Hello, I'm Dr. Alex, a board-certified allergist with over 15 years of experience in managing allergic reactions, including anaphylaxis. A closing throat is a frightening experience and can be a life-threatening emergency. It's crucial to act swiftly and decisively.

Let's talk about what to do if you feel your throat closing up:

1. Recognize the Urgency:

A closing throat is often a sign of anaphylaxis, a severe allergic reaction that can be fatal. It usually occurs within seconds or minutes of exposure to an allergen, but in some cases, symptoms can be delayed. Along with a tightening throat, you might experience:

* **Difficulty breathing or shortness of breath**
* Wheezing or noisy breathing
* Hoarseness or voice changes
* Coughing
* **Swelling of the face, lips, tongue, or throat**
* Hives or itchy skin
* Nausea, vomiting, or diarrhea
* Dizziness, lightheadedness, or fainting

2. Immediate Actions:

* **Call 911 (or your local emergency number) immediately.** Even if your symptoms seem mild, anaphylaxis can progress rapidly. Do not attempt to drive yourself to the hospital.
* Administer Epinephrine (if available): If you have a history of severe allergies and have been prescribed an epinephrine auto-injector (like an EpiPen or Auvi-Q), use it immediately. Don't hesitate, even if you're unsure if you're having a severe reaction.
* Follow the instructions on your device carefully.
* Inject into the outer thigh, through clothing if necessary.
* Hold the injector in place for the recommended time.
* Note the time of injection.
* Take an antihistamine: While antihistamines are not a substitute for epinephrine, taking a non-drowsy antihistamine like cetirizine (Zyrtec) or loratadine (Claritin) might provide some relief from milder allergic symptoms like itching and hives.
* Stay calm and upright: If possible, sit down and lean forward slightly to help open your airway. Avoid lying down.
* Monitor your symptoms closely: Be prepared to give first responders a detailed description of your symptoms, the time of onset, and any medications you've taken.

3. At the Hospital:

After calling 911, even if your symptoms subside after using epinephrine, it's crucial to be evaluated by a medical professional. They will:

* Monitor your vital signs: This includes heart rate, blood pressure, and oxygen levels.
* Administer additional medication: This may include more epinephrine, oxygen, intravenous fluids, and corticosteroids to reduce inflammation.
* Determine the trigger: They may ask about your medical history, any recent exposures, and perform tests to identify the allergen that caused the reaction.
* Provide further treatment and education: They will discuss ongoing allergy management, including carrying an epinephrine auto-injector and developing an allergy action plan with an allergist.

Prevention is Key:

If you have a history of severe allergies, work with an allergist to:

* Identify and avoid your triggers: This may involve allergy testing, dietary modifications, and environmental controls.
* **Carry two epinephrine auto-injectors at all times**: Keep them with you and ensure they are not expired.
* Wear a medical alert bracelet: This will alert others to your allergy in case of an emergency.
* Educate family, friends, and coworkers: Teach them how to recognize the signs of anaphylaxis and how to use an epinephrine auto-injector in case you cannot administer it yourself.

Remember, a closing throat is a medical emergency. Time is of the essence. Act quickly, call for help, and follow the steps above to ensure the best possible outcome.
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If it happens to you, it can seem scary: You may start out feeling as if you are having a mild allergic reaction, then faint, have trouble breathing, or feel like your throat is closing, for example. But, with the right action, anaphylaxis can be treated. Anaphylaxis isn't common.read more >>