What should you know about kiwi anaphylaxis?

Warning signs may include swelling of the lips, tongue or throat, wheezing, trouble breathing, widespread hives, repeated vomiting, dizziness, faintness, confusion, or sudden extreme weakness. Symptoms can progress quickly and may occur without a skin rash.

A reaction after kiwi may be a food allergy, but the severity cannot be predicted from an earlier mild reaction. Cross-contact with kiwi in food preparation can also matter. Allergy Testing can help a clinician assess triggers after the emergency has been managed.

If anaphylaxis is suspected, use the person’s prescribed adrenaline auto-injector immediately, if available, and call emergency services. Follow the device instructions, keep the person lying down with legs raised unless breathing is easier sitting, and stay with them. A second dose may be advised by emergency guidance if symptoms continue or return.

Do not rely on an antihistamine for breathing or circulation symptoms, and do not give food or drink to someone struggling to swallow. Even if symptoms improve, emergency assessment is needed because symptoms can recur.

Call emergency services immediately for breathing difficulty, wheezing, throat or tongue swelling, faintness, collapse, or symptoms affecting more than one body system after eating kiwi. Anyone treated with adrenaline needs urgent medical observation. Avoid kiwi until an allergy clinician provides an individual plan.

Ask whether the reaction fits food allergy or anaphylaxis, whether you need an adrenaline auto-injector, how to use it, and which foods or labels require caution. Ask for a written emergency plan and advice for school, work or childcare.