Anaphylactic shock is a rare but severe 

allergic reaction that can be

deadly if you don't treat it right away. It's most often caused by an
allergy to food, insect bites, or certain medications.

A shot of a drug called epinephrine is needed immediately, and you

should call 911 for emergency medical help.

The terms "anaphylaxis" and "anaphylactic shock" are often used to

mean the same thing. They both refer to a severe allergic reaction.
Shock is when your blood pressure drops so low that your cells (and
organs) don't get enough oxygen. Anaphylactic shock is shock that's
caused by anaphylaxis.

Symptoms
You typically notice the first symptoms within 15 minutes of coming into
contact with the thing you're allergic to. They may start out mild, like
a runny nose or an uneasy feeling. But they can get much worse very
fast. Some typical symptoms include:

 Swelling of your mouth
 Tight feeling in your throat and difficulty breathing
 Hives
 Vomiting
 Dizziness
 Fainting
 Rapid heartbeat

In severe cases, people collapse, stop breathing, and lose consciousness

in just a couple of minutes.

Life-Saving Treatment
A shot of epinephrine in your thigh is needed right away, and you should
call 911 because you're at risk for a second reaction (called a biphasic
reaction) within 12 hours. At the emergency room, doctors can keep an
eye on your symptoms and treat you in case of a second reaction.

If you don't have epinephrine, emergency room doctors can save your
life. They'll put a shot of epinephrine under your skin or in a muscle or
vein. Usually this gets your blood pressure, which drops during
anaphylactic shock, back to normal. You'll also get fluids, steroids,
and antihistamines (drugs used to treat allergic reactions) through a
tube connected to one of your veins until your symptoms are gone.

Other possible treatments include a breathing tube and medications to

help you breathe better, and a corticosteroid (a powerful anti-
inflammatory drug) to keep symptoms from coming back hours later.

Typical Triggers
The most common causes of an anaphylactic reaction include:

 Foods, especially nuts and shellfish

 Latex, found in many disposable gloves, syringes, and adhesive
tapes
 Medications, including penicillin and aspirin
 Insect stings

Usually, you have to come into contact with a trigger more than once
before you have a severe allergy to it. So tell your doctor if you were
stung by a bee and that spot swelled up or if your throat felt scratchy
the one time you ate shrimp. They may want you to keep medicine on
hand in case a severe reaction happens next time.

Even a mild allergic reaction can lead to more serious ones in the future.
Talk to your allergist or primary care doctor about whether you should
keep a shot of epinephrine handy at all times.

Ways to Prevent Anaphylactic Shock

The best prevention is to avoid your triggers. Since you may not be able
to do that all the time, make sure you have a plan to spot and treat
symptoms of anaphylaxis right away. Your primary care doctor or
allergist can help you with this.

It's a good idea to wear a medical alert bracelet to let people know
about your allergy in case you're not able to talk. You also should tell
your friends and family so they can help you in an emergency. Be sure
they know:

 Your allergy trigger(s)

 Signs of an anaphylactic reaction
 Where you keep epinephrine and how to give you a shot
 When to call 911