Anaphylaxis

Also called Anaphylactic shock or Severe allergic reaction

Anaphylaxis is a severe allergic reaction that affects breathing, circulation or both, and can come on within minutes. Common triggers are foods such as nuts, insect stings and some medicines. It is a medical emergency, treated with an adrenaline injection and a call to 112.

Last updated Nov 9, 2026

What it is

People who have had anaphylaxis, or are at high risk, are usually prescribed two adrenaline auto-injectors to carry at all times and referred to an allergy clinic to identify the trigger.

After a reaction, people are usually observed in hospital for some hours, because symptoms can return.

Common signs

  • Swelling of the throat or tongue, a hoarse voice
  • Difficulty breathing, wheezing, fast breathing
  • Feeling faint, dizzy, confused, or collapsing
  • Often, but not always, a rash or hives

How it is usually diagnosed

  • Recognised from the symptoms at the time and treated immediately
  • Afterwards, a blood test for mast cell tryptase taken soon after the reaction
  • Allergy testing at a specialist clinic to find the trigger

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • The emergency department or discharge letter describing the reaction
  • Tryptase and allergy test results
  • Your written anaphylaxis action plan
  • Adrenaline auto-injector prescriptions and their expiry dates

Questions to ask your doctor

  • What triggered the reaction, and how can I avoid it?
  • How and when should I use my auto-injector?
  • Should I wear a medical alert bracelet?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Any sign of a severe reaction: use adrenaline straight away, call 112 and say "anaphylaxis"
  • Lie down with legs raised if you feel faint; sit up if it is hard to breathe
  • Use a second auto-injector after 5 minutes if there is no improvement

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources