“What is the treatment for anaphylaxis?”

Epinephrine

If he gets anaphylaxis the only safe answer is to call 911 for an ambulance to take him to the ER. Anaphylaxis can kill- by swelling the throat closed.
You should have his doctor prescribe 2 pediatric epi (epinephrine) pens. These are for you to inject in his thigh as soon as the anaphylactic reaction begins and buy him enough time to go to the ER.

With that history, you should always keep an EPI-PEN AND BENADRYL HANDY.

You should have an epipen to use immediately and be seen in the ER. Usually, benadryl and steroids are given for a few days. Sometimes a second dose of epinephrin has to be given.

Treatment for anaphylaxis

1. Epinephrine IV or IM
2. Benadryl IV
3. H2 blockers - Tagamet or Pepcid IV
4. IV fluids
5. For severe anaphylaxis I usually recommend - observation for 24 hours

Severe allergic reactions often worsen in intensity and speed of progression with repeat exposure. Ideally, your son's EpiPen (or equivalent) should be readily available to where he is at all times, especially for outdoor activities. An age/weight appropriate dose of Benadryl should be kept with the pen (ask your prescriber to confirm the dose). As soon as sting identified to have occurred, with his history, give the Benadryl and administer the EpiPen, then call 911. If you know how, remove the stinger (for bees). Sit the patient in an easily accessible location for when EMS arrives, and attempt to keep him calm. Other than the Benadryl (and sip of drink to swallow it with), give nothing by mouth. If EMS is delayed, or symptoms progress despite the above, if the particular epinephrine autoinjector has a second dose, prepare the unit to administer it (usually twist-n-lock), and give second dose as advised by your prescriber.

Donald W. Alves, MD,MS,FACEP