Allergies

Allergies are your body’s reaction to a normally harmless substance such as pollen, molds, animal dander, latex, certain foods and insect stings. Allergy symptoms range from mild – rash or hives, itchiness, runny nose, watery/red eyes – to life-threatening. Treatments include antihistamines, decongestants, nasal steroids, asthma medicines and immunotherapy.

What are allergies?

Allergies are your body’s reaction to a substance it views as a harmful “invader.” For example, coming into contact with what is normally a harmless substance, such as pollen, might cause your immune system (your body’s defense system) to react. Substances that cause these reactions are called allergens.

What is an allergic reaction?

An “allergic reaction” is the way your body responds to the allergen. A chain of events occur that result in an allergic reaction.

If you are prone to allergies, the first time you’re exposed to a specific allergen (such as pollen), your body responds by producing allergic (IgE) antibodies. The job of these antibodies is to find the allergens and help remove them from your system. As a result, a chemical called histamine is released and causes symptoms of allergies.

Allergy Symptoms

Allergy symptoms are classified as mild, moderate or severe:

  • Mild reactions include local symptoms (affecting a specific area of your body) such as a rash or hives, itchiness, watery/red eyes, hay fever and runny nose. Mild reactions do not spread to other parts of your body.

  • Moderate reactions include symptoms that spread to other parts of your body. Symptoms may include itchiness, hives, and/or swelling and trouble breathing.

  • A severe allergic reaction, known as anaphylaxis, is a rare, life-threatening emergency in which your body’s response to the allergen is sudden and affects the whole body. Anaphylaxis may begin with severe itching of your eyes or face. Within minutes, more serious symptoms appear, including throat swelling (which could cause problems with swallowing and breathing), abdominal pain, cramps, vomiting, diarrhea, hives and swelling (angioedema). You may also have mental confusion or dizziness, since anaphylaxis may cause a drop in blood pressure.

When to seek care

You might see a doctor if you have symptoms you think are caused by an allergy, and over-the-counter allergy medications don't provide enough relief. If you have symptoms after starting a new medication, call the doctor who prescribed it right away.

For a severe allergic reaction (anaphylaxis), call 911 or your local emergency number or seek emergency medical help. If you carry an epinephrine auto-injector (Auvi-Q, EpiPen, others), give yourself a shot right away.

Even if your symptoms improve after an epinephrine injection, you should go to the emergency department to make sure symptoms don't return when the effects of the injection wear off.

If you've had a severe allergy attack or any signs and symptoms of anaphylaxis in the past, make an appointment to see your doctor. Evaluation, diagnosis and long-term management of anaphylaxis are complicated, so you'll probably need to see a doctor who specializes in allergies and immunology.

Resources:

-Mayo Clinic
-Cleveland Clinic

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