The term histamine intolerance indicates an imbalance between food-supplied and degraded histamine in the body. In the body, the enzyme diaminoxydase causes the breakdown of histamine, which is supplied by food in different concentrations.
If this is not produced in sufficient quantities, the body reacts with various intolerance reactions such as diarrhea, stomach irritation, fatigue, asthma, dizziness, skin rashes, nausea, etc. This is an acquired disorder, genetic detection is missing so far.
One of the main causes of histamine intolerance is the concentration of the intake of histamine-rich foods. Many foods are not inherently histamine-rich but are made by maturation and fermentation.
In foods to which bacteria are added, one finds particularly high levels of histamine, z. In smoked meat, smoked fish, red wine, cheese, sauerkraut and wheat beer. But so-called histamine liberators, (foods that stimulate the release of histamine in the body) are responsible for an incompatibility. These histamine liberators include strawberries, egg whites and fish.
Alcohol also promotes the release of histamine and reduces its degradation. Medicines also affect the breakdown of histamine in the body, for example, cough-releasing drugs, sleep, pain and rheumatic drugs.
Histamine intolerance manifests itself in very nonspecific complaints, most commonly digestive complaints, skin rashes and migraines. The symptoms can occur immediately after eating food or drinks containing histamine, but also only hours later. If the digestive tract is affected, the histamine intolerance makes unpleasant by abdominal pain, stomach cramps, bloating, nausea and heartburn noticeable.
Diarrhea and vomiting are also possible. Headaches and migraine attacks are often triggered by histamine intolerance. They are sometimes associated with dizziness, circulatory problems and heart palpitations, but these may also be signs of histamine intolerance. Skin reactions are in the form of skin rashes, severe itching, swelling and wheals.
Especially after the consumption of alcoholic beverages, the so-called "flush" is characteristic: It draws an attack-like skin redness over the neck and face, rarely spreads over the upper body. Histamine intolerance can also affect the respiratory tract: Symptoms may include throat irritation, shortness of breath, asthma-like suffocation, increased sneezing, and a stuffy or runny nose.
Occasionally, swelling of the lips and eyes is observed, as well as sleep disturbances, depressive moods, water retention in the tissues, tiredness and joint pain can in some cases be attributed to histamine intolerance. In women, histamine can affect the hormone balance and cause menstrual disorders.
More and more people are affected by histamine intolerance, especially middle-aged women. Although widespread and evident in many symptoms, histamine intolerance is still relatively unknown.
Many people first have to walk from doctor to doctor before their symptoms are recognized by attentive doctors as histamine intolerance. It can not be detected by the usual food allergy test because it is not an allergic reaction.
A diagnosis often succeeds only via a blood and urine test and a reduction diet, in which the supply of histamine-rich foods is restricted. Also, a provocation test, in which intentionally histamine is fed, and a food diary can provide information.
Many complaints after eating histamine-rich foods may indicate histamine intolerance:
Histamine intolerance causes many different complications and discomforts that can severely restrict the life and everyday life of the person and reduce the quality of life. As a rule, the incompatibility leads to severe redness on the skin and the formation of itching. There is also a feeling of dizziness and the patient is suffering from severe vomiting.
In the abdominal region it comes to pain and cramps, which in many cases leads to irritability and restrictions in everyday life. Not infrequently, patients also suffer from headaches and runny nose and runny nose. The symptoms can also lead to mental illness and depression in many patients. In severe cases, histamine intolerance can also cause breathing difficulties, causing patients to experience respiratory distress and gasping.
It usually comes to relatively severe joint pain and a general exhaustion. In acute emergencies, the complaints can be treated with the help of medication. In general, however, the affected person must refrain from histamine intolerance to certain foods and is thus limited in his diet. However, further complications do not occur if the patient dispenses with these foods.
If discomfort occurs again and again after eating histamine-rich foods, it may be due to histamine intolerance. A visit to the doctor is indicated if the symptoms affect well-being or cause serious complications. So complaints such as nausea and vomiting, severe rash and respiratory problems should be clarified by a doctor. Women should seek medical advice if menstrual cramps are noted after eating certain foods.
People who suffer from shortness of breath, sweats or dysfunctions after eating are best advised to visit a hospital. In case of a shock reaction, the rescue service must be called. In general, sufferers should already have a suspicion of histamine intolerance clarified. A medical diagnosis can specifically treat the disease and prevent further complications. Parents who notice signs of allergy or intolerance to their child are best advised to consult with the pediatrician. In case of doubt, the first emergency medical service can be contacted. For other symptoms, ideally speaking with a doctor immediately. In addition to the general practitioner, a specialist in internal medicine can be consulted.
Since histamine-rich foods are the main cause of histamine intolerance, the most important treatment is to know and reduce the diet, or to avoid it altogether, when possible. The following foods are considered to be particularly histamine-rich and should be reduced or avoided:
In addition, histamine release in the body can be drug-stabilized or antihistamines administered. Many doctors still try to treat symptoms symptomatically because they do not put the complaints in the right context. But that does not help sufferers.
The prospect of controlling typical symptoms of histamine intolerance or histamine intolerance depends on various parameters and the countermeasures taken. The problem lies in the fact that different influencers are involved in the histamine intolerance. Histamine is also a mature hormone found in many foods. Hardly anyone can avoid this hormone altogether.
Histamine intolerance is triggered either by histamine-containing foods or by histamine-liberators and biogenic amines. Some foods contain only one of these triggers, but others contain two. If the latter can be avoided and the other foods are consumed as seldom as possible, the prognosis is good. The avoidance of long and artificially matured foods with high levels of maturing hormone is an important measure.
Another option is the rotation diet. This can improve the prognosis by supplying varying and small amounts of histamine. It is also possible to take an enzyme called Diaminoxidase, short DAO. If taken before meals containing histamine, the condition may be improved. Food preparation using special cookbooks is recommended. Visiting appropriate support groups may also be helpful in histamine intolerance.
It becomes problematic if the histamine intolerance occurs as a result of a long existing lactose intolerance or is accompanied by further food intolerances. In this case, the prospects for complete freedom from complaints are significantly worse.
The most important prevention of histamine intolerance is prevention or limitation of histamine-rich foods. Once the intolerance is known, it is relatively easy for those affected to recognize which foods they are most sensitive to.
There is no direct prevention because this disorder is acquired and is dependent on the histamine concentration in the body. Because the concentration of histamine in preserved foods is particularly high, fresh cooking may be one of the most important preventative measures.
You should limit or avoid foods that have been preserved as being affected, because the histamine concentration depends on the degree of maturity. Each affected individual must find out individually, which concentration is tolerated.
Patients must adhere strictly to the dietary change that has taken place and should avoid using histamine-containing foods and histamine liberators. In the beginning, lists help you to list all prohibited food ingredients and take the time to buy all ingredients for compatibility.
As soon as symptoms such as headache, skin rashes, shortness of breath or indigestion occur again, it is advisable to keep a food diary. In this all recorded food, medicine and symptoms are noted and evaluated after some time. A well-kept journal will then show parallels with symptoms and make it easier to identify other incompatible foods.
It is important to keep a list of incompatible drug ingredients with you and to hand them over to any treating physician. Nevertheless, it is advisable to make a comparison with the list for each prescription and injection beforehand. In particular, with regard to upcoming operations, but also with stunning injections at the dentist is to pay attention to this.
The carrying of an emergency card in the wallet can help in medical emergencies in which one is no longer able to provide information about incompatibilities. Such a pass can be requested on the internet for free. For life-threatening symptoms, talk to the doctor about prescribing an EpiPen for emergency use.
If histamine intolerance has been detected, the diet must be changed. Since it varies from person to person, which foods and drinks are tolerated, sufferers should create a nutrition plan. If it comes to the typical complaints after eating a particular food, this should be added to the "red list" and avoided in the future.
In general, foods rich in histamine, such as longer-lasting seafood, fresh fish, meat and cheese, and fermented foods such as sauerkraut, must be avoided. Bananas, avocados, tomatoes, spinach, strawberries, pineapple and nuts in the body release histamine in some people with allergies. It is recommended to eat many foods containing vitamin B6, manganese and zinc, as these substances relieve the symptoms. In consultation with the doctor dietary supplements can be taken.
Nevertheless, if any foods containing histamine are consumed, the symptoms should be cured with bed rest and natural painkillers. Usually the symptoms disappear after a few hours and no medical treatment is needed. In severe cases, a drug treatment with diamine oxidase preparations may be useful. The histamine intolerance should be diagnosed in any case, because only then is a targeted treatment possible.