What is exercise-induced anaphylaxis? Essential Health Essentials taken from Cleveland Clinic

0
307 views

You are always looking forward to closing those rings or achieving the daily goal for steps. Exercise isn’t an obligation. However, one day when you exercise you begin wheezing, scratching and breaking out in itchy hives. It doesn’t happen just once. It’s a constant occurrence. What is the reason you are experiencing this? A rare condition known as anaphylaxis caused by exercise may be to cause the problem.

Advertising Policy

Cleveland Clinic is a non-profit academic medical center. Advertisements on our website help in advancing our mission. Our site does not support any non-Cleveland Clinic services or products. Policy

What exactly is it and how can it be avoided? Immunologist and allergist Roula Altisheh MD assists us to discover the mystery behind this condition.

What is the meaning of anaphylaxis?

“The term “anaphylaxis” refers to an extreme allergy,” says Dr. Altisheh. “It may also be described as a severe reaction to the system.” Dr. Altisheh adds that, while anaphylaxis is an extremely serious condition that everyone can suffer from it at any time however, anaphylaxis caused by exercise isn’t that widespread.

“This problem is not common, however it could be life-threatening. If patients seek my advice about it, they generally will associate their symptoms with physical exercise. It’s not always caused by activities that are low in intensity, like walking around the block. It’s more frequent in moderate-to-high-intensity activities such as tennis or running,” says Dr. Altisheh.

The question is what happens when we have anaphylactic reaction to exercise?

In the event of an allergic reaction, your immune system is activated and releases certain mediators , such as histamine and tryptase. These chemicals originate from the so-called mast cells. They produce reactions that are allergic. The doctor Dr. Altisheh says the exact reason for anaphylaxis caused by exercise isn’t entirely well-defined.

The signs of anaphylactic reaction to exercise

The symptoms of anaphylaxis caused by exercise can begin during any phase of physical exercise. They may also affect your heart, skin and your lungs. The symptoms can include difficult breathing, coughing or wheezing, as well as other signs such as swelling, generalized itchiness, swelling of the face, hives, or feeling as if that your throat may be closing.

“You may also experience gastrointestinal symptoms such as an upset stomach and diarrhea, abdominal cramps and vomiting. Anaphylaxis could even affect your heart, which can cause an increase in blood pressure or feeling dizzy or lightheaded,” Says Dr. Altisheh.

Triggers for anaphylactic reactions triggered by exercise

An allergist can investigate the causes of an allergic reaction to determine what could be triggering anaphylaxis. It could be due to medications (for instance, non-steroidal anti-inflammatory medications or NSAIDs) and alcohol-related. Doctor. Altisheh says some people have anaphylaxis triggered by exercise following eating certain food items.

Advertising Policy

The most common triggers for food-related anaphylactic reaction to exercise are:

  • Alcohol.
  • Apples.
  • Beef.
  • Eggs.
  • Fish.
  • Legumes.
  • Milk.
  • Mushrooms.
  • Nuts.
  • Peaches.
  • Pork.
  • Shellfish.
  • Soy.
  • Tomatoes.
  • Wheat/wheat protein.

“A person could be able to consume these food items and not experience an allergic reaction if they’ve not been exercising. If they’ve been exercising and ate a lot of food, it is possible to suffer anaphylaxis for up to three or four hours after having eaten an item that causes anaphylaxis,” notes Dr. Altisheh. She says that wheat, shellfish and wheat protein are the most frequent food triggers.

How do you recognize anaphylactic reactions triggered by exercise?

The process of diagnosing anaphylaxis in the outpatient setting presents certain difficulties. The doctor. Altisheh says that allergists must not just decide whether the occurrence is in line with anaphylaxis they also have to determine the possible triggers, while excluding other medical conditions.

The testing options for anaphylactic reaction to exercise include blood tests, which will determine if levels of tryptase in your blood increase during the time of anaphylaxis. Tryptase is a chemical released by mast cells in allergic reactions. Therefore, elevated levels can be a sign.

Your physician may perform scratch tests using a fine needle to scratch or prick your skin to determine potential triggers based on your past.

If you’re ready to an exercise Your healthcare professional could suggestan assessment test. A allergist could conduct an exercise in food to make sure that you’re able to tolerate the food in a relaxed state. In one of these, you’ll consume just a little bit of the food item in question while your doctor will observe your. If you develop anaphylaxis they’ll provide you with an injection of epinephrine in order to treat it.

Some health professionals might suggest an exercise routine that involves running on a treadmill or do any other type of physical exercise. The doctor. Altisheh says there’s no standard procedure for this kind of test “If you decide to exercise and being considered, it should be handled by an allergist that is competent in treating anaphylaxis” she states. Dr. Altisheh adds that she does not recommend this test as the risk is greater.

Advertising Policy

If you experience anaphylaxis from exercise, does that cause you to be unable to exercise?

It’s not. It’s possible that you need to find methods to get your body moving.

Dr. Altisheh explains.

“I wouldn’t advise against exercise. There are a myriad of benefits to exercise. Most people know where an anaphylactic reaction occurred. It’s crucial to comprehend how important it is to stop any exercise when you notice symptoms and to never attempt to overcome the symptoms.”

Are there any treatments for anaphylactic reactions triggered by exercise?

There isn’t much information about how this happens. There are some who believe that when exercise raises your heart rate up to the desired amount, the flow of blood increases and you’ll be able to take in more allergens that is released into the bloodstream. However the doctor. Altisheh says that this and other theories aren’t 100% confirmed. Dr. Altisheh also states that there isn’t any specific heart rate threshold at which anaphylaxis begins to occur.

How do you manage allergies triggered by exercise?

If you’re diagnosed with an exercise-induced anaphylaxis Dr. Altisheh advises that you understand the importance of stopping any activity when you first notice symptoms is vital. The treatment for this condition may also require carrying an auto-injector containing epinephrine like the EpiPen(r) to stop an reaction.

“Always be sure to carry your EpiPen on hand and make certain to exercise with someone who can recognize signs of anaphylaxis and administer the EpiPen in the event that you are not able to. Most importantly, be aware of your limitations,” says Dr. Altisheh.

If you must take your EpiPen, make sure you contact 911. This way, you will receive help quickly and then go to the emergency room for further surveillance.