Everything You Need to Know About Allergic Reactions (2024)

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An allergic reaction happens when your immune system defends against substances that otherwise wouldn’t pose a threat to your body. Common allergens include pollen, mold, and certain foods.

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Your immune system is responsible for defending the body against bacteria and viruses. In some cases, your immune system will defend against substances that typically don’t pose a threat to the human body. Some of these substances are known as allergens, and when your body reacts to them, it causes an allergic reaction.

You can have an allergic reaction after inhaling, eating, or touching an allergen. Doctors can also use allergens to diagnose allergies and can even inject them into your body as a form of treatment.

The American College of Allergy, Asthma & Immunology (ACAAI) reports that over 50 million people in the United States have some type of allergy.

Doctors don’t know why some people experience allergies. Allergies appear to run in families, which means they can be inherited. If you have a close family member who has allergies, you’re at greater risk for developing them.

The reasons why allergies develop are unclear, but some substances are known to commonly cause an allergic reaction. People who have allergies are typically allergic to one or more of the following:

  • pet dander, such as the kind from a cat or dog
  • bee stings or bites from other insects
  • certain foods, including nuts and shellfish
  • certain medications, such as penicillin and aspirin
  • certain plants
  • pollen
  • mold
  • dust mites

The symptoms of an allergic reaction can vary from mild to severe. If you become exposed to an allergen for the first time, your symptoms may be mild. These symptoms may get worse if you repeatedly come into contact with the allergen.

Mild reaction

Symptoms of a mild allergic reaction can include:

  • hives, or itchy red spots on the skin
  • rash
  • itching
  • allergic rhinitis, which may lead to symptoms such as nasal congestion or sneezing
  • scratchy throat
  • watery or itchy eyes

Severe reaction

Severe allergic reactions (usually to foods, insect stings, and medications) can cause the following symptoms:

  • abdominal cramping or pain
  • diarrhea
  • nausea or vomiting
  • pain or tightness in the chest
  • difficulty swallowing
  • difficulty breathing
  • wheezing
  • fear or anxiety
  • heart palpitations
  • flushing of the face
  • swelling of the face, eyes, or tongue
  • dizziness or vertigo
  • weakness
  • unconsciousness

A severe and sudden allergic reaction known as anaphylaxis can develop just seconds after exposure to an allergen. This type of reaction results in life threatening symptoms, including:

  • swelling of the airway
  • an inability to breathe
  • a sudden and severe drop in blood pressure

If you experience anaphylaxis, seek immediate emergency help. Without treatment, anaphylaxis can result in death.

A primary care physician or an allergist can diagnose allergic reactions.

If you experience symptoms of an allergic reaction, the doctor will perform an exam and ask you about your health history. If your allergic reactions are severe, they may ask you to keep a journal that details your symptoms and the substances that appear to cause them.

The doctor may want to order tests to determine what’s causing your allergy. The most commonly ordered types of allergy tests are:

  • skin tests
  • challenge (elimination-type) tests
  • blood tests

Skin test

A skin test involves applying a small amount of a suspected allergen to the skin and watching for a reaction. The substance may be:

  • taped to the skin (patch test)
  • applied via a small prick to the skin (skin prick test)
  • injected just under the skin (intradermal test)

A skin test is most valuable for diagnosing:

  • food allergies, such as allergies to shellfish or peanuts
  • mold, pollen, and animal dander allergies
  • penicillin allergies
  • allergies to venom, such as the kind secreted by bees or yellow jackets
  • allergic contact dermatitis, which is a rash you get after touching a substance

Challenge (elimination-type) test

Challenge testing is useful in diagnosing food allergies. It involves removing a food from your diet for several weeks and carefully watching for symptoms when you eat the food again.

Blood test

A blood test allows the doctor to check your blood for antibodies against a possible allergen. An antibody is a protein your body produces to fight harmful substances.

Blood tests are an option when skin testing isn’t helpful or possible.

If you need help finding an Allergist and Immunologist, then check out our FindCare tool here.

If you experience an allergic reaction and you don’t know what’s causing it, you may need to see a doctor to determine which substances you’re allergic to. If you have a known allergy and experience symptoms, you may not need to seek medical care if your symptoms are mild.

In most cases, over-the-counter antihistamines, such as diphenhydramine (Benadryl), can be effective in controlling mild allergic reactions.

Shop for over-the-counter antihistamines online.

Treatment for anaphylaxis

If you or someone you know experiences a severe allergic reaction, you should seek emergency medical attention. Check to see if the person is breathing, call 911 or your local emergency services, and provide CPR if needed.

People with known allergies often have emergency medications with them, such as an epinephrine auto-injector (EpiPen, Adrenaclick, Auvi-Q). Epinephrine is deemed a “rescue drug” because it opens the airways and raises blood pressure.

The person may need your help to administer the medication. If the person is unconscious, follow these steps to help prevent shock:

  1. lay them on their side
  2. elevate their legs
  3. cover them with a blanket

Once you identify what’s causing your allergic reaction, you can take the following steps:

  • avoid exposure to the allergen
  • seek medical care if you’re exposed to the allergen
  • carry medications to help treat anaphylaxis

You may not be able to avoid an allergic reaction completely, but these steps can help you prevent future allergic reactions.

If you have a known allergy, preventing an allergic reaction will improve your outlook. You can do this by avoiding your allergens whenever possible.

Your outlook will also depend on the severity of your allergy.

If you have a mild allergic reaction and seek treatment, you’ll have a good chance of recovery. However, symptoms may return if you come into contact with the allergen again.

If you have a severe allergic reaction, your outlook will depend on receiving quick emergency care, since anaphylaxis can result in death. If you have severe allergies, always carry an epinephrine auto-injector and inject yourself if symptoms occur.

Prompt medical care is also necessary to improve your outcome.

Everything You Need to Know About Allergic Reactions (2024)

FAQs

Everything You Need to Know About Allergic Reactions? ›

Allergies occur when your immune system mistakenly triggers an allergic reaction to an allergen. Allergic reaction symptoms include congestion, watery eyes, a runny nose, vomiting and, in severe cases, anaphylaxis. Allergies can be incredibly frustrating if you don't know what's triggering your immune system.

What 6 things should you look for in an allergic reaction? ›

Check if it's an allergy
  • a runny nose or sneezing.
  • pain or tenderness around your cheeks, eyes or forehead.
  • coughing, wheezing or breathlessness.
  • itchy skin or a raised rash (hives)
  • diarrhoea.
  • feeling or being sick.
  • swollen eyes, lips, mouth or throat.

What are the do's and don ts for allergic reaction? ›

Put a thin cloth between the ice pack and your skin. Do not take hot baths or showers. They will make the itching worse. Your doctor may prescribe a shot of epinephrine to carry with you in case you have a severe reaction.

What are the 4 common allergic reactions? ›

Common symptoms of a mild allergic reaction include:
  • Hives (especially over the neck and face)
  • Itching.
  • Nasal congestion.
  • Rashes.
  • Watery, red eyes.

What are the 3 C's of allergy? ›

The 3 Cs of Antibiotic Allergy-Classification, Cross-Reactivity, and Collaboration.

When to use Benadryl vs EpiPen? ›

If the symptoms are severe and you have an epinephrine autoinjector, use it as directed right away and call 911 for emergency medical help. If the symptoms are mild, give an antihistamine by mouth such as diphenhydramine (Benadryl or a store brand).

When to go to the ER for an allergic reaction? ›

"Anytime your breathing is compromised, or you feel like your face or tongue are starting to swell up, or you start to have stridor — that squeaky kind of breathing — you need to make sure you're calling 911 and getting to the nearest emergency room," she adds.

How long does it take for an allergic reaction to clear up? ›

Some allergic reactions may take two to four weeks to resolve, even with appropriate treatment. Mild allergic reactions, such as hives, hay fever, or nasal congestion, may resolve within a few hours to a day either with treatment such as medication or allergy shots or subside naturally.

What is the timeline of an allergic reaction? ›

Symptoms usually happen minutes after you've been exposed to something you're allergic to, but they might not appear for a half hour or longer. Anaphylaxis symptoms usually occur within minutes of exposure to an allergen. Sometimes, however, anaphylaxis can occur a half-hour or longer after exposure.

How do you flush out an allergic reaction? ›

Over-the-counter (OTC) antihistamines and decongestants may relieve minor symptoms of an allergic reaction. Antihistamines prevent symptoms such as hives by blocking histamine receptors so your body doesn't react to the allergens. Decongestants help clear your nose and are especially effective for seasonal allergies.

How do you calm your body after an allergic reaction? ›

Over-the-counter (OTC) antihistamines: Antihistamines are medications that calm an allergic reaction by decreasing the levels of an allergy-causing chemical called histamine in the body. They are available as pills, sprays, and drops. You must use them as per label instructions.

How do you get instant relief from an allergic reaction? ›

Adrenaline works fast to reverse a severe allergic reaction, and adrenaline injectors (EpiPens® and Anapen®) are designed for use by people who are not medically trained. If you are at risk of anaphylaxis, your doctor will have prescribed an adrenaline injector.

What is mild anaphylaxis? ›

Stage one: Mild anaphylaxis is the first stage and can cause symptoms like skin rash or redness, itching or hives. Stage two: Moderate anaphylaxis happens when a person has more widespread and extensive symptoms like skin rash and hives that are spreading or mild swelling in their lips or tongue.

What is a level 3 allergic reaction? ›

As anaphylaxis progresses to stage 3, symptoms become more severe and potentially life-threatening. A common symptom of severe anaphylaxis is swelling of the airways or bronchospasm, causing breathing difficulties.

What are the stages of anaphylaxis? ›

4 Stages of Anaphylaxis
  • Stage 1. Your symptoms are mild. You might not know yet if you're having an anaphylactic reaction. ...
  • Stage 2. Your symptoms are now worse and on more of your body. ...
  • Stage 3. As your symptoms get worse, you may have trouble breathing. ...
  • Stage 4. Your symptoms are now life-threatening.
Oct 31, 2023

What are the 6 most common allergens? ›

What Are Major Food Allergens? While many different foods can cause allergic reactions, the Food Allergen Labeling and Consumer Protection Act of 2004 (FALCPA) identifies eight foods as major food allergens: milk, eggs, fish, Crustacean shellfish, tree nuts, peanuts, wheat, and soybeans.

What are 6 things the human body can have an allergic reaction to? ›

Common allergy triggers include: Airborne allergens, such as pollen, animal dander, dust mites and mold. Certain foods, particularly peanuts, tree nuts, wheat, soy, fish, shellfish, eggs and milk.

How do you assess an allergic reaction? ›

The RAST (Radioallergosorbent test) is a laboratory test performed on blood. It tests for the amount of specific IgE antibodies in the blood which are present if there is a true allergic reaction. One of the most common methods of allergy testing is the scratch test or skin prick test.

How do you figure out what gave you an allergic reaction? ›

Patch testing is generally done to see whether a particular substance is causing allergic skin inflammation, called contact dermatitis. Patch tests can detect delayed allergic reactions, which can take several days to develop.

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