If you have a physical reaction after consuming garlic or its products, you may have a garlic allergy. Interestingly, garlic is part of the lily family; so if you suffer from a garlic allergy, you may also be allergic to onions, leeks, chives, and shallots. Garlic can be ingested in a variety of forms, which makes garlic allergies hard to identify without proper knowledge or testing by an allergist. These forms include the bulb, oil, and powder. Garlic is also found in many processed foods. The allergists at NY Allergy & Sinus Centers understand the difficulties faced living with a garlic allergy. That is why we have provided a garlic allergy food list, as well as a list of garlic alternatives that you can enjoy. Let us help you navigate through this difficult allergy with ease. Garlic Allergy Foods To Avoid Canned SoupSalad Dressing and Other SaucesBoxed PastaCertain Types of ButterBoxed RiceMost Italian FoodsFrozen EntreesMost Indian Foods Alternatives To Garlic CuminIndian CurryFennelOreganoChili PepperBasilPaprikaAsafetida Garlic Allergy Symptoms Asthma Contact dermatitis Hives or garlic allergy rash Nausea Sneezing Swelling of the lips or tongue Anaphylaxis The most common symptoms of a garlic allergy are asthma and contact dermatitis. Very rarely does a garlic allergy result in more severe symptoms. You could also just have a garlic intolerance. In this case, symptoms will be mild including heartburn or stomach cramps. Sometimes an allergy can be confused with an intolerance, so it’s important to visit a food allergy specialist for a diagnosis. If you experience the above symptoms after eating garlic, seek medical treatment immediately. Garlic Allergy Diagnosis An oral food challenge and elimination diet are the only accurate garlic allergy testing to diagnose a garlic allergy sensitivity. During a food challenge, your allergist will expose you to garlic in a clinical setting to see if it causes an allergic reaction. Food challenges can be dangerous so, they are only performed in a clinical setting with trained medical personnel. Your doctor will hand emergency medical equipment on hand to treat any symptoms that may occur. In contrast, an elimination diet requires you to refrain from eating garlic and its products to see if your garlic allergy reaction subsides. During this time, it’s helpful to keep a food journal and keep track of what you’re eating. Elimination diets usually last for about two weeks. This is the safer option of the two and your allergist will suggest an elimination diet if they suspect a severe allergic reaction will arise during a food challenge. After the allotted time, your allergist will determine if it’s safe to continue eating garlic or if you need to eliminate it from your diet entirely. Garlic Allergy Treatment The best treatment for garlic allergy is avoidance. When dining out, tell restaurant staff about your allergy to make sure that no pre-made foods or sauces contain garlic. Use alternative spices to flavor your food. Most cases of garlic allergies are mild and can be treated with antihistamines, so it’s helpful to keep them with you. Over the counter medications may be strong enough, but you can also get prescribed medications to treat your symptoms. Prescribed medications are necessary for asthma and some case of contact dermatitis. If you suffer from allergic asthma, your allergist will recommend an inhaled corticosteroid. For more serious allergic reactions to garlic, ask your allergist about an epinephrine injection like Auvi-Q or Epipen. You should carry your epinephrine to treat symptoms related to anaphylaxis. Train your friends and family how to administer the medication in case you can’t do it yourself. Garlic Allergy Frequently Asked Questions Are Garlic and Shallots the Same? No, but they are in the same family. Are Garlic and Onions Cross-reactive? In some cases, they are cross-reactive. Many patients allergic to garlic are also allergic to onions. Is Garlic Allergy Curable? No, garlic allergy is not curable. However, an allergist can help you manage your garlic intolerance. Why Are People Allergic to Garlic? There is no cause for garlic allergy but if you suffer from many other food allergies, it increases your chances of being allergic to garlic. Can I Be Allergic to Garlic? If you’re allergic to many spices, you may be allergic to garlic. How is Garlic Allergy Treated? A food allergy doctor can treat your garlic allergy symptoms with antihistamines. They can also recommend a diet specialist to help you avoid certain foods. How is Garlic Allergy Diagnosed? An allergist can diagnose your garlic allergy with allergy testing methods. Conclusion If you have a garlic allergy, the allergists at NY Allergy & Sinus Centers are here to help. We offer allergy testing and treatment in seven convenient offices in New York City: Murray Hill, Midtown, Upper West Side, Chelsea, Upper East Side, and Glendale. We see pediatric and adult patients and can accommodate for same-day appointments. Call 212-686-4448 to book your appointment today.