Alcohol Allergy

What is an Alcohol Allergy?

What Causes An Alcohol Allergy? 

An allergy is a problematic natural response to a specific substance. Substances that cause an allergic response are called allergens. They make the immune system overreact, causing a variety of side effects.

Experts don’t fully understand how alcohol affects the body’s response to allergens. Many individuals say their allergy symptoms worsen when they drink, and research shows that individuals who suffer from allergies are more likely to experience symptoms after consuming alcohol.

Individuals with an alcohol allergy experience a reaction after as little as one milliliter of pure alcohol or a mouthful of wine or beer (about 10 milliliters). Why some individuals experience allergic reactions to alcohol – when small amounts are already produced by the body naturally – is yet unknown to researchers. However, in some circumstances, severe reactions to alcohol are mistaken for allergies when the culprit is Hodgkin’s Lymphoma, a cancer of the lymph nodes.

Other foods that may cause an alcohol allergy are:

• Food marinades
• Tomato puree
• Overripe fruit that has fermented
• Cough syrup
• Mouthwash

Physicians are able to diagnose an allergy based on the production of antibodies. Antibodies known as immunoglobulin E (IgE) cause an allergic reaction in the body accompanied by common allergic reaction symptoms. Also, blood and skin tests are able to measure immune system responses to certain substances.

Alcohol Allergy vs Intolerance

To an Allergist (a doctor who is an expert in the treatment of allergies), an “allergy” means that you have specific allergic antibodies or “IgE” to something like peanut, cat, or penicillin. True IgE-mediated allergy to alcohol is rare, but alcohol intolerance is quite common. Alcohol acts as a substance that causes the blood vessels in your skin and nasal passages to open up (vasodilator). This causes facial flushing (red face) and sometimes even itching or heat and nasal congestion.

For individuals with rosacea, this effect on the skin can be very brisk and alarming, which mimics an allergic reaction but is not associated with the other signs and symptoms of anaphylaxis (hives, angioedema, bronchospasm, hypotension). Some individuals are sensitive to certain kinds of alcohol and can develop gastrointestinal symptoms such as nausea, vomiting, diarrhea, or headaches even if they have not had a significant amount of alcohol.

Most people who have a reaction to alcohol aren’t allergic to it. They have an intolerance. They don’t have one of the active enzymes needed to process alcohol – alcohol dehydrogenase (ADH) or aldehyde dehydrogenase (ALDH). This is often called alcohol intolerance.

Alcohol Allergy Risk Factors 

You may experience symptoms of alcohol intolerance if you are actually allergic to:

Alcohol Allergy Diagnosis 

If you develop symptoms after drinking alcohol, make an appointment with your doctor. Depending on your symptoms, they might refer you to an allergist for testing and treatment. An allergist is a special type of doctor that focuses on allergic conditions.

Your doctor will probably start by asking you questions about your symptoms and medical history, such as:

In some cases, they might use an oral challenge test to diagnose an allergy or intolerance. In this procedure, they will ask you to consume a sample of your suspected trigger. They will observe any symptoms you develop. They may also conduct blood tests.

Alcohol Allergy Treatment

If you have a true alcohol allergy, the only way to avoid symptoms is to avoid alcohol completely. Even a small amount of alcohol can trigger a severe reaction. Read the ingredient lists of foods and drinks, ask the restaurant staff for information about menu items, and avoid products that contain alcohol. Some foods contain alcohol as an added ingredient.

If you’re allergic to another ingredient contained in certain alcoholic products, switching to a different drink might be an option. For example, barley is typically found in beer but not wine. Ask your doctor for guidance.

If you experience a mild allergic reaction, over-the-counter (OTC) oral antihistamines may be enough to treat it. If you develop any signs of a severe reaction, you should receive one or more doses of epinephrine. This medication is also called adrenaline. It’s available in preloaded syringes, known as epinephrine auto-injectors (e.g., EpiPen). If your doctor prescribes an epinephrine auto-injector, you should carry it with you at all times. Use it at the first sign of a severe allergic reaction. Then go to your nearest emergency department for follow-up care.

If you have a non-allergic intolerance to alcohol, histamine, sulfites, or other components of alcoholic beverages, your doctor might encourage you to limit or avoid certain types of alcohol. In some cases, over-the-counter (OTC) or prescribed medications might help alleviate symptoms.

How Can I Prevent Alcohol Intolerance?

You cannot prevent alcohol intolerance from developing. It is an inherited disorder, so it was passed down to you from your parents. However, you can take steps to avoid the symptoms. Alcohol intolerance is a lifelong condition. It won’t go away, but by taking some precautions, you can avoid the symptoms and enjoy a healthy, active life.

The best way to live with this condition is to avoid alcohol as much as possible. Try nonalcoholic beverages as substitutions for your favorite alcoholic drinks. Avoiding alcohol will allow you to live an active, enjoyable life without unpleasant symptoms.

Alcohol abuse can still develop if someone has an alcohol allergy. Some individuals continue to drink through adverse reactions to feel the pleasurable effects of alcohol.

Heavy drinking and alcohol allergy may increase the risks of developing specific alcohol-related problems, such as: