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What should I do if my toddler seems to be
having a severe allergic reaction?
Call an ambulance immediately if your toddler is having trouble
breathing or passes out. Lay him down with his feet elevated to
reduce the risk of shock. Try to keep him calm by talking to him
and by remaining calm yourself.
Do not give your child an antihistamine if he’s having any trouble
breathing or swallowing, because he may choke on it.
When the paramedics arrive, they will probably treat your toddler
on the spot with an injection of epinephrine that will stop the
reaction within minutes. (Epinephrine makes the heart beat more
strongly, relaxes the muscles in the airway, reduces swelling, and
improves tone in the blood vessels to increase blood flow to vital
areas like the heart and brain.)The paramedics will take your
toddler to the hospital, where he’ll be examined and watched for
delayed reactions. The doctors at the hospital can help you
determine what caused the problem. You will probably also be
advised to follow up with your child’s doctor, who will likely refer
you to a pediatric allergist.
Anaphylaxis is a potentially fatal condition. Even if the first
episode of anaphylaxis is mild, there is no way of guaranteeing
that a subsequent episode will not be severe. Avoidance of
“trigger” foods is strongly recommended, and the doctor may
suggest that the child carry an Epi-­‐pen (auto-­‐injection syringe
containing Epinephrine) to be administered in the event of
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anaphylaxis occurring. Caregivers and teachers have to be
notified, and in most cases it is advisable to leave one Epi-­‐pen at
the daycare, nursery or school and another at home.