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Best practice resources funded by the
Australian Government Department of Health.

Food allergy basics

How allergies work - video

Have you ever wondered what happens inside your body for you to develop allergies?

This short animation provides a simple explanation about how we develop allergies and also what happens in our body to cause symptoms of an allergic reaction.

      What is a food allergy? 

      • Food allergy is an immune system reaction, usually to the protein in food.

      • A food allergen is food or protein that causes an allergic reaction.

      • When the food allergen is eaten by someone who is allergic to it, their immune system releases large amounts of chemicals that trigger symptoms. The symptoms can affect their lungs, heart, skin and gut.

      • Allergic reactions to food can be mild to moderate, or severe.

      • Severe, life-threatening allergic reactions are called anaphylaxis.

      How common is food allergy?

      In Australia, about 1 in 10 babies, 1 in 20 children and 1 in 50 adults have food allergy.

          Australian allergy prevalence data

          Which foods cause allergic reactions?

          The common allergy causing foods are peanut, tree nuts, egg, milk (dairy), sesame, fish, crustacea, mollusc, soy, wheat and lupin.

          However, any food has the potential to cause an allergic reaction.

          There is no cure for a food allergy. To prevent having a reaction, people with food allergy must avoid the food or foods they are allergic to. Reactions can happen to very small amounts of a food, for example, a crumb or drop.

          Is a food intolerance the same as a food allergy?

          No. A food intolerance and a food allergy are different.

          A food intolerance does not involve the immune system. A food intolerance usually happens because the person can’t digest a food properly. It can make people feel sick, but is not life-threatening.

          Signs and symptoms of an allergic reaction to foods

          Allergic reactions to food can be mild to moderate, or severe. Anaphylaxis is the most severe type of an allergic reaction and is life-threatening.

          MILD to MODERATE allergic reaction

          • Swelling of lips, face, eyes

          • Hives or welts

          • Tingling mouth

          • Abdominal pain, vomiting

          MILD to MODERATE allergic reaction

          SEVERE allergic reaction (anaphylaxis)

          Watch for ANY ONE of the following:

          • Difficult or noisy breathing

          • Swelling of tongue

          • Swelling/tightness in throat

          • Difficulty talking and/or hoarse voice

          • Wheeze or persistent cough

          • Persistent dizziness or collapse

          • Pale and floppy (young children)

          Anaphylaxis usually happens within minutes after eating the food but can also take up to 2 hours.

          You may not have mild to moderate signs before anaphylaxis.

          MILD to MODERATE allergic reaction

          This video explains the signs and symptoms of an allergic reaction and what to do if someone has an allergic reaction.

          Treating anaphylaxis

          Anaphylaxis needs quick treatment with adrenaline (epinephrine) which is injected into the outer mid-thigh muscle.

          The Australasian Society of Clinical Immunology and Allergy (ASCIA) Action Plans provide information about when and how to give adrenaline.

          Adrenaline injectors contain a single dose of adrenaline and are easy to use.

          There are two types of adrenaline injectors in Australia. They are called EpiPen® and Anapen®.

          There is a different ASCIA Action Plan for each device because they are administered differently. ASCIA Action Plans have instructions on how to manage an allergic reaction.

          Always keep your ASCIA Action Plan with your adrenaline injector device.

          EpiPens and ASCIA Action Plan
          Anapens and ASCIA Action Plan

          How to position someone who is having anaphylaxis

          Allergy & Anaphylaxis Australia Eating out with Food Allergies

          It is important to lay the person having anaphylaxis flat. Do not sit the person on a chair with their legs down or let them stand or walk.

          If breathing is difficult, allow them to sit on the ground with their back supported and with their legs outstretched.

          If breathing is difficult, allow them to sit on the ground with their back supported and with their legs outstretched.

          Babies should be held on their side. Do not hold the baby upright.over your shoulder.

          Babies should be held on their side. Do not hold the baby upright over your shoulder.

          If the person is pregnant, lay them on their left side or sit on the ground with their back supported and with their legs outstretched.

          If the person is pregnant, lay them on their left side or sit on the ground with their back supported and with their legs outstretched.

          Where possible, transport the person to the ambulance on a stretcher, even if they appear to have recovered. Do not allow the person to stand or walk.

          Where possible, move the person to the ambulance on a stretcher, even if they appear to have recovered. Do not allow the person to stand or walk.

          How to administer an adrenaline injector

          EpiPen®

          Anapen®

          More information about anaphylaxis is available from:

          Content created May 2024