November 25, 2016
Food Allergies and Intolerances Explained
Last Updated on Saturday, January 23, 2016 09:32 PM
Published on Sunday, January 01, 2012 04:15 PM
Written by Elisa Katz, DVM
作者：獸醫伊萊莎．卡茲(Elisa Katz, DVM)
My cat almost always vomits after I feed her anything with beef in it. When I mentioned to a friend that I thought he was allergic to beef, she corrected me and said that vomiting was a sign of food intolerance, not a food allergy. Now I'm confused. What's the difference between the two? If they are two different things, what are the signs to look for in each case?
Food allergy is a specific type of reaction by the body to an allergen, usually a protein in the food. It is defined as "an adverse reaction to a food or food additive with a proven immunologic basis."¹ This means that it must involve the immune system. In most cases, allergies involve a certain type of antibody called Immunoglobulin E. Food intolerance is "a non-immunologic adverse physiologic response to a food or food additive."² This means that intolerance does not involve the immune system. Intolerances involve metabolic effects which alter processes in the body, pharmacologic drug-like effects or toxic effects of offending ingredients.³
What makes it bit difficult to distinguish between the two is that vomiting can be a sign of either condition. With food allergy however, there will more than likely be signs outside of the gastrointestinal tract. You are likely to see things like itchiness, fur loss from licking, scabs from scratching, red bumps or irritated areas particularly on the face, ears, and abdomen. If your cat does not have any of these other signs and seems to vomit every time he eats the beef food, than he is more likely to have intolerance.
I would not recommend condemning beef from his diet however. When proteins are cooked, their structure is altered. This can be evidenced in the difference between a raw egg and a cooked egg or the different appearance and texture of raw versus cooked meat. This alteration in structure may make a non-allergenic raw protein become allergenic now that it is cooked.⁴ So, you may be able to feed him raw beef eventually.
To help determine what is truly going on with your cat, I strongly encourage you to seek advice from your veterinarian as there may be many other reasons why cats may vomit. I would also recommend taking a very good look at all of the ingredients in the food that you are feeding. What are the additives? Are there any artificial colors, vague ingredients such as "natural flavor," chemical preservatives such as BHA or BHT or undefined by-products? Is it a dry cat food with carbohydrates? Any one of these may be the culprit and not necessarily the beef.
Once your veterinarian has ruled out other causes of vomiting, he or she may recommend an elimination diet. This means that you eliminate certain protein sources, which can include grains such as wheat and corn, for at least an eight week period. Most elimination diets consist of a somewhat novel protein source, i.e. one that your cat has not eaten before. You can easily accomplish this without using a prescription diet. I recommend either a gradual switch to a raw or partially raw diet or a high quality, grain-free canned diet. This is because most cats have some degree of intolerance to the high amount of carbohydrates in most of the commercial diets available, including most if not all prescription diets.
You will need to read ingredient labels thoroughly to ensure that there is no beef at all in the food and avoid any treats that mention beef or any vague ingredient that could be beef. For example, something worded as "animal digest" or "meat by-product." You must avoid the suspected allergen food for at least eight weeks to ensure it is out of the cat's system. If your cat stops vomiting completely, you can then either continue avoiding beef, or attempt to add it back in and see if the vomiting recurs.
In any case, as you can see, food allergy and intolerance are much more complicated than they may first seem. However, with a little diligence and patience, you should be able to determine which it is that is afflicting your kitty.
Note: Feline Nutrition provides feline health and nutrition information as a public service. Diagnosis and treatment of specific conditions should always be in consultation with your own veterinarian. Feline Nutrition disclaims all warranties and liability related to the veterinary advice and information provided on this site.
免責聲明：Feline Nutrition (貓科營養) 基於公共服務的精神提供貓科健康和營養訊息。診斷或治療的行為應該是由你的獸醫進行。本網站所提供的任何獸醫建議和資訊，Feline Nutrition 不負任何責任。
Dr. Elisa Katz, DVM, is a graduate of Ohio State University and is the owner of Natural Pet Animal Hospital in Bourbonnais, Illinois. She practices holistic and integrative medicine focusing on proper diet and nutrition. Dr. Katz shares her home with four kitties and one dog.
本文作者獸醫伊萊莎。卡茲（Dr. Elisa Katz）畢業於美國俄亥俄州立大學（Ohio State University），目前在伊利諾州（Illinois）的 Bourbonnais 經營一家名為「自然的寵物動物醫院」（Natural Pet Animal Hospital）。她的執業是以整體和綜合醫學為主，重點在適當的食物和營養。卡茲醫生家中有四隻貓一隻狗。
1. Stephen J Ettinger and Edward C Feldman, Textbook of Veterinary Internal Medicine, 4th ed, vol. 1, W.B. Saunders Co, 1995, 258-262.
2. Ettinger and Feldman, 258-262.
3. Larry P Tilley and Francis WK Smith, Jr, The 5-minute Veterinary Consult: Canine and Feline, 2nd ed, Lippincot Williams & Wilkins, 2000, 720-721.
4. Victoria Emerton, Food Allergy and Intolerance: Current Issues and Concerns, no. 285, Royal Society of Chemistry, 2000, 150-151.