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Solutions for Soy Allergies in St. Louis

Soy Allergy

Struggling with soy allergies? Dr. Sonia Cajigal is a board-certified food allergist in St. Louis, Missouri that can help you navigate your soy allergy. Contact us at St. Louis Family Allergy to learn more about soy allergy symptoms, testing, and treatment options for you and your children.

“Dr. Cajigal was friendly, professional, and informative. She took the time to explain the tests and what was going on with my allergies. She is so knowledgeable and really cared about how I was feeling. I would highly recommend this practice if you suffer from allergies and asthma.”

– Sue D, July 2020

Soy Allergy Doctor Sonia Cajigal of St. Louis Family Allergy in St. Louis, Missouri
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About Soy Allergy

Soy Allergy Symptoms
Soy Allergy Testing
Soy Allergy Foods to Avoid
Soy Allergy Treatment
As a common ingredient in infant formulas, processed foods, and alternatives to dairy products, soy is one of the most common food allergens in young children. Soy allergy affects roughly 1 in every 250 infants (0.4%). However, it is possible to develop a soy allergy at any age, even if you’ve previously consumed soy without any issues. It is also common for infants to outgrow their soy allergy.

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Soy allergy foods

Soy Allergy Symptoms

A soy allergy can be either IgE-mediated, where symptoms develop immediately, or non-IgE-mediated, where symptoms develop over hours or days.

Soy allergy symptoms include:

  • Hives
  • Stomach cramps
  • Indigestion
  • Nausea
  • Vomiting
  • Diarrhea
  • Cough
  • Itching
  • Eczema
  • Tightness in your throat, hoarse voice
  • Shortness of breath, difficulty breathing
  • Swelling, can affect the tongue and/or lips
  • Anaphylaxis (difficulty breathing, increased heart rate, drop in blood pressure, dizziness and confusion)

Though rare, an IgE-mediated soy allergy can be deadly in the case of anaphylaxis. If you have severe allergic reaction symptoms, such as trouble breathing or swelling in your throat, call 911 or go to your nearest emergency room (ER) immediately.

Most non-IgE food allergies, including soy, aren’t life-threatening. However, soy is one of the most common triggers for non-IgE reactions in infants.

Signs of Soy Allergy in Babies & Infants

Soy allergy in babies may look different from soy allergy in older children or adults. Possible signs of soy allergy in infants include vomiting, diarrhea, blood or mucus in the stool, eczema, hives, fussiness after feeding, poor feeding, or poor weight gain. Some parents notice symptoms after a baby drinks soy formula, while others may be concerned about signs of soy allergy in a breastfed baby. If you are worried about soy allergy symptoms in a baby, contact your pediatrician or allergist before removing major foods from your child’s diet.

Soy Allergy Testing

Soy allergy tsting is similar to other food allergens, often involving a mix of medical history and allergy tests.

Medical History

Diagnosis begins with a thorough medical history where your allergist will ask you questions about your exposure to soy and your symptoms.

Typical questions include:

  • Do you have a family history of food allergies?
  • Have you ever been diagnosed with other food allergies?
  • What are your symptoms?
  • Do you take any over-the-counter (OTC) medications to treat your symptoms?
  • When do you notice your symptoms start to appear?
  • Do you keep a food journal?

At this stage, your allergist is evaluating soy and other potential allergens that may be the cause of your allergic reactions. If your medical history is consistent with a food allergy, your allergist will order tests to confirm or rule out soy.

Skin Test for Soy Allergy

The skin prick test is a common first line soy allergy test where the skin is exposed to a small amount of soy to see if a reaction occurs.

Soy Allergy Blood Test

Another method of allergy testing is the blood test, where a sample of your blood is withdrawn and sent to a lab. In the lab, your blood is exposed to soy to see if an immune response occurs.

Food Challenges

To definitively diagnose a soy allergy, your allergist may recommend a food challenge. This may be necessary if your medical history and soy allergy testing are inconsistent.

During an oral challenge, you’ll eat a small amount of soy under the supervision of your allergist. Your allergist will then observe you to see if a reaction develops. If you are able to tolerate a small amount of soy, your allergist will then increase the ‘dose’ until a reaction occurs or until it is determined that you can safely ingest soy.

Can You Test for Soy Allergy at Home?

There is no reliable way to confirm a soy allergy at home. A food journal can help you track symptoms, timing, and possible soy exposures, but soy allergy testing should be guided by an allergist. Do not try an at-home soy food challenge if you have had trouble breathing, throat swelling, widespread hives, or any symptoms of anaphylaxis

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Woman reacting to soy allergy symptoms scratching rash on her neck

Soy Allergy Foods To Avoid

Check your food labels! Learn what soy allergy foods to avoid since soy avoidance is the best way to manage a soy allergy.

In the United States, soy is one of the eight allergens that fall under the labeling requirements of the Food Allergen Labeling and Consumer Protection Act of 2004. Manufacturers of packaged food items that contain soy or a soy-based ingredient must state that the product contains soy.

While it is not possible for us to list every food product that contains soy, the following list covers most of the common foods, drinks, and ingredients that you should avoid if you have a soy allergy:

  • Soy in all forms, including soy flour, soy fiber, soy albumin and soy grits
  • Soy non-dairy alternatives, including soy milk, soy ice cream, soy cheese and soy yogurt
  • Soybean (curd and granules)
  • Soy protein (concentrate, isolate and hydrolyzed)
  • Soy nuts and soy sprouts
  • Soy sauce
  • Tofu and textured vegetable protein (TVP)
  • Edamame
  • Miso
  • Natto
  • Tempeh
  • Tamari
  • Hoisin

In addition to the above, the following ingredients may contain soy protein:

  • Natural and artificial flavoring
  • Vegetable broth
  • Vegetable gum and vegetable starch
  • Hydrolyzed plant protein
  • Hydrolyzed vegetable protein
  • Protein extender and protein filler

There are also several nonfood items that may contain soy, including:

  • Crayons
  • Cleaning products
  • Pet foods
  • Synthetic fabrics
  • Certain makeup and toiletry items

However, readers should be aware that U.S. food labeling laws don’t apply to nonfood items.

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in St. Louis, Missouri

Girl using EpiPen to treat severe soy allergy reaction

Soy Allergy Treatment

Soy allergy management often involves careful label reading, avoiding soy-containing foods, and creating an emergency action plan. An epinephrine auto-injector (EpiPen) is typically prescribed to patients with soy allergy in the event that a serious, life-threatening reaction occurs. Epinephrine quickly reverses the symptoms of anaphylaxis. Individuals with soy allergy or parents of children with soy allergies should always have an EpiPen available.

For more information and resources on how to manage soy allergy and other food allergies, please see our food allergies page.

References

[1] American College of Allergy, Asthma & Immunology: https://acaai.org/
[2] Asthma and Allergy Foundation of America: https://www.aafa.org/
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Visit Allergist Dr. Sonia Cajigal of St. Louis Family Allergy in St. Louis, Missouri

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Dr. Sonia Cajigal

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St. Louis Family Allergy Google review score badge
"Dr. Cajigal was friendly, professional, and informative. She took the time to explain the tests and what was going on with my allergies. She is so knowledgeable and really cared about how I was feeling. I would highly recommend this practice if you suffer from allergies and asthma."

- Sue D, July 2020

“Dr Cajigal is a great listener. She trusts her patients instead of treating them as if they are not the experts of their own bodies. I really appreciate that (many doctors do not have that quality). She also immediately treats the symptoms instead of waiting to see if things clear. I use her for my children and myself. We have never left her office feeling as if it was a waste of time.”

– Stephanie, August 2020

"Great Allergist!"

- Ann H, December 2018

"She is the best."

- Stephen W, June 2020

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