Could It Be an Allergy? Skin Reactions After Eating - Dermatology

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Is it an allergy?


In the morning, I had Vietnamese cuisine, and by the afternoon, I noticed small red spots on both sides of my neck.
They are not itchy or painful.

Awei, 20~29 year old female. Ask Date: 2016/02/12

Dr. Li Yufen reply Dermatology


Hello: In general food allergies, the rash tends to be more widespread.
If it is limited to the neck, then contact dermatitis should be considered as a possibility.
Thank you!

Reply Date: 2016/02/12

More Info


When it comes to skin reactions after eating, particularly in your case where you experienced redness on both sides of your neck after having Vietnamese cuisine, it is indeed possible that you are experiencing an allergic reaction. Allergies can manifest in various ways, and skin reactions are among the most common symptoms.
In your situation, the appearance of red spots that are neither itchy nor painful could suggest a mild allergic reaction, possibly a form of urticaria (hives) or contact dermatitis. Urticaria typically presents as raised, itchy welts, but it can also appear as red spots without significant itching or pain, especially in less severe cases. Contact dermatitis, on the other hand, occurs when the skin reacts to a substance that it has come into contact with, which could include ingredients in the food you consumed.

It's important to consider the specific ingredients in Vietnamese cuisine that may have triggered this reaction. Common allergens in such dishes can include shellfish, peanuts, soy, and various spices. If you have a known allergy to any of these foods, it would be prudent to avoid them in the future.
In addition to food allergies, other factors could contribute to skin reactions. For instance, environmental allergens such as pollen or dust, or even irritants from personal care products, could also be responsible for your symptoms. If you have recently changed any skincare or haircare products, this could also be a factor to consider.

To better understand your situation, it would be beneficial to keep a food diary. Documenting what you eat and any subsequent reactions can help identify patterns and potential triggers. If the redness persists or worsens, or if you develop additional symptoms such as itching, swelling, or difficulty breathing, it is crucial to seek medical attention promptly.
In terms of management, if you suspect an allergy, over-the-counter antihistamines can help alleviate mild allergic reactions. However, if you experience more severe symptoms, such as swelling of the face or difficulty breathing, you should seek emergency medical care immediately, as these could be signs of anaphylaxis, a life-threatening allergic reaction.

In conclusion, while your symptoms may suggest a mild allergic reaction, it is essential to monitor your condition closely and consult with a healthcare professional for a definitive diagnosis and appropriate management. Understanding your body's responses to different foods and substances is key to preventing future reactions and ensuring your overall health and well-being.

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