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Food Allergies and Dining Out in Phuket: Fish Sauce, Peanuts, Shellfish and Allergy Cards
Thai kitchens use peanuts, shellfish and fish sauce widely, and many restaurants have limited allergy training. This page summarises what travel-health sources advise. It is not medical advice, so discuss your plan with your doctor and carry your own emergency medicine. Reviewed in November 2026.
Why it is tricky
A travel-security guide notes that peanuts, tree nuts, shellfish and fish sauce are staples across Thailand and Vietnam, and that fish sauce may not be obvious from a menu description. A card-maker adds that a stir-fry that looks simple can include shrimp paste or oyster sauce. Thai travel pages also warn about cross-contamination, such as woks used for prawns, and about milk traces in some coconut and coffee dishes.
Ways to reduce risk
- Carry a translated allergy card that names your allergens and ingredients, and show it to the cook, not only the waiter.
- The Thai phrase for food allergy is pae aahaan, which you can say with your allergen.
- Prefer sit-down places where staff can check ingredients, and be cautious with street food and buffets if your allergy is severe.
- One forum reports that western and higher-end restaurants and some international schools tend to be more careful, but that is anecdotal.
- Keep your emergency medicine with you and a doctor's letter for it. See the pharmacy guide for bringing medicine.
If something goes wrong
Know your nearest hospital and carry a translated note about your condition. Call 1669 for an ambulance. See the emergencies guide and the hospital guide. For other dietary needs see the vegetarian and halal guide and the hygiene guide.
This is general information, not medical, legal or insurance advice. Rules and conditions change, so check current official guidance for your situation.
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