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Anaphylaxis Management


Using-Herbal-Remedies-UncontrollablyAnaphylaxis is a severe, whole-body allergic reaction to a chemical that has become an allergen. An allergen is a substance that can cause an allergic reaction.The substance to which we are allergic, our immune system overreacts to this by releasing chemicals that cause allergy symptoms.

In general term it is a systemic manifestation s of allergic reaction characterised by at least one respiratory or cardiovascular feature and at least one gastrointestinal or skin feature.

Background to condition:
Most reactions occur within 30 minutes of exposure to a trigger. The most common anaphylactic reactions are to

Foods – Considered as the most common cause. Common food triggers include nuts, shellfish (shrimp, lobster), dairy products, egg whites, and sesame seeds. Even the food additives can be one of the cause
Bites or stings – Bee, wasp, jumper ants
Medications
Others –
a. Exercise induced anaphylaxis,
b. Idiopathic anaphylaxis
c. Latex anaphylaxis &
d. Biological fluid transfusion

High-risk group of patient for anaphylaxis
Those who have family history of anaphylaxis, Those who have Multiple allergy to food and drugs poor controlled asthma patient, Those who have Pre-existing lung diseases. Diagnosis:

Anaphylaxis is diagnosed based on its symptoms. People with a history of allergic reactions may be at greater risk for developing a severe reaction in the future.Skin testing may help confirm the substances that cause severe allergic reactions.

Acute Management And Treatment:
Accurate diagnosis and successful management of allergies is essential. The patient is advised to visit the doctor /Hospital immediately.
Posture: Patient should be treated in supine position, or left lateral position for vomiting patient (or sitting at 45 degrees if breathing is difficult Legs should be elevated in the setting of hypotension.

The Natural Ways to Defeat Allergy:
Wash your hand to wash the outside world which entered with you, when you come from outside.
Installing special air filters in your furnace and air conditioning systems.
Keep Close doors and windows when outdoor pollen counts are high.
A mask can prevent allergens from getting into your airways.
Eat A healthy diet rich in fruits and veggies.
A nasal rinse cleans mucus from your nose and can help relieve nasal allergy symptoms.
Drink More water, juice and other fluid.
Inhaling steam is a simple way to relieve nasal congestion and can ease breathing when you have allergies.

Respiratory/chest features
Hoarse voice subjective feeling of swelling or tightness
Tingling in the throat, Persistent cough
Feeling of tightness chest/throat

Mucocutaneous & skin features
Generalised pruritus, Urticaria
Intense erythema
Angioedema

Gastrointestinal features
Nausea ,Vomiting
Diarrhoea
Abdominal/pelvic pain

Cardiovascular & CNS features
Palpitation
Tachycardia
Bradycardia
Altered consciousness/confusion

Know Your Triggers:
To Avoid your trigger, you should know what they are? So, don’t delay, make an appointment with an allergist for an allergy skin test to help pinpoint your trigger.When you go to market to buy your food Be a label detective and make sure you review all food ingredient labels carefully to uncover potential allergens.

Be SAFE: Be Prepared:
S Seek immediate medical help.
A Identify the Allergen
F Follow up with a specialist
E Carry Epinephrine for emergencies

Sometimes, allergies can cause a life-threatening reaction called anaphylaxis. It’s not common, but you should be aware of what to do if it happens.

 

New-Doc-80_1
Dr. Ajay Kr. Jha is a senior consultant at TATA Main Hospital and is an internatinal associate member of American College of Cardiology

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