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URLhttps://www.healthdirect.gov.au/allergies-to-seafood
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Meta TitleAllergies to seafood | healthdirect
Meta DescriptionSeafood allergy is complex, and most people don’t grow out of it. Find out more about the symptoms and diagnosis of seafood and fish allergy.
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Key facts Some people are allergic just to fish, some only to shellfish or molluscs, and some may be allergic to all types of seafood. Most people who are allergic to seafood have mild symptoms such as hives, swelling of the face and/or vomiting or diarrhoea. Some people with seafood allergy experience a serious reaction called anaphylaxis. If you suspect you have an allergy, see your doctor, who can refer you for skin or blood tests, and help you understand what your test results mean. If you have a seafood allergy, it's important to check the labels on processed or packaged foods, as ingredients made from seafood are added to many foods that you might not expect. On this page What types of seafood can cause allergies? What are the symptoms of seafood allergy? How is seafood allergy diagnosed? How can I avoid seafood? Resources and support Related information on Australian websites What types of seafood can cause allergies? Allergies occur when your body reacts to specific proteins in foods. Allergic reactions can be caused by different types of seafood. Fish (seafood with a backbone) that can cause allergic reactions include: salmon cod mackerel sardines herring tuna eels Shellfish (seafood without a backbone) can also cause allergic reactions, and include: crustaceans such as prawns / shrimp, lobster, crab, crayfish, yabbies molluscs such as oysters, mussels, clams, octopus, squid, calamari, abalone, sea slugs, eels Some people are allergic to fish only, others to shellfish only, and others to both groups of seafood. Around 4 out of 5 people with seafood allergy will have the allergy for life. If you are allergic to one type of seafood, you can't predict whether you'll be allergic to any other type of seafood. The only way to find out is through allergy testing or experience. What are the symptoms of seafood allergy? Most people who are allergic to seafood have mild symptoms such as: hives tingling in the mouth some swelling in the face, lips or eyes abdominal (stomach) pain , vomiting or diarrhoea But some people experience dangerous symptoms of anaphylaxis such as: difficulty breathing swelling of the tongue or tightness in the throat hoarse voice, wheezing or difficulty talking dizziness or collapse due to a sudden drop in blood pressure If you are allergic to seafood, symptoms usually appear within minutes, but some people (especially those with an allergy to oysters, abalone, squid or prawns) may not experience symptoms until hours later. This reaction sometimes happens after exercise. How is seafood allergy diagnosed? Seafood allergy is diagnosed with allergy testing, done under medical supervision. This is the only way to diagnose your specific seafood allergy. If you suspect you have an allergy, see your doctor. Your doctor can refer you for skin or blood tests, and help you understand what your test results mean. Seafood allergies are complex. Even among fish, there are different groups of fish, and if you are allergic to one group of fish, you may be able to safely eat fish from other groups. Avoid testing methods advertised online or in print media. Tests that are considered unreliable include hair analysis, Alcat or Vega tests, kinesiology, iridology, reflexology, pulse and cytotoxic food tests. How is seafood allergy treated? There aren't currently any treatments routinely used to cure food allergies, including seafood allergy. The best way to avoid experiencing symptoms of seafood allergy is to avoid contact with seafood. If your doctor diagnoses a seafood allergy, they may also prescribe an adrenaline auto-injector, such as EpiPen or Anapen . If you are prescribed an adrenaline auto-injector, it's important to always keep it with you to treat a reaction if you are accidentally exposed to seafood. How can I avoid seafood? It's easy to avoid cooking or buying seafood, but ingredients made from seafood are added to many foods that you might not expect. Check the labels on processed or packaged foods. Canned fish or shellfish are obvious sources of seafood. Other products and menu items to watch out for include: sauces, such as oyster sauce, fish sauce or marinara sauce fish paste or fish stock prawn crackers and prawn crisps sushi Caesar salad (which may include anchovies) pizza (which may come with anchovies or other seafood) cooking oil previously used to cook fish If you order a stir-fried dish or meat curry in a restaurant, for example, it may have been cooked with fish sauce. Make it very clear to waiters that you have a genuine allergy and your meal must not contain any seafood, fish sauce or oyster sauce. Fish oil supplements are unlikely to cause an adverse reaction, but it's best to avoid them. Speak with your doctor if you have concerns about your nutrition — they can also refer you to a dietitian for advice. Glucosamine supplements (sometimes used for osteoarthritis ) are made from the shells of crustaceans and are not suitable if you are allergic to shellfish. Isinglass is an additive used to stop beer and wine from going cloudy. It is made from the bladders of fish, but food authorities consider it is so unlikely to cause an allergic reaction that legally it doesn't need to be included on the label. A small number of people are so sensitive to any kind of fish that they can have a reaction to the steam produced when fish is being cooked. This is more likely in children who also have asthma . Resources and support To learn more about the symptoms, diagnosis, and management of seafood allergy, see the Sydney Childrens Hospitals Network fact sheet . Read more on food allergies such as seafood allergy on the Australasian Society of Clinical Immunology and Allergy (ASCIA) website.
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[![healthdirect australia logo](https://www.healthdirect.gov.au/assets/images/logo-hda.svg)](https://www.healthdirect.gov.au/) Sign in - [Join](https://www.healthdirect.gov.au/account/join) - [Sign in](https://www.healthdirect.gov.au/account/signin) Menu # Healthdirect Free Australian health advice you can count on. Join Sign in Medical problem? Call 1800 022 222. 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If you or someone else is having any of these symptoms, call triple-zero (000) and ask for an ambulance.** ## Key facts - Some people are allergic just to fish, some only to shellfish or molluscs, and some may be allergic to all types of seafood. - Most people who are allergic to seafood have mild symptoms such as hives, swelling of the face and/or vomiting or diarrhoea. - Some people with seafood allergy experience a serious reaction called anaphylaxis. - If you suspect you have an allergy, see your doctor, who can refer you for skin or blood tests, and help you understand what your test results mean. - If you have a seafood allergy, it's important to check the labels on processed or packaged foods, as ingredients made from seafood are added to many foods that you might not expect. ## On this page - [What types of seafood can cause allergies?](https://www.healthdirect.gov.au/allergies-to-seafood#what) - [What are the symptoms of seafood allergy?](https://www.healthdirect.gov.au/allergies-to-seafood#allergy) - [How is seafood allergy diagnosed?](https://www.healthdirect.gov.au/allergies-to-seafood#how) - [How can I avoid seafood?](https://www.healthdirect.gov.au/allergies-to-seafood#avoid) - [Resources and support](https://www.healthdirect.gov.au/allergies-to-seafood#support) - [Related information on Australian websites](https://www.healthdirect.gov.au/allergies-to-seafood#searchGeneralResults) ## What types of seafood can cause allergies? Allergies occur when your body reacts to specific proteins in foods. Allergic reactions can be caused by different types of seafood. Fish (seafood with a backbone) that can cause allergic reactions include: - salmon - cod - mackerel - sardines - herring - tuna - eels Shellfish (seafood without a backbone) can also cause allergic reactions, and include: - crustaceans such as prawns / shrimp, lobster, crab, crayfish, yabbies - molluscs such as oysters, mussels, clams, octopus, squid, calamari, abalone, sea slugs, eels Some people are allergic to fish only, others to shellfish only, and others to both groups of seafood. Around 4 out of 5 people with seafood allergy will have the allergy for life. If you are allergic to one type of seafood, you can't predict whether you'll be allergic to any other type of seafood. The only way to find out is through allergy testing or experience. ## What are the symptoms of seafood allergy? Most people who are allergic to seafood have mild symptoms such as: - [hives](https://www.healthdirect.gov.au/hives) - tingling in the mouth - some swelling in the face, lips or eyes - [abdominal (stomach) pain](https://www.healthdirect.gov.au/abdominal-pain), [vomiting](https://www.healthdirect.gov.au/vomiting) or [diarrhoea](https://www.healthdirect.gov.au/diarrhoea) But some people experience dangerous symptoms of [anaphylaxis](https://www.healthdirect.gov.au/anaphylaxis) such as: - difficulty breathing - swelling of the tongue or tightness in the throat - hoarse voice, [wheezing](https://www.healthdirect.gov.au/wheezing) or difficulty talking - [dizziness](https://www.healthdirect.gov.au/dizziness) or collapse due to a sudden [drop in blood pressure](https://www.healthdirect.gov.au/low-blood-pressure-hypotension) **If you experience symptoms of anaphylaxis, you need urgent medical assistance. Call triple zero (000) or go straight to the emergency department of your nearest hospital.** If you are allergic to seafood, symptoms usually appear within minutes, but some people (especially those with an allergy to oysters, abalone, squid or prawns) may not experience symptoms until hours later. This reaction sometimes happens after exercise. ## How is seafood allergy diagnosed? Seafood allergy is diagnosed with allergy testing, done under medical supervision. This is the only way to diagnose your specific seafood allergy. If you suspect you have an allergy, see your doctor. Your doctor can refer you for skin or blood tests, and help you understand what your test results mean. Seafood allergies are complex. Even among fish, there are different groups of fish, and if you are allergic to one group of fish, you may be able to safely eat fish from other groups. Avoid testing methods advertised online or in print media. Tests that are considered unreliable include hair analysis, Alcat or Vega tests, kinesiology, iridology, reflexology, pulse and cytotoxic food tests. ### How is seafood allergy treated? There aren't currently any treatments routinely used to cure food allergies, including seafood allergy. The best way to avoid experiencing symptoms of seafood allergy is to avoid contact with seafood. If your doctor diagnoses a seafood allergy, they may also prescribe an [adrenaline auto-injector,](https://www.healthdirect.gov.au/how-to-use-an-adrenaline-autoinjector-epipen-anapen) such as [EpiPen](https://www.healthdirect.gov.au/medicines/brand/amt,59781000168101/epipen-auto-injector) or [Anapen](https://www.healthdirect.gov.au/medicines/brand/amt,21251000168102/anapen-auto-injector). If you are prescribed an adrenaline auto-injector, it's important to always keep it with you to treat a reaction if you are accidentally exposed to seafood. ## How can I avoid seafood? It's easy to avoid cooking or buying seafood, but ingredients made from seafood are added to many foods that you might not expect. Check the labels on processed or packaged foods. Canned fish or shellfish are obvious sources of seafood. Other products and menu items to watch out for include: - sauces, such as oyster sauce, fish sauce or marinara sauce - fish paste or fish stock - prawn crackers and prawn crisps - sushi - Caesar salad (which may include anchovies) - pizza (which may come with anchovies or other seafood) - cooking oil previously used to cook fish If you order a stir-fried dish or meat curry in a restaurant, for example, it may have been cooked with fish sauce. Make it very clear to waiters that you have a genuine allergy and your meal *must* *not* contain any seafood, fish sauce or oyster sauce. Fish oil supplements are unlikely to cause an adverse reaction, but it's best to avoid them. Speak with your doctor if you have concerns about your nutrition — they can also refer you to a [dietitian](https://www.healthdirect.gov.au/dietitians) for advice. [Glucosamine](https://www.healthdirect.gov.au/medicines/medicinal-product/aht,21717/glucosamine) supplements (sometimes used for [osteoarthritis](https://www.healthdirect.gov.au/osteoarthritis)) are made from the shells of crustaceans and are not suitable if you are allergic to shellfish. Isinglass is an additive used to stop beer and wine from going cloudy. It is made from the bladders of fish, but food authorities consider it is so unlikely to cause an allergic reaction that legally it doesn't need to be included on the label. A small number of people are so sensitive to any kind of fish that they can have a reaction to the steam produced when fish is being cooked. This is more likely in children who also have [asthma](https://www.healthdirect.gov.au/asthma). ## Resources and support To learn more about the symptoms, diagnosis, and management of seafood allergy, see the Sydney Childrens Hospitals Network [fact sheet](https://www.schn.health.nsw.gov.au/seafood-fish-mollusc-and-crustacean-allergy-factsheet). Read more on [food allergies](https://www.allergy.org.au/patients/food-allergy/faqs) such as seafood allergy on the Australasian Society of Clinical Immunology and Allergy (ASCIA) website. #### Sources: ASCIA *[(Allergic and toxic reactions to seafood)](https://www.allergy.org.au/images/pcc/ASCIA_PCC_Allergic_Reactions_seafood_2014.pdf "Allergic and toxic reactions to seafood")*, Sydney Children's Hospital Network *[(Seafood allergy ( includes fish and shellfish ))](https://www.schn.health.nsw.gov.au/files/factsheets/allergy_-_seafood_allergy_includes_fish_and_shellfish-en.pdf "Seafood allergy ( includes fish and shellfish )")* Learn more here about the [development and quality assurance of healthdirect content](https://www.healthdirect.gov.au/about-our-content). Last reviewed: September 2023 [Back To Top](https://www.healthdirect.gov.au/allergies-to-seafood#backToTop) ## Related pages - [Allergic reactions to cow's milk](https://www.healthdirect.gov.au/allergic-reactions-to-cows-milk "Allergic reactions to cow's milk") - [Egg allergy](https://www.healthdirect.gov.au/egg-allergy "Egg allergy") - [Food allergies](https://www.healthdirect.gov.au/food-allergies "Food allergies") - [Food allergies in children](https://www.healthdirect.gov.au/food-allergies-in-children "Food allergies in children") - [Peanut allergy](https://www.healthdirect.gov.au/peanut-allergy "Peanut allergy") - [Tree nut allergy](https://www.healthdirect.gov.au/tree-nut-allergy "Tree nut allergy") ## Search our site for - [Allergy](https://www.healthdirect.gov.au/search-results/Allergy "Search results for: Allergy") - [Anaphylaxis](https://www.healthdirect.gov.au/search-results/Anaphylaxis "Search results for: Anaphylaxis") ## Need more information? These trusted information partners have more on this topic. General search results Results for medical professionals Top results [Anaphylaxis and Allergy - Australasian Society of Clinical Immunology and Allergy (ASCIA) About allergy and anaphylaxis - the most severe form of allergic reaction *Read more on ASCIA website* ![ASCIA](https://media.healthdirect.org.au/images/logos/h40/ASCIAnew_logo.png)](https://www.allergy.org.au/patients/about-allergy) [What is Allergy? - Australasian Society of Clinical Immunology and Allergy (ASCIA) Allergy occurs when a person's immune system reacts to substances in the environment that are harmless to most people. These substances are known as allergens a *Read more on ASCIA website* ![ASCIA](https://media.healthdirect.org.au/images/logos/h40/ASCIAnew_logo.png)](https://www.allergy.org.au/patients/about-allergy/what-is-allergy) [Sinusitis and Allergy - Australasian Society of Clinical Immunology and Allergy (ASCIA) Sinusitis and Allergy Frequently Asked Questions *Read more on ASCIA website* ![ASCIA](https://media.healthdirect.org.au/images/logos/h40/ASCIAnew_logo.png)](https://www.allergy.org.au/patients/allergic-rhinitis-hay-fever-and-sinusitis/sinusitis-and-allergy) [Referral to Allergy/Clinical Immunology Services - Australasian Society of Clinical Immunology and Allergy (ASCIA) Referral to Allergy/Clinical Immunology Services *Read more on ASCIA website* ![ASCIA](https://media.healthdirect.org.au/images/logos/h40/ASCIAnew_logo.png)](https://www.allergy.org.au/patients/allergy-and-clinical-immunology-services) [Allergy Testing - Australasian Society of Clinical Immunology and Allergy (ASCIA) Allergy testing such as skin prick or blood tests for allergen specific IgE, helps your doctor to confirm which substances (allergens) trigger your allergy *Read more on ASCIA website* ![ASCIA](https://media.healthdirect.org.au/images/logos/h40/ASCIAnew_logo.png)](https://www.allergy.org.au/patients/allergy-testing/allergy-testing) [What is Causing Your Allergy? - Australasian Society of Clinical Immunology and Allergy (ASCIA) What is Causing Your Allergy? The first step in the management of allergic disease is identifying the allergen/s causing the problem. *Read more on ASCIA website* ![ASCIA](https://media.healthdirect.org.au/images/logos/h40/ASCIAnew_logo.png)](https://www.allergy.org.au/patients/allergy-testing/causes-of-allergy) [Asthma and Allergy - Australasian Society of Clinical Immunology and Allergy (ASCIA) Asthma Allergy Thunderstorm Asthma *Read more on ASCIA website* ![ASCIA](https://media.healthdirect.org.au/images/logos/h40/ASCIAnew_logo.png)](https://www.allergy.org.au/patients/asthma-and-allergy) [Autoimmunity - Australasian Society of Clinical Immunology and Allergy (ASCIA) Systemic Lupus Erythematosus (SLE) Systemic Lupus Erythematosus (SLE), Autoimmune Diseases, Vasculitis disorders *Read more on ASCIA website* ![ASCIA](https://media.healthdirect.org.au/images/logos/h40/ASCIAnew_logo.png)](https://www.allergy.org.au/patients/autoimmunity) [Drug (Medication) Allergy - Australasian Society of Clinical Immunology and Allergy (ASCIA) Drug allergy *Read more on ASCIA website* ![ASCIA](https://media.healthdirect.org.au/images/logos/h40/ASCIAnew_logo.png)](https://www.allergy.org.au/patients/drug-allergy) [Allergic Reactions to Aspirin and Other Pain Killers - Australasian Society of Clinical Immunology and Allergy (ASCIA) Aspirin has long been used to reduce pain from inflammation (redness and swelling) and injury, as well as fever. Although it was originally isolated from plants *Read more on ASCIA website* ![ASCIA](https://media.healthdirect.org.au/images/logos/h40/ASCIAnew_logo.png)](https://www.allergy.org.au/patients/drug-allergy/allergic-reactions-to-aspirin-and-other-pain-killers) Show more Top results [Recognising and Treating Acute Anaphylaxis Anaphylaxis is a severe generalised allergic reaction. Symptoms generally occur within 20 minutes to 2 hours after exposure to the allergen and may quickly escalate, with the potential to become life-threatening. *Read more on Ausmed Education website* ![Ausmed Education](https://media.healthdirect.org.au/images/logos/h40/ausmed-new-logo-872e67.png)](https://www.ausmed.com/learn/articles/anaphylaxis) [ASCIA Drug (Medication) Allergy Terms - Australasian Society of Clinical Immunology and Allergy (ASCIA) ASCIA Drug (Medication) Allergy Terms *Read more on ASCIA (Health Professionals) website* ![ASCIA (Health Professionals)](https://media.healthdirect.org.au/images/logos/h40/ASCIAnew_logo.png)](https://www.allergy.org.au/hp/drug-allergy/ascia-drug-medication-allergy-terms) [ASCIA Penicillin Allergy Guide for health professionals - Australasian Society of Clinical Immunology and Allergy (ASCIA) ASCIA Penicillin Allergy Guide for health professionals *Read more on ASCIA (Health Professionals) website* ![ASCIA (Health Professionals)](https://media.healthdirect.org.au/images/logos/h40/ASCIAnew_logo.png)](https://www.allergy.org.au/hp/papers/ascia-penicillin-allergy-guide-for-health-professionals) [Mastocytosis and Other Mast Cell Disorders - Australasian Society of Clinical Immunology and Allergy (ASCIA) Mastocytosis and Other Mast Cell Disorders *Read more on ASCIA (Health Professionals) website* ![ASCIA (Health Professionals)](https://media.healthdirect.org.au/images/logos/h40/ASCIAnew_logo.png)](https://www.allergy.org.au/patients/allergy-testing/mastocytosis) [ASCIA Management Summary for Allergic Conditions - Australasian Society of Clinical Immunology and Allergy (ASCIA) ASCIA Management Summary - Transition paediatric to adult care *Read more on ASCIA (Health Professionals) website* ![ASCIA (Health Professionals)](https://media.healthdirect.org.au/images/logos/h40/ASCIAnew_logo.png)](https://www.allergy.org.au/hp/anaphylaxis/ascia-management-summary-allergic-conditions) [Drug (Medication) Allergy - Australasian Society of Clinical Immunology and Allergy (ASCIA) Drug allergy *Read more on ASCIA (Health Professionals) website* ![ASCIA (Health Professionals)](https://media.healthdirect.org.au/images/logos/h40/ASCIAnew_logo.png)](https://www.allergy.org.au/drug-allergy) [ASCIA (Health Professionals) The Australasian Society of Clinical Immunology and Allergy (ASCIA) is the peak body of clinical immunology and allergy specialists in Australia and New Zealand. *Read more on Partner Organisation website* ![Partner Organisation](https://media.healthdirect.org.au/images/logos/h40/ASCIAnew_logo.png)](https://www.allergy.org.au/) Show more ## Disclaimer Healthdirect Australia is not responsible for the content and advertising on the external website you are now entering. 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Readable Markdown
## Key facts - Some people are allergic just to fish, some only to shellfish or molluscs, and some may be allergic to all types of seafood. - Most people who are allergic to seafood have mild symptoms such as hives, swelling of the face and/or vomiting or diarrhoea. - Some people with seafood allergy experience a serious reaction called anaphylaxis. - If you suspect you have an allergy, see your doctor, who can refer you for skin or blood tests, and help you understand what your test results mean. - If you have a seafood allergy, it's important to check the labels on processed or packaged foods, as ingredients made from seafood are added to many foods that you might not expect. ## On this page - [What types of seafood can cause allergies?](https://www.healthdirect.gov.au/allergies-to-seafood#what) - [What are the symptoms of seafood allergy?](https://www.healthdirect.gov.au/allergies-to-seafood#allergy) - [How is seafood allergy diagnosed?](https://www.healthdirect.gov.au/allergies-to-seafood#how) - [How can I avoid seafood?](https://www.healthdirect.gov.au/allergies-to-seafood#avoid) - [Resources and support](https://www.healthdirect.gov.au/allergies-to-seafood#support) - [Related information on Australian websites](https://www.healthdirect.gov.au/allergies-to-seafood#searchGeneralResults) ## What types of seafood can cause allergies? Allergies occur when your body reacts to specific proteins in foods. Allergic reactions can be caused by different types of seafood. Fish (seafood with a backbone) that can cause allergic reactions include: - salmon - cod - mackerel - sardines - herring - tuna - eels Shellfish (seafood without a backbone) can also cause allergic reactions, and include: - crustaceans such as prawns / shrimp, lobster, crab, crayfish, yabbies - molluscs such as oysters, mussels, clams, octopus, squid, calamari, abalone, sea slugs, eels Some people are allergic to fish only, others to shellfish only, and others to both groups of seafood. Around 4 out of 5 people with seafood allergy will have the allergy for life. If you are allergic to one type of seafood, you can't predict whether you'll be allergic to any other type of seafood. The only way to find out is through allergy testing or experience. ## What are the symptoms of seafood allergy? Most people who are allergic to seafood have mild symptoms such as: - [hives](https://www.healthdirect.gov.au/hives) - tingling in the mouth - some swelling in the face, lips or eyes - [abdominal (stomach) pain](https://www.healthdirect.gov.au/abdominal-pain), [vomiting](https://www.healthdirect.gov.au/vomiting) or [diarrhoea](https://www.healthdirect.gov.au/diarrhoea) But some people experience dangerous symptoms of [anaphylaxis](https://www.healthdirect.gov.au/anaphylaxis) such as: - difficulty breathing - swelling of the tongue or tightness in the throat - hoarse voice, [wheezing](https://www.healthdirect.gov.au/wheezing) or difficulty talking - [dizziness](https://www.healthdirect.gov.au/dizziness) or collapse due to a sudden [drop in blood pressure](https://www.healthdirect.gov.au/low-blood-pressure-hypotension) If you are allergic to seafood, symptoms usually appear within minutes, but some people (especially those with an allergy to oysters, abalone, squid or prawns) may not experience symptoms until hours later. This reaction sometimes happens after exercise. ## How is seafood allergy diagnosed? Seafood allergy is diagnosed with allergy testing, done under medical supervision. This is the only way to diagnose your specific seafood allergy. If you suspect you have an allergy, see your doctor. Your doctor can refer you for skin or blood tests, and help you understand what your test results mean. Seafood allergies are complex. Even among fish, there are different groups of fish, and if you are allergic to one group of fish, you may be able to safely eat fish from other groups. Avoid testing methods advertised online or in print media. Tests that are considered unreliable include hair analysis, Alcat or Vega tests, kinesiology, iridology, reflexology, pulse and cytotoxic food tests. ### How is seafood allergy treated? There aren't currently any treatments routinely used to cure food allergies, including seafood allergy. The best way to avoid experiencing symptoms of seafood allergy is to avoid contact with seafood. If your doctor diagnoses a seafood allergy, they may also prescribe an [adrenaline auto-injector,](https://www.healthdirect.gov.au/how-to-use-an-adrenaline-autoinjector-epipen-anapen) such as [EpiPen](https://www.healthdirect.gov.au/medicines/brand/amt,59781000168101/epipen-auto-injector) or [Anapen](https://www.healthdirect.gov.au/medicines/brand/amt,21251000168102/anapen-auto-injector). If you are prescribed an adrenaline auto-injector, it's important to always keep it with you to treat a reaction if you are accidentally exposed to seafood. ## How can I avoid seafood? It's easy to avoid cooking or buying seafood, but ingredients made from seafood are added to many foods that you might not expect. Check the labels on processed or packaged foods. Canned fish or shellfish are obvious sources of seafood. Other products and menu items to watch out for include: - sauces, such as oyster sauce, fish sauce or marinara sauce - fish paste or fish stock - prawn crackers and prawn crisps - sushi - Caesar salad (which may include anchovies) - pizza (which may come with anchovies or other seafood) - cooking oil previously used to cook fish If you order a stir-fried dish or meat curry in a restaurant, for example, it may have been cooked with fish sauce. Make it very clear to waiters that you have a genuine allergy and your meal *must* *not* contain any seafood, fish sauce or oyster sauce. Fish oil supplements are unlikely to cause an adverse reaction, but it's best to avoid them. Speak with your doctor if you have concerns about your nutrition — they can also refer you to a [dietitian](https://www.healthdirect.gov.au/dietitians) for advice. [Glucosamine](https://www.healthdirect.gov.au/medicines/medicinal-product/aht,21717/glucosamine) supplements (sometimes used for [osteoarthritis](https://www.healthdirect.gov.au/osteoarthritis)) are made from the shells of crustaceans and are not suitable if you are allergic to shellfish. Isinglass is an additive used to stop beer and wine from going cloudy. It is made from the bladders of fish, but food authorities consider it is so unlikely to cause an allergic reaction that legally it doesn't need to be included on the label. A small number of people are so sensitive to any kind of fish that they can have a reaction to the steam produced when fish is being cooked. This is more likely in children who also have [asthma](https://www.healthdirect.gov.au/asthma). ## Resources and support To learn more about the symptoms, diagnosis, and management of seafood allergy, see the Sydney Childrens Hospitals Network [fact sheet](https://www.schn.health.nsw.gov.au/seafood-fish-mollusc-and-crustacean-allergy-factsheet). Read more on [food allergies](https://www.allergy.org.au/patients/food-allergy/faqs) such as seafood allergy on the Australasian Society of Clinical Immunology and Allergy (ASCIA) website.
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