Allergic Reaction

13 min read

An allergic reaction is an abnormal response of the immune system to a foreign substance, known as an allergen. Allergens can be anything from pollen, dust, pet dander, and certain foods. When an allergen enters the body, the immune system mistakenly identifies it as a threat and releases chemicals, such as histamine, to fight it off. This can cause a range of symptoms, from mild to severe.

Types of Allergic Reactions

There are several types of allergic reactions, including:

  • IgE-mediated allergies: These are the most common type of allergic reaction. They involve the release of immunoglobulin E (IgE) antibodies, which trigger the release of histamine and other chemicals. Symptoms can include hives, itching, swelling, and difficulty breathing.
  • Non-IgE-mediated allergies: These reactions are less common and involve the release of other types of antibodies, such as immunoglobulin G (IgG). Symptoms can include skin rashes, digestive issues, and respiratory problems.
  • Delayed-onset allergies: These reactions can take several hours or days to develop. Symptoms can include skin rashes, digestive issues, and respiratory problems.

Causes of Allergic Reactions

Allergic reactions can be caused by a variety of allergens, including:

  • Pollen
  • Dust mites
  • Mold
  • Pet dander
  • Certain foods, such as peanuts, shellfish, and eggs
  • Insect stings
  • Certain medications, such as penicillin

Diagnosis of Allergic Reactions

If you suspect you have an allergy, your doctor may recommend a skin prick test or a blood test. During a skin prick test, a small amount of the allergen is placed on the skin and the skin is then pricked with a needle. If you are allergic to the allergen, a raised, red bump will appear on the skin. During a blood test, a sample of your blood is taken and tested for the presence of IgE antibodies.

Prevention of Allergic Reactions

The best way to prevent an allergic reaction is to avoid the allergen that causes it. If you are allergic to pollen, for example, you should stay indoors when the pollen count is high. If you are allergic to certain foods, you should avoid eating them. If you are allergic to pet dander, you should keep your pet out of your bedroom and vacuum regularly.

Take the Allergic Reaction Assessment

Symptoms

Common Symptoms of an Allergic Reaction

  • Itching
  • Hives
  • Swelling
  • Rash
  • Runny nose
  • Sneezing
  • Coughing
  • Wheezing
  • Shortness of breath
  • Tightness in the chest
  • Dizziness
  • Fainting
  • Nausea
  • Vomiting
  • Diarrhea

Severe Allergic Reactions

In some cases, an allergic reaction can be severe and cause anaphylaxis. Anaphylaxis is a life-threatening reaction that can cause difficulty breathing, a drop in blood pressure, and loss of consciousness. If you experience any of the following symptoms, seek medical attention immediately:

  • Trouble breathing
  • Swelling of the throat or tongue
  • Hoarseness
  • Rapid pulse
  • Dizziness or confusion
  • Loss of consciousness

If you or someone you know is experiencing anaphylaxis, use an epinephrine auto-injector (such as an EpiPen) if available. Then call 911 or seek emergency medical attention.

Causes

Common Allergens

The most common allergens are pollen, dust mites, pet dander, mold, and certain foods. Pollen is a common allergen that is released by plants during the spring and summer months. Dust mites are microscopic creatures that live in dust and can cause allergic reactions. Pet dander is the tiny particles of skin and hair shed by animals, which can cause allergic reactions in some people. Mold is a type of fungus that can grow in damp areas and can cause allergic reactions. Certain foods, such as peanuts, shellfish, and eggs, can also cause allergic reactions.

Risk Factors

Certain factors can increase the risk of developing an allergic reaction. These include having a family history of allergies, being exposed to allergens at an early age, and having a weakened immune system. People who have asthma or eczema are also more likely to develop allergies.

Symptoms

The symptoms of an allergic reaction can vary from person to person. Common symptoms include sneezing, coughing, itchy eyes, a runny nose, and hives. In severe cases, an allergic reaction can cause anaphylaxis, which is a life-threatening reaction that can cause difficulty breathing, a drop in blood pressure, and loss of consciousness.

Getting a Diagnosis

Signs and Symptoms of an Allergic Reaction

The signs and symptoms of an allergic reaction can vary depending on the type of allergen and the severity of the reaction. Common signs and symptoms include:

  • Itching
  • Hives
  • Swelling of the face, lips, tongue, or throat
  • Wheezing or difficulty breathing
  • Nausea, vomiting, or diarrhea
  • Dizziness or lightheadedness
  • Anaphylaxis (a severe, life-threatening reaction)

Diagnosing an Allergic Reaction

If you suspect that you or someone you know is having an allergic reaction, it is important to seek medical attention right away. Your doctor will take a detailed medical history and may perform a physical exam. They may also order tests to help diagnose the cause of the allergic reaction, such as:

  • Skin prick test: A small amount of the suspected allergen is placed on the skin and the skin is pricked. If a reaction occurs, it indicates an allergy.
  • Blood test: A blood sample is taken and tested for the presence of antibodies to the suspected allergen.
  • Oral food challenge: The suspected allergen is given in small amounts and the reaction is monitored.

Treating an Allergic Reaction

Treatment for an allergic reaction depends on the severity of the reaction. Mild reactions can often be treated with over-the-counter antihistamines. Severe reactions may require epinephrine (adrenaline) and a trip to the emergency room. Your doctor may also recommend immunotherapy, which involves gradually introducing small amounts of the allergen to help the body build up a tolerance.

If you or someone you know is having an allergic reaction, it is important to seek medical attention right away. With the proper diagnosis and treatment, most allergic reactions can be managed effectively.

Questions for Your Doctor

Symptoms

Be sure to tell your doctor about all of your symptoms. This includes any itching, swelling, hives, rashes, or difficulty breathing. It is also important to tell your doctor if you have any other symptoms that may be related to the allergic reaction, such as a fever or nausea.

Triggers

Your doctor will need to know what triggered your allergic reaction. This could be a food, medication, insect bite, or something else. If you are not sure what caused the reaction, your doctor may be able to help you figure it out.

Treatment

Your doctor may recommend a treatment plan for your allergic reaction. This could include medications, such as antihistamines or corticosteroids, or other treatments, such as avoiding the allergen or using an epinephrine auto-injector. Be sure to ask your doctor any questions you have about the treatment plan.

Follow-up

Your doctor may recommend that you follow up with them after your allergic reaction. This could be to check on your progress or to discuss any changes in your symptoms. Be sure to ask your doctor when and how you should follow up.

Prevention

Your doctor may also be able to help you prevent future allergic reactions. This could include avoiding certain triggers, such as certain foods or medications, or taking medications to prevent reactions. Be sure to ask your doctor what steps you can take to prevent future reactions.

Treatment

Antihistamines

Antihistamines are the most common treatment for allergic reactions. They work by blocking the action of histamine, a chemical released by the body during an allergic reaction. Antihistamines can be taken orally or applied topically, and are available over-the-counter or by prescription. Common side effects of antihistamines include drowsiness, dry mouth, and dizziness.

Decongestants

Decongestants are medications that can help reduce nasal congestion caused by allergies. They work by narrowing the blood vessels in the nose, which reduces swelling and allows for easier breathing. Decongestants are available over-the-counter or by prescription, and can be taken orally or applied topically. Common side effects of decongestants include increased heart rate, insomnia, and nervousness.

Corticosteroids

Corticosteroids are medications that can help reduce inflammation caused by allergies. They work by suppressing the immune system, which helps to reduce the body's reaction to the allergen. Corticosteroids are available by prescription only, and can be taken orally or applied topically. Common side effects of corticosteroids include weight gain, increased appetite, and mood swings.

Immunotherapy

Immunotherapy is a treatment that can help reduce the body's sensitivity to allergens. It involves exposing the body to small amounts of the allergen over time, which helps the body build up a tolerance. Immunotherapy is available by prescription only, and is usually administered by an allergist. Common side effects of immunotherapy include itching, redness, and swelling.

Avoidance

The best way to prevent an allergic reaction is to avoid the allergen. This can be done by avoiding certain foods, staying away from areas with high pollen counts, and keeping pets out of the house. It is also important to be aware of potential allergens in the environment, such as dust mites, mold, and pet dander.

Drugs & Medications

Antihistamines

Antihistamines are the most common type of drug used to treat allergic reactions. They work by blocking the action of histamine, a chemical released by the body during an allergic reaction. Antihistamines can be taken orally or applied topically, and are available over-the-counter or by prescription. Common antihistamines include diphenhydramine (Benadryl), loratadine (Claritin), and cetirizine (Zyrtec).

Corticosteroids

Corticosteroids are a type of steroid hormone that can be used to reduce inflammation and swelling associated with an allergic reaction. Corticosteroids can be taken orally or applied topically, and are available by prescription. Common corticosteroids include prednisone, hydrocortisone, and dexamethasone.

Epinephrine

Epinephrine is a hormone that is released by the body during an allergic reaction. It works by narrowing the blood vessels, reducing swelling, and increasing heart rate. Epinephrine is available in an injectable form, and is used to treat severe allergic reactions, such as anaphylaxis. It is available by prescription only.

Immunotherapy

Immunotherapy is a type of treatment that involves exposing the body to small amounts of the allergen in order to build up a tolerance. It is typically used to treat allergies to pollen, pet dander, and certain foods. Immunotherapy is available by prescription only.

Conclusion

Allergic reactions can range from mild to severe, and can be treated with a variety of drugs. Antihistamines, corticosteroids, epinephrine, and immunotherapy are all available to help treat allergic reactions. It is important to speak to a doctor before taking any medication, as some drugs may have side effects or interact with other medications.

Diet

Dairy Products

Dairy products such as milk, cheese, and yogurt contain proteins that can trigger an allergic reaction. People with a dairy allergy should avoid all dairy products, including butter, cream, and ice cream.

Eggs

Eggs are a common allergen and can cause an allergic reaction in some people. People with an egg allergy should avoid all foods that contain eggs, including baked goods, sauces, and processed foods.

Fish and Shellfish

Fish and shellfish are common allergens and can cause an allergic reaction in some people. People with a fish or shellfish allergy should avoid all types of fish and shellfish, including shrimp, crab, and lobster.

Tree Nuts and Peanuts

Tree nuts and peanuts are common allergens and can cause an allergic reaction in some people. People with a tree nut or peanut allergy should avoid all types of nuts, including almonds, walnuts, and cashews. Peanut butter should also be avoided.

Soy

Soy is a common allergen and can cause an allergic reaction in some people. People with a soy allergy should avoid all foods that contain soy, including tofu, soy milk, and edamame.

Wheat

Wheat is a common allergen and can cause an allergic reaction in some people. People with a wheat allergy should avoid all foods that contain wheat, including bread, pasta, and baked goods.

Fruits and Vegetables

Fruits and vegetables can also cause an allergic reaction in some people. People with a fruit or vegetable allergy should avoid all types of fruits and vegetables, including apples, oranges, and tomatoes.

Lifestyle

Avoid Allergens

The best way to manage your allergic reactions is to avoid the allergens that trigger them. Pay attention to the environment around you and take steps to reduce your exposure to potential allergens. This may include avoiding certain foods, wearing protective clothing, and using air filters in your home.

Manage Stress

Stress can worsen allergic reactions, so it’s important to manage your stress levels. Take time to relax and practice stress-relieving activities such as yoga, meditation, and deep breathing. Exercise can also help reduce stress and improve your overall health.

Stay Hydrated

Staying hydrated is important for managing allergic reactions. Drink plenty of water throughout the day to keep your body hydrated and your immune system functioning properly. You can also try drinking herbal teas or other beverages that contain natural anti-inflammatory properties.

Get Enough Sleep

Getting enough sleep is essential for managing allergic reactions. Aim for 7-9 hours of sleep each night to give your body time to rest and recover. Avoid caffeine and alcohol before bed, and create a relaxing bedtime routine to help you get a good night’s sleep.

Eat a Healthy Diet

Eating a healthy diet can help reduce the severity of allergic reactions. Include plenty of fruits, vegetables, and whole grains in your diet, and avoid processed foods and sugary snacks. Eating a balanced diet can also help boost your immune system and reduce inflammation.

Take Allergy Medication

If your allergic reactions are severe, you may need to take allergy medication. Talk to your doctor about the best type of medication for your symptoms. Allergy medications can help reduce the severity of your reactions and make it easier to manage them.