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- $Unique_ID{BRK01123}
- $Pretitle{}
- $Title{What Should be Done for Sudden Severe Allergic Shock?}
- $Subject{allergic anaphylactic shock allergy allergies anaphylaxis first aid
- Accidents accident allergen itching tightness throat wheezing abdominal pain
- diarrhea vascular collapse lightheaded strenuous exercise itching skin blotch
- blotches respiratory tract obstruction choking epinephrine}
- $Volume{O-0,U-0}
- $Log{
- The Process of an Allergic Reaction*0001201.scf
- Histamine Release Causes Allergy Symptoms*0001202.scf}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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-
- What Should be Done for Sudden Severe Allergic Shock?
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- QUESTION: We almost lost our neighbor due to a sudden and severe allergic
- shock. We think it was from a bee sting, but no one knows for certain. Would
- you please explain what happened, and what should be done for this emergency?
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-
- ANSWER: You're referring to anaphylactic shock. It is a very severe form of
- allergic reaction, and it results from being exposed to an allergen that you
- are extremely allergic to. Some people are very sensitive to certain foods
- (shellfish is a common one), drugs or to bee stings, as you mention. In fact,
- fatal anaphylactic reactions to penicillin are estimated at one fatality per
- 100,000 injections. Seventy-five percent of all fatal anaphylactic reactions
- are the result of penicillin. However, anaphylactic shock can result from
- exposure to almost any allergen, and can occur without warning, when no
- problem has been experienced with that product before.
- You asked what happens in anaphylactic shock. The symptoms may vary
- some, but they often involve itching, a tightness in the throat, wheezing,
- abdominal pain and diarrhea. Collapse of the vascular system is an ominous
- sign, and it often occurs in fatal anaphylactic shock. The first symptoms may
- include a generalized flushed, lightheaded feeling, and usually occur in 20 to
- 30 minutes after exposure. Treatment depends on the severity of the reaction;
- if life-threatening symptoms are present, immediate treatment with epinephrine
- (adrenalin) and CPR may be necessary.
- The very best treatment for anaphylaxis is avoiding known allergens.
- Recently, some new causes of anaphylaxis have been identified, and more
- information is being gathered on these causes. Even exercise has been
- implicated in some cases of anaphylactic shock. It occurs with prolonged,
- strenuous exercise, starts about 30 minutes after beginning exercise, and can
- produce intense itching, blotches on the skin, respiratory tract obstruction
- and choking sensations. Other recently identified anaphylaxis producers are
- food preservatives, aspirin, steroids, dialysis, various vaccines and human
- semen.
- If you know you have an allergy, avoid the product that causes you
- problems. Repeated exposures can create more and more risk for severe
- reactions. Know what you are allergic to and how you are likely to come into
- contact with it. Seek the help of a physician who specializes in allergy
- diagnosis and treatment; recent advances in allergy diagnosis may identify
- your allergens with accuracy and convenience that has not been possible
- before. Notify all health care providers of your allergies, and talk with
- family members and co-workers about what to do in an allergy emergency. Wear
- an identifying necklace or bracelet if you are prone to allergy problems.
- Persons who have suffered anaphylaxis sometimes carry emergency kits
- containing epinephrine. If you and your doctor feel this is a good idea for
- you, learn to use the injection, and teach those around you to use it. Keep
- in mind, however, that epinephrine is a powerful drug that can cause serious
- side effects if it is used unnecessarily, so use it wisely. Learn to
- recognize the early signs of an allergic reaction, and get treatment promptly
- before the situation becomes an unmanageable emergency.
- Allergies can develop at any time, even to foods, drugs and products
- you've never had a problem with. So know the symptoms of allergic reaction
- and be prepared to take the right actions if they occur.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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