Stinging Insect Allergies

This question from the Seattle Times is very relevant to the time of year and for those that experience symptoms other than pain and itching at the site of the sting.

Q: Last summer, I walked on the deck where a yellow jacket was lying upside down. I stepped on it and immediately went down. My foot and calf swelled up within seconds, and I found it hard to breathe.Should I ask my doctor for an EpiPen? I'm afraid this will happen again this spring or summer.A: Tell your doctor about your reaction. We believe this could be a strong indication of a serious allergic reaction, and next time might be worse. Your doctor can prescribe an EpiPen and explain how and when to use it to avoid anaphylactic shock, which can be life-threatening. Even with a shot of epinephrine, you would need to go immediately to an emergency department.

The normal reaction to the “sting” of an insect such as a bee, wasp, hornet, yellow jacket or fire ants may result in pain at the sting site, reddening, swelling and itching that may last just a few hours. Enlarged local reactions may have painful swelling several inches around the area of the sting lasting for days.If you have a history of reaction other than that spelled out above - you may be allergic to the insects' venom.The symptoms of severe allergic reaction include;

• Dizziness
• Nausea
• Weakness
• Stomach cramps
• Diarrhea
• Hives and itching
• Wheezing and difficulty breathing
• Anaphylactic reaction (shock)
• sudden drop in blood pressure
• loss of consciousness

Anaphylactic reaction may lead to death and can occur if no immediate medical care is provided.In a majority of patients, venom immunotherapy will protect against any future life-threatening reactions. In the case of severe or generalized reactions, patients with known allergic sensitivities to insect venom should be evaluated by an allergist and placed on protective desensitization therapy.If you experience abnormal reactions to the "sting" of an insect. Consult your allergist.  Live in the NYC area, I welcome you to call my office at 866-632-5537.  Together we can manage your allergies.Learn more about Common NYC Allergies here