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Emergency Room For Allergic Reaction

Hi everyone! I'm new here. I decided to join after an allergic reaction sent me to the emergency room yesterday. I already have food allergies and it looks like I developed a new one. Thankfully it wasn't a severe reaction. I'm still concerned because I'm not sure which food I reacted to. It was either wheat or avocado. It could even have been the sesame seeds on the bread. Either way I'm avoiding all 3 until I can figure this out. I'm just a little frustrated. 

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  • K8sMom2002

    Oh, hugs! It's so frustrating to deal with mystery reactions!  What food allergies do you already manage? Could you put a call in to your allergist to see if you could do an on wheat, avocado or sesame seeds? Whichever your doc thinks would be safe for you to try?

    Good for you for heading to the ER straight away! How are you doing now?

  • Amma
    K8sMom2002 posted:

    Oh, hugs! It's so frustrating to deal with mystery reactions!  What food allergies do you already manage? Could you put a call in to your allergist to see if you could do an on wheat, avocado or sesame seeds? Whichever your doc thinks would be safe for you to try?

    Good for you for heading to the ER straight away! How are you doing now?

    Nice to meet you! Thank you for responding! I'm ok now. Just tired really. They gave me benadryl pepcid and a shot of prednisone. I'm to stay on benadryl for 24 hours and do 3 days of prednisone.

    I have a little bit of a list when it comes to my allergies. I'm allergic to opiates (which makes dealing with chronic pain hard). Foods I'm allergic to peanuts tree nuts chocolate oranges and raw tomatoes. And then of course dust mold grass birds and feathers. I think there's more but I can't even remember right now.

    Yesterday when I started reacting it was so odd. I noticed a welt and then one more. And then I felt woozy like I might faint and then I could feel my chest get itchy and kind of tight like when my asthma is acting up. Initially I thought ok maybe it's going to stop there. But my heart started racing and I was trembling all over. I put a call in to my primary care doctor she told me to go to the emergency room. I'm glad it wasn't a severe reaction but now I'm actually hesitant and concerned about what to eat and what to avoid so I'm skipping on wheat avocado and sesame until I can see my primary care doctor for a referral to an allergist.

  • Brenda Silvia-Torma

    Hi Amma, Since you were in the hospital yesterday for a food allergy, can you get a referral from them to see an allergist? The fact that you were at the ER so recently may reduce the amount of time you have to wait trying to get an appointment…and it may allow you to get an appointment without having to see your PCP first. Not sure if insurance will allow that, but it might be worth asking.

    You were smart to go the emergency room and get assessed. When you left the ER, did they give you a prescription for an epinephrine auto-injector?

    Sending good thoughts to you and hoping you and your docs figure out why you had a reaction!

    Brenda

  • K8sMom2002

    Amma, that's a great catch on spotting possible ! I agree with Brenda … some allergists don't require a referral. Could you call your insurance company and see if they do? 

  • Amma
    Brenda Silvia-Torma posted:

    Hi Amma, Since you were in the hospital yesterday for a food allergy, can you get a referral from them to see an allergist? The fact that you were at the ER so recently may reduce the amount of time you have to wait trying to get an appointment…and it may allow you to get an appointment without having to see your PCP first. Not sure if insurance will allow that, but it might be worth asking.

    You were smart to go the emergency room and get assessed. When you left the ER, did they give you a prescription for an epinephrine auto-injector?

    Sending good thoughts to you and hoping you and your docs figure out why you had a reaction!

    Brenda

    The doctor there said it was important that I follow up with a pulmonologist since I've been having more symptoms with my asthma. I did make an appointment to see my primary care next week. The emergency room doctor didn't give me a script for an epi pen but I'm going to ask my primary about that and about an allergist. 

    My dilemma now is I'm actually nervous to eat. I'm already allergic to peanuts tree nuts chocolate oranges and raw tomatoes so I avoid a great deal of food as it is. Now I'm avoiding avocados wheat and sesame. And with wheat being in everything I feel stuck. And hungry lol. I keep walking into the kitchen looking at everything and walking out again.

  • Shea

    Hi! I have food allergies too. To all nuts (my son to soy and nuts), and to a bunch of fruits  and foods high in sulfites (like dried fruits and some seafoods lime shrimp). And then we are both highly allergic to cat and dog dander. Also Dusts, molds, pollens. 

    I am sorry you had a reaction– reactions are scary I hope you find out what caused it. And– I recommend getting an epipen prescribed to carry with you because you never know when a reaction is going to be severe (mine has saved my life). 

     

  • Amma
    K8sMom2002 posted:

    Amma, that's a great catch on spotting possible ! I agree with Brenda … some allergists don't require a referral. Could you call your insurance company and see if they do? 

    Thank you! Yes I have a history of anaphylactic shock and a bunch of food environmental allergies and an allergy to a medication. So when I saw the hives felt my chest itchy and a little tight like it gets with my asthma I was concerned. I also (and I don't know if this is typical or not) but I also noticed my heart was racing I felt woozy shaky and like I might faint. At first I thought "ok don't get yourself all worked up try to relax" but it wasn't improving and 2 more hives popped up. So I called my primary care who said I should go to the emergency room. 

  • Amma
    Shea posted:

    Hi! I have food allergies too. To all nuts (my son to soy and nuts), and to a bunch of fruits  and foods high in sulfites (like dried fruits and some seafoods lime shrimp). And then we are both highly allergic to cat and dog dander. Also Dusts, molds, pollens. 

    I am sorry you had a reaction– reactions are scary I hope you find out what caused it. And– I recommend getting an epipen prescribed to carry with you because you never know when a reaction is going to be severe (mine has saved my life). 

     

    Hi! Ya I used to have an EpiPen years ago. When it expired I never ended up getting another one. I'm going to talk to my doctor about it when I go in next week for a follow up. I think it's a good idea for me to have one. Especially if I end up having now developed a wheat or sesame allergy along with my other food allergies. 

  • Amma

    I'm totally and completely confused. I went to the allergist today. He did the skin test on my back checking for pretty much all foods. It was 61 needles. And here's where I start to feel crazy. I didn't react to anything. Not even my known food allergies. The foods that I have allergic reactions to when I eat them or come in contact with them.

    This is the third skin test I've had but the only time I've had the big test. The first test I had was on my arms and I had it 17 years ago. I tested positive for peanuts and tree nuts among other things. The second time I got tested at a different allergist's office. I had it on my arms. I didn't react to peanuts or tree nuts then either. 

    Now 10 days ago I went to the emergency room to be told I was having an allergic reaction. Today I get checked for pretty much every food and I don't react to anything. 

    My allergist was confused and said it's very rare to have a reaction to a food and not react to the skin test. I was confused and frustrated. I'm still frustrated. If I come into contact with nuts I have an allergic reaction. If I eat nuts (which I haven't done in 17 years) I have an allergic reaction. I'm talking hives all over. My eyes swelling for a day to 2 at a time. And it's happened repeatedly. When I got hives from chocolate my primary care doctor at the time saw the hives and told me to avoid chocolate. I'm still not going to eat nuts or chocolate. Period. Skin test or not I've reacted way too many times. 

    My allergist said I should carry benadryl and an EpiPen at all times. And get this. My lung function test was normal. Which didn't entirely surprise me since I wasn't feeling symptoms. It's always like that. I go to the doctor and almost always my lungs sound good. Until they don't. 

    I'm so confused and frustrated. I don't understand this at all. It makes me feel crazy. I know I've had reactions. Today my mom who had been with me when I had the allergic reaction 10 days ago told me the part that was really scaring her was my breathing. She said I wasn't wheezing but she said my breathing was labored. I wish she had been there to tell my allergist that. 

    My allergist prescribed an EpiPen and singulair. He ordered blood tests too. He said he's going to check for peanuts and tree nuts and he's going to check for some kind of hypersensitivity? Now I'm thinking the blood test will come back normal too. I'm still not eating nuts and chocolate. But really how does this happen? I'm so frustrated.

  • Breatheeasy

    This is exactly what happened to me 3 times in the last month. I went to my pulmonologist direct without an appointment one time and he said it’s mild asthma. But am pretty sure it’s allergies. I know I’m allergic although never had anaphylactic reactions in the past but I seem to be having them now. I have been reacting to almost everything I eat except for a few items. 

    I don’t react to skin tests either. I only tested positive to soy and oats. But I know I can’t eat fruits without getting a rhinitis attack or  eat all kinds of squash, banana and avacado and then have hives and rhinitis. These allergies seem to have gotten worse for me now they cause laboured breathing and also a feeling of being suffocated. I cannot differentiate between asthma and an allergic reaction when my throat starts getting tight. But I shiver and heart starts racing.  Singulair’s been helping a lil bit. I am meeting with my allergist to see why this is happening. In the mean time I am just eating what I know I don’t react to. Fingers crossed I don’t react to them. 

    I was also prescribed pred when I had the attack but my pulmonologist gave me an inhaler instead. Which obviously doesn’t help with my labored breathing until it eases on its own.

    The thing with my attacks is they don’t happen immediately after I eat the food. They take atleast 2-8 hours before I start reacting to them.  Sometimes antihistamines help sometimes they dont. 

     

    Oh and I figured out I have latex allergy which I thought I could not be allergic to. I wore these gloves at work all the time with some rhinitis issues but had no idea at that time. I have a phone with a cover that I think has latex in it and so am thinking that could be causing some issues for me. And I have been using it a lot. I just changed the cover to see if it helps.

  • Breatheeasy

    I have been told the blood tests are very effective in determining food allergies on the forums here.

  • Amma
    Breatheeasy posted:

    This is exactly what happened to me 3 times in the last month. I went to my pulmonologist direct without an appointment one time and he said it’s mild asthma. But am pretty sure it’s allergies. I know I’m allergic although never had anaphylactic reactions in the past but I seem to be having them now. I have been reacting to almost everything I eat except for a few items. 

    I don’t react to skin tests either. I only tested positive to soy and oats. But I know I can’t eat fruits without getting a rhinitis attack or  eat all kinds of squash, banana and avacado and then have hives and rhinitis. These allergies seem to have gotten worse for me now they cause laboured breathing and also a feeling of being suffocated. I cannot differentiate between asthma and an allergic reaction when my throat starts getting tight. But I shiver and heart starts racing.  Singulair’s been helping a lil bit. I am meeting with my allergist to see why this is happening. In the mean time I am just eating what I know I don’t react to. Fingers crossed I don’t react to them. 

    I was also prescribed pred when I had the attack but my pulmonologist gave me an inhaler instead. Which obviously doesn’t help with my labored breathing until it eases on its own.

    The thing with my attacks is they don’t happen immediately after I eat the food. They take atleast 2-8 hours before I start reacting to them.  Sometimes antihistamines help sometimes they dont. 

     

    Oh and I figured out I have latex allergy which I thought I could not be allergic to. I wore these gloves at work all the time with some rhinitis issues but had no idea at that time. I have a phone with a cover that I think has latex in it and so am thinking that could be causing some issues for me. And I have been using it a lot. I just changed the cover to see if it helps.

    I'm sorry to see this happening to you too and at the same time it's encouraging to see I'm not the only person (and I couldn't possibly be the only one) going through this. What you described is almost exactly the same for me. I reacted within 10 to 15 minutes though. First I had hives. Then I became aware that I didn't feel right. I knew something was wrong. I felt lightheaded and everything was going white. I felt like I was going to faint. My heart was racing and my hands were shaking. Then I felt the itchy tightness in my chest like when my asthma starts bothering me. I felt like I needed to cough and I did repeatedly. Then I had what my mom described as labored breathing so I used two puffs of my proair which helped a little.

    I called my primary care doctor's office and the doctor told me to go to the emergency room where I was told I was having an allergic reaction. It felt so bad that now I'm very literally scared to eat wheat avocado or sesame. That's what I'd eaten when I had the allergic reaction. 

    I found two articles last night online that say that it's absolutely possible to have an allergy and still test negative on a skin and/or blood test. Apparently it has something to do with how many proteins are in an allergen and whether or not the test checks the specific protien you react to. I'm not sure what the rules here are about posting external links are but I can send you the link to the article if you'd like. It's from 2017. I'm ready to print it up and drive it to my allergist. 

  • K8sMom2002

    Amma, hugs on the confusion on the scratch tests. Do you know if you reacted to the histamine control? 

    Had you been taking an antihistamine or other medication before your test? The American College of Allergy, Asthma & Immunology has this answer to .

    You don't have to stop antihistamines before blood tests, but they have about the same accuracy as skin prick tests, IIRC.

    And yes, it is possible to have an allergy and still test negative to the skin prick test … About one person out of every ten who tests "negative" to an allergen is actually positive to it. The false negatives aren't as common as a false positive (that's about half the time, unless there's been a history of an anaphylactic reaction.)

    Here's more a great resource from Kids With Food Allergy (the food allergy division of AAFA) that will explain 

    People can outgrow allergens … our allergist actually prefers us to have our DD tested once a year so we can get an idea of trends. Once the numbers go down to a certain level, or if component testing shows that the particular protein she's sensitive to doesn't frequently lead to a severe reaction, then our allergist arranges an to test the actual ingredient. 

    I'm super glad that despite your test results, your allergist prescribed an epinephrine auto-injector! That's great! Did he work with you to come up with an ?

  • Amma
    K8sMom2002 posted:

    Amma, hugs on the confusion on the scratch tests. Do you know if you reacted to the histamine control? 

    Had you been taking an antihistamine or other medication before your test? The American College of Allergy, Asthma & Immunology has this answer to .

    You don't have to stop antihistamines before blood tests, but they have about the same accuracy as skin prick tests, IIRC.

    And yes, it is possible to have an allergy and still test negative to the skin prick test … About one person out of every ten who tests "negative" to an allergen is actually positive to it. The false negatives aren't as common as a false positive (that's about half the time, unless there's been a history of an anaphylactic reaction.)

    Here's more a great resource from Kids With Food Allergy (the food allergy division of AAFA) that will explain 

    People can outgrow allergens … our allergist actually prefers us to have our DD tested once a year so we can get an idea of trends. Once the numbers go down to a certain level, or if component testing shows that the particular protein she's sensitive to doesn't frequently lead to a severe reaction, then our allergist arranges an to test the actual ingredient. 

    I'm super glad that despite your test results, your allergist prescribed an epinephrine auto-injector! That's great! Did he work with you to come up with an ?

    Thank you for all of the support and information. I'm not sure if I reacted to the histamine control. I had stopped all antihistamines for about 10 days before the visit to my allergist. 

    I do have a history of anaphylaxis but it was to an opiate that was administered for surgery when I was younger. I'm not sure my most recent reaction was anaphylactic. They just called it an allergic reaction in the emergency room. My allergist was surprised to hear they didn't give me epinephrine in the emergency room. They gave me benadryl pepcid and a shot of prednisone. Incidentally (and maybe I should have mentioned it to the doctor yesterday) but I have a knot and a bruise that itch at the injection site. 

    I've heard you can outgrow allergies. I grew into mine 17 years ago and I continue to be reactive through contact if it's made. My doctor seemed shocked when he asked me if there could have been a cross contamination of the bread I ate when I said yes because my brother makes peanut butter and jelly sandwiches.

    He was also shocked to hear that we have nuts of every kind in the house. It's not my preference and has caused me get to hives. But I rent a room from my parents and can't exactly tell them what they can and can't eat or keep in the house.

    I'm pretty much convinced my blood test will come out normal too. I guess I'm just bracing myself for more frustration. We didn't yet work on an anaphylaxis action plan.

    I'm actually scared to but today I'm going to eat bread for the first time since the reaction. The reason is I'm going to be away soon and I'd rather have a reaction at home where I can get to the emergency room if I have another allergic reaction. I can't believe that the idea of eating wheat actually scares me now. But then again after my reaction to (who knows to what for sure) it makes sense.

  • Breatheeasy

    Yeah I was surprised when I was told I would be given a shot of prednisone too and not epi. And this is what confuses me. The doctor at the ER said that it’s allergy but it must be causing an asthma flare up. 

    Just eat a little bit of the bread and be sure to take the sesame seeds out. But even then the sesame protein could be in the bread. I was told to do a trial and error method of testing foods that I can eat so I know what foods I am not reacting too. But yeah this is scary esp when you don’t know what it is. 

    How long is the breathing tight for after you consume the food? 

    Did they take your spo2 reading while you were there? I’m guessing they did. Was it okay? 

  • Breatheeasy
    Amma posted:
    Breatheeasy posted:

    This is exactly what happened to me 3 times in the last month. I went to my pulmonologist direct without an appointment one time and he said it’s mild asthma. But am pretty sure it’s allergies. I know I’m allergic although never had anaphylactic reactions in the past but I seem to be having them now. I have been reacting to almost everything I eat except for a few items. 

    I don’t react to skin tests either. I only tested positive to soy and oats. But I know I can’t eat fruits without getting a rhinitis attack or  eat all kinds of squash, banana and avacado and then have hives and rhinitis. These allergies seem to have gotten worse for me now they cause laboured breathing and also a feeling of being suffocated. I cannot differentiate between asthma and an allergic reaction when my throat starts getting tight. But I shiver and heart starts racing.  Singulair’s been helping a lil bit. I am meeting with my allergist to see why this is happening. In the mean time I am just eating what I know I don’t react to. Fingers crossed I don’t react to them. 

    I was also prescribed pred when I had the attack but my pulmonologist gave me an inhaler instead. Which obviously doesn’t help with my labored breathing until it eases on its own.

    The thing with my attacks is they don’t happen immediately after I eat the food. They take atleast 2-8 hours before I start reacting to them.  Sometimes antihistamines help sometimes they dont. 

     

    Oh and I figured out I have latex allergy which I thought I could not be allergic to. I wore these gloves at work all the time with some rhinitis issues but had no idea at that time. I have a phone with a cover that I think has latex in it and so am thinking that could be causing some issues for me. And I have been using it a lot. I just changed the cover to see if it helps.

    I'm sorry to see this happening to you too and at the same time it's encouraging to see I'm not the only person (and I couldn't possibly be the only one) going through this. What you described is almost exactly the same for me. I reacted within 10 to 15 minutes though. First I had hives. Then I became aware that I didn't feel right. I knew something was wrong. I felt lightheaded and everything was going white. I felt like I was going to faint. My heart was racing and my hands were shaking. Then I felt the itchy tightness in my chest like when my asthma starts bothering me. I felt like I needed to cough and I did repeatedly. Then I had what my mom described as labored breathing so I used two puffs of my proair which helped a little.

    I called my primary care doctor's office and the doctor told me to go to the emergency room where I was told I was having an allergic reaction. It felt so bad that now I'm very literally scared to eat wheat avocado or sesame. That's what I'd eaten when I had the allergic reaction. 

    I found two articles last night online that say that it's absolutely possible to have an allergy and still test negative on a skin and/or blood test. Apparently it has something to do with how many proteins are in an allergen and whether or not the test checks the specific protien you react to. I'm not sure what the rules here are about posting external links are but I can send you the link to the article if you'd like. It's from 2017. I'm ready to print it up and drive it to my allergist. 

    Oh good idea about taking it to the allergist. Yeah I understand about the protein profiles being different. I’m guessing they isolate the protein that is a common allergen from the food but you could be reacting to some other protein. 

    I don’t know it could be cross contamination too and that is why I am scared of eating out or eating anything others cook even though they say they didn’t add anything I am allergic too.

    my allergist is out of town atm. I will be making an appointment when he gets back. Atleast you’ll be ruling somethings out when you work with an allergist.