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The ultimate guide to traveling with allergies

Oct. 27, 2019
4 min read
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An estimated 32 million people in America are living with a food allergy, according to Food Allergy Research & Education, and nuts are one of the culprits responsible for "most of the serious food allergy reactions in the United States." Nut traces can be found in all manner of foods, for example, in sesame seeds, in bread and in lupin flour that's used in gluten-free pasta. Basically, foods you wouldn't really expect to be dangerous for someone with a nut allergy.

This can make flying a minefield. Not just because traces of nut could be in the air vents of a plane but because of cross-contamination. But that doesn't mean flying with an allergy or flying with someone with an allergy is impossible.

What is an allergy?

An food allergy is when your immune system has a response to a particular food. It's the immune system's job to fight infections, but there can be instances when it becomes primed to respond to foods. This can be triggered when food is eaten and also when inhaled or through touching — the reason airlines make an announcement that nuts will not be served on the flight if someone on board has a nut allergy.

Once someone has come in contact with an allergen, their immune system reacts and symptoms can either appear immediately or take several hours. Symptoms include coughing, vomiting, itchy throat or in the worst case scenario, anaphylactic shock (when the airways narrow and blood pressure drops).

Read more: Should I take supplements when flying — if so, which ones?

A close up of salted peanuts in a white bowl next to allergy medication on a white top.
(Photo by Tim Grist Photography/Getty Images)

Someone with an intolerance will have less serious symptoms, such as digestive issues when consuming the food. This can be something like a gluten intolerance. Unlike someone with an allergy, a person living with an intolerance can sometimes get away with eating small amounts of the food and be near others who are consuming it.

If you think you have an allergy, you can get tested at your GP. Intolerances are slightly harder to pinpoint but the gold standard of understanding a food intolerance is to cut the food out for 21 days and then consume a large amount of it on day 22.

You would then wait seven days to see if any symptoms appear. The most common intolerances are gluten, dairy, egg and soy, so it may be worth considering an elimination diet if you are suffering with digestive symptoms.

For those who have an intolerance, you can order a free-from meal ahead of your travel. In fact, it's usually fresher than the general food offering.

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Read more: Nutrition hacks when flying economy, business and first

Photo by RyanKing999/Getty Images
(Photo by RyanKing999/Getty Images)

Precautions

It is advised that if you have an allergy you should take measures such as keeping your EpiPen in your hand luggage, labeling medication and informing crew on boarding about what allergy you have.

For U.S. carriers' policies on allergens, visit here.

Photo by Maskot/Getty Images
(Photo by Maskot/Getty Images)

What else can you do if you are traveling with an intolerance or allergy

Inform the airline: You can call the airline at the time of the booking, at check-in or tell the ground staff and cabin crew and they will accommodate your needs as best they can. Most airlines ask passengers to let them know about their allergies sooner.

Take your own food: Prepare snacks in advance and take them with you on the flight. You will then know what is in your food.

Bring medications and medical documents: The airline may ask you for documents about your allergy and medication. It's a good idea to have this just in case — it could just be a letter from your doctor.

Clean around you when you board: If you have a severe allergy, it may be a good idea to clean around your seat to make sure it's free from allergens.

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Cons

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  • Some may have trouble using Uber and other dining credits
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  • Earn 4X Membership Rewards® points per dollar spent on purchases at restaurants worldwide, on up to $50,000 in purchases per calendar year, then 1X points for the rest of the year.
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  • Earn 3X Membership Rewards® points per dollar spent on flights booked directly with airlines or on AmexTravel.com.
  • Earn 2X Membership Rewards® points per dollar spent on prepaid hotels and other eligible purchases booked on AmexTravel.com.
  • Earn 1X Membership Rewards® point per dollar spent on all other eligible purchases.
  • $120 Uber Cash on Gold: Add your Gold Card to your Uber account and get $10 in Uber Cash each month to use on orders and rides in the U.S. when you select an American Express Card for your transaction. That’s up to $120 Uber Cash annually. Plus, after using your Uber Cash, use your Card to earn 4X Membership Rewards® points for Uber Eats purchases made with restaurants or U.S. supermarkets. Point caps and terms apply.
  • $84 Dunkin' Credit: With the $84 Dunkin' Credit, you can earn up to $7 in monthly statement credits after you enroll and pay with the American Express® Gold Card at U.S. Dunkin' locations. Enrollment is required to receive this benefit.
  • $100 Resy Credit: Get up to $100 in statement credits each calendar year after you pay with the American Express® Gold Card to dine at U.S. Resy restaurants or make other eligible Resy purchases. That's up to $50 in statement credits semi-annually. Enrollment required.
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  • Explore over 1,000 upscale hotels worldwide with The Hotel Collection and receive a $100 credit towards eligible charges* with every booking of two nights or more through AmexTravel.com. *Eligible charges vary by property.
  • No Foreign Transaction Fees.
  • Annual Fee is $325.
  • Terms Apply.
Apply for American Express® Gold Card
at American Express's secure site
Terms & restrictions apply. See rates & fees
Best for dining at restaurants
TPG Editor‘s Rating
4 / 5
Go to review

Rewards Rate

4XEarn 4X Membership Rewards® points per dollar spent on purchases at restaurants worldwide, on up to $50,000 in purchases per calendar year, then 1X points for the rest of the year.
4XEarn 4X Membership Rewards® points per dollar spent at US supermarkets, on up to $25,000 in purchases per calendar year, then 1X points for the rest of the year.
3XEarn 3X Membership Rewards® points per dollar spent on flights booked directly with airlines or on AmexTravel.com.
2XEarn 2X Membership Rewards® points per dollar spent on prepaid hotels and other eligible purchases booked on AmexTravel.com.
1XEarn 1X Membership Rewards® point per dollar spent on all other eligible purchases.
  • Intro Offer

    As High As 100,000 points. Find Out Your Offer.
  • Annual Fee

    $325
  • Recommended Credit

    Excellent to Good

Why We Chose It

There’s a lot to love about the Amex Gold. It’s a fan favorite thanks to its fantastic bonus-earning rates at restaurants worldwide and at U.S. supermarkets. If you’re hitting the skies soon, you’ll also earn bonus Membership Rewards points on travel. Paired with up to $120 in Uber Cash annually (for U.S. Uber rides or Uber Eats orders, card must be added to Uber app and you can redeem with any Amex card), up to $120 in annual dining statement credits to be used with eligible partners, an up to $84 Dunkin’ credit each year at U.S. Dunkin Donuts and an up to $100 Resy credit annually, there’s no reason that foodies shouldn’t add the Amex Gold to their wallet. These benefits alone are worth more than $400, which offsets the $325 annual fee on the Amex Gold card. Enrollment is required for select benefits. (Partner offer)

Pros

  • 4 points per dollar spent on dining at restaurants worldwide and U.S. supermarkets (on the first $50,000 in purchases per calendar year; then 1 point per dollar spent thereafter and $25,000 in purchases per calendar year; then 1 point per dollar spent thereafter, respectively)
  • 3 points per dollar spent on flights booked directly with the airline or with amextravel.com
  • Packed with credits foodies will enjoy
  • Solid welcome bonus

Cons

  • Not as useful for those living outside the U.S.
  • Some may have trouble using Uber and other dining credits
  • You may be eligible for as high as 100,000 Membership Rewards® Points after you spend $6,000 in eligible purchases on your new Card in your first 6 months of Card Membership. Welcome offers vary and you may not be eligible for an offer. Apply to know if you’re approved and find out your exact welcome offer amount – all with no credit score impact. If you’re approved and choose to accept the Card, your score may be impacted.
  • Earn 4X Membership Rewards® points per dollar spent on purchases at restaurants worldwide, on up to $50,000 in purchases per calendar year, then 1X points for the rest of the year.
  • Earn 4X Membership Rewards® points per dollar spent at US supermarkets, on up to $25,000 in purchases per calendar year, then 1X points for the rest of the year.
  • Earn 3X Membership Rewards® points per dollar spent on flights booked directly with airlines or on AmexTravel.com.
  • Earn 2X Membership Rewards® points per dollar spent on prepaid hotels and other eligible purchases booked on AmexTravel.com.
  • Earn 1X Membership Rewards® point per dollar spent on all other eligible purchases.
  • $120 Uber Cash on Gold: Add your Gold Card to your Uber account and get $10 in Uber Cash each month to use on orders and rides in the U.S. when you select an American Express Card for your transaction. That’s up to $120 Uber Cash annually. Plus, after using your Uber Cash, use your Card to earn 4X Membership Rewards® points for Uber Eats purchases made with restaurants or U.S. supermarkets. Point caps and terms apply.
  • $84 Dunkin' Credit: With the $84 Dunkin' Credit, you can earn up to $7 in monthly statement credits after you enroll and pay with the American Express® Gold Card at U.S. Dunkin' locations. Enrollment is required to receive this benefit.
  • $100 Resy Credit: Get up to $100 in statement credits each calendar year after you pay with the American Express® Gold Card to dine at U.S. Resy restaurants or make other eligible Resy purchases. That's up to $50 in statement credits semi-annually. Enrollment required.
  • $120 Dining Credit: Satisfy your cravings, sweet or savory, with the $120 Dining Credit. Earn up to $10 in statement credits monthly when you pay with the American Express® Gold Card at Grubhub, The Cheesecake Factory, Goldbelly, Wine.com, and Five Guys. Enrollment required.
  • Explore over 1,000 upscale hotels worldwide with The Hotel Collection and receive a $100 credit towards eligible charges* with every booking of two nights or more through AmexTravel.com. *Eligible charges vary by property.
  • No Foreign Transaction Fees.
  • Annual Fee is $325.
  • Terms Apply.