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Exclusion diets are commonly used
both to confirm other diagnostic tests, like RAST tests and
prick tests, as well as to pinpoint possible food intolerances.
They are also a proven diagnostic tool for people suffering
from inflammatory/irratable bowel disease
(IBS).
When the
cause of allergic symptoms is unclear, doctors can use
several different types of exclusion diets to
narrow down the range of foods that might be causing
symptoms.
Ninety
percent of food allergies are caused by the twelve most
common food allergens:
·
Alcohol
·
Red
meat
·
Wheat and/or
gluten
·
Citrus
fruits
·
Bran
·
Artificial
sweeteners
·
Poultry skin
and dark meat
·
Carbonated
drinks
·
Coffee
·
Dairy
·
Fried
foods
·
Oils
One option
is to eliminate any of these foods that may be
problematic. This method will probably be the first
method of exclusion diet that your doctor recommends.
Unfortunately, this is a long and tiresome project – you
would be expected to cut out these foods, one at a time,
for a reasonable amount of time.
Your body
would need a suitable period to rid itself completely of
the excluded foodstuff and to show signs of improvement
as far as your allergy is concerned. In order to validate
the exclusion testing, any food elimination may require a
4-6 week period of testing, although this is not always
the case.
If you are
fortunate you may discover the source of your problem is
one of the first foods that you exclude – this would
negate the need to continue the exclusion
diet for the rest of the common food
types.
In order to
confirm that the food you excluded was the source of the
allergy, you will be required to re-introduce that food
back into your diet, to see if the symptoms reoccur. This
may seem cruel but it is an essential part of the whole
test and will provide concrete proof that the correct
source of your allergy has been
identified.
What if you exclude all of the 12 foods and
still have an allergy?
If that
exclusion diet did not produce results, your doctor may
recommend a "few foods" diet or a "rare foods"
diet.
The "Few Foods" Diet
- Oligoallergenic Diet
This diet
is exactly what it sounds like - a small number of foods
considered unlikely to cause allergic reaction are eaten
for a period of time. If this diet is being used as a
diagnostic tool, the foods are gradually re-introduced
one at a time, to see if symptoms
reappear.
Examples of
foods commonly used on this diet include lamb, rice,
turkey, and pears, all of which are considered unlikely
to cause allergic reactions.
The "Rare Foods"
Diet
The theory
behind the rare foods diet is quite simple -it excludes
foods that are currently part of your regular diet and
replaces them with foods you have never eaten at all, or
have never eaten regularly.
Theoretically, foods that are not a
regular part of your diet are unlikely to cause allergic
symptoms, or so the thinking
goes.
Difficulties of an
Exclusion Diet
One of the
biggest challenges of an exclusion diet
- especially a rare foods or few foods diet - can be
learning to prepare foods without using ingredients you
would normally use.
You may not
be allowed to use common foods such as flour, milk, and
margarine, but don’t worry too much, not only will your
doctor provide you with instructions for carrying out the
diet, they will also have resources and recipes you can
use.
Written
By
Darren
Gray
Editor
Practical Dietary
Advice
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