How to Dine Out Safely With a Shellfish Allergy

With the right preparation and planning, you don't have to fear restaurants

shellfish
We braved cooking live shellfish to produce masterpieces of mussels and clams. © Ferne Arfin

With any food allergy comes a level of anxiety about eating, and especially eating out. It's natural and expected to feel some stress and fear when a certain food becomes a danger to you—in fact, it would be strange if you didn't have anxiety! But you don't have to settle for a lower quality of life due to a food allergy, and you don't have to live in fear. With the right guidelines and preparation, eating out can still be a safe, enjoyable experience for you.

 

Shellfish allergies are, in some ways, one of the easier "big eight" most common food allergies to live with, given that seafood isn't nearly as pervasive an ingredient as, for example, dairy or nuts. But because shellfish allergies tend to be so severe when they are triggered, and they carry the unfortunate risk of anaphylaxis, it's vital to take proper precautions when eating outside of your home. 

Certain cuisines and dishes are riskier than others, and your best defense is information. Thankfully, there are many steps you can take to protect yourself. 

Know the Safest Spots  

The two safest types of restaurants for shellfish allergies are strict kosher restaurants and dedicated vegan or vegetarian restaurants, which forbid shellfish. German cuisine and Eastern European cuisine are other common cuisines which use less shellfish than many (though both do include fish).

Even when eating at a restaurant without visible shellfish on the menu, however, be sure to discuss your allergies, as shellfish may be used in stocks or as a garnish.

Stay Away from High-Risk Cuisines

Some types of restaurants are riskier than others because of cross-contamination issues or because a high percentage of dishes on the menu may include shellfish. These include seafood restaurants and sushi bars (which may store fish and shellfish in very close proximity, or which may use the same knives on both types of seafood), Cajun restaurants, and Chinese restaurants that specialize in seafood.

Be wary, too, of sharing tapas with friends, as many traditional tapas include shellfish and sharing dishes could be a major cross-contamination risk.

Check the Menu Online Beforehand

Before eating at a chain restaurant, be sure to check their website, as many now include information for the most common food allergens, including shellfish. While checking the website is no substitute for talking to onsite staff about your allergies and about cross-contamination concerns, website information can give you a good idea of whether you'll be able to find suitable options at a given restaurant, or whether some options that look safe really are.

Speak with Your Server and Chef When You Arrive 

Make sure your server and the chef aware of your allergies when you arrive. They should know about the risks of  They should know about the risks of cross-contamination and assure you that your food will be cooked in a shellfish-free area, on grills or pans that have not been used to cook shellfish. You can also visit the Food Allergy Research and Education organization's website and download a "food allergy alert chef card" which you can give to your server to pass to the chef. For more information on safe dining, see  tips for eating out with food allergies.

Get to Know Cuisines from Around the World  

American Cuisine. In addition to dishes like fried shrimp, surf'n'turf, or steamed mussels that clearly indicate shellfish, several traditional American dishes are made with shellfish.

Cioppino, a soup originating in San Francisco, is made from seafood and other shellfish. New England boiled dinners and Low Country boil both usually include shellfish. Be safe and ask before ordering.

Cajun specialties like gumbo and jambalaya are usually made from shellfish, and seafood muffuletta sandwiches may be found in coastal areas.

Finally, ask about the possibility of small shrimp being used to garnish salads.

Latin American Cuisine. Shellfish is not as prevalent in Mexican and Central American restaurants as in some other cuisines, but some restaurants do serve enchiladas or tacos with shrimp fillings, or shrimp versions of traditional Snapper Veracruz.

Ask about cross-contamination before ordering. Brazilian and Peruvian cookery features more shellfish, especially ceviche (fish or shellfish "cooked" by marinating it in citrus juice). Be wary of any Latin American dish with "mariscos" in the name, as this is the Spanish word for "seafood."

French and Western European Cuisine. Shrimp, prawns, lobster, and other shellfish feature prominently in French food and in the cuisine of the Mediterranean, so before eating at a Continental restaurant, it's wise to call ahead and make sure they can accommodate your allergies.

You should know that any French dish served "à l'Americaine" comes with a topping of lobster. Likewise, "crevettes," on a French or Continental menu always indicates shrimp. Italian cuisine may feature mussels or shrimp but will often include safe options on the menu. Greek cuisine, likewise, features a lot of fish but comparatively little shellfish beyond octopus.

Middle Eastern and Indian Cuisine. Shellfish is not a prominent part of Middle Eastern cooking, especially Lebanese (one of the more common types of Middle Eastern restaurants you're likely to find in many parts of America). However, you may find mussels or other steamed shellfish on the menu.

Indian restaurants vary greatly depending on which part of the country their cuisine is from. Many Indian restaurants are vegetarian and therefore safe. Cuisine from Goa, with its strong Portuguese influence, is more likely than others to contain shellfish.

East Asian Cuisine. Most popular East Asian cuisines—Vietnamese, Thai, Chinese, Japanese, and Malaysian—include shellfish as a major part of their menus, so always check out the menu before going to one of these restaurants.

Hong Kong hot pots frequently include shellfish, though vegetarian and meat-based varieties do exist. In addition to asking about shellfish in the dishes themselves, be aware of the possibility of shellfish in condiments, stocks, and other hidden sources.

Chinese dried shrimp, Thai kapi and nam prik, and Vietnamese mam tom are among the condiments and sauces that always include shellfish.

Bring Your Rescue Medication Anyway 

Even if you've followed all these steps and feel at ease about eating at a particular restaurant, always make sure you're prepared for emergencies. That means taking your rescue medication (epinephrine autoinjector and, if applicable, any asthma medication) with you. While it is unlikely that you'll need it, especially while taking all of these precautions, it's always possible—and carrying it with you can offer the peace of mind you need to truly kick back and enjoy your meal. 

Sources 

"Larousse Gastronomique," Patrice Maubourguet, Ed. Dir., et al. (Rev. Ed. New York Random House, 2001)

Managing Food Allergies Dining Out. Food Allergy and Research Education Organization. 

Shellfish Allergy. American College of Allergy, Ashma and Immunology.  

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