Phenol-Salicylates

see sample low salicylate meal plan from MINND.org

A salicylate intolerance can provoke many unpleasant symptoms including hyperactivity; hives (or uticaria); migraines; sinus and even asthma and bowel disturbances. Some people with salicylate intolerance experience just one symptom others experience many.

Salicylates are naturally occurring pesticides found in a wide range of fruits and vegetables.

Salicylates along with other benzoic acid derivatives are particularly high in spicy foods and fragranced fruits and vegetables, and foods that are quite intense in flavor. These foods are usually (but not always) brightly or deeply colored.

According to Dr Robert Loblay the director of the RPAH Allergy unit people with salicylate intolerance may also have problems with other natural food chemicals in particular glutamates and amines (ie. pharmacological food intolerance). Whilst natural food chemicals have the most insidious effects on “susceptible individuals” food containing, aspartame, sulfites, histamines, certain colorings, preservatives, synthetic antioxidants, MSG and other flavor enhancers can also be problematic.

People with more severe food intolerance often have symptoms associated with Chronic Fatigue Syndrome (a Central Sensitivity Syndrome) and can also experience chemical sensitivity and stimuli sensitivity. Often people with these conditions have impairment to the Phase 2 liver detoxification pathways [FLDP Test not standard test] that are responsible for clearing the substances associated with pharmacological food intolerance and salicylate sensitivity (e.g. poor glycination and sulfation). Common to people with this is a build of substances not just to food compounds but other chemicals, fragrances and toxins as well as chemical sensitivity.

In the introduction of the FRIENDLY FOOD recipe book the following is also stated…

Smells & fumes

Some people with food intolerances find that their sense of smell gets more acute on a restricted diet. Strong perfume, car exhaust, petrol fumes, fresh paint, cigarette smoke and other irritant smells and fumes may make you feel ill or give you a headache. Reactions like this can be unpleasant, but are not dangerous and usually resolve quickly after exposure ceases. Predictable exposures such as the the perfume section in department stores, supermarket aisles with cleaning products, petrol stations and underground car parks are easily avoided. If you’re unexpectedly exposed, don’t hang around — leave the area quickly and get some fresh air.

Toiletries, cosmetics and cleaning agents

Strong peppermint and menthol flavours and aromas are derived from natural salicylates, so clean your teeth with unflavoured toothpaste, salt, or bicarbonate of soda (baking soda), and avoid mouthwashes. If you react to preservatives, read the labels of products carefully — most liquid cosmetics and sunscreens are preserved. If you’re smell-sensitive, be careful with perfumes, deodorants, scented soaps, shampoos, conditioners, hair sprays, after-shave lotions and other toiletries. Vinegar and bicarbonate of soda (baking soda) are alternatives to strong-smelling detergents and bathroom cleaning agents.

Home environment

Indoor air can become quite polluted with volatile chemicals released from carpets and underlays, chipboard and other furnishing materials, cooking odours and cigarette smoke. Make sure your home is well ventilated with fresh air. Avoid using products with a strong aroma such as air fresheners, concentrated detergents, perfumed candles, incense, eucalyptus oil, and massage and aromatherapy oils. If you feel unwell in your home environment and you’re not sure why, check for hidden damp or mould, gas leaks and other sources of irritant smells or fumes.,,,

Medications

People with food intolerances often react adversely to medicines. It’s best only to take essential medications prescribed by your doctor. If you’re salicylate sensitive, anti-inflammatory drugs and aspirin-containing pain killers should be avoided — paracetamol and codeine are suitable alternatives in most cases…..

Whilst the true prevalence of food intolerance is not known with certainty Dr Robert Loblay says that it would most likely be between 5% and 10% of the general population and between 20% and 30% of people experiencing Chronic Fatigue Syndrome (CFS). This figure is thought to be much higher in people with Multiple Chemical Sensitivity (MCS).

Bibliography

1. Ortolani C, Pastorello EAFood allergies and food intolerances. Best Pract Res Clin Gastroenterol. 2006;20(3):467-83.
2. Treatment-Resistant Depression: When Antidepressant Drug Intolerance May Indicate Food Intolerance Gordon Parker1?Tim Watkins2 1School of Psychiatry, University of New South Wales, Sydney, Australia2Allergy Unit, Royal Prince Alfred Hospital, Sydney, Australia
3. The Role of Food Intolerance in Chronic Fatigue Syndrome Robert H. Loblay, MD, PhD1 and Anne R. Swain, PhD21Senior Lecturer in Immunology, University of Sydney and Director, Allergy Service, Department of Clinical Immunology, Royal Prince Alfred Hospital 2Research Dietitian, Allergy Service, Royal Prince Alfred Hospital, Sydney, Australia
4. Friendly Food – The essential guide to avoiding allergies, additives and problem chemicals by Dr Anne Swain, Dr Velencia L Soutter and Dr Robert H Loblay from Royal Prince Alfred Hospital Allergy Unit
5. RPAH Elimination Diet Handbook? with food and shopping guide
6. The RESHAPE food intolerance cook book QUICK & EASY Low chemical & food intolerance friendly recipes
7. Based on RPA Hospital Allergy unit Food intolerance principles
8. Food Intolerance and Sensitivity Dietitians Association of Australia
9. MMC FACT SHEET 908 SALICYLATE CONTENT OF FOODS Dr Richard J Coleman
10. MMC FACT SHEET 907AMINE CONTENT OF FOODS Dr Richard J Coleman,
11. Ziem, G, HOW CHEMICAL INJURY/CHEMICAL SENSITIVITY AFFECTS THE BODY chemical injury.net
12. Ziem, G Food intolerance chemical injury.net
13. Food Allergy and Intolerance Better Health Victoria Health
14. David T.J Adverse reactions and intolerance to foods T J David Department of Child Health, University of Manchester, Manchester, Uhttp://bmb.oxfordjournals.org/content/56/1/34.full.pdf
15. DEVELOPMENT OF THINKING IN FOOD CHEMICAL INTOLERANCE – 1975 TO 2005 JOAN BREAKEY Presentation to the Dietitians Association of Australia 2006
16.Central Sensitization and Neurogenic Inflammation in Relationship to Fibromyalgia Literature Review Written By: Lena G. Haggerty Faculty Advisor: Dr. Donald Christy April 201http://www.logan.edu/mm/files/LRC/Senior-Research/2011-Apr-18.pdf
17. Meggs WJ. Neurogenic inflammation and sensitivity to environment chemicals. Environ Health Perspect 1993; 101: 234-238. Abstract; http://ehpnet1.niehs.nih.gov/docs/1995/103-1/meggs.html