Presentation
This allergy presents itself in a variety of ways such as a rash and anaphylaxis depending on your inherent sensitivity to it. [dnafit.com]
The term “histamine intolerance” was coined by following the concept presented by lactose intolerance. [news.doccheck.com]
If you have histamine intolerance, you must avoid many foods: Histamine is present in a lot of products from eggs and cheese to meat and fish. If you don’t want to give up eating fish, here’s how to enjoy your meal without regret. [food.r-biopharm.com]
H3 receptors are present on cells of the central and peripheral nervous systems where histamine acts as a neurotransmitter. [histamine-sensitivity.com]
Within 26 months, 394 children presented with chronic abdominal … View Full Text Request Permissions If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. [adc.bmj.com]
Entire Body System
- Fatigue
Side effects to the intolerance are widespread and include: Severe itching Hives Swelling of facial and oral tissues and the throat Increased heart rate Runny nose Chest pain Anxiety Conjunctivitis Migraine and fatigue Loss of concentration, dizziness [dnafit.com]
Many people turn to a wholefoods diet in a bid to manage a variety of health concerns such as irritable bowel syndrome (IBS), chronic sinusitis, anxiety, headaches or fatigue. [fxmedicine.com.au]
Common symptoms of histamine intolerance Severe fatigue after eating Reddening of the skin Breathing difficulties up to and including bronchial asthma Stomach complaints, diarrhea, loose stools Headaches Mild nausea Cardiac arrhythmias Menstrual disorders [1090.ihrlabor.at]
● Headaches/migraines ● Vertigo ● Accelerated heart rate ● Anxiety ● Nausea/Vomiting ● Abnormal Menstrual Cycle ● Hives ● Fatigue ● Itching ● Throat or face swelling Dietary Management of Histamine Intolerance Foods high in histamine: ● Fermented Foods [physiologicnyc.com]
This substance clogs up the vital channels of the body, disrupting digestion and ultimately giving rise to everything from fatigue to disease. [greenmedinfo.com]
Respiratoric
- Cough
Common symptoms of a sulphur sensitivity include: - Wheezing - Tight chest - Coughing Sulphites are also present in a number of other food substances such as pickled foods, vinegar, beer and cider, gravy and dried fruits, Allergy UK indicates. [health24.com]
Allergy symptoms usually are related to respiratory and skin areas and can include anyone or more of the following: asthma cough wheezing nasal drip eczema hives persistent runny nose, itchy, congestion hayfever anaphylaxis itching of the throat, eyelids [naturalhealthmedicine.com.au]
The reaction can cause symptoms like breathing problems, throat tightness, hoarseness, coughing, vomiting, abdominal pain, hives, swelling, or a drop in blood pressure. [kidshealth.org]
Cough medicines inhibit DAO Numerous medications inhibit histamine-degrading enzymes. In the SPC, the clauses “can cause asthma attacks” or “may lead to flush reactions” are well hidden. [news.doccheck.com]
[…] including: eyes – itching, watering nose – stuffiness, sneezing, running mouth – itching, swelling throat – swelling digestive system – stomach pains, vomiting, diarrhoea skin – rashes, such as hives (urticaria) or atopic dermatitis lungs – wheeze, cough [betterhealth.vic.gov.au]
- Nasal Congestion
Possible symptoms include: → Nasal congestion; sneezing; itchy nose → Pain in stomach; nausea → Indigestion; heartburn → Rashes; hives; itchiness; eczema → Racing heart; heart palpitations → Itchy eyes; tearing → Irregular menstrual cycles; menstrual [integrative-medicine.ca]
congestion, runny nose and seasonal allergies Conjunctivitis Headaches and migraines Nausea and vomiting Reflux, indigestion, diarrhoea and heartburn Fatigue, confusion and irritability Abnormal menstrual cycle Another reason why histamine intolerance [superpharmacy.com.au]
congestion and runny nose Conjunctivitis (irritated, watery, reddened eyes) Some types of headaches that differ from those of migraine Fatigue, confusion, irritability Very occasionally loss of consciousness usually lasting for only one or two seconds [greenmedinfo.com]
This may be why they can trigger flushing, migraines and nasal congestion in some people. Salicylates are natural aspirin like compounds that are present in a wide variety of herbs, spices as well as fruit and vegetables. [allergy.org.au]
Gastrointestinal
- Vomiting
The clinical evidence for histamine intolerance is based on chronic headache, diarrhoea, vomiting, flush, urticaria, asthma-like symptoms, rhinitis and others. [ncbi.nlm.nih.gov]
In fact, histamine intolerance can be responsible for conditions as diverse as seasickness, headaches and migraine, tachycardia, gastric disorders, diarrhea, intolerance to contrast media, parodontosis, period pains, nausea and vomiting in pregnancy, [bookdepository.com]
[…] failure in association with vomiting and abdominal pain (such as maple syrup disease), and even anorexia nervosa (15). [scielo.isciii.es]
- Diarrhea
Effects can range from common digestive system problems including abdominal pain and spasms, diarrhea, constipation, and flatulence, to headaches, to skin rash and eczema - all due to the body's inability to thoroughly digest food caused by the lack of [histame.com]
In fact, histamine intolerance can be responsible for conditions as diverse as seasickness, headaches and migraine, tachycardia, gastric disorders, diarrhea, intolerance to contrast media, parodontosis, period pains, nausea and vomiting in pregnancy, [bookdepository.com]
Common symptoms of histamine intolerance Severe fatigue after eating Reddening of the skin Breathing difficulties up to and including bronchial asthma Stomach complaints, diarrhea, loose stools Headaches Mild nausea Cardiac arrhythmias Menstrual disorders [1090.ihrlabor.at]
The ingestion of histamine-rich food or of alcohol or drugs that release histamine or block DAO may provoke diarrhea, headache, rhinoconjunctival symptoms, asthma, hypotension, arrhythmia, urticaria, pruritus, flushing, and other conditions in patients [ncbi.nlm.nih.gov]
- Constipation
Effects can range from common digestive system problems including abdominal pain and spasms, diarrhea, constipation, and flatulence, to headaches, to skin rash and eczema - all due to the body's inability to thoroughly digest food caused by the lack of [histame.com]
The symptoms caused by these reactions are usually gut symptoms, such as bloating, diarrhoea, constipation and IBS, skin problems such as eczema and joint pain. [allergyuk.org]
First generation antihistamines have many drawbacks including side effects of drowsiness and significant anticholinergic side effects that, for example, can cause difficulty urinating or constipation, and are therefore not used very often. [medicinenet.com]
Older adults may be more sensitive to the side effects of this drug, especially drowsiness, dizziness, confusion, constipation, or trouble urinating. Drowsiness, dizziness, and confusion can increase the risk of falling. [webmd.com]
Symptoms can include but not limited to anyone of the following: depression, anxiety gut issues (irritable bowel syndrome, inflammatory bowel disease, constipation, diarrhoea) migraines, headaches fluid retention behavioural problems skin conditions bloating [naturalhealthmedicine.com.au]
- Flatulence
Details Headache, tachycardia, abdominal pain, flatulence, rash and itching may be signs of histamine intolerance. Histamine is responsible for the body’s defense against unwanted substances. [selfdiagnostics.com]
Effects can range from common digestive system problems including abdominal pain and spasms, diarrhea, constipation, and flatulence, to headaches, to skin rash and eczema - all due to the body's inability to thoroughly digest food caused by the lack of [histame.com]
These include stomach pain, bloating, gas/flatulence, diarrhoea, irritable bowel syndrome (IBS), rashes, hives (urticaria), recurrent mouth ulcers or headaches. [allergy.org.au]
Symptoms The symptoms of lactose intolerance are: Diarrhoea Bloating Flatulence (wind) Abdominal pain or discomfort Infantile colic And less commonly, it can cause constipation and nausea. [allergyuk.org]
Typical symptoms of histamine intolerance are: - redness, itching and swelling on the skin - stomach and intestinal cramps, flatulence, diarrhea - runny nose, cough, asthma, difficulty swallowing - headache and dizziness— rapid heartbeat, increased blood [cerascreen.ie]
- Failure to Thrive
[…] to thrive, OCD, aggressive behavior, anxiety, night terrors, dis-regulated hormones, etc. [greenmedinfo.com]
Cardiovascular
- Hypertension
Furthermore, eczema, rhinitis, episodes of urticaria, hypertension, colitis, and asthma have been observed. [imd-berlin.de]
These include: Itchy skin, eyes, ears and nose Hives, eczema/rashes, skin redness/flushing, red spots Swelling of the facial and oral tissue and sometimes the throat Hypotension or hypertension Dizziness or vertigo Difficulty regulating body temperature [superpharmacy.com.au]
Hypertension, heredity, and diabetes mellitus type II, as well as lipids in the blood were more frequent in patients with ischemic heart disease than in the control group. [hindawi.com]
Augmentin, Zinnat), antidepressants (e.g. amitriptyline, Saroten), anti-hypertensives (e.g. verapamil), diuretics, local anaesthetics, narcotics (e.g. thiopental), cytotoxic drugs (e.g. cyclophosphamide), and other drugs are possible triggers of symptoms [central-praxis.ch]
Common Symptoms of Histamine Intolerance Headaches/migraines Difficulty falling asleep Hypertension Vertigo or dizziness Arrhythmia, or accelerated heart rate Difficulty regulating body temperature Anxiety Nausea, vomiting Abdominal cramps Flushing Nasal [amymyersmd.com]
Musculoskeletal
- Arthritis
Arthritis Rheum 2000;43:2383–90. [PubMed] [Google Scholar] [23] Aringer M, Smolen JS. Therapeutic blockade of TNF in patients with SLE: promising or crazy? Autoimmun Rev 2012;11:321–5. [ncbi.nlm.nih.gov]
* * PAPA syndrome (pyogenic arthritis, pyoderma gangrenosum and acne), PASH syndrome (pyoderma gangrenosum, acne, suppurative hidradenitis) and PAPASH syndrome (pyogenic arthritis, pyoderma gangrenosum, acne, suppurative hidradenitis). [dermnetnz.org]
Hidradenitis suppurativa can have a severe psychological effect such as depression, and can sometimes be associated with inflammation of the joints (arthritis). [britishskinfoundation.org.uk]
Chronic pain from conditions such as arthritis or back problems as well as depression or anxiety can interfere with sleep. Issues that increase the need to urinate during the night ―such as prostate or bladder problems ― can disrupt sleep. [mayoclinic.org]
The number of H4R copies correlates to the incidence of arthritis, proteinuria, and antinuclear antibody abnormalities in systemic lupus erythematosus (SLE) [ 83 ]. [selfhacked.com]
Skin
- Flushing
The histamine buildup is what gives you a headache and leaves you feeling flushed, itchy and miserable. [yourlongevityblueprint.com]
We offer the following parameters: Quantitative histamine determination Detection of histamine-forming microorganisms Determination of diaminooxidase (DAO) activity Characteristic symptoms of a histamine intolerance are: flushing, nausea, diarrhoea, migraine [mikrooek.de]
In the SPC, the clauses “can cause asthma attacks” or “may lead to flush reactions” are well hidden. It’s a contentious matter that many drugs which are used by asthmatics inhibit DAO and other enzymes. [news.doccheck.com]
The clinical evidence for histamine intolerance is based on chronic headache, diarrhoea, vomiting, flush, urticaria, asthma-like symptoms, rhinitis and others. [ncbi.nlm.nih.gov]
[…] activity of intestinal diamine oxidase (DAO), histamine-rich foods (eg, aged cheese, cured meat or sausages, fish) cause above-normal serum histamine levels. 3 These elevated histamine levels cause various histamine receptor–mediated symptoms such as flush [adc.bmj.com]
- Urticaria
Update on the treatment of chronic urticaria. Actas Dermosifiliogr 2014;105:469–482. [jkma.org]
The clinical evidence for histamine intolerance is based on chronic headache, diarrhoea, vomiting, flush, urticaria, asthma-like symptoms, rhinitis and others. [ncbi.nlm.nih.gov]
[…] intestinal diamine oxidase (DAO), histamine-rich foods (eg, aged cheese, cured meat or sausages, fish) cause above-normal serum histamine levels. 3 These elevated histamine levels cause various histamine receptor–mediated symptoms such as flush, headache or urticaria [adc.bmj.com]
Wedi B, Kapp A (2005) Chronic urticaria. G Ital Dermatol Venereol 140:435–443 Google Scholar 22. Wedi B, Kapp A (2005) Chronic urticaria: assessment of current treatment. Exp Rev Clin Immunol 1:459–473 CrossRef Google Scholar 23. [doi.org]
Histamine is an important mediator of allergic diseases such as hay fever and bronchial asthma, food allergies, urticaria, and drug hypersensitivity. Knowledge of histamine as a cause of numerous non-allergic symptoms and signs is, however, limited. [bookdepository.com]
- Sweating
The skin and sweat glands There are two different types of sweat gland in the skin on the human body. These are: Apocrine sweat glands. Eccrine (or merocrine) sweat glands. [patient.info]
These areas are a result of local inflammation of the sweat glands. [medicinenet.com]
Hidradenitis suppurativa is a chronic inflammatory skin disease involving the hair follicles and sweat glands. Also known as acne inversa, this condition usually begins with the appearance of pimple-like bumps on the skin. [my.clevelandclinic.org]
Contributory factors include the following: Hormones may be involved in the control of apocrine sweat glands and might play a part in the disease. [britishskinfoundation.org.uk]
However, in some cases, the condition may involve sweat glands of the breasts, scalp, or other areas. [rarediseases.org]
- Pruritus
The patients with pruritus had elevated histamine (20.7 nmol/l), compared with the patients without pruritus (4.2) and normal subjects (2.1). [selfhacked.com]
The ingestion of histamine-rich food or of alcohol or drugs that release histamine or block DAO may provoke diarrhea, headache, rhinoconjunctival symptoms, asthma, hypotension, arrhythmia, urticaria, pruritus, flushing, and other conditions in patients [ncbi.nlm.nih.gov]
This makes it difficult to differentiate between histamine excess and allergy. diarrhea headache rhinoconjunctival symptoms asthma hypotention arrhythmia urticaria pruritus flushing Foods high in histamine include fermented products such as wine, dry [naturalhealthmedicine.com.au]
On the other hand, it should also be considered that the inflammation in the skin and pruritus in particular are not exclusively dependent on histamine. [medicaljournals.se]
Common symptoms of both conditions include poor digestion, food sensitivities, chemical/environmental sensitivities, pruritus, brain fog, urticaria, hypotension, tachycardia, anxiety, depression, and chronic fatigue. [botanicalmedicine.org]
Psychiatrical
- Hunger
Houriet C, Seyed Jafari SM, Thomi R, Schlapbach C, Borradori L, Yawalkar N, Hunger RE. Canakinumab for Severe Hidradenitis SuppurativaPreliminary Experience in 2 Cases. JAMA Dermatol. [dermnetnz.org]
Ghrelin Activates Mast Cells Ghrelin and obestatin induce hunger, anxiety, and mast cell activation [ 38 ]. This hormone is another reason why anxiety often goes together with histamine intolerance. [selfhacked.com]
Hunger RE, Surovy AM, Hassan AS, Braathen LR, Yawalkar N. Toll-like receptor 2 is highly expressed in lesions of acne inversa and colocalizes with C-type lectin receptor. Br J Dermatol. 2008 Apr. 158(4):691-7. [Medline]. Champion RH. [emedicine.medscape.com]
Neurologic
- Headache
This means that in addition to backache, headaches are one of the most frequent ailments. However, headaches are not simply headaches. Medical experts have now identified that there are more than 180 different types of headache. [fitlabstesting.ca]
Forty-five patients with a history of suffering from intolerance to food or wine (n = 17) and chronic headache (n = 28) were put on the diet over months to years. [ncbi.nlm.nih.gov]
One slice of yeasted bread or a glass of white wine and the next day the nausea and headache are back. The hardest thing about HIT is getting a diagnosis. [telegraph.co.uk]
Details Headache, tachycardia, abdominal pain, flatulence, rash and itching may be signs of histamine intolerance. Histamine is responsible for the body’s defense against unwanted substances. [selfdiagnostics.com]
- Dizziness
Older adults may be more sensitive to the side effects of this drug, especially drowsiness, dizziness, confusion, constipation, or trouble urinating. Drowsiness, dizziness, and confusion can increase the risk of falling. [webmd.com]
Side effects to the intolerance are widespread and include: Severe itching Hives Swelling of facial and oral tissues and the throat Increased heart rate Runny nose Chest pain Anxiety Conjunctivitis Migraine and fatigue Loss of concentration, dizziness [dnafit.com]
Seek emergency treatment if you develop any signs or symptoms of anaphylaxis, such as: Constriction of airways that makes it difficult to breathe Shock with a severe drop in blood pressure Rapid pulse Dizziness or lightheadedness Causes When you have [mayoclinic.org]
The following are mentioned as typical symptoms: Sudden skin redness (flush symptoms) Itching and redness on the body Digestive complaints such as nausea, vomiting, diarrhoea, abdominal pains Drop in blood pressure, dizziness, palpitations In women: menstrual [aha.ch]
Symptoms include swelling of the airways, impairing the ability to breathe, and a sudden drop in blood pressure, causing dizziness and fainting. [acaai.org]
- Vertigo
● Headaches/migraines ● Vertigo ● Accelerated heart rate ● Anxiety ● Nausea/Vomiting ● Abnormal Menstrual Cycle ● Hives ● Fatigue ● Itching ● Throat or face swelling Dietary Management of Histamine Intolerance Foods high in histamine: ● Fermented Foods [physiologicnyc.com]
Main symptoms would be unrest, myoclonic twitches, insomnia, fatigue, vertigo, and states of anxiety. HIT can induce food intolerances Histamine in food is formed primarily due to bacterial enzymes transforming histidine to histamine. [imd-berlin.de]
These include: Itchy skin, eyes, ears and nose Hives, eczema/rashes, skin redness/flushing, red spots Swelling of the facial and oral tissue and sometimes the throat Hypotension or hypertension Dizziness or vertigo Difficulty regulating body temperature [superpharmacy.com.au]
Common Symptoms of Histamine Intolerance Headaches/migraines Difficulty falling asleep Hypertension Vertigo or dizziness Arrhythmia, or accelerated heart rate Difficulty regulating body temperature Anxiety Nausea, vomiting Abdominal cramps Flushing Nasal [amymyersmd.com]
Workup
See Workup for more detail. [emedicine.medscape.com]
Colonoscopy
- Colitis
Raithel M, Matek M, Baenkler HW, Jorde W, Hahn EG: Mucosal histamine content and histamine secretion in Crohn's disease, ulcerative colitis and allergic enteropathy. Int Arch Allergy Immunol 1995;108:127–33. MEDLINE 13. [aerzteblatt.de]
Furthermore, eczema, rhinitis, episodes of urticaria, hypertension, colitis, and asthma have been observed. [imd-berlin.de]
High histamine levels can be caused by: Allergies (IgE reactions) Genetic defects in enzyme production (Diamine oxidase deficiency) Enzyme production problems due to inflammatory bowel disease, ulcerative colitis, Crohn’s disease, bacterial overgrowth [superpharmacy.com.au]
[…] remember that while considering HIT as a cause of symptoms you must evaluate for related disorders such as true allergies, mast cell disorders, inflammatory bowel disease, celiac disease, fructose malabsorption, small intestinal bacterial overgrowth, colitis [theceliacmd.com]
Causes of Low DAO Gluten intolerance Leaky gut SIBO DAO-blocking foods: alcohol, energy drinks, and tea Genetic mutations (common in people of Asian-descent) Inflammation from Crohn’s, ulcerative colitis, and inflammatory bowel disease. [amymyersmd.com]
Treatment
They compared acupuncture with/without additional treatment against placebo or sham or no treatment or same additional treatment. We excluded trials that compared different acupuncture methods or acupuncture against other treatments. [cochrane.org]
Immuno-suppressive injections: Injection treatments designed to suppress the immune system are used for HS that has not improved with other medical treatment. [britishskinfoundation.org.uk]
Finding Treatment Just as treatment for an alcohol allergy requires total abstinence, recovery from an alcohol use disorder calls for the same. Don’t be afraid to ask for help. Talk with a treatment specialist today to begin your road to recovery. [alcoholrehabguide.org]
Types & treatments Childhood eczema Adult eczema Insider secrets Types of hair loss Treatment for hair loss Causes of hair loss Hair care matters Insider secrets What is psoriasis Diagnosis & treatment Skin, hair & nail care Triggers Insider secrets What [aad.org]
Prognosis
What is the long-term outlook (prognosis)? The prognosis is very variable. Not everyone progresses from stage 1 to stage 3. For many affected people, hidradenitis suppurativa is a painful and debilitating condition. [patient.info]
No single treatment has shown overwhelmingly positive outcomes. [60] Spontaneous resolution is rare. [7] Specific factors appear to influence the prognosis. Larger excisions may offer a better outcome. [emedicine.medscape.com]
Prognosis of migraine and tension-type headache: a population-based follow-up study. Neurology. 2005;65(4):580–585. doi: 10.1212/01.wnl.0000172918.74999.8a. [PubMed] [CrossRef] [Google Scholar] 5. [ncbi.nlm.nih.gov]
Etiology
Evidence pertinent to the etiology of HS and its association with other autoimmune conditions implies a possible denominator in the disease etiopathogenesis. [ncbi.nlm.nih.gov]
Etiology of Hidradenitis Suppurativa The exact etiology of hidradenitis suppurativa remains obscure. [emedicine.medscape.com]
Epidemiology
Sattler J, Hafner D, Klotter HJ, Lorenz W, Wagner PK: Food-induced histaminosis as an epidemiological problem: plasma histamine elevation and haemodynamic alterations after oral histamine administration and blockade of diamine oxidase (DAO). [aerzteblatt.de]
Epidemiology of insomnia: a longitudinal study in a UK population. Sleep. 2007;30(3):274–280. [PubMed] [Google Scholar] 20. Kessler RC, Berglund PA, Coulouvrat C, et al. [ncbi.nlm.nih.gov]
Sattler, J, Häfner, D, Klotter, HJ. (1988) Food-induced histaminosis as an epidemiological problem: plasma histamine elevation and haemodynamic alterations after oral histamine administration and blockade of diamine oxidase (DAO). [journals.sagepub.com]
Food-induced histaminosis as an epidemiological problem: plasma histamine elevation and haemodynamic alterations after oral histamine administration and blockade of diamine oxidase (DAO). [cerascreen.co.uk]
Pathophysiology
Author information 1 Comenius University in Bratislava, Jessenius Faculty of Medicine, Department of Pathophysiology, Mala Hora, 036 01 Martin, Slovakia. 2 Comenius University in Bratislava, Jessenius Faculty of Medicine, Department of Pathophysiology [dr-healthcare.com]
Pathophysiology of hidradenitis suppurativa: An update. J Am Acad Dermatol 2015;73:S8–11. [PubMed] [Google Scholar] [7] Jemec GBE, Heidenheim M, Nielsen NH. The prevalence of hidradenitis suppurativa and its potential precursor lesions. [ncbi.nlm.nih.gov]
HIT is more widely accepted in Europe as a true condition and was recognized in 2012 by the German Society for Allergology and Clinical Immunology as a true disease for which the pathophysiology has yet to be determined. [theceliacmd.com]
ANTIHISTAMINE. cetirizine Zyrtec antihistamine, H1 receptor cetirizine- pseudoephedrine Zyrtec-D antihistamine, H1 receptor-decongestant desloratadine Clarinex antihistamine, H1 receptor fexofenadine Allegra antihistamine, H1 receptor ... 9 Portable Pathophysiology [educalingo.com]
Pathophysiological basis for unstable angina pectoris is unstable atherosclerosis plaque complicated with endothelial damage, activation of platelets and spasm (reversible ischemia) [33]. [hindawi.com]
Prevention
Therefore, the same amount of histamine will be circulating in the body as before taking the antihistamine; it is simply prevented from exerting its effects. [histamine-sensitivity.com]
Preventing food allergy in children Allergy prevention in children is an active area of research. [betterhealth.vic.gov.au]
HIT is a pathological process, in which the enzymatic activity of histamine-degrading enzymes is decreased or inhibited and they are insufficient to inactivate histamine from food and to prevent its passage to blood-stream. [dr-healthcare.com]
Diamine Oxidase supplements are used to prevent histamine imbalance in the digestive tract. It is commonly taken to reduce symptoms of food intolerance linked to histamine overload. [nootriment.com]
Antihistamine drugs exert their effects by blocking the combination of histamine with these receptors or by halting the release of histamine, thereby preventing the allergic reaction. [accessscience.com]