Allergy and Immunology Specialist Questions Peanut Allergy

What does anaphylactic shock look like?

My daughter's friend has a peanut allergy and is coming over later to play with her. We're very careful with keeping nuts away from her. But in case it ever happens, what are the first signs of anaphylactic shock?

2 Answers

You should have a conversation with the parent of the food allergic child for sure as they have likely seen her react before. In general, symptoms of anaphylaxis begin shortly after ingestion of the allergen and can include itching, sneezing, itchy watery eyes, swelling of eyes or lips, hives either on the face only or generalized, vomiting, diarrhea, and abd. pain. If ever in doubt, Epinephrine should be administered immediately, and then call 911.
Hi,

Anaphylaxis is a severe allergic reaction. Most doctors will define anaphylaxis as a severe allergic reaction that involves at least two organ systems. It could could include a skin reaction and breathing difficulties or perhaps, vomiting/diarrhea and difficulty breathing. While a mild allergic reaction, like hives alone, will usually respond to an antihistamine like Benadryl, an anaphylactic reaction will not usually respond to Benadryl alone. We recommend that injectable epinephrine be available at all times for any accidental ingestions. Do not hesitate to also call 911 if the child is not doing well.
I hope that is helpful!

Duane Wong