allergic conditions is between 60-100%. The later a child is introduced to protein-rich foods, the less likely they are to develop allergic diseases in the future, especially with seafood...

Understanding Allergies and Hives in Toddlers: A Parent's Guide

Hello, doctor. I would like to ask a few questions. My son is currently 1 year and 3 months old. Four days ago, he started developing some rashes on his legs. Three days ago, I fed him some fish (specifically, kiss fish). Since the rashes appeared, they have spread all over his b...

Dr. Zhang Guozhen reply Pediatrics
Dr. Chang Kuo-Chen from the Hsinchu County Hospital Pediatric Department respectfully states the following: Food allergies are abnormal immune responses by the immune system to specific foods. The immune system produces a specific type of immunoglobulin E (IgE) in response to the...