Can Cashews Cause Diarrhea?

Cashews by themselves do not usually cause diarrhea. However, if you experience diarrhea after eating cashews, it could be due to an underlying condition. In most cases, cashews may lead to diarrhea if you have an allergy to tree nuts — one of the most common food allergies, according to Food Allergy Research & Education (FARE).
Here’s what to know about the connection between cashews and diarrhea, plus how to prevent symptoms from occurring.
What Is a Cashew Allergy?
If you’re allergic to cashews, you may experience diarrhea after consuming the nut. But why? Well, your immune system mistakenly identifies the proteins in cashews as a foreign substance and begins to attack them. The body begins defending itself by producing immunoglobulin E (IgE) antibodies, which cause mast cells (a type of immune cell) to react by creating histamine. This chemical reaction then causes inflammation and swelling in your soft tissue, which can lead to allergy symptoms, according to FARE.
Gastrointestinal Symptoms of a Cashew Allergy
If you have a cashew allergy and eat cashews, your symptoms can vary from mild to severe. Common symptoms of a cashew allergy include coughing, trouble breathing, sneezing, itchy or watery eyes, and hives. However, a cashew allergy can also lead to gastrointestinal symptoms. These include diarrhea, stomach pain, cramps, nausea, and vomiting, according to the American College of Allergy, Asthma & Immunology (ACAAI).
The ACAAI also notes that in some cases, a tree nut allergy can lead to a severe allergic reaction known as anaphylaxis, which can be life-threatening if you don’t seek treatment. According to the Mayo Clinic, common symptoms of anaphylaxis include hives, itchiness, swollen tongue or throat, nausea, diarrhea, dizziness, low blood pressure, and a weak pulse. If you or someone you know is experiencing these symptoms, it’s important to call for medical help immediately.
Complications of Diarrhea
The Mayo Clinic also states that in some cases, diarrhea can lead to dehydration — a serious complication that can be life-threatening without treatment. When you have watery stools with diarrhea, your body loses a lot of fluid. It’s important to revitalize your body with fluids like water, electrolyte drinks, or soups. Without replenishing fluids, you may develop symptoms of dehydration, which may require medical treatment if not managed properly. These symptoms include feeling extremely thirsty, dry mouth, fatigue, dizziness, an inability to urinate completely, or dark urine when peeing.
How to Prevent Cashew Allergy Symptoms
According to the Cleveland Clinic, the best way to prevent symptoms of a cashew allergy — including diarrhea — is to eliminate them from your diet. However, it’s also important to be mindful of other foods that can have cashews in them. These may include trail mix, cereals and protein bars, certain baked goods, and some nut butters. That said, it’s always a good idea to check the labels on food packaging to ensure that you avoid accidentally eating cashews.
- “Common Allergens”: Food Allergy Research & Education.
- “Tree Nut Allergy”: Food Allergy Research & Education.
- “Tree Nut”: American College of Allergy, Asthma & Immunology.
- “Anaphylaxis”: Mayo Clinic.
- “Diarrhea”: Mayo Clinic.
- “Tree Nut Allergy”: Cleveland Clinic.

Yuying Luo, MD
Medical Reviewer
Yuying Luo, MD, is an assistant professor of medicine at Mount Sinai West and Morningside in New York City. She aims to deliver evidence-based, patient-centered, and holistic care for her patients.
Her clinical and research focus includes patients with disorders of gut-brain interaction such as irritable bowel syndrome and functional dyspepsia; patients with lower gastrointestinal motility (constipation) disorders and defecatory and anorectal disorders (such as dyssynergic defecation); and women’s gastrointestinal health.
She graduated from Harvard with a bachelor's degree in molecular and cellular biology and received her MD from the NYU Grossman School of Medicine. She completed her residency in internal medicine at the Icahn School of Medicine at Mount Sinai, where she was also chief resident. She completed her gastroenterology fellowship at Mount Sinai Hospital and was also chief fellow.

Diane Marks
Author
Diane Marks started her writing career in 2010 and has been in health care administration for more than 30 years. She holds a registered nurse license from Citizens General Hospital School of Nursing, a Bachelor of Arts in health care education from California University of Pennsylvania and a Master of Science in health administration from the University of Pittsburgh.