A Boy’s Favorite Shrimp Salad turned deadly on the

New Delhi: Mix of food and play can turn deadly for some. That is exactly what happened with 12 year old 6th standard student Aryan. Fortunately for him, he was near Sir Ganga Ram hospital and could be rescued just in time. Aryan’s favorite shrimp salad had turned deadly when he started playing cricket just after eating.

The emergent condition is called FDEIA (Food Dependent Exercise Induced Anaphylaxis). Dr Neeraj Gupta, Allergist, Pediatric Intensivist and Sleep Specialist , senior consultant, Sir Ganga Ram Hospital calls it a hidden threat to community.

Aryan was caught unawares by this condition. Master Aaryan had always been healthy with regular outdoor play and exercise routine. One sunny afternoon, after enjoying a lunch that included his favorite shrimp salad, he headed out for a cricket match with friends. Ten minutes later, Aaryan started experiencing severe itching, swelling, and difficulty breathing. Fortunately, signs of anaphylaxis were recognized in the hospital just in time and he was rescued by administering lifesaving Inj. Epinephrine. His allergy testing revealed sensitivity to shrimp during his follow up. That sensitivity got aggravated by exercise soon after food, a condition known as Food Dependent Exercise Induced Anaphylaxis.

Dr Gupta talks at length about this dangerous mix of food and play (exercise) for some and stress the need of awareness about

In the bustling community of Delhi, residents are known for their active lifestyles and vibrant community events. However, amidst the thriving social and sporting culture, there lurks a lesser-known but serious health threat that can strike unexpectedly: Food Dependent Exercise Induced Anaphylaxis (FDEIA).

Understanding FDEIA

FDEIA is a rare and often misunderstood condition where physical exercise triggers an allergic reaction to certain foods consumed prior to the activity. Unlike typical food allergies, where the reaction occurs immediately after ingestion, FDEIA requires both the ingestion of the allergenic food and subsequent physical activity, in quick succession, to provoke symptoms. These symptoms can range from mild hives and stomach cramps to severe anaphylaxis, which is potentially life-threatening.

A Community at Risk

For many in metro cities, exercise and outdoor activities are part of daily life. Local parks, gyms, and sports clubs are always buzzing with activity. However, the lack of awareness about FDEIA means that many people might unknowingly be at risk.

The Symptoms and Triggers:

The symptoms of FDEIA can vary but often include:

– Hives or rash

– Stomach cramps or nausea

– Difficulty breathing

– Swelling of the face, lips, or throat

– Dizziness or fainting

Common food triggers for FDEIA include shellfish, nuts, wheat, and dairy. However, it’s crucial to note that any food can potentially be a trigger, depending on the individual.

Preventative Measures and Community Action: Raising awareness about FDEIA involves educating the community about recognizing symptoms, understanding triggers, and taking preventative measures. Here are some steps everyone can take:

Know Your Triggers: If you suspect you have FDEIA, keep a detailed food diary and consult with an allergist for proper testing and diagnosis.
Plan Your Meals and Activities: Avoid consuming known allergenic foods before engaging in physical activity. Allow sufficient time for digestion.
Carry Emergency Medication: If diagnosed with FDEIA, always carry an epinephrine auto-injector (EpiPen), as per your allergist advsie, and ensure friends and family know how to use it.
Raise Awareness: Share information about FDEIA with friends, family, and community groups. Knowledge can save lives.