Allergy & Immunology

Food Allergy or Food Intolerance? Understanding the Difference

An allergy involves the immune system and can be serious, while an intolerance mainly affects digestion, and here is how to tell them apart.
Close-up of a pile of peanuts in their shells, one of the most common food allergens

Food allergies and food intolerances are often confused, but they are different. An allergy involves the immune system, while an intolerance usually affects digestion and causes discomfort rather than danger.

Allergic reactions can include hives, swelling, vomiting or wheezing, and often start within minutes of eating. Intolerance symptoms, such as bloating, gas or cramps, usually build more slowly and may depend on how much you eat. Trouble breathing, throat swelling or fainting after eating is an emergency, so get emergency help right away.

  • Keep a simple diary of what you eat and any symptoms.
  • Read ingredient labels every time, because recipes can change.
  • Tell restaurant staff about an allergy whenever you eat out.

If you think a food is causing your symptoms, talk to a doctor about testing rather than cutting foods out on your own.

Health information, not medical advice. This article is for general education and does not replace a professional diagnosis or treatment. If you have symptoms or questions about your health, talk to a qualified health provider, and call your local emergency number in an emergency.

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