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How to identify the root for histamine
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Immune Deficiency Disorders
Question #11572
49 days ago
175

How to identify the root for histamine - #11572

Gajendra

I am a ibs patient since 2 years and from 4 month smellyand silent farts increaseday by day andnow from 2-3 monthi got allergy from bananawhen i consult to ent they saidIam histamine introlence so could you tell me the root cause

Age: 20
Chronic illnesses: yogendrasingh1234512345@gmail.com
300 INR (~3.53 USD)
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Doctors’ responses

Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
48 days ago
5

Your IBS likely disturbed gut bacteria and reduced DAO activity, leading to histamine intolerance and excessive smelly gas. The root cause is gut dysbiosis (imbalance of gut bacteria) with possible DAO deficiency. Correcting gut health with diet, probiotics, and possibly DAO support can improve both IBS and histamine intolerance.

Visit nearest physician.

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Dr. Perambalur Ayyadurai Rohith
I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.
48 days ago
5

Hello Gajendra.

1.Histamine intolerance is not usually due to excess histamine production but because your body cannot break it down properly.

2.The main reason is reduced activity of an enzyme called diamine oxidase DAO in the intestine which normally helps digest histamine from foods.

3.In irritable bowel syndrome IBS the gut lining often becomes sensitive and inflamed. This can reduce DAO activity and make histamine reactions stronger.

4.Certain foods like banana cheese tomatoes and fermented products naturally contain histamine or trigger its release which explains why your symptoms increase.

5.Gut imbalance bacterial overgrowth stress and poor diet can also worsen histamine intolerance.

* Foods to avoid

Bananas, tomatoes, spinach, avocados.

Fermented foods like pickles, vinegar, soy sauce, sauerkraut, curd.

Aged cheese, processed meat, fish that is not fresh.

Alcohol, especially wine and beer.

Packaged or leftover food kept for long time.

* Foods usually safe

Freshly cooked chicken, lamb, turkey.

Fresh vegetables like carrots, beans, bottle gourd, ridge gourd, pumpkin, cucumber.

Fresh fruits like apples, pears, watermelon, papaya.

Rice, oats, millets.

Herbal teas and plenty of water.

* Tips

Always eat fresh home cooked food.

Avoid long storage and reheating.

Keep a food diary to note which items trigger bloating or rashes.

Manage stress since it worsens IBS and histamine response.

Discuss with your doctor if DAO enzyme supplements or probiotics may help.

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
46 days ago
5

Since you have IBS and now histamine intolerance, your symptoms—smelly, frequent, and silent gas—are likely due to reduced ability to break down histamine in foods, often caused by low diamine oxidase (DAO) enzyme activity. This can be triggered or worsened by gut dysbiosis, chronic inflammation, or IBS-related gut changes. Please consult a gastroenterologist or nutritionist for a tailored low-histamine diet, probiotics, and enzyme support to manage symptoms effectively.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
49 days ago
5

Hello dear See histamine allergy can come from food products or through dust and pollens. Iam suggesting some tests Please get them done for confirmation Serum histamine DAO test Trytase test Kindly get these tests done and share results with pulmonary surgeon or general physician for further details. Please donot take any medications without consulting the concerned doctor You can take below precautions for improvement Avoid histamine rich food Take vitamin c supplement In case of allergy, medications like Cetirizine can be taken Hopefully you recover soon Regards

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Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
48 days ago
5

Hello Gajendra,

Your symptoms of gas, IBS, and banana intolerance suggest that you may have both IBS with food intolerance and possible histamine intolerance.

Diet: Follow a low-FODMAP diet, avoid gas-producing foods (onion, beans, milk, cabbage), and also avoid histamine-rich foods (banana, tomato, cheese, fermented foods, alcohol). Eat small frequent meals and drink enough water.

Lifestyle: Daily walk/exercise and stress reduction (yoga, meditation) will help reduce IBS flares.

Medicines: Probiotics daily for 2–3 months. For gas and cramps, Simethicone or Mebeverine can be used if needed.

These steps usually control your symptoms. If you develop blood in stool, weight loss, or persistent severe pain, please meet a gastroenterologist for further tests.

Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med

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Dr. Abhishek Gill
I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.
45 days ago
5

Hello, The symptoms suggests allergy. You should visit the PULMONOLOGIST for proper evaulation and management.

For symptomatic relief, you can do this: 1. Tab ALLEGRA 120mg twice daily for 3 days 2. Avoid dusty surroundings 3. Breathing exercises

Take care

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Histamine intolerance arises when there’s an imbalance between histamine they’re taken in or naturally produced in the body, and the body’s ability to break it down effectively. In essence, if you’re producing or consuming more histamine than your body can break down, symptoms can arise. For IBS patients, the gut’s compromised condition may exacerbate issues relating to histamine because the intestinal lining can become more permeable, leading to an inappropriate immune cells reaction to dietary histamine. Foods like bananas, often on the higher end of the histamine spectrum, could potentially trigger reactions in those with this intolerance. Enzymes like DAO (diamine oxidase) which helps degrade histamine, might be insufficient in some people. To root out the cause, you might consider keeping a food diary to track which foods or drinks seem to correlate with your symptoms. Evaluating the history and timing of your symptoms can be insightful in determining whether this intolerance could be linked to recent dietary changes or IBS flare-ups. Tests measuring DAO activity or blood histamine levels could further pin down the issue. Avoiding high-histamine foods or those known to liberate histamine in your case, even if they wouldn’t normally affect others, might provide relief. It’s crucial to consult with your healthcare provider to explore the appropriate tests and treatment path. Additionally, since symptoms have changed or escalated recently, revisiting your healthcare strategy for IBS with your doctor could be beneficial, examining other possible contributing factors or coexisting conditions affecting your digestive health.

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