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Do I Have to Remove All Peanuts From My Home With a Peanut Allergy?

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Question
I have a severe peanut allergy. Is it better to keep a peanut-free home or live with it in the house?
Answer

This is a very important question. People with a peanut allergy often face this challenging issue. It is whether to create a peanut-free home or allow foods that contain peanuts.

One option is to create a peanut-free home environment. All foods that contain or may contain peanuts are removed. This can be difficult to do. It is hard to create a true peanut-free environment. It may not completely prevent these foods from being brought in by others. This approach can create a false sense of security that a reaction will not happen. This approach is not followed as much as it was in the past.

A home that is not peanut-free, allows peanuts and foods containing peanuts in the home. These foods need to be strictly separated from any food that will be eaten by a person with a peanut allergy. All members of the household must work together. This is to make sure that the person with the allergy will not accidentally eat these foods and to prevent cross-contact with safe foods. Precautions include:

  • Labeling foods (containing vs. not containing peanuts).
  • Washing hands with soap and water after eating and preparing food.
  • Cleaning all dishes, utensils, and surfaces if they have been used with food containing peanuts.
Categories
Food Allergy, Peanut Allergy
Answered by

John M. James, MD, is a board-certified allergist. He is also President of Food Allergy Consulting and Education Services, LLC. He has worked as a medical specialist in the field of allergy, asthma, and immunology for over 30 years. Dr. James received his bachelor’s degree from the University of Arkansas and his Doctor of Medicine degree from the University of Tennessee. He is board certified by the American Board of Allergy and Immunology.

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Thank you Dr. James. It really depends on the level of comprehension of others.  My husband has always been extremely conscientious about peanut products in our home. He will wash his lips, face, hands repeatedly if he consumes a candy bar. And he warns me so there’s not a hello/goodbye kiss!  He seldom indulges in foods or even sauces with peanuts. When our daughter was a child (1990’s) we went through a series of steps to see if she was allergic.  She was not so he would sometimes prepare her PBJ on a disposable plate with a disposable spreader and a separate jar of jam. Both outside surfaces of the jars were washed and stored away from items I might use.  Surfaces were scrubbed just in case.   Ironically, as an adult she developed a mild allergy to peanuts. On the other hand, we share a vacation home with my sister and her husband. My sister feels that he would never remember nor follow procedures (such as using the same knife for both). She, therefore banned all peanut products from our cabin. It takes a deep level of comprehension of the level of severity and all the nuances of shared surfaces and items that are touched.  Sometimes it’s witnessing the reaction (my sister growing up with me, my husband and daughter seeing my reaction. Although it has been explained to others outside my immediate sphere, I would say only a few people really β€œget it”.  Teachers get it and more and more food service workers are becoming aware. Of course those who are accustomed to using sterile procedures get it. Maybe practicing the procedures multiple times with supervision?  I’m not sure.  It really takes a high level of awareness, dedication, and a thoughtful processing of information.  Unfortunately, in my experience (I’m 67), there’s only a few people who I thoroughly trust.

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