Should I Go to Urgent Care for Anaphylaxis?

Anaphylaxis is a severe, potentially life-threatening allergic reaction that can occur within minutes of exposure to an allergen. It requires immediate medical attention, often in the form of emergency services. But what if you’re unsure whether your symptoms are severe enough for the ER? Knowing when to go to urgent care –and when to call 911—can make a critical difference.

What Is Anaphylaxis?

Anaphylaxis is an extreme allergic reaction that triggers the immune system to release chemicals, leading to a rapid onset of symptoms that can affect multiple systems in the body. Without prompt treatment, anaphylaxis can lead to serious complications, including difficulty breathing, shock, or even death.

Common triggers of anaphylaxis include:

• Foods: Peanuts, tree nuts, shellfish, dairy, eggs, soy, and wheat are common food allergens.
• Insect Stings: Bee, wasp, hornet, or fire ant stings can cause severe allergic reactions.
• Medications: Antibiotics, aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), and certain vaccines can provoke anaphylaxis.
• Latex: Exposure to latex gloves or medical equipment can trigger severe reactions in sensitive individuals.
• Food-Dependent Exercise-Induced Anaphylaxis (FDEIA): In rare cases, vigorous exercise after eating certain foods can trigger anaphylaxis.

What are the Symptoms of Anaphylaxis?

Anaphylaxis symptoms often develop within minutes of exposure to the allergen. Signs include:

• Difficulty Breathing: Swelling of the throat or tongue can obstruct airways, leading to wheezing or shortness of breath.
• Rapid Heartbeat: A fast or irregular heartbeat is a common symptom.
• Swelling: Especially in the face, lips, eyes, or throat.
• Hives or Rash: Itchy, red welts may appear across the body.
• Nausea or Vomiting: Stomach cramps, diarrhea, or vomiting may accompany anaphylaxis.
• Dizziness or Fainting: A rapid drop in blood pressure can cause lightheadedness, confusion, or loss of consciousness.

How Is Anaphylaxis Treated?

Immediate treatment is paramount for managing anaphylaxis. The first line of defense is epinephrine, which can stop the reaction and stabilize the patient until further medical care is available.

Epinephrine (EpiPen): An epinephrine auto-injector (like an EpiPen) delivers a life-saving dose of medication that helps reverse the symptoms of anaphylaxis. It works by relaxing the airway muscles, tightening blood vessels to improve blood pressure, and reducing swelling.

 

Important reminders about EpiPens:

• Always carry one: If you have known severe allergies, carrying an EpiPen can save your life.
• Use at the first sign of symptoms: Don’t wait for symptoms to worsen. Administer epinephrine immediately if you suspect anaphylaxis.
• Call 911 after using an EpiPen: Even if symptoms improve after using epinephrine, you should still seek emergency medical attention. Reactions can recur after the medication wears off.

In medical settings, after epinephrine is administered, additional treatments may include:

• Antihistamines to help relieve hives and itching.
• Corticosteroids to reduce inflammation and prevent recurring symptoms.
• If breathing remains difficult, oxygen or airway support may be necessary.
• IV Fluids to help maintain blood pressure if the patient is in shock.

When to Call 911

Call 911 immediately if:

• Symptoms develop suddenly and include difficulty breathing, swelling of the throat, or rapid heartbeat.
• The affected person loses consciousness or shows signs of shock (e.g., pale skin, confusion, rapid breathing).
• You do not have access to an epinephrine auto-injector (like an EpiPen).

Should I Go to Urgent Care for Anaphylaxis?

Anaphylaxis is an emergency. Even if you’ve used an EpiPen, follow-up treatment should be sought at the ER.

Other Ways Urgent Care Can Help

Urgent care centers like FirstCall Medical Center, however, can assist with mild allergic reactions and post-incident care. Here’s how our team can help:

• Allergy Assessment: Providers can evaluate your symptoms, determine the severity, and offer treatment if needed.
• Medications: Antihistamines, corticosteroids, or epinephrine may be administered to manage symptoms.
• Monitoring and Follow-Up: The team at FirstCall Medical Center can monitor your post-ER recovery and assist with next steps, including prescriptions for epinephrine auto-injectors.
• Education on Allergy Management: Providers can offer advice on how to avoid triggers and prepare for future allergic reactions.

Preventing Anaphylaxis

If you know you have severe allergies, proactive steps can help prevent anaphylaxis:

• Avoid Known Triggers: Carefully read food labels and inform restaurants of your allergies.
• Carry an Epinephrine Auto-Injector: Always have an EpiPen or similar device on hand and ensure those around you know how to use it.
• Wear Medical Identification: A medical bracelet or necklace can alert others to your allergies in an emergency.
• Develop an Action Plan: Work with your doctor to create a clear plan on how to handle potential allergic reactions.

For severe anaphylaxis, always call 911 immediately. If you’re experiencing mild allergic symptoms or need follow-up care after an anaphylactic episode, urgent care can help. At FirstCall Medical Center, our team provides timely care and expert guidance to help manage your allergies safely.