Anaphylactic shock is a severe allergic reaction that can be life-threatening. It can be caused by foods, insect stings, chemicals and other products. Most people know that insects like bee stings or foods like peanuts can cause anaphylactic shock, but there are many other foods and chemicals that can cause a severe allergic reaction. You should be aware of the causes, symptoms and the treatments for anaphylactic shock.
During the summer, many of us associate anaphylactic shock with bee stings, but you can have a severe allergic reaction to almost anything and everyone is different. You can even have a severe allergic reaction to something one time that you never had an allergic reaction to before.
The Causes of Anaphylactic Shock or Anaphylaxis
- Insect bites and stings from bees, yellow jackets, wasps, hornets and ants
- Nuts like peanuts, walnut, cashew, Brazil, hazel and almonds
- Wheat
- Strawberries
- Soy products
- Dairy products and eggs
- Shellfish like lobster and shrimp
- Certain medications, with the most common being penicillin, aspirin, morphine, x-ray dyes, anti-arthritis drugs and anesthetics
- Latex products
- Chemicals
- Chemicals, pesticides, herbicides in our food
- Exercise can also provoke anaphylactic reaction if the exercise is done after eating an allergy-causing food
- Many other chemical or substance that might cause an allergic reaction in a person
- Some people might have an anaphylactic reaction without any apparent cause or the cause is never found.
Some people have such a bad peanut allergy that even a small amount of peanut dust can cause them to have a severe allergic reaction and anaphylactic shock.
A person will not always have an allergic reaction to the same substance or toxin. If you are stung by a bee and do not have an allergic reaction, this does not mean that the next time you're stung you will not have an allergic reaction.
For example, if you are stung by a bee the first time, the body’s immune system can become sensitized to the toxin. The next time you are stung, you could have a severe allergic reaction. Or it might not bother you at all.
Symptoms of Anaphylactic Shock
The symptoms of anaphylactic shock can start within minutes or in a couple of hours after being exposed to the substance that causes your allergic reaction.
An allergic reaction occurs when cells and tissues in the body release histamine. Histamine is a chemical that is important to our well-being.
When a foreign particle enters our body, our immune system causes histamine to be released. Usually an allergic reaction will cause swelling, a stuffy nose, watery eyes or a small rash. Anaphylaxis or anaphylactic shock is a severe allergic reaction that involves the entire body.
The symptoms of anaphylactic shock can include any one of the following within minutes to a couple of hours of exposure to a substance, but not all have to be present for it to be anaphylactic shock.
- Hives or itchiness
- Difficulty breathing
- Difficulty swallowing
- Lips, tongue and or throat swelling
- A flush or warm feeling on the face or other parts of your body
- Wheezing or a high pitched sound when breathing
- Palpitations
- The inside and or back of your throat itching
- The palms becoming red and swollen
- Lightheaded or dizziness
- Skin redness or body rash
- Slurred speech
- Gastrointestinal problems like vomiting, diarrhea and stomach cramps
- Low blood pressure
Symptoms can start slow and continue to worsen. In some cases, the symptoms can go away and return one to three hours later; this is known as a biphasic reaction. If this does occur, when the symptoms return, it will usually affect the respiratory tract and could be more severe than the first time the symptoms occurred.
Anaphylactic Shock is an Emergency Situation
If you suspect you are having a severe allergic reaction or anaphylactic shock, you should call an ambulance or 911. If you are with someone who is having anaphylactic shock, there are some things you can do after calling 911 such as:
- Calm and reassure the person
- If the allergic reaction was caused by a bee sting, use a credit card or fingernail to scrape the stinger out. Do not use anything like tweezers since pinching the stinger can cause more venom to be released.
- If the person that is having an allergic reaction has medicine for this condition, help the person take the medication. If a person has a known allergy, they might have a medical bracelet or card that states this and they carry an Epi-Pen with them.
Do Not
- Do not put a pillow under the persons head if they are having trouble breathing as this can make the problem worse.
- If this person has taken medication for the anaphylactic shock or allergic reaction, do not assume this will provide a complete recovery; the person should still be taken to an emergency room.
- Do not give the person anything orally, especially if they have a swollen throat, lips or tongue since this can cause choking. Benadryl liquid can be given if directed to.
Treatment for Anaphylactic Shock
If treatment is given quickly, the person should recover without any problems. The doctors and nurses will first give the patient epinephrine which will diminish the allergic reaction causing the anaphylactic shock. If needed, they will give medication and intravenous drips to stabilize the heart and circulatory system.
First Aid Kit and Prevention of Anaphylactic Shock
Needless to say, once you find out what caused the allergic reaction, you need to avoid that food or product. If the doctors do not know what caused the allergic reaction, you might be referred to an allergy expert to find out.
If it is found you do have a serious allergy to some food or product, your doctor could prescribe an EpiPen that you should carry with you and also put in your first-aid kit. An EpiPen is an autoinjector with a measured dose of epinephrine that you can use on yourself if ever needed.
My Personal Experience with Anaphylactic Shock
I went through having anaphylactic shock years ago. I sat down on a carpet and two to three hours later I started to feel flush and my face was tingling. This progressed to my lips, throat and tongue swelling to the point I couldn’t swallow.
This shows how just about anything can cause a person to have an allergic reaction severe enough to cause anaphylactic shock. But you don’t have to live your life worrying about anaphylactic shock since it is not that common, just be aware of it.
About the Author
Sam Montana is a certified Food Over Medicine instructor from the Wellness Forum Health Center and certified in optimal nutrition from the Harvard T.H. Chan School of Public Health.
Copyright © July 2011-2019 Sam Montana
References:
FAAN – The Food Allergy and Anaphylaxis Network
National Institute of Health – Medline