Allergy diet - tropical fruit free

Aim

To provide a diet that excludes all common tropical fruits found in the Australian food chain, to avoid reactions in individuals with an allergy to one or more tropical fruits.

Characteristics

Avoid all sources of the following fruit: avocado, bananas, (including plantains), honeydew melon, kiwi fruit, lychees, mango, papaya (paw paw), passionfruit, pineapple, quince, rockmelon, tamarind and watermelon.

This diet does not exclude coconut, citrus fruits, dragon fruit, feijoa, figs, guava, jackfruit, star apple, or stone fruits.

Indications

All patients who have an allergic reaction to any of the listed fruit should be ordered this diet unless a medical officer or dietitian has advised otherwise.

Nutritional adequacy

This diet can be nutritionally adequate.

Precautions

If the patient has latex-fruit syndrome, the Allergy – Latex free diet would be more appropriate.

If the patient has an allergy to citrus fruit (e.g. oranges, lemon, lime, grapefruit, mandarin, tangelo) the Allergy – Citrus Free diet must be ordered.

If the patient has an allergy to stone fruit (e.g. peaches, nectarines, plums) the Allergy – Stone Fruit diet must be ordered.

It is not possible to provide a full list of all permitted commercial products; the following are general guidelines only. Care should be taken to read all product ingredient lists to determine if the product contains any of the listed tropical fruits. Clarification is required for foods that contain compound ingredients to determine their components.

Some fruit flavourings are not made from actual fruit, but may need to be avoided to support patient confidence in the food provided.

Paediatrics

Suitable for use in paediatrics when combined with an age-appropriate diet.

Specific menu planning guidelines

	Allowed	Not allowed
Hot main dishes	All others	Those containing any of the excluded tropical fruits, e.g. chutney, tamarind puree
Sauces, gravies	All	Those containing any of the excluded tropical fruits, e.g. tamarind puree
Starchy vegetables / pasta / rice	All	Nil
Vegetables	All	Nil
Soups	All	Those containing any of the excluded tropical fruits, e.g. tamarind puree
Sandwiches	All	Avocado, chutney, pickles
Salads, dressings	All	Avocado, pineapple
Breads, cereals	All others	Breakfast cereals containing dried banana, dried pineapple, dried paw paw, dried papaya, dried mango Banana bread, fruit muffins containing excluded tropical fruits
Spreads	All others	Those containing any of the excluded tropical fruits.
Hot breakfast choices	All	Nil
Fruit	All others	Avocado, bananas, (including plantains), honeydew melon, kiwi fruit, lychees, mango, papaya (paw paw), passionfruit, pineapple, quince, rockmelon, tamarind and watermelon
Yoghurt	All others	Those containing any of the excluded fruits
Desserts	All others	Those containing any of the excluded fruits, e.g. banana custard, fruit salad, banana cake
Milk and cheese	All others	Fruit flavoured milk or smoothies containing or flavoured with any of the excluded fruits
Beverages	All others	Fruit juices, especially tropical juices and drinks containing any of the excluded fruits
Biscuits	All others	Banana flavoured, pineapple flavoured, passionfruit flavoured
Miscellaneous	All others	Nutritional supplements flavoured with any of the excluded fruits Banana lollies, dried banana chips

References

1. Food Allergy Research and Resource Program. Allergenic Foods and their Allergens. Lincoln: FARRP; 2020 [cited 17 June 2020].
2. Anaphylaxis Campaign. Banana. Hampshire: Anaphylaxis Campaign; 2019 [cited 17 June 2020].
3. Anaphylaxis Campaign. Fruit. Hampshire: Anaphylaxis Campaign; 2019 [cited 17 June 2020].
4. Anaphylaxis Campaign. Kiwi Allergy – The Facts. Hampshire: Anaphylaxis Campaign; 2011 [cited 17 June 2020].
5. European Centre for Allergy Research Foundation. Latex Allergy. Berlin: ECARF; 2016 [cited 17 June 2020].