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Anaphylaxis

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OVERVIEW

What is anaphylaxis?

Anaphylaxis is a life-threatening allergic reaction. It occurs when you are exposed to something you are severely allergic to. Immediate medical attention is required.

SYMPTOMS

Symptoms of anaphylaxis

Symptoms vary based on your degree of allergy and the amount of exposure. They range from mild to severe. Possible symptoms or problems include:

  • Swelling in your mouth, throat, or other body part.
  • Hives, rash, or itchy skin.
  • Pale skin, or skin that is red and warm (flushed).
  • Trouble breathing or gasping for breath.
  • A tight feeling in your chest.
  • Dizziness.
  • Fainting.
  • Stomach pain.
  • Nausea, vomiting, or diarrhea.
  • A feeling of anxiety.
  • Low blood pressure.
  • Cardiac arrest.

CAUSES & RISK FACTORS

What causes anaphylaxis?

Anaphylaxis is most often caused by exposure to an allergen. During a normal reaction, your body produces antibodies to fight the allergen. During a severe reaction, your immune system can panic. This leads to anaphylaxis, which is very dangerous.

Allergens that may cause anaphylaxis include:

  • Foods such as shellfish, nuts, peanuts, eggs, and fruits
  • Medicines such as antibiotics, aspirin, over-the-counter pain relievers, allergy shots, and contrast dye for imaging procedures
  • Latex or rubber found in surgical gloves, medical supplies, and many products in your home
  • Insect stings, especially from bees, wasps, hornets, yellow jackets, sawflies, and fire ants

How is anaphylaxis diagnosed?

If you or someone around you has anaphylaxis, call 911 immediately. Call your doctor if you have milder symptoms of anaphylaxis. They will want to see you whether your symptoms are mild or severe. They can diagnose the cause of the reaction and provide treatment.

Can anaphylaxis be prevented or avoided?

Below are ways to help prevent or avoid anaphylaxis.

  • Alert all healthcare providers about any allergies you have.
  • Tell your healthcare providers if you have had anaphylaxis in the past. This should be noted in your medical chart.
  • Avoid eating or touching foods you are allergic to. Even tiny amounts can cause a severe reaction. Read the ingredient list on packaged foods. When eating out, tell the server or chef about your allergy.
  • If you are allergic to insect stings, wear protective clothing and insect repellent when you are outside.
  • Wear or carry a medical alert bracelet, keychain, or card. This will help healthcare providers who treat you in an emergency.
  • Carry an emergency anaphylaxis kit with you at all times. Your healthcare provider can prescribe this. It contains medicine to reduce an allergic reaction once it starts. The medicine is called an epinephrine injector (EpiPen). Family, friends, and coworkers should know how to use it. A kit may also include an antihistamine, such as diphenhydramine (brand name: Benadryl).

TREATMENT

Anaphylaxis treatment

Treatment for anaphylaxis should begin right away. If you see someone have a reaction, call 911 to get medical help. If the person has an emergency kit with an EpiPen, inject it into the muscle of their arm or leg. An EpiPen is a short-term treatment. The person still should go to the hospital for treatment and care.

Living with anaphylaxis

Most people who receive treatment live a normal, full life. If you do not get treatment and symptoms are severe, you could die. After treatment, you should have someone stay with you for 24 hours to make sure another attack does not occur. Talk to your doctor about how to prevent future attacks. They can prescribe an emergency kit and teach you how to use it.

FOR MORE INFORMATION

Health Canada
https://www.canada.ca/en/health-canada/services/healthy-living/your-health/medical-information/severe-allergic-reactions.html

Food Allergy Canada (formerly known as Anaphylaxis Canada)
http://foodallergycanada.ca/

This information provides a general overview and may not apply to everyone. Talk to your healthcare provider to find out if this information applies to you and to get more information on this subject.

Contributed by familydoctor.org editorial staff.

Copyright (c) by the American Academy of Family Physicians

Nova Scotia Telecare, Reviewed by Clinical Services Working Group, November 2021

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