Food Intolerance - SPARSH Hospital

Food Intolerance: Causes, Symptoms, and Management

Food intolerance occurs when the digestive system struggles to break down certain foods, leading to discomfort like bloating, diarrhoea, or headaches. Unlike food allergies, it doesn’t involve the immune system. Common food intolerances include lactose, gluten, and certain food additives. A food intolerance test can help identify triggers. Management includes dietary adjustments, enzyme supplements, and avoiding problematic foods.

Understanding Food Intolerance

Food intolerance refers to the body’s inability to properly digest or process certain foods. Unlike allergies, which involve an immune system reaction, food intolerance typically results from enzyme deficiencies, chemical sensitivities, or digestive disorders.

Many people experience dietary intolerance without realising it, often mistaking symptoms for general stomach issues. The severity varies—some may only feel mild discomfort, while others experience significant digestive distress. The good news? Managing food intolerance is often as simple as identifying triggers and adjusting your diet accordingly.

Food Intolerance vs. Food Allergies

Although they can cause similar discomfort, food allergies and intolerances are not the same:

  • Food allergies involve an immune system response, which can lead to severe reactions like swelling, difficulty breathing, or even anaphylaxis—a life-threatening condition that requires immediate medical attention.
  • Food intolerance is primarily a digestive issue, causing symptoms like bloating, cramps, nausea, or diarrhoea. Unlike allergies, food intolerances don’t involve the immune system and are not life-threatening, though they can significantly impact daily life.

Symptoms of Food Intolerance

Symptoms can appear within hours of eating the offending food, though some may take longer to develop. Common symptoms include:

  • Digestive issues – Bloating, gas, stomach cramps, diarrhoea, or constipation.
  • Nausea – Feeling sick after consuming certain foods.
  • Headaches or migraines – Triggered by additives, caffeine, or dairy.
  • Fatigue and brain fog – Some people experience tiredness or difficulty concentrating after eating trigger foods.
  • Skin reactions – Rashes, eczema, or itching may develop in some cases.
  • Joint pain – Inflammation triggered by specific foods, particularly in those with dairy intolerance or gluten sensitivity.

Types of food intolerance can vary in severity, with symptoms ranging from mild discomfort to severe digestive distress.

What Causes Food Intolerance?

1. Enzyme Deficiencies

Many intolerances stem from a lack of enzymes needed to break down certain food components. The most well-known example is milk intolerance, caused by lactase deficiency—the enzyme needed to digest lactose in dairy products.

2. Cross-Reactivity

In some cases, the body mistakes certain foods for allergens, leading to symptoms similar to an allergy. This is common with food allergies and intolerances related to nuts, dairy, or wheat.

3. Sensitivity to Food Additives

Some people react badly to artificial additives like sulphites (found in wine) or MSG (used in processed foods). These additives can cause digestive discomfort, headaches, or allergic-like reactions in sensitive individuals.

4. Gluten Sensitivity

Even if you don’t have coeliac disease, gluten can still trigger bloating, fatigue, and digestive issues. Cutting back on gluten-containing foods is the most effective way to manage symptoms, though some people find supplements for gluten intolerance helpful.

5. Histamine Intolerance

If you often get headaches, hives, or digestive trouble after eating aged cheese, fermented foods, or drinking alcohol, histamine intolerance could be the culprit. This happens when the body struggles to break down histamine, leading to uncomfortable reactions.

6. Gut Health Imbalances

An unhealthy gut can make food intolerance worse. Poor digestion, bloating, and discomfort are often linked to conditions like IBS. Strengthening gut health with probiotics, fibre-rich foods, and a balanced diet may help reduce food sensitivities.

Treatment and Management of Food Intolerance

1. Identify Your Triggers

If certain foods leave you feeling unwell, a food intolerance test can help pinpoint the culprits. Keeping a food diary is another useful way to track patterns and symptoms over time.

2. Make Smart Dietary Adjustments

The best way to manage food intolerance is by adjusting your diet to avoid or limit trigger foods:

  • Dairy intolerance? Try lactose-free or plant-based alternatives like almond or oat milk.
  • Gluten sensitivity? Swap wheat for gluten-free grains like rice, quinoa, or millet.
  • Histamine sensitivity? Cut back on aged cheeses, fermented foods, and wine.

3. Try Enzyme Supplements

For some intolerances, enzyme supplements can help:

  • Lactase enzymes help digest dairy for those with milk intolerance.
  • Digestive enzymes support overall digestion, especially for those with multiple food sensitivities.

4. Support Gut Health

A healthy gut can make digestion easier. Adding probiotics (found in yoghurt and fermented foods) and prebiotics (like fibre-rich fruits and vegetables) can help balance gut bacteria and reduce symptoms.

5. Cut Back on Processed Foods

Packaged foods often contain artificial additives, preservatives, and excess sugar, which can worsen food intolerance symptoms. Sticking to whole, fresh foods can make digestion smoother and reduce discomfort.

When to See a Doctor?

While many food intolerances can be managed at home, consult a doctor if you experience:

  • Severe digestive distress that affects daily life.
  • Unexplained weight loss or malnutrition symptoms.
  • Reactions to multiple food groups (which may indicate a broader issue like IBS).
  • Sudden food aversion in adults, which could indicate an underlying condition.

If you're in Bangalore, visit your nearest SPRSH Hospital for an intolerance test or consultation to rule out more serious conditions.

Conclusion

Food intolerance is common and can cause discomfort, but it’s manageable with the right approach. Identifying trigger foods, making dietary adjustments, and supporting gut health are key to reducing symptoms. While a food intolerance test can be helpful, listening to your body and making informed food choices is equally important.

  • Severe digestive distress that affects daily life.
  • Unexplained weight loss or malnutrition symptoms.
  • Reactions to multiple food groups (which may indicate a broader issue like IBS).
  • Sudden food aversion in adults, which could indicate an underlying condition.

If you're in Bangalore, visit your nearest SPRSH Hospital for an intolerance test or consultation to rule out more serious conditions.

FAQs

How can food intolerance be managed?

The key is figuring out what triggers your symptoms. Keeping a food diary, improving gut health with probiotics, and making dietary changes can make a big difference. Some people also benefit from enzyme supplements to aid digestion.

Why do I react to so many different foods?

If you're suddenly sensitive to multiple foods, it could be due to gut imbalances, stress, or an underlying digestive condition like IBS. A doctor or nutritionist can help identify the root cause and suggest solutions.

What are three common signs of food intolerance?

Bloating, stomach pain, and diarrhoea are the most noticeable symptoms. But fatigue, headaches, and even skin issues can also be linked to food intolerance. If you frequently feel unwell after eating, it’s worth investigating.