February 19th, 2009
11:43 AM ET

Hiding from nuts on planes

By Elizabeth Landau
CNN.com Health Writer/Producer

“We’ve come up with a compromise,” the flight attendant told me.

I was on a flight from Amsterdam to Atlanta in October. I had almost made it back to America in perfect health after two weeks in Moscow. But now hundreds of people on this 747 were about to release toasted almond particles into the air at once, and unfortunately, I’m among the 3 million Americans who are allergic to peanuts and/or tree nuts. Some people may experience symptoms just from breathing the offending food, but there’s no way to predict how strongly any particular individual will react.

Maybe I’m paranoid but, given that I have endured near-fatal reactions from eating these foods, and a strong smell alone seems to prime my body for sickness, it’s hard to justify taking a chance. It’s especially worrisome on a long flight over the Atlantic Ocean.

Sure, I knew what I was getting into – I had thoroughly researched the airline’s peanut policy, but I hadn’t counted on other forms of nuts as the main snack. Still, when I flew out to Amsterdam, the cabin crew not only refrained from serving the nuts at my request, but also made an announcement that there was a passenger on board who has peanut and nut allergies, and could everyone please refrain from eating these products. I felt safe for the entire flight.

Coming back to America, on the other hand, the flight attendant in charge of my section questioned why I would be flying at all if I had such a problem. Even after I explained my previous experience, the person in charge made the decision that nuts would be served, no matter what.

The compromise was that I would spend a little over an hour in quarantine, sitting in a small curtained-off area at the very back of the cabin with the food and drink carts. I sat on a folding chair and played with my laptop, moving every few minutes so the flight attendants could squeeze by.

Making things even more confusing, some airlines’ policies seem to change every few years, and sometimes snacks vary according to the route. There are a few airlines, though, that seem to be consistently peanut-free these days, and they’re the ones that I use every time I travel within the U.S. Note that I’ve never been in a situation in the U.S. where people around me brought their own peanuts or even any other strong-smelling nut product to eat on a plane and, anecdotally, I question whether airplane passengers like eating peanuts that much.

So when I heard about Northwest reintroducing peanuts on board this month, I sighed – another airline to cross off my list. Would it really be so hard to just serve pretzels?

Do you have food allergies? What have you experienced when flying?

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February 19th, 2009
09:00 AM ET

Why do I awaken with shortness of breath?

As a new feature of CNNhealth.com, our team of expert doctors will answer readers’ questions. Here’s a question for Dr. Gupta.

Asked by Lucinda, Manhattan, Kansas

"I wake up several times a night with shortness of breath. This happens almost every hour during the night. I don't sleep on my back. What could this be?"


First of all, without knowing your full health history, I can’t make a diagnosis. But, Lucinda, let me say right off the bat that you should probably make an appointment with your doctor right away. And, let me tell you why.  From what you’ve described, it appears you may be experiencing something known as paroxysmal nocturnal dyspnea, or PND for short.

When a person suffers PND, he or she begins to experience shortness of breath several hours after going to bed. It then strikes suddenly and frequently during sleep, causing a person to wake up. Others experience shortness of breath only when they lie down on their back. This is known as orthopnea.

Paroxysmal nocturnal dyspnea is an abnormal condition that warrants some investigation. It can be a frequent symptom of a serious cardiovascular and respiratory problem. Again, you should make an appointment with your health-care provider as soon as possible to be evaluated, and if anybody is reading this with similar symptoms here are a few things to look for.

Before your appointment, begin writing down how often your are waking up experiencing shortness of breath, how long the attacks last, whether you have associated swelling in your feet and legs and the positions you are sleeping when it occurs. Also track what provides relief, if anything, for example, sleeping slightly propped up with pillows.

Bottom line, Lucinda, is these symptoms are your body’s way of alerting you something may be wrong. Being evaluated by your doctor is your best bet.

About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.