[21F] Experiencing acute allergic symptoms
Patient Description
A 21-year-old female is experiencing acute onset of hives, runny nose, and swollen eyes. The runny nose is accompanied by sneezing and clear, runny discharge. These symptoms have been present for about 20-30 minutes. The patient describes the hives as itchy and located all over her face. The eye swelling is moderate, particularly under the eyes, and is painful but not obstructing vision. The patient has taken Benadryl, which sometimes provides relief. There is no known exposure to new allergens, no difficulty breathing, throat tightness, wheezing, or voice changes. The patient does not have any known allergies to medications and is not on any other medications. There is no past medical history of chronic illnesses or pre-existing conditions.
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Arora's Assessment
What might be happening
Based on your symptoms of hives, a runny nose, and swollen eyes, you may be experiencing an allergic reaction. Allergic reactions can occur in response to various triggers, including certain foods, medications, or environmental factors like dust or pollen.
- Allergic Reaction: Allergic reactions occur when your immune system overreacts to a substance that is usually harmless. Symptoms can include hives, a runny nose, and swollen eyes, all of which you are experiencing.
- Treatment typically involves avoiding the allergen and taking antihistamines, like Benadryl, which you are already doing. In severe cases, an epinephrine injection may be necessary.
What you can do
- Continue taking your allergy medication as directed by your healthcare provider.
- Try to identify any potential triggers for your allergic reaction. This could include new foods, medications, or changes in your environment.
- Avoid scratching your hives, as this can make them worse. Applying a cool, damp cloth to your skin may help relieve itching.
- Use a cold compress to help reduce swelling around your eyes.
What you should look out for
Seek immediate medical attention if:
- Your symptoms worsen or do not improve with medication.
- You experience difficulty breathing or swallowing.
- You develop a rash or hives all over your body.
- You feel faint or dizzy.
Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare provider for a formal diagnosis and treatment.
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1 yr ago
