Parents may be alarmed if a child says their tongue feels itchy after eating strawberries. While often harmless, this reaction is usually linked to Oral Allergy Syndrome (OAS), a condition where the immune system mistakes fruit proteins for pollen allergens.
What Happens in OAS
When a child eats raw strawberries, proteins in the fruit can trigger mild immune responses, causing tingling or itching in the mouth, lips, or throat. Symptoms typically appear within minutes and fade quickly. In some cases, mild swelling occurs, but severe reactions are rare. Cooking or processing strawberries usually changes the proteins, which is why jams or baked goods may not cause issues.
Why Kids Are More Affected
Children’s immune systems are still developing, making them more sensitive to certain foods. Cross-reactivity is common—kids with birch pollen allergies, for example, may also react to strawberries.
Managing Symptoms
Most OAS reactions are mild. Avoiding raw strawberries, keeping a food diary, and teaching kids to report symptoms can help. Over-the-counter antihistamines may ease discomfort. However, parents should seek medical care immediately if a child has trouble breathing or swallowing.
The Bottom Line
An itchy tongue from strawberries is often due to OAS, not a severe food allergy. With awareness, monitoring, and medical guidance when needed, parents can keep kids safe while still allowing them to enjoy a variety of foods.