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Home Blog Nut Allergy Diagnosis as an Adult

Nut Allergy Diagnosis as an Adult

Published:10/26/18Updated:11/13/19
23 Comments This post contains affiliate links.
nut allergy diagnosis as an adult pinterest graphic

Diagnoses of nut allergies can happen at a time in your life that you least expect it. Check out this post if you’ve been diagnosed with a nut allergy as an adult!

real-balanced-nut-allergy-epi-pens
Photo Credit: Studio 29 Photography

Developing food allergies later in life can turn your whole world upside down, and the transition from a carefree diet and lifestyle to feeling concern surrounding every decision you make is challenging and can be very hard to accept.

After being diagnosed with serious peanut and tree nut allergies at the age of 26 after two episodes of anaphylaxis and an overnight stay in the ICU, I can confirm that the lifestyle changes can be REALLY challenging to navigate, but, with time, it does get easier.

From living without food allergies to anaphalyxis

My first allergic reaction

nut-allergies-adult-hospital-stay

One random evening in February 2018, my husband, Ryan, and I visited a new restaurant on the East Side of Milwaukee. We enjoyed our meal, went home, played with the dog… All seemed normal; that was until, suddenly, I began uncontrollably sneezing and wheezing to the point that I was incredibly frightened.

I thought taking a shower would help, as I sometimes sneeze quite a bit from pet dander, so I hopped in the shower and quickly jumped out after realizing I had a very odd sensation in my throat; it felt like the walls of my throat were growing and my mouth was shrinking, so, the idea of taking a breath seemed almost impossible. Absolutely TERRIFYING.

I yelled to Ryan to grab the car keys and that we needed to leave to go to the emergency room NOW.

Thankfully, our home is only a short drive from Froedtert Hospital in Wauwatosa. Once we arrived at the emergency room, I was quickly triaged and taken to a room. Within minutes, the sensation of my throat closing became stronger and, suddenly, I realized that upwards of ten staff members of the ER were surrounding me, injecting me with epinephrine, and taking my vitals.

In retrospect, this experience is sort of a blur, but I do remember seeing a look of deep concern in one of the nurse’s faces and realizing that what was happening was really serious.

Thankfully, epinephrine is a powerful drug and, within moments, I was able to take a deep breath, the wheezing had almost entirely subsided, and the hives that had covered my entire body just minutes before were dissipating.

Overnight ICU Stay

Since my reaction was so serious, I was admitted to the ICU for overnight observation as the doctors wanted to keep me on an epi drip.

I was taken from the ER to ICU at around 2:00 am and, as it was the middle of the night, the floor of the ICU was almost silent… until I was wheeled in. LOL.

If you don’t know a lot about epinephrine (which I did not as this allergy was brand new to me), you may not know that it’s pure adrenaline, the hormone that our bodies naturally create in times of stress that increases our blood circulation, breathing, and energy. Basically, at this point in the night, I felt as though I had drank 65 shots of espresso and 200 energy drinks. I. WAS. WIRED.

Luckily, the nurse stationed on the ICU floor was hilarious and took my intense energy and constant jabbering in stride. Throughout the night, she’d come check on me and I was, of course, wide awake, fidgeting in my hospital bed, trying to find something to do to pass the time until I was discharged.

Later that morning, I was cleared to leave the hospital and was sent home with two epi pens, an albuterol inhaler, and detailed instructions about NEVER, EVER going anywhere without these medical devices. Multiple members of the staff stressed over-and-over that, without the epi pens and inhaler on-hand, I could instantly find myself in a fatal situation. That was enough to convince me. Everywhere I go, I carry a fanny pack with my epi pens, inhaler, and liquid Benadryl tucked inside.

Another Hospital Visit

nut-allergies-adult-hospital-visit

Unfortunately, I had another allergy scare on my 27th birthday. This reaction was nowhere near the severity of the first one, but it did land us in the ER with me needing an epi injection. I have no idea what caused this reaction, but it may have been cross-contamination at a restaurant we had my birthday dinner at.

Allergy Testing

Since I still have absolutely no idea what was causing these reactions, I knew I desperately needed to get allergy testing; unfortunately, however, after you experience an allergic reaction and are given about 5 gallons of antihistamine (obviously not how much, but it certainly felt that way) in a short period of time, you cannot immediately have allergy testing done. So, basically, I was in this incredibly scary limbo where I knew I was deathly allergic to something, but I had no idea to what and there was no way to accurately test me for several weeks after the reactions.

Finally, after a few weeks of waiting, I visited an allergy specialist at Children’s Hospital of Wisconsin in Milwaukee and received a skin prick test that showed results of allergies to peanuts and all tree nuts. I was SHOCKED, to say the least, as I honestly used to eat almond butter by the spoonfuls on a nightly basis. I didn’t understand how these results could even be possible.

Nut Allergy Symptoms In Adults

In retrospect, however, I should have realized that I was experiencing some level of allergic reactions to nuts before the anaphylactic episode. Months leading up to the event, after I would eat a handful of Brazil nuts or a spoonful of peanut or almond butter, my hands would become hot, itchy, and blotchy with hives.

In adults, nut allergy symptoms can be various, but can suddenly, without notice, become life-threatening. If you or someone you are with eats a nut-containing food and begins to experience any of the below symptoms, get to a hospital immediately; or, if the reaction is serious enough, call 911. Do not wait.

Common Symptoms of Nut Allergies in Adults:

  • Throat tightness or hoarseness,
  • Itchy throat or mouth,
  • Difficulty swallowing,
  • Facial swelling,
  • Trouble breathing or wheezing,
  • Skin irritation, rash, or hives, and
  • Gastrointestinal distress.

Common Nut Allergies

Those with nut allergies are often allergic to all tree nuts. The most common nut allergies are to tree nuts, which include:

  • walnuts,
  • almonds,
  • hazelnuts,
  • cashews,
  • pistachios, and
  • Brazil nuts.

Some people, however, may only be allergic to peanuts, which are, in fact, not a nut at all, but are, rather, a legume. I, personally, am allergic to both tree nuts and peanuts.

What Causes Nut Allergies in Adults

After my first experience of hospitalization from an episode of 
anaphylaxis, I was completely at a loss as to how I suddenly had food allergies that were that severe. After doing a lot of digging in medical journals and speaking with my allergist and other medical professionals, I learned that developing nut allergies later in life is not terribly uncommon, however it is mostly unknown as to why nut allergies begin in adulthood. While more research is needed, some scientists believe that allergies can develop in adulthood due to:

  • change in environment,
  • infection, or
  • virus.

For me, I assume the cause of my allergies stems from my gut problems. In the last few years, I have had a myriad of health problems that are more than likely the effect of stomach issues, which both my GI doctor and myself believe to be Small Intestinal Bacterial Overgrowth (commonly referred to as “SIBO”), though I’ve never had an official test or diagnosis confirming this. Regardless, I believe that my compromised gut has lead to a variety of health concerns, the most serious of which are my food allergies.

What these allergies meant for my food blog

If I’m being totally transparent with you, I was devastated by the news of my allergies to peanuts and tree nuts. Really. On my way home from that appointment, I cried. A lot…not entirely because I knew how much this would change my personal diet (almond butter was my favorite snack and I ate it every single day), but because I thought my low-carb food blogging career was over.

Low-carb and keto recipes, especially baked good recipes, almost always contain some nut flour, most often, almond flour. Seeing as how severe my allergy was, there was no way in hell that I felt comfortable handling almond-containing ingredients in any capacity. I was just so incredibly concerned that my business would quickly fold now that I couldn’t create recipes with almond flour.

Transitioning to a nut-free keto food blog

After a few days of feeling pretty (read: “VERY”) sorry for myself, I decided that it was time to come up with a game plan for how recipes on Real Balanced would look going forward.

I have since transitioned to only developing low-carb recipes that are nut-free. I have pivoted my frame of mind from this diagnosis impacting my life negatively to, instead, an opportunity to creatively challenge myself in the kitchen.

After I shared with Real Balanced readers that all of my new recipes would be nut-free, I received so much support and many personal messages from others who were struggling to navigate a keto diet with peanut and tree nut allergies. Many of you have reached out to say that eating a low-carb diet seemed almost impossible as a majority of recipes contain nuts in some form, so, if this sounds like you, I hope my site can serve as a resource to you and make eating keto with nut allergies a little easier.

Living With Nut Allergies

Living with nut allergies can be frightening and challenging; not just for the person diagnosed with the allergy, but even for family and friends.

Communicate, Communicate, Communicate

What has personally worked best for me is being very, very clear and communicative about my allergies wherever I go with whoever I am with. If we eat out a restaurant, I tell the waiter or waitress about the allergies and I remind those who I am with that I have life-threatening allergies and where they can find my epi pens, should I need them and am unable to administer them myself.

Even if you feel like you may be a hindrance or that you may annoy someone, SO BE IT. Communicate. And then communicate about it some more. Tell everyone you’re with about your allergies. Some people will choose to brush this off or minimize it, but don’t let them, and if they do not respect your allergies and choose to eat foods near you that are creating a risk for you, LEAVE. It’s just not worth putting yourself in danger, and it’s also not worth wasting your breath trying to convince someone that death from an allergic reaction to food is very possible. If someone doesn’t immediately understand it, I choose to not be around that person; it’s no skin off my nose.

Work to Minimize Fear

Living with allergies is scary, and when you’ve experienced 
anaphylaxis, I think it’s only natural that fear surrounding food is bound to occur. I still experience A LOT of anxiety about eating out at restaurants, attending events, and, even grocery shopping where food samples are being handed out. The likelihood that I’ll experience a reaction now that I better know my food allergies? Unlikely, yet I am absolutely still fearful.

My best advice would be to explain to those around you as best as possible about how you are feeling and, should you feel anxious enough that the thought of eating elsewhere is causing you distress, opt out. Really. I have had to say “no” to so many events, especially those where peanuts are being shelled and eaten and the route to a hospital is complicated (most notably, baseball stadiums).

If you feel fearful, know that it is completely understandable. It DOES get easier over time and, for me, has just taken a lot of practice and a concerted effort to learn everything that I feasibly can about my food allergies.

Don’t Take Any Chances

If you have any uncertainty about a meal or food product containing nuts, don’t eat it. It is not worth the risk. My best advice about ensuring you have something safe to eat is to carry nut-free products with you and to plan ahead before events. Bring shelf-stable snacks along and, if a full meal is being served and you are unsure of the ingredients, don’t be afraid to pack yourself an entire meal; I do this all the time and, at first, people gave me confused stares, but now, everyone is used to it and doesn’t think twice.

My favorite shelf-stable, nut-free, and keto-friendly snacks are:

  • Beef sticks,
  • Sunflower seeds and pumpkin seeds,
  • A spoonful of SunButter,
  • Canned tuna and canned sardines,
  • Unsweetened coconut flakes,
  • Coconut butter, and
  • Pork rinds.

Check out this awesome keto list of the must have nut-free keto pantry staples. Headed to the grocery store? Use this as your keto grocery list to stock your pantry with all my keto and low carb pantry essentials:

A Keto Pantry Shopping Guide for Nut-Free Ketoers

How to Eat Keto With Nut Allergies

Concerned about following a keto diet with nut allergies? I’ve been there before and, trust me, I know just how confusing it is. It seems like most every keto recipe out there contains some variation of almond flour and peanut butter… So, if you’re like me and follow a ketogenic diet and have peanut and tree nut allergies, I do know just how challenging following this type of diet can be.

Easy, Everyday Keto and Nut Free Meals at Home

For me, I have found that always being prepared with low-carb and nut-free foods is essential. I almost always have some shelf-stable snack in my purse, just in case I need something to eat and don’t have any other safe option.

When I’m at home and am cooking for myself and Ryan, I usually prepare and eat the below foods on a daily basis:

  • Breakfast
    • Creamy Cold Brew Keto Coffee
    • Protein cooked in butter, ghee, or avocado oil
      • Beef, pork, chicken, or eggs most often
  • Lunch
    • Salad including protein, romaine lettuce, sunflower seeds, shredded or crumbled cheese, and olive oil
  • Dinner
    • Protein with grilled or air-fried vegetables, or,
    • Taco bowl with seasoned ground beef, chopped romaine, sour cream, shredded cheddar cheese, and guacamole.

Keto and Nut Free Recipes

When I’m developing recipes for the blog, I focus on creating meals and desserts that are full of flavor, simple to prepare, and allergy-safe.

I especially love to create keto baked goods, which, at first, I will admit, felt rather complicated when almond flour was eliminated as an option. But, after some practice, I have found that with the proper ratios, nut free keto desserts are possible and delicious!

Ingredients needed for most nut free keto baked good recipes:

  • Coconut flour
  • Cream of tartar
  • Baking soda

You can find all of my low-carb and nut-free recipes here!

Join our Nut-Free Keto + Low-Carb Recipes Facebook Group!

Request to join our Facebook group where we share nut-free keto and low-carb recipes!

Nut allergies are a challenge, but it does get easier!

Like anything in life, staying safe with nut allergies takes practice. At first, it is normal to feel frustrated and scared, but don’t let these emotions take over you.

Take every necessary precaution (most notably, carrying Benadryl and your epi pens) and it WILL be okay. I promise!

What to carry with you when you have nut allergies?

I’ve purchased a fanny pack off of Amazon and packed it with some liquid Benadryl, my albuterol inhaler, and two epi pens. I carry it around my waist when I am out on walks or in my purse. I never go anywhere without it!

Do you have nut allergies?

If so, when were you diagnosed? What have your experiences with nut allergies been?

I’d love to hear from you in the comments below!

Click here for my Nut-Free Keto Pantry Staples blog post!

Interested in learning more about Sara of Real Balanced?

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23 Comments

  1. Kathy says

    March 19, 2021 at 4:35 pm

    I am a parent of a teen with peanut and tree nut allergies. I try to do lo carb but I find my options are limited bc I can’t have peanuts/tree nuts in my house. I understand the fear all too well. I am sorry that you are now allergic but I am so happy to find this site!

    Reply
  2. Suzanne says

    September 18, 2020 at 10:56 am

    That was supposed to say epipen

    Reply
  3. Suzanne says

    September 18, 2020 at 10:54 am

    I was diagnosed at 64. My favorite food used to be peanut butter. Ugh! I also had an ER visit where they gave me steroids. That helped a lot. I do not have an epicenter yet as my appt. with allergy MD is one week away. This is not fun at all. I love nuts. But I just have to be super careful…

    Reply
    • Sara Nelson says

      September 21, 2020 at 7:18 am

      I’m so sorry to hear this, Suzanne. It’s really tough, especially in the beginning, but, for me, it did get easier as I became more familiar with what I needed to avoid. Wishing you the best!!

      Reply
  4. Darragh says

    August 3, 2020 at 2:14 am

    Well, so sorry you have a similar story to me. This really came out of nowhere I felt. I, too, had the weird palm symptoms with walnuts — so I did not have walnuts and then shazaam. Fully anaphylactic response. I hasten to add that if you or readers have not seen an allergist for skin and serum testing, I would highly recommend this. Do not be alarmed if many other allergens show up a bit. This test really helped me to cope with the aler-xiety. Post epinephrine, you are pretty aware that the nerves and epinephrine feel oddly alike. It has been difficult during the Coronavirus onset to get items that were truly allergy free. Even with all the sanitizing and gloves and care and….. still, had some close calls. None of those items are presently allowed in the house. The ER is not where anyone wants to be. Stress will worsen each and every part. I would love to see your recipes and share sources.

    Reply
  5. Scott says

    May 7, 2020 at 8:57 pm

    Hello

    Can you give me a list of SAFE food to eat? At age 36 i have gotten this. I am also allergic to seeds and wheat. I’ve been looking all over the internet for a safe list of foods that nut allergie sufferers can eat from but can’t find any!

    Thanks

    Please email me back

    Scott

    Reply
    • Sara Nelson says

      May 8, 2020 at 7:45 am

      Hi, Scott! So sorry you’re having a difficult time finding a safe list! I find my information regarding food allergies from the American Academy of Allergy, Asthma, and Immunology. It sounds like you may need to talk directly to an allergist to ensure you are only eating safe foods. I would give your allergist a call (or ask your primary care doc for a referral to an allergist, if you don’t already have one)!

      Reply
      • scott says

        May 9, 2020 at 12:52 am

        Thanks for the reply!

        I made an appointment with the doctor to get a test but won’t do that till next week until to coro-virua lock-down is eased! the doctor told me that i can eat meat, milk and fruit and vege’s BUT she hasn’t even meet me or examined me?? i have discovered that juiced carrot juice stops a allergic attack dead in it’s tracks. same with eating half a onion. i seem to be able to eat oats so far but milk i suspect is off the list for me. have you heard of people being healed with a alkaline diet? or fermented foods? I’d hate to spend the rest of my life like this 🙁

        Reply
        • Sara Nelson says

          May 9, 2020 at 10:33 am

          It’s so, so tough. I’m so sorry you’re going through this! I truly know exactly how you feel: confused, lost, and upset. I, too, had to wait waaaaay too long to see an allergist and was living my life in “limbo,” totally unsure of what I was actually allergic to. I’m not familiar with alkaline diets, but I do know that eating fermented foods can often exacerbate allergy symptoms (like, for example, if I eat sauerkraut, I immediately begin wheezing and am covered in hives). If you haven’t yet, I would perhaps do some research on a low-histamine diet.

          Reply
  6. Jessica says

    April 20, 2020 at 10:40 pm

    Wow. This spoke to me. I just turned 26 and last year I had my first really bad allergic reaction that I went to urgent care. Luckily not anaphylactic, but enough to warrant me to go.
    I’ve been allergic to oranges my whole life, but we were at a Mexican restaurant that we always go to and I order a fajita that I frequently get, all the sudden my mouth started burning and a rash developed like when I was younger and would have something with oranges.
    I’m unsure if maybe this fajita had something citrusy or if i was allergic to something else. Ive been slowly reintroducing foods into my diet, avoiding tomatoes and things with citrus. I’ve also had some itchiness when eating almonds so I’ve cut almonds and all nuts out of my diet. It’s so hard.
    Eventually I’ll take an allergy test:)

    I wanted to say a great alternative for peanut butter, but it actually has more of an almond butter flavor is Biscoff cookie butter spread, it’s not nutritionous but I believe it’s vegan, and makes a great mock “peanut butter” sandwhich

    Reply
    • Jessica says

      April 20, 2020 at 10:41 pm

      Also I carry my Epipen everywhere just in case! I never thought about also carrying it on walks

      Reply
      • Sara Nelson says

        April 22, 2020 at 1:58 pm

        That is SO scary, Jessica. I can 100% empathize with everything you said. Allergies can be really terrifying. You should definitely get an allergy test, at least to get some reassurance about what you are or aren’t allergic to; obviously, those tests can miss things, but getting mine done did seem to help me mentally quite a bit as I had a better idea of what I couldn’t ever eat.

        Reply
  7. Katherine says

    February 23, 2020 at 11:01 pm

    Thanks for sharing! I so relate.

    I too just learned I’m allergic to peanuts and treenuts as well as coconuts/coconut oil and palm oil. I’m completely devastated. Oh and coconuts aren’t nuts they’re a grupe. And since coconuts come from a palm looking like tree I guess that’s why palm oil doesn’t agree with me either.
    Trying to be a vegetarian as of the new year isn’t as easy as I thought. Main reason for going vegetarian was for my food allergies to pork. As I have gotten older (I’m 48yo now) the allergic reaction has worsen. The adjustment hasn’t been easy! Especially when I forget to read a food label carefully!
    If you happen to have any yummy recipes without coconut or coconut oil please let me know how to get them. Would love something new to try.
    Thanks again for sharing… I don’t feel so alone. And I think I’m not going to care if I need to bring my own food when I go somewhere. Like you said its better to not eat the unknown then to eat it and not know. (Something like that you said lol)

    Reply
    • Sara Nelson says

      February 29, 2020 at 4:17 pm

      Hi, Katherine! Allergies are wild, especially when they suddenly appear in adulthood. I’m so sorry you’re dealing with them too. I have coconut-free recipes that you can take a look at! You can also usually sub in butter at a 1:1 ratio for coconut oil, so that may be a helpful substitution option for you in recipes!

      Reply
      • Joy says

        October 4, 2021 at 1:37 pm

        Thank you Sara, I too developed a nut allergy as an adult, and coconut. Have been doing Keto for 3 weeks, has been tricky with allergies. Glad I found your page!

        Reply
    • Joy says

      October 4, 2021 at 3:50 pm

      HI Katerine!

      I totally sympathize! I also developed similiar allergies at 38 and now and 50. All seeds, coconut, and nuts. Used to be able to eat them in abundance ( actually ate too much was the problem). I haven’t been able to even use most soaps/toothpastes etc. but finally found a company last week and can wash my hair with something that lathers for the first time in over a decade! most foaming agents have coconut in them. Hoping they can find some kind of remedy someday! Thinking of finding an allergy specialist and looking into deeper causes ( like Sara mentioning SIBO and such). Best of luck.

      Reply
  8. Shema says

    October 13, 2019 at 2:37 pm

    I have been allergic to all nuts from my birth but from last 2-3 years after 40 age I got severe reactions to use epipens . I tried to eat coconut flour but it also gave me allergy not severe as nuts but still need to take antihistamines .
    I can have coconut milk and coconut water but not coconut flour .
    So thinking how to do Keto or low carb diet
    Thanks

    Reply
    • Sara Nelson says

      October 14, 2019 at 10:50 am

      Ground sunflower seed meal, which are just finely ground sunflower seeds, are typically a 1:1 sub for almond flour. If you can tolerate seeds, I would suggest trying this out!

      Reply
  9. karen says

    August 16, 2019 at 7:14 pm

    I was glad to read this. In my case something flipped the switch and I am now allergic to egg whites, peanuts, wheat and tomatoes. Eating out is terrifying and I have lost all joy in food and cooking. I am a great cook and baker. I vomit with tomatoes & wheat, epi pens for peanuts and egg. Oh this happened at 56! grrr

    Reply
    • Sara Nelson says

      August 18, 2019 at 1:29 pm

      I’m so sorry, Karen. That sounds terrible. ?

      Reply
  10. Nataliw says

    March 30, 2019 at 12:36 am

    I had the exact same experience! I was 27, teaching and ate a peanut butter cup like a million other times (on a field trip with my class) and just couldn’t breathe. What I’m finding challenging is not only am I allergic to peanuts and tree nuts, I’m allergic to coconut as well. So all the “bread” recipes and things to bake all sub a nut flour with coconut. And well I like breathing a lot more than trying to get this weight off so I’ve been scared to start keto.

    Reply
    • Sara Nelson says

      March 31, 2019 at 8:42 am

      So sorry to hear that! There are plenty of keto-friendly recipes that are free from nuts and coconuts, so don’t let your allergies deter you! If you can tolerate dairy, you can always sub butter (or ghee) in at a 1:1 sub for coconut oil. SunButter is a great alternative to peanut/almond butter. A lot of savory dishes, especially, are free from nut and coconut ingredients.

      Reply
    • Shanna says

      October 9, 2019 at 11:11 pm

      I also was diagnosed in my early thirties. Ate almonds daily. I was constantly sick. Test and ultrasounds done, even had my gallbladder removed. My reactions continued to get worse, but not life threatening. My skin, mouth, throat and digestive system are all victims. I unfortunately am also allergic to peanuts, tree nuts, coconut, sesame seeds and nutmeg. I’m finding it extremely difficult to eat out anywhere, eat anything “convenient” or packaged. I have a serious sweet tooth and pastries are usually a big no no for me. #thestruggleisreal

      Reply

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Overhead shot of a pot with the Creamy Parmesan Sausage Soup garnished with chopped fresh parsley and shredded Parmesan. There is also a wooden spoon in the pot. The pot rests on a beige kitchen towel atop a marble countertop.
Net Carbs:7.4g

Creamy Keto Italian Sausage Soup

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