Why Allergic To Fish But Not Fish Sauce? Experts Explain

Have you ever wondered why some people are allergic to fish, but not fish sauce?

It’s a curious phenomenon that has left many scratching their heads. While seafood allergies are fairly common, it’s not always clear why some people can tolerate certain seafood products while others cannot.

In this article, we’ll explore the science behind fish allergies and why some people may be able to enjoy fish sauce without any adverse reactions.

So, if you’re curious about this topic or have a fish allergy yourself, keep reading to learn more!

Why Allergic To Fish But Not Fish Sauce?

Fish allergies are caused by a reaction to proteins found in fish. When someone with a fish allergy consumes fish, their immune system sees these proteins as harmful and releases chemicals like histamine to fight them off. This can cause a range of symptoms, from mild hives and itching to more severe reactions like difficulty breathing and anaphylaxis.

However, fish sauce is made by fermenting fish with salt, which breaks down the proteins and creates a different set of compounds. While fish sauce does contain some of the same proteins found in fish, they are present in much lower concentrations and may be altered by the fermentation process.

This means that some people who are allergic to fish may be able to tolerate fish sauce without any adverse reactions. However, it’s important to note that this is not true for everyone with a fish allergy. Some people may still react to fish sauce, especially if their allergy is severe.

It’s also worth noting that not all fish sauces are created equal. Some brands may contain more of the problematic proteins than others, so it’s important to read labels carefully and proceed with caution if you have a fish allergy.

Understanding Fish Allergies

Fish allergies are not the same as seafood allergies, as seafood includes both fish and shellfish. While finned fish and shellfish are not closely related, being allergic to one does not always mean that you must avoid both. However, care must be taken to prevent cross-contact between fish and shellfish.

Symptoms of a fish allergy can vary from mild reactions like hives and itching to severe reactions like anaphylaxis, which can be life-threatening. Some people may also react to touching fish or breathing in vapors from cooking fish.

It’s important to note that fish allergy can develop at any age, even in those who have eaten fish in the past without issue. While some people may outgrow certain food allergies over time, those with fish allergies usually have the allergy for life.

If you suspect that you may have a fish allergy, it’s important to see a doctor or clinical immunology/allergy specialist for a proper diagnosis. If you are at risk of a severe allergic reaction, they may prescribe an adrenaline injector which can be lifesaving in the case of an emergency.

The best way to manage a fish allergy is to avoid the food to which you are allergic. While some people with a fish allergy may be able to tolerate fish sauce without any adverse reactions, it’s important to proceed with caution and read labels carefully. It’s also worth noting that there are plant-based substitutes for fish sauce available for those who cannot consume it due to their allergy or dietary restrictions.

What Causes Fish Allergies?

Fish allergies are caused by a reaction to specific proteins found in fish. These proteins are called allergens and are present in the muscle tissue, skin, and bones of fish. When someone with a fish allergy comes into contact with these allergens, their immune system produces antibodies to fight them off. This triggers the release of histamine and other chemicals, which can cause a range of symptoms.

The exact cause of fish allergies is not fully understood, but it is believed to be a combination of genetic and environmental factors. Some people may be more susceptible to developing fish allergies due to their family history or exposure to certain environmental allergens.

It’s also worth noting that not all fish species contain the same allergens. Some people may be allergic to one type of fish but not another. Common fish species that can cause allergies include salmon, tuna, cod, and tilapia.

It’s important to note that fish allergies can be unpredictable and even a small amount of fish can trigger a severe allergic reaction. Symptoms of a fish allergy can include hives, itching, swelling, difficulty breathing, and anaphylaxis.

If you suspect you have a fish allergy, it’s important to see an allergist for testing and diagnosis. The best way to manage a fish allergy is to avoid all types of fish and products that contain fish, including fish sauce.

The Difference Between Fish And Fish Sauce

Fish and fish sauce may seem similar, but they are actually quite different. Fish is a whole food that contains a variety of proteins, while fish sauce is a condiment made by fermenting fish with salt.

When someone with a fish allergy consumes fish, their immune system sees the proteins in the fish as harmful and triggers an allergic reaction. However, the fermentation process used to make fish sauce breaks down these proteins and creates new compounds, which may not trigger the same reaction in someone with a fish allergy.

It’s also worth noting that fish sauce contains high levels of sodium, which can be problematic for some people with certain health conditions. Additionally, not all fish sauces are gluten-free or suitable for vegetarians or vegans.

How Fish Sauce Is Made

Fish sauce is a fermented condiment made from fish and salt. The process of making fish sauce begins by layering fresh fish and salt in large vats or barrels. The fish used for fish sauce are usually strong-flavored, high oil fish such as anchovy, shrimp, or mackerel.

The salt helps to draw out moisture from the fish, creating an environment that encourages the growth of beneficial bacteria. Over time, the bacteria break down the proteins in the fish and convert them into amino acids and other compounds that give fish sauce its distinctive flavor and aroma.

The fermentation process can take anywhere from a few months to a few years, depending on the desired flavor profile. Once the fermentation is complete, the liquid is drained off and bottled as fish sauce.

It’s worth noting that while fish sauce does contain some of the same proteins found in fish, these proteins are present in much lower concentrations than in whole fish. Additionally, the fermentation process breaks down these proteins into smaller compounds that may be less likely to trigger an allergic reaction in some people.

The Role Of Histamines In Fish Allergies

Histamines play a crucial role in fish allergies. When someone with a fish allergy consumes fish, their immune system releases histamines to fight off the perceived threat of the fish proteins. This can lead to a range of symptoms, including swelling, redness, itching, nausea, headache, and difficulty breathing.

Fish that are not stored properly or are not kept frozen after catching can develop high levels of histamine. This is because histamine is produced when bacteria break down the amino acid histidine in the fish. When someone with a fish allergy consumes this histamine-rich fish, they may experience symptoms similar to an allergic reaction.

Histamine levels can also be high in fermented foods like fish sauce. While the fermentation process does break down some of the problematic proteins in fish, it can also increase histamine levels. This means that some people with a fish allergy may still react to fish sauce.

It’s important for people with fish allergies to be aware of the potential for high histamine levels in certain foods and to read labels carefully. It’s also important to seek medical attention if symptoms of an allergic reaction occur after consuming fish or fish products.

Can You Be Allergic To Fish Sauce?

While some people with fish allergies may be able to tolerate fish sauce, others may still experience allergic reactions. This is because the fermentation process does not completely eliminate all of the proteins that can trigger an allergic response. Additionally, some brands of fish sauce may contain higher levels of these proteins, which can increase the risk of an allergic reaction.

Symptoms of an allergic reaction to fish sauce may include nausea, stomach cramps, indigestion, vomiting, diarrhea, hives, itching, swelling, and difficulty breathing. In severe cases, anaphylaxis can occur, which is a life-threatening reaction that requires immediate medical attention.

It’s important to note that even if you have eaten fish sauce without any issues in the past, you can still develop an allergy to it over time. If you have a known fish allergy or suspect that you may be allergic to fish sauce, it’s best to avoid it altogether and opt for alternative seasonings in your cooking. Always consult with a healthcare professional if you have any concerns or questions about food allergies.