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5 Expert Answers About Severe Allergy Treatment


Jennifer Shih, MD, FAAP    

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What I Tell Parents About Treatment for Anaphylaxis

Knowing your child is at risk for anaphylaxis is stressful. But you can be prepared.

Caring for a child with serious allergies can be stressful and scary, but arming yourself with knowledge and preparation can help you and your child take control. Pediatric allergy specialist Jennifer Shih, MD, FAAP, discusses the most common questions she hears from children and their parents about avoiding anaphylaxis and living with serious allergies.

1. Q: What is anaphylaxis?

A: In simple terms, anaphylaxis is the term for an extreme allergic reaction. Not all allergies lead to anaphylaxis, but the most common severe allergies are allergies to food, venom, medication and latex.

Anaphylaxis can be frightening, but being prepared will help you feel empowered to prevent a dangerous allergic reaction. Do you know all the facts?

Medical Reviewer: William C. Lloyd III, MD, FACS Last Review Date: Nov 6, 2015

2017 Healthgrades Operating Company, Inc. All rights reserved. May not be reproduced or reprinted without permission from Healthgrades Operating Company, Inc. Use of this information is governed by the Healthgrades User Agreement.

Basically, your body is exposed to something that it percieves as harmful, even if it’s really not, such as a peanut. Your immune system overreacts to the peanut by releasing chemicals that cause allergy symptoms. Some allergic reactions are mild, but some can lead to anaphylaxis, which is really serious and requires a shot of epinephrine and medical care.

2. Q: How can I recognize anaphylaxis?

A: In anaphylaxis, you can have symptoms in four different organ systems: your skin, your respiratory system, your gastrointestinal system, and your cardiovascular system. We call it anaphylaxis if you have symptoms in two or more of those systems at the same time.

With your skin, you might experience itchiness or hives, and your skin includes your mouth, too, so your mouth could be itchy and your tongue could swell. In your respiratory tract, you may have trouble breathing or start wheezing. Anaphylaxis affects your gastrointestinal tract by causing nausea, vomiting, or diarrhea. And symptoms affecting your cardiovascular system are the most serious, because you can get very low blood pressure and go into shock, which could potentially lead to death.

It’s important for people with severe allergies (and their loved ones) to recognize symptoms of anaphylaxis so they can act quickly to treat it.

3. Q: What’s the first thing you tell parents after they learn their child has a serious allergy?

A: Usually, parents are pretty scared, so I immediately tell them this is something we can be prepared for–we can potentially prevent anaphylaxis from occurring. Then, I educate them about how to do that. I tell them that no one plans for accidents, so to be safe, they should be prepared.

Everything they need to know can be on one sheet called their anaphylaxis action plan. I tell them to keep copies of the anaphylaxis action plan everywhere, because in the moment anaphylaxis is happening, they’re not going to want to think--they’ll just want to know what to do and do it.

The anaphylaxis action plan lists the allergens that must be avoided. I always recommend that patients get tested for allergies by a board-certified allergist, even after they’ve experienced anaphylaxis, because we want to know all we can to prevent it from happening again. The anaphylaxis action plan also lists the symptoms of anaphylaxis to be aware of, how to use the epinephrine auto-injector, emergency contact information, their allergy specialist’s contact information, and what medications they’re taking.

4. Q: What tips do you have for patients and parents about epinephrine auto-injectors?

A: Epinephrine is actually pretty amazing. It can affect different parts of the body to help relieve all the symptoms of anaphylaxis.

It’s incredibly important that people with serious allergies have not just one, but two epinephrine auto-injectors with them at all times. Studies have shown that sometimes, one dose isn’t enough, so it’s always better to have two available. I tell my patients that extreme temperatures can make epinephrine less effective, so they shouldn’t store auto-injectors in the fridge or the glove compartment. Epinephrine auto-injectors should always be room temperature and with you at all times.

THIS CONTENT DOES NOT PROVIDE MEDICAL ADVICE. This content is provided for informational purposes and reflects the opinions of the author. It is not a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified healthcare professional regarding your health. If you think you may have a medical emergency, contact your doctor immediately or call 911.

Jennifer Shih, MD, FAAP

Jennifer Shih, MD, FAAP, is an allergist at Children’s Healthcare of Atlanta. She is board certified in pediatrics and in allergy and immunology. View her Healthgrades profile >

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Publish Date: Dec 18, 2015

© 2017 Healthgrades Operating Company, Inc. All rights reserved. May not be reproduced or reprinted without permission from Healthgrades Operating Company, Inc. Use of this information is governed by the Healthgrades User Agreement.

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