Suggest treatment for allergic reaction to pine nuts
Patient: Yesterday I had an anaphylactic reaction to pine nuts. I realized as a young adult that I was allergic to them. Yesterday was by far, the worse reaction ever. Swollen face, tongue, and a restricted airway, as well as severe itching all over. It was also the first time I had to have a shot of epinephrine. I also had 2 steroid shots, as well as dyphenhydramine. I was told to continue Benadryl for 3 days. My question...what should I expect over the next few days? Of course, I m tired, but have a terrible headache today. My face is also flushed and hot. Thanks so my much! Doctor: Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. The best management of known allergies causing anaphylactic reactions is avoidance of the food you are allergic to. Unfortunately there is no 100% "curative" treatment for such food allergies.Hence my humble suggestion to you would be avoidance of pine nuts in all forms. Please also avoid those food items which contain pine nuts as ingredients.2. As you have a serious anaphylactic reaction requiring epinephrine, future management plan would be to keep a epinephrine pen along with you for unanticipated anaphylactic reactions. It can be life saving in such accidental unanticipated reaction. Please consult an Allergist who will prescribe you such a pen for self-use and also teach you how to use it and when to use it.Hope above suggestions and information will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards.