Anaphylaxis

Symptoms of anaphylaxis happen very quickly. They usually start within minutes of coming into contact with something you're allergic to, such as a food, medicine or insect sting. Symptoms include: swelling of your throat and tongue difficulty breathing or breathing very fast difficulty swallowing, tightness in your throat or a hoarse voice wheezing, coughing or noisy breathing feeling tired or confused feeling faint, dizzy or fainting skin that feels cold to the touch blue, grey or pale skin, lips or tongue – if you have brown or black skin, this may be easier to see on the palms of your hands or soles of your feet You may also have a rash that's swollen, raised or itchy.

Follow these steps if you think you or someone you're with is having an anaphylactic reaction: Use an adrenaline auto-injector (such as an EpiPen) if you have one – instructions are included on the side of the injector. Call 999 for an ambulance and say that you think you're having an anaphylactic reaction. Lie down – you can raise your legs, and if you're struggling to breathe, raise your shoulders or sit up slowly (if you're pregnant, lie on your left side). If you have been stung by an insect, try to remove the sting if it's still in the skin. If your symptoms have not improved after 5 minutes, use a 2nd adrenaline auto-injector. Do not stand or walk at any time, even if you feel better.

Anaphylaxis needs to be treated in hospital immediately. Treatments can include: adrenaline given by an injection or drip in your vein oxygen fluids given by a drip in your vein You'll usually stay in hospital for around 2 to 12 hours, but you may need to stay longer. Before you leave hospital, you should be given 2 adrenaline auto-injectors, or a prescription for them, to keep in case you have another anaphylactic reaction. An adrenaline auto-injector is a special device for injecting adrenaline yourself. You'll be told how and when to use it. You should be shown how to use your adrenaline auto-injector each time you're prescribed it. You may also be referred to an allergy specialist for tests and advice.

There are some things you can do to help prevent anaphylaxis or prepare for if it happens. Do avoid the food, medicine or thing that you're allergic to – for example, if you have a food allergy, check food labels carefully and tell staff at restaurants and cafes about your allergy carry 2 adrenaline auto-injectors with you at all times check your adrenaline auto-injector expiry dates regularly and get new ones before they expire practise how to use your adrenaline auto-injector by using a trainer injector (an injector that has no needle or medicine in it) – you can order one online from the company that makes your injector teach friends, family, colleagues or carers how and when to use your adrenaline auto-injector use your adrenaline auto-injector if you think you may have anaphylaxis, even if your symptoms are mild wear medical alert jewellery such as a bracelet with information about your allergy – this tells other people about your allergy in case of an emergency Don’t do not leave your adrenaline auto-injectors anywhere too hot or cold such as in the fridge or outside in the sun

Anaphylaxis happens when your body has a serious reaction to something you're allergic to. Allergies that can sometimes cause anaphylaxis include: foods such as nuts, cows' milk, eggs, fish or sesame seeds medicines such as antibiotics or non-steroidal anti-inflammatory drugs (NSAIDs) insect stings, such as wasp and bee stings anaesthetics latex (a type of rubber found in some rubber gloves and condoms) Sometimes it's not known what caused an anaphylactic reaction.