Food intolerance symptoms: signs, causes and how to identify your triggers
- 4 Feb 2020
Do you feel bloated, foggy or just plain off after certain meals? You might be dealing with a food intolerance — a reaction to a food, drink or food compound that triggers uncomfortable symptoms. It's more common than you'd think, with some estimates suggesting up to 20% of people experience one. Here's how to tell if you're one of them, what causes it, and what you can actually do about it.
Food intolerance vs food allergy - what's the difference?
Food allergies and intolerances are often confused, but the difference comes down to how your body responds.
A food allergy triggers your immune system. Symptoms usually appear quickly after eating, and severe reactions can be life-threatening. The most common allergens are dairy, eggs, peanuts, tree nuts, fish, shellfish, soy and wheat (gluten).
A food intolerance doesn't involve the immune system at all — it's a chemical or digestive reaction, usually triggered by your gut. It tends to develop more slowly and, while it can make you feel miserable, it's generally not life-threatening.
Because the symptoms can overlap, it isn't always obvious which one you're dealing with. Here's a quick breakdown:
Food Intolerance Symptoms
• Gas and bloating
• Diarrhoea or constipation
• Stomach cramping
• Nausea
• Headaches
• Mouth ulcers
• Hives
Food Allergy Symptoms
• Hives
• Swelling
• Itching
• Dizziness
• Wheezing
• Vomiting
• Anaphylaxis (medical emergency)
What causes food intolerance?
Food intolerance isn't one single condition — it can be triggered by a few different underlying issues.
Enzyme deficiency (lactose & gluten intolerance)
Almost every food needs an enzyme to be digested properly, and a shortage of the right enzyme is one of the most common causes of intolerance. Lactose intolerance is the classic example: your body doesn't produce enough lactase to break down the lactose in dairy foods. Gluten intolerance can work in a similar way — some people lack the enzymes needed to digest gluten properly, which is why they feel noticeably better on a No Added Gluten diet.
Naturally occurring food chemicals (amines, salicylates & more)
Some people react to naturally occurring chemicals in food and drink, including amines (such as histamine), salicylates, caffeine and curry. Amines and salicylates are found in a huge range of everyday foods, and salicylates also turn up in perfumes, medicines and preservatives — so a reaction can build up gradually rather than come from one obvious source. Caffeine and curry fall into a similar bucket, often irritating the gut directly.
Food additives
Additives are more widespread in the food supply than ever before, used to enhance flavour, improve appearance and extend shelf life. Antioxidants, artificial colours and flavours, emulsifiers, flavour enhancers, preservatives and sweeteners are all common culprits. Nitrates, MSG (monosodium glutamate), sulphites, benzoates and artificial colourings are among the additives most frequently linked to adverse reactions.
Toxins & contamination
Occasionally, symptoms are actually a mild form of food poisoning rather than a true intolerance — caused by bacterial contamination or naturally occurring toxins. Scombroid toxin from incorrectly stored fish is one example, as are the aflatoxins found in undercooked beans (fully cooked beans don't carry this risk).
How to test for food intolerance
Outside of lactose intolerance and coeliac disease, there's no single accurate, reliable test for food intolerance. Blood tests and skin prick tests exist, but their accuracy for intolerance (as opposed to allergy) is questionable.
The gold standard is an elimination diet. This means keeping a food diary to spot patterns, removing suspect foods for around two weeks, then reintroducing them one at a time to see what triggers a reaction.
Managing food intolerance: practical tips
• Rule out a food allergy first. Allergy symptoms can be far more serious, so it's important to know which you're dealing with.
• Keep a food and symptom diary. This is the single best way to spot patterns over time.
• Remember the delay. Intolerance symptoms can take hours or even a couple of days to appear, which is exactly why a diary matters — did that afternoon headache really come from this morning's bread?
• Don't ignore your symptoms. There's no need to put up with discomfort day after day when the trigger can often be found and removed.
• Try an elimination diet. Target one food group at a time — cutting out just dairy or just gluten for a few weeks — rather than overhauling everything at once.
• Get medical support for severe reactions. If you suffer from severe symptoms or suspect anaphylaxis, work with a doctor before eliminating or reintroducing any foods.
• Test reintroduction carefully. Once you've found the likely culprit, you may be able to reintroduce small amounts later — some people can tolerate a food again after avoiding it for a while.
• Watch environmental exposure too. Some research links pesticide and herbicide exposure on food crops to intolerance-type symptoms, so it's worth considering alongside diet.
• Keep your diet varied. Relying on the same foods day after day can make intolerance issues worse — variety helps.
• Prioritise nutrient-dense foods. Intolerances can affect how well you absorb vitamins and minerals, so lean on fresh fruit and veg, wholegrains, meat and fish, legumes, dairy, nuts and seeds — minus your trigger foods.
• Get professional support. A nutritionist, dietitian or naturopath can help you navigate a gluten or dairy intolerance (or any other food sensitivity), and advise on supplements if you're cutting out entire food groups long-term.
Food intolerance–friendly meals, done for you
Suffering from a food intolerance can make everyday life miserable — but tracking down and eliminating your trigger foods is worth the effort. It's not always easy at first, but most people find it gets easier with practice, and the payoff in how you feel is well worth it.
Every Dietlicious meal is made from 100% wholefood ingredients, with no additives, preservatives or artificial ingredients. Browse our full menu and use the dietary filters to easily sort and avoid the ingredients that don't work for you. Whether you need meals that are No Added Gluten, No Added Dairy, No Meat, No Nuts or more, we've already done the hard work for you.
Frequently Asked Questions
What's the difference between a food allergy and a food intolerance?
A food allergy involves the immune system and can trigger a rapid, sometimes life-threatening reaction. A food intolerance is a digestive reaction that develops more slowly and, while uncomfortable, isn't life-threatening.
How long does it take for food intolerance symptoms to appear?
Unlike allergies, which usually cause symptoms within minutes, food intolerance symptoms can take anywhere from a few hours to a couple of days to show up — which is why a food diary is such a useful tool for spotting patterns.
What foods most commonly cause intolerance?
Dairy (lactose) and gluten-containing grains are the most common triggers, followed by foods high in naturally occurring amines or salicylates (like aged cheese, wine and some fruits), and additives such as MSG, sulphites and artificial colours.
Can you test for food intolerance at home?
Outside of lactose intolerance and coeliac disease, there's no single reliable lab test. The most accurate approach is a supervised elimination diet: removing suspect foods for a couple of weeks, then reintroducing them one at a time while tracking symptoms.
Can food intolerance develop later in life, even to foods you've always eaten?
Yes — food intolerances can develop or worsen at any age, often linked to changes in gut health, enzyme production, or cumulative exposure to a trigger food over time.
