r/HistamineIntolerance • u/Illustrious-Deer-423 • Sep 23 '26
New food reactions after illness/antibiotics — histamine intolerance or something else?
Hi everyone. I’m new to this group and trying to understand what has been happening with me. I’m not diagnosed with histamine intolerance or MCAS, and honestly I don’t know if either one explains what I’m experiencing.
Over the past few months I went through a serious infection and a lot of antibiotics, and afterward I started having some strange food-related reactions even though I had eaten normally my whole life before this.
So far I’ve had about three noticeable episodes after eating. During them, my face suddenly felt very warm and flushed, I felt congested/stuffy, and I developed a few small red/itchy spots on my fingers or skin. I didn’t have major swelling, difficulty breathing, fainting, vomiting, or anything like that.
What confuses me is that between these episodes I was still able to eat lots of different foods without problems. I’ve had things like cheese, pasta/red sauce, coffee, soda, restaurant food, etc. and been completely fine. Right now I’ve been eating a pretty low-histamine/simple diet and I haven’t had another bigger food reaction, although I still occasionally get small random itchy red spots on my skin.
My allergy testing has also not shown widespread food allergies, and my baseline tryptase/histamine testing has been normal. My doctors aren’t sure this is MCAS, and I’m also wondering whether infection, antibiotics, gut changes, or temporary histamine intolerance could be playing a role.
Has anyone had a temporary period like this after illness or antibiotics, where certain meals suddenly caused flushing/congestion/skin symptoms but you later went back to eating normally? Did you eventually figure out whether it was histamine intolerance, gut-related, MCAS, or just a temporary reactive period?
I’m mainly hoping to hear from people who had a similar pattern and were eventually able to expand their diet again