Anaphylaxis

Anaphylaxis

Overview

Whatis anaphylaxis?

Anaphylaxis (say "anna-full-ax-iss") is alife-threatening allergic reaction. It starts soon after you are exposed tosomething you are severely allergic to. You may have swelling, itching or arash. Some people have trouble breathing, a tight feeling in their chest ordizziness. Some people feel anxious. Other people have stomach cramps, nauseaor diarrhea. Some people lose consciousness ("pass out").

Causes & Risk Factors

What causes anaphylaxis?

Many things can cause anaphylaxis. Some common causes include the following:

  • 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 radiologic 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

Treatment

Howdo I treat anaphylaxis when I am having an allergic reaction?

Call 911 to get emergency medical help, even if you do notfeel very sick. Get your anaphylaxis kit. Inject yourself with epinephrine orhave someone else do it. If your doctor has recommended it, take anantihistamine. If you stop breathing, you may need someone to perform CPR(cardiopulmonary resuscitation) on you until help arrives.

Whatis in an emergency anaphylaxis kit?

If you have a severe allergic reaction, you might needmedical help right away. An emergency anaphylaxis kit contains medicine tocounteract your allergic reaction. This medicine is usually a drug calledepinephrine that you inject into your arm or leg (or have a friend inject).Your doctor will prescribe a kit with the right dose of medicine and will teachyou how to use it. Make sure your family, friends and coworkers also know howto use the kit. Sometimes your doctor will tell you to keep an antihistamine,such as diphenhydramine (one brand name: Benadryl), in the kit too.

Whatcan I expect after anaphylaxis?

You should recover completely with treatment. Most peoplelive a normal, full life. You can get back to your normal activities once youare feeling better. However, you should have someone stay with you for 24 hoursafter anaphylaxis to make sure another attack does not happen.

Prevention

How do I prevent anaphylaxis?

The following are some ways to help prevent a reaction:

  • If you have had anaphylaxis, make sure your doctor and dentist know so that it is recorded on your medical chart. Tell them what you are allergic to, if you know.
  • If you are allergic to insect stings, wear protective clothing and insect repellent when you're outside.
  • Avoid handling or eating foods you are allergic to. Even tiny amounts mixed by accident into your food can cause a reaction. Read the ingredient list on any packaged foods you are going to eat.
  • Wear or carry a medical alert bracelet, necklace or keychain that warns emergency medical technicians (EMTs) and doctors that you are at risk for anaphylaxis.
  • Ask your doctor if you need desensitization shots.
  • Ask your doctor if there are other things you also might be allergic to.

If you are at risk of anaphylaxis, keep an emergency anaphylaxis kit with you at all times. Make sure the people around you, such as your family and friends, know how to use it.

Other Organizations

Questions to Ask Your Doctor

  • I have an allergy. Could I be at riskfor anaphylaxis?
  • What should I have in my anaphylaxiskit?
  • Do I need to wear a medical alertbracelet? Where do I get one?
  • If I've had one anaphylactic reaction,am I at greater risk for another one?
  • How do I make sure that all members ofmy health care team know about my risk for anaphylaxis?

Source

A Practical Guide to Anaphylaxis by TW Tang, M.D. (American Family Physician October 01, 2003, http://www.aafp.org/afp/20031001/1325.html)

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