Can You Get Dizzy From Cheese? The Connection Explained
For most people, enjoying a delicious cheese platter is a pleasant and harmless experience. However, for a small subset of the population, certain types of cheese can trigger uncomfortable symptoms, including dizziness or vertigo. This is not a universal reaction, but rather a complex interplay between specific compounds in cheese and individual sensitivities or underlying health conditions. Understanding these potential triggers can help pinpoint the cause of the reaction and determine whether dietary adjustments are necessary.
The Role of Biogenic Amines: Tyramine and Histamine
One of the most common reasons why certain foods, including cheese, might cause dizziness is due to their high concentration of biogenic amines, particularly tyramine and histamine. These compounds form naturally as proteins in food break down during the aging and fermentation process.
- Tyramine: Aged cheeses like cheddar, Parmesan, Gorgonzola, and blue cheese contain high levels of tyramine. In sensitive individuals, especially those with vestibular migraines, tyramine can cause a change in blood pressure by triggering the release of norepinephrine. This can lead to headaches, which in turn can cause a sensation of dizziness or vertigo. People taking certain medications, like MAOIs, must also strictly avoid tyramine due to the risk of a hypertensive crisis.
- Histamine: Aged and fermented cheeses are also naturally rich in histamine. While the body typically breaks down histamine with an enzyme called DAO, a deficiency in this enzyme can lead to a condition known as histamine intolerance. This can result in a range of allergy-like symptoms, including headaches, heart palpitations, and dizziness, even without a true allergy.
Lactose Intolerance and Dairy Allergies
While not directly related to biogenic amines, other dairy-related sensitivities can also manifest with symptoms that include dizziness. It's crucial to distinguish between an intolerance and a true allergy.
- Lactose Intolerance: This is a digestive issue caused by the body's inability to break down lactose, the sugar found in milk. While primarily causing digestive upset like bloating and gas, some studies suggest that up to 20% of lactose-intolerant individuals may experience non-digestive symptoms, including headaches and dizziness. The systemic strain on the body from intestinal distress can trigger these secondary effects.
- Dairy Allergy (Casein Allergy): A true dairy allergy is an immune system response to a milk protein, such as casein. This can cause a more severe, and sometimes dangerous, reaction. Symptoms can range from hives and swelling to wheezing, a drop in blood pressure, and severe dizziness or fainting (anaphylaxis). Anaphylaxis is a medical emergency.
Comparison of Cheese-Related Dizziness Triggers
To help clarify the differences, here is a comparison table of the common triggers found in cheese that can cause dizziness:
| Cause | Mechanism | Symptoms (Beyond Dizziness) | Cheese Types Affected |
|---|---|---|---|
| Tyramine Sensitivity | Affects blood pressure, can trigger migraines. | Headaches, migraines, palpitations. | Aged cheeses (cheddar, Parmesan, blue). |
| Histamine Intolerance | Body cannot properly break down histamine. | Headaches, flushing, anxiety, GI upset. | Aged and fermented cheeses, Swiss, blue. |
| Lactose Intolerance | Digestive system cannot process lactose. | Bloating, gas, cramping, fatigue. | Fresh cheeses (ricotta, cottage), but some hard cheeses are low in lactose. |
| Dairy Allergy | Immune system reacts to milk protein. | Hives, swelling, wheezing, anaphylaxis. | All cheeses containing milk protein. |
The Role of Vestibular Migraines
Vestibular migraines are a specific type of migraine that involves symptoms affecting the balance (vestibular) system, such as vertigo and dizziness, with or without a headache. For individuals with this condition, food triggers like aged cheese, which is high in tyramine, can induce an episode. The resulting dizziness is a neurological symptom rather than a digestive or allergic one. Keeping a detailed food diary can be a valuable tool for these individuals to identify and manage their specific triggers.
What to Do If You Experience Dizziness
If you find yourself experiencing dizziness or other adverse symptoms after eating cheese, it's important to approach the situation with caution. First, stop eating the suspected food immediately. If symptoms are mild, they may resolve on their own with time. Lying down quietly can help alleviate the feeling of being off-balance. If symptoms are severe, include difficulty breathing, or involve swelling of the mouth or throat, seek immediate medical attention as it could be anaphylaxis.
For recurring, less severe episodes, a good first step is to keep a food journal. Note the type of cheese, the quantity, and any other foods consumed alongside it. This can help you and your healthcare provider identify potential patterns and triggers. Discussing these findings with a doctor or a registered dietitian is the best way to get a proper diagnosis and an individualized management plan. They may suggest an elimination diet to confirm which compounds or food types are causing the issue. For those with confirmed sensitivities, managing triggers can significantly improve quality of life. For instance, those sensitive to tyramine or histamine may find relief by avoiding aged cheeses and opting for fresher varieties.
Conclusion
While not everyone needs to be concerned, it is definitely possible to get dizzy from cheese, especially for those with specific sensitivities. The dizziness can stem from reactions to biogenic amines like tyramine and histamine, a lactose intolerance, or a dairy allergy. Pinpointing the exact cause often requires careful monitoring and professional guidance. By paying attention to your body's signals and consulting a healthcare provider, you can effectively manage your diet and avoid these unpleasant side effects, allowing you to enjoy food safely and with peace of mind. For more information on managing dietary triggers for vestibular issues, Balance & Dizziness Canada offers some helpful guidance.