An Indian spice you love can trigger allergies in some people

Ginger, a common ingredient in Indian cuisine, can cause allergies in certain individuals. Dr Aarti Ullal, a physician and diabetologist at Gleneagles Hospital, explains that a ginger allergy is uncommon but real, and it is different from simply finding the spice too strong or experiencing an upset stomach. This allergy occurs when the immune system mistakenly identifies ginger as harmful, causing symptoms such as itching, hives, swelling, and in rare cases, anaphylaxis.

To distinguish between an allergic reaction and indigestion, allergy symptoms appear quickly, within minutes to two hours, while indigestion symptoms are typically localized to the stomach. People with other food allergies, pollen allergies, or skin conditions like eczema are at higher risk, as are those who have reacted to other spices in the Zingiberaceae family.

Diagnosis involves a medical history and tests like skin prick or blood tests for IgE antibodies. If an allergy is suspected, it is crucial not to self-test by consuming ginger. Management involves careful label reading, informing cooks and restaurant staff about the allergy, carrying prescribed antihistamines or an epinephrine auto-injector, and having a safe meal plan.

Substitutes like black pepper, cumin, or asafoetida can be used, but tolerance should be checked first. Despite being rare, recognizing symptoms and seeking timely medical advice is essential to prevent serious complications.