Fish is a nutritious food that is generally beneficial for human health. However, there are five instances when one should refrain from consuming fish to avoid adverse health effects. Who are these individuals and what are the reasons behind this recommendation?
5 Groups of People Who Should Avoid Eating Fish
Individuals with Fish Allergies
According to nutritional experts, a fish allergy is an abnormal immune response to the protein found in fish. This can occur even when consuming fresh, properly prepared fish. Those with a history of food poisoning from spoiled or contaminated fish are particularly susceptible to fish allergies, which are essentially an immune reaction.
Allergy symptoms can range from mild (rashes, itching, nausea) to severe (difficulty breathing, anaphylaxis, life-threatening reactions). Any type of fish can trigger an allergy, but some common culprits include salmon, tuna, cod, herring, mackerel, sardines, and anchovies.

People with Gout
The nutritional profile of fish includes purines, which, when metabolized by the body, form uric acid. Elevated levels of uric acid in the blood are a primary cause of gout. Consequently, individuals suffering from gout are advised to limit their consumption of purine-rich fish such as tuna, herring, sardines, anchovies, and mackerel.
Even fish with lower purine content should be consumed in moderation by gout patients. It is advisable to consult a physician or nutritionist for guidance on the appropriate amount of fish to consume while managing gout, as excessive consumption may exacerbate the condition.
Individuals with Blood Disorders
Nutrition experts advise that individuals with blood disorders, such as thrombocytopenia or a propensity for nosebleeds and internal bleeding, should limit their fish intake. This is because fish can inhibit platelet function, thereby increasing the risk of bleeding. Specifically, the omega-3 fatty acids prevalent in fatty fish like salmon, mackerel, and herring, while beneficial for cardiovascular health, can also act as blood thinners and impede platelet aggregation.

Those with Digestive Issues
Individuals with sensitive digestive systems or existing digestive conditions, such as gastritis or irritable bowel syndrome, are cautioned to approach fish consumption with caution. Certain types of fish, particularly fatty fish rich in omega-3s (such as salmon, mackerel, herring, and tuna), may induce digestive discomfort, including indigestion and a feeling of fullness.
Omega-3 fatty acids take longer to digest compared to proteins and carbohydrates. When the digestive system is already compromised, the ability to efficiently process these fats is diminished, leading to unpleasant symptoms.
People with Severe Liver or Kidney Damage
Impaired liver and kidney function can hinder the body’s ability to process and eliminate substances derived from fish, particularly proteins and toxins like mercury. Therefore, individuals with significant liver or kidney damage should consult their physicians regarding the inclusion of fish in their diets to ensure safety and effective management of their medical conditions.