If you have an oat allergy, it’s not just food exposure that can lead to allergy symptoms. Aveeno, Nature’s Gate, and other over-the-counter skin care products often contain oats that can lead to a skin reaction in people with an oat sensitivity.
Many popular brands list oat proteins as an ingredient in products meant to treat dry or irritated skin. It is often referred to as colloidal, or finely milled, oatmeal. But people with an oat allergy, both adults and children alike, may experience an itchy rash or eczema symptoms when using these products.
This article explains why skin products may cause oat allergy symptoms. It details how an allergic reaction to oats is diagnosed and treated, including what to do if a severe allergic reaction occurs.
Quick Facts About Oat Ingredients
Usually, skin care products that contain oats are meant to treat conditions like atopic dermatitis, a chronic type of eczema skin rash—and in many cases, they do relieve symptoms.
For people with oat sensitivity, though, these products may actually be the cause of an allergic reaction. Many types of oats, along with other grains like barley, contain avenin.
This protein is known to cause an immune system response in some people who avoid gluten. People with a food allergy to oatmeal may experience symptoms including:
- CoughSneezingNasal congestion (stuffy nose)Watery, itchy eyesStomach acheNauseaVomitingDifficulty breathingAnaphylaxis (a life-threatening reaction)
These systemic, or body-wide symptoms, are more likely when someone with an oat allergy eats oat products rather than being exposed through the skin. This includes small children, who can develop food-protein induced enterocolitis syndrome (FPIES) from eating certain grains, including oats.
Oat Allergy Symptoms
People with an oat allergy will typically experience red, blotchy spots on the skin called urticaria, or hives. In some cases, an outbreak may occur if a person accidentally touches oats and then other parts of the body.
In the United States, the Food & Drug Administration requires colloidal oatmeal to be listed on the label of any over-the-counter skin product that claims to treat atopic dermatitis.
For people with eczema, skin reactions range from the mild to severe. Symptoms can include:
- Crusted or flaky skin around the eyes and lips
- Itching
- Blisters
Allergic contact dermatitis may cause a delayed reaction to contact with oats. Symptoms of a delayed reaction may happen anywhere from a few hours to three days later.
When to Seek Immediate Care
In rare cases, a severe and life-threatening reaction called anaphylaxis may occur. This type of body-wide allergic reaction often starts with swelling of the lips and tongue, and itching in the throat, eyes, and ears. These symptoms may soon be followed by:
Not all sources of contact with oats will come from foods or skin care products. For example, many latex-free exam gloves also contain colloidal oatmeal. If you have symptoms of contact dermatitis from an oat allergy, discuss the possible sources with your healthcare provider.
- Severe hives
- Wheezing
- Difficulty breathing
- Edema, or swelling, in the face
- Changes in heart rate (fast or slow)
- Chest pain
- Cyanosis, or a bluish color at the lips or fingers
- A sense of impending doom
Oat Skin Allergies in Children
Many skin care products are marketed as especially for children. But many of these products include oats, wheat, and other food-allergy triggers that may cause a reaction when used on sensitive skin.
If any of the symptoms of anaphylaxis develop, whether you have been knowingly exposed to oats or not, call 911 or go to your nearest emergency room. If you have been prescribed an epinephrine auto-injector (an Epi-Pen), use it as directed. If treatment is delayed, the condition can get worse and lead to anaphylactic shock and even death.
One study of 276 different skin care products for children found that more than a third of the product labels listed a food-related allergen. There were 156 such ingredients, including almonds, egg, milk, and peanuts. Oats was listed as an ingredient in 8.3% of the products studied.
Some experts have questioned whether all children (or children with other allergies) need to avoid oatmeal exposure in moisturizers. Many healthcare providers support their use in patients who have no known oat sensitivity.
Diagnosis
It’s important to confirm any oat allergy symptoms that you or your child experience. If you have severe enough symptoms around oat, chances are you have already begun avoiding oat and would likely require testing with an allergist. Talk with your healthcare provider if you think you may need testing.
One in seven children with atopic dermatitis who were included in a 2007 study already had a contact sensitization to oats. That number rose to about one in three when looking only at children who previously were exposed to an oat-based moisturizer.
Other ways to diagnose an oat sensitivity include skin tests, such as the patch test for a contact allergy. In this test, a patch with a small amount of the suspected allergy-causing substance is placed on the skin for several days to see if there is a reaction.
If tests confirm an oat allergy, you’ll want to avoid exposure to the foods and skin products that contain oats. Most people might easily identify oatmeal, but other products include:
- Oat milkOat flourCookies and other baked goodsCereals that contain oatsSnack foods with oat ingredients
Since oat is not one of the top eight food allergens (milk, soy, egg, wheat, peanut, tree nut, fish, and shellfish), manufacturers don’t have to highlight it on nutrition facts labels. But they must still list it as an ingredient.
Treatment
If you or your child develop any allergy symptoms after using an oat-based skin care product, you’ll want to start treatment right away.
Skin Care
Where the skin is irritated or has a rash, wash it right away with cool water and a mild soap. If the rash is mild and covers a small area, you can try an over-the-counter 1% hydrocortisone cream to help relieve swelling and itching.
Medication
An oral antihistamine can sometimes help, particularly if you notice mild hives. For children, an over-the-counter product like cetirizine (generic Zyrtec) or diphenhydramine (generic Benadryl) can usually do the trick. Other antihistamines include Claritin (loratadine) and Allegra (fexofenadine).
However, if the rash is severe or blisters begin to develop, call your healthcare provider immediately or visit the nearest emergency room.
Summary
Sometimes, people with a food allergy need to be as careful about the products they put on their bodies as they are with the foods they put in it. That’s the case for people with oat allergy symptoms.
If your child is under age 2, speak with your pediatrician or other healthcare provider before using any anti-allergy or anti-inflammatory product.
These symptoms, such as a red rash and itchy or irritated skin, can arise when your skin comes in contact with oats. Oats may be an ingredient in skin creams and moisturizers, especially for children.
In many cases, the symptoms will clear up with simple treatments and over-the-counter drugs. If you have a severe allergic reaction to an oat product, though, you need medical help right away.
A Word From Verywell
You may be surprised to learn that oat-based skin care products meant to bring relief for dry, itchy skin can actually cause symptoms for you or your child. If they do, suspect an oat sensitivity and contact your healthcare provider.
Frequently Asked Questions
- Can oats cause diarrhea?
- Usually, oats are a good food choice for people with diarrhea. In some forms of allergy, oat can cause diarrhea. If you have a food allergy to oats, you should avoid them."
- Learn More:
- A Guide to the BRAT Diet
- What are good oat substitutes?
- When you can’t eat or use oat-based products, you may need to look for alternatives beyond gluten-free oatmeal. Consider gluten-free grains such as quinoa or brown rice. If you need skin care, makeup, pet food, and other products without oats, shop around. There are many oat- and gluten-free items on the market.
- Learn More:
- Gluten-Free Makeup Brands List
- Can you tell if you’re allergic to oats without seeing an allergist?
- An oat allergy may seem obvious to you based on your experience, and you may find relief from symptoms by keeping a diet journal to identify episodes or avoiding oat-based products through elimination. If you think you have an oat allergy, ask your healthcare provider or allergy specialist; they have the expertise to help diagnose your condition.
- Learn More:
- Keep a Food Diary to Identify Food Triggers
Usually, oats are a good food choice for people with diarrhea. In some forms of allergy, oat can cause diarrhea. If you have a food allergy to oats, you should avoid them."
When you can’t eat or use oat-based products, you may need to look for alternatives beyond gluten-free oatmeal. Consider gluten-free grains such as quinoa or brown rice. If you need skin care, makeup, pet food, and other products without oats, shop around. There are many oat- and gluten-free items on the market.
An oat allergy may seem obvious to you based on your experience, and you may find relief from symptoms by keeping a diet journal to identify episodes or avoiding oat-based products through elimination. If you think you have an oat allergy, ask your healthcare provider or allergy specialist; they have the expertise to help diagnose your condition.