Alcohol allergy causes

Written by Wang Xiang Li
Emergency Medicine
Updated on September 02, 2024
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Alcohol allergy, also known as ethanol allergy, occurs because normally, ethanol in the body is converted into acetaldehyde. People with alcohol allergies lack the enzyme needed to convert acetaldehyde, therefore cannot expel acetic acid from the body, resulting in acetaldehyde poisoning and various allergic symptoms. People who can consume large amounts of alcohol usually have a higher amount of this acetaldehyde converting enzyme, allowing them to quickly convert it without experiencing poisoning or allergic symptoms. Alcohol allergies are mostly linked to an allergic constitution; thus, individuals with this constitution will display various allergic symptoms upon exposure to alcohol, the allergen.

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Written by Wang Xiang Li
Emergency Medicine
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Symptoms of alcohol allergy shock

Patients with an allergy to alcohol can experience allergic shock, exhibiting symptoms like chest tightness, palpitations, a sensation of throat blockage, breathing difficulties, and a flushed face. Additional symptoms include dry mouth, dizziness, blurred vision, numbness in the face and limbs, and circulatory system failure, indicated by chills, cold sweats, cyanosis, restlessness, a weak pulse, and even a drop in blood pressure. Some patients may also experience loss of consciousness, coma, convulsions, and incontinence. Due to the alcohol allergy, patients may show allergic reactions like skin itching, hives, or other rashes. A minority of patients may also have abdominal pain, diarrhea, nausea, vomiting, sneezing, and fever.

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Written by Deng Bang Yu
Otolaryngology
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Do you need to check for allergens for allergic rhinitis?

Allergic rhinitis is a type of hypersensitivity disease. The first thing we need to know about allergic rhinitis is that it requires allergen testing. Traditionally, the diagnosis of allergic rhinitis is based on clinical symptoms, without involving etiological diagnosis. Testing for allergens is aimed at diagnosing based on its etiology. Secondly, we need to be aware of the allergens responsible for allergic rhinitis, which include food allergies and asthma-related allergies. By identifying food allergens, we can avoid consuming these substances in daily life. For instance, if one is allergic to fish and seafood, they should avoid eating these foods. Similarly, if allergic to mangoes, one should also avoid mangoes. Thus, overall, it is necessary to identify the sources of allergens in allergic rhinitis.

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Written by Wu Yong Feng
Internal Medicine
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How to treat allergies?

Allergies are of various types, and it is essential first to identify and eliminate the allergen. Allergy immunotherapy can be given, or symptoms can be alleviated through allergy medications. It's crucial to target the treatment specifically, avoid re-exposure to allergens during treatment to prevent worsening of the condition. If there is an allergic reaction on the face, try to avoid using topical medications containing corticosteroid hormones. If the allergy is severe, it is recommended to seek investigation and management at a formal medical institution. In daily life, pay attention to diet and lifestyle, and avoid contact with allergenic foods.

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Written by Wang Xiang Li
Emergency Medicine
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Drug allergy symptoms

Drug allergies mainly manifest as skin itching, red rash, and papules; severe cases may experience ulceration, exfoliative dermatitis, in the respiratory system it may present as nasal congestion, breathing difficulties, and laryngeal edema; in the digestive system, patients may experience abdominal pain and diarrhea, sometimes accompanied by joint pain and swelling, immune dysfunction, and the occurrence of allergic purpura. Some drug allergies can cause neurological reactions, such as dizziness and headaches. When a drug allergy occurs, immediately stop using the suspected medication, and simultaneously take anti-allergy medications such as loratadine, cetirizine, or administer diphenhydramine via muscular injection. Oral intake of compound glycyrrhizin capsules may be considered. If there is laryngeal edema, it is crucial to seek prompt medical attention at a hospital, actively manage the allergy, and severe cases may require a tracheotomy for rescue. (Specific medication usage should be conducted under the guidance of a doctor, and medications should not be used without authorization.)

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Written by Deng Bang Yu
Otolaryngology
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Have you checked for allergens for allergic rhinitis?

Allergic rhinitis is a disease characterized by an allergic reaction to external substances. Since it involves allergies to external substances, it is necessary to identify what triggers the allergy, generally requiring an allergen test. Without testing the causes of allergies, the treatment is merely based on experience or a clinical diagnosis lacking in etiological understanding, which is insufficient from a pathological perspective. Moreover, after identifying the allergens, medication can be tailored according to the allergens, or general advice can be given to the patients, such as avoiding certain allergy-inducing substances. For instance, mangoes are commonly known to trigger allergies, and so are fish and seafood, thus specific guidance can be provided to avoid consuming certain foods.