The In-Depth Guide to having a Pear Allergy and Intolerance

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Do you have a pear allergy or sensitivity? Do you suspect that your current symptoms are caused by a food allergy? This in-depth guide will help you identify the signs and reactions and what foods to avoid cross reactivity.

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Pears are sweet fruits that are full of antioxidants and dietary fiber. Pears are cholesterol free and fat free. Pears are usually included in heart healthy-diets and are associated with cancer prevention, blood pressure control, healthy digestion and feeling full and satisfied. 

Pears are usually part of a balanced and nutritious diet.

Unfortunately, not everyone is able to eat this fruit due to allergies. If you are allergic to pears or unsure if you are allergic to pears, then you may benefit from reading the contents of this blog.

Pear Food Family

Pears are a part of the Rosaceae subfamily Maloideae. If you are allergic or sensitive to pears, it may be necessary to avoid the food listed below as they are also members of the Rosacea subfamily Maloideae. (source)

  • Apple and apple products
  • Cotoneaster
  • Firethorn
  • Flowering quince
  • Hawthorn
  • Loquat
  • Medlar
  • Mountain ash
  • Quince
  • Serviceberry
apples and pears in a wooden crate

Cross Reactivity

Cross reactivity happens when your immune system detects a similar allergen (to the allergen you are allergic to) which would cause an allergic reaction. To keep this from happening, it may be necessary to avoid foods associated with birch pollen allergies, which include (source):

  • Almond
  • Apple
  • Apricot
  • Carrot
  • Celery
  • Cherry
  • Hazelnut
  • Kiwi
  • Parsley
  • Peach
  • Peanut
  • Plum
  • Soybean
pears, plums, apples, and cherries displayed on a white background for pear allergy topic

Pear Cross Contamination

If you are allergic to pears but there are members in the family who safely eat pears, there may be a risk of cross-contamination. This means that the allergens from Pears may be found from the utensils and storage containers used.

To avoid this, it is recommended to use separate utensils or containers just for Pears or thoroughly wash the utensils or containers after use (source).

woman washing a plate

Hidden Sources of Pears

Pears may be used as in ingredient in many recipes. Pears are often in pies, desserts and salads (source). Pear juice may be present as a sweetener or in blended juice drinks. Pureed pear may also be present in smoothies or fruit squeeze pouches. When in doubt, check ingredient lists or ask the person who prepared the food. 

Signs and Symptoms of Pear Allergy

In order to avoid allergic reactions, it is helpful to know the signs and symptoms of pear allergy. Listed below are some signs and symptoms of allergic reactions which could occur with pear allergy. 

  • Swelling of your face, tongue, lips and throat
  • Itchy skin such as hives and eczema breakouts
  • Itching or tingling sensation in your tongue and/or mouth
  • Wheezing and/or trouble breathing
  • Nausea and/or vomiting 
  • Diarrhea
  • Weak and rapid pulse
  • Dizziness
  • Severe drop of blood pressure 

Pear Allergy Infographic

pear allergy infographic

Help for Pear Allergy, Sensitivity, and Intolerance

Allergic reactions to pears (and other foods) may require antihistamines or epinephrine. When in doubt, please consult your healthcare provider and an allergist. A Registered Dietitian or Certified Leap Therapist may be able to help you in planning a safer and nutritious diet that does not include your trigger foods. 

Alternative Sources of Fiber

Pears contain fiber and can help promote regularity. The following foods and food groups may be better tolerated and provide an alternative source of fiber like fibrous fruits, but there are plenty of alternatives to sources of fibers that people with pear allergies can also enjoy. (source)

Stuffed zucchini with black beans, corn and cheese along with brown rice side dish

Bottom Line

Allergies can be challenging so it is a good idea to work with trained healthcare professionals such as Allergists, Registered Dietitians and Certified Leap Therapists. With some planning, you can avoid your trigger foods and plan a diet that is safe, enjoyable and nourishing. 

pear allergy pinterest graphic


  • Dr. Lisa Hugh DHA MSHS RD LDN CLT

    Dr. Lisa Hugh is a Registered Dietitian and Certified Leap Therapist. She is a Doctor of Healthcare Administration and has a Master's of Science in Healthcare Administration. As a Food Sensitivity Expert, her passion is helping people with complex medical and nutrition needs find food and groceries that are safe and enjoyable. Lisa enjoys helping clients in her private practice.

    View all posts
  • Rachelle Paderna

    Rachelle Paderna is a Nutrition Intern at Single Ingredient Groceries.

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