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Anaphylaxis in Children: Symptoms and Care in Anchorage, Alaska

Anaphylaxis in children is a severe allergic reaction that can happen quickly and affect their whole body. Something as simple as a snack or a bee sting can cause scary symptoms. At Alaska Children's Urgent Care and Outreach, our pediatric team helps Anchorage families and communities across the state understand allergy flare-up symptoms, recognize when a reaction is severe, and get your child appropriate care as soon as possible. 


Our pediatric urgent care is here to support you if your child has an existing allergy or if you are experiencing an allergic reaction for the first time.

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Common Causes of Anaphylaxis in Children


The common causes of anaphylaxis in children usually come from a few triggers. Identifying the ones that affect your child is the most valuable information a parent can know. Some reactions remain mild and affect only one area of the body, like hives or a runny nose. Others involve numerous bodily systems at once and can quickly worsen.


The most common causes of anaphylaxis in children are often triggered by:



Certain foods (such as peanuts, tree nuts, shellfish, milk or eggs)



Insect stings (bee stings and wasp stings are common in Alaska summers)



Medications like antibiotics (such as penicillin)



Latex/environmental exposures



Exercise paired with a known food trigger 


Common Signs & Symptoms of Anaphylaxis in Children


Symptoms of anaphylaxis in children can appear within seconds to a few hours after exposure to a trigger. Knowing your child’s symptoms and how they present can give you time to recognize the pattern and react.



Common signs and symptoms of anaphylaxis in children include: 

  • Hives, widespread flushing, swelling of the lips, tongue, or face

  • Throat tightness, hoarseness or feeling like the throat is closing

  • Coughing, wheezing, or difficulty breathing

  • Vomiting, stomach pain/cramping or sudden diarrhea

  • Racing pulse, dizziness or feeling faint/light headed

  • Feeling of doom or sudden extreme anxiety in older children


Signs in Infants and Toddlers


Spotting anaphylaxis in infants and toddlers can be more challenging because they cannot communicate how they feel. Symptoms to look for include: 


  • Widespread hives that appear suddenly or swelling on the face or eyes

  • Irritability, weak cry, or change in alertness

  • Pale or blue skin color, particularly on the lips

  • Vomiting or several large forceful spit-ups within 20 minutes of feeding

  • Wheezing or noisy breathing


If your child experiences any of these symptoms in combination with others after exposure to a known trigger, administer an epinephrine auto injector (if prescribed) and call 911 immediately. All children who have been treated with epinephrine for anaphylaxis should be evaluated at a hospital following the reaction because symptoms can return in a few hours.


Why Your Child Might Be Having an Anaphylactic Reaction


Anaphylaxis occurs when a child's immune system mistakes a normally harmless substance, such as a food protein or insect venom, for a serious threat. After exposure, the body releases histamine, a chemical produced during an allergic reaction, into the bloodstream simultaneously. This whole-body chemical release explains how anaphylaxis affects the skin, airway, stomach, and circulation all at once, rather than being confined to one area of the body as many mild allergy flare-ups are.



Certain children are at higher risk of experiencing anaphylaxis:


  • If your child has a known food, insect sting, or medication allergy.

  • If your child has a personal or family history of asthma, eczema, or severe allergies.

  • If your child has previously experienced anaphylaxis. Those who have experienced one episode of anaphylaxis are at risk for future episodes.

  • If your child has uncontrolled asthma, breathing symptoms can become more severe if a reaction occurs.


Urgent Care for Allergic Reactions in Anchorage

Having urgent care for allergic reactions in Anchorage is one of the greatest resources families have when determining what level of care is appropriate for their child’s allergic reaction, as not every reaction requires calling 911.


Telemedicine visits are recommended when:


  • Your child has a mild, non-life-threatening reaction that is localized to a few hives or an itchy spot on the skin and is breathing easily and acting like their normal self.

  • You would like help determining if a reaction is progressing and what to look for next.

  • You need assistance reviewing or creating an allergy action plan.

  • You would like to discuss anaphylaxis treatment options after a reaction, such as getting a new prescription for an epinephrine auto-injector or a refill.

  • You live outside Anchorage and would like a same-day evaluation from the comfort of your own home.


In-person visits are recommended when:


  • Your child requires a physical examination to determine how serious a reaction is progressing.

  • Your child requires follow-up care after a reaction that was treated with epinephrine.

  • You need a prescription or refill for an epinephrine auto-injector and would also benefit from in-person teaching on how to use it correctly.

  • You would like a referral to a pediatric allergist for testing or long-term management of anaphylaxis.



Call 911 immediately for swelling of the lips or tongue, throat tightness, difficulty breathing, faintness, blue or pale skin, or other signs of anaphylaxis. Administer epinephrine immediately if prescribed. Do not wait for an urgent-care or telemedicine visit.



To schedule a telemedicine visit in Alaska, choose a convenient appointment time online and join us from your smartphone, tablet, or computer with a camera. No downloads needed.



Why Choose Alaska Children's Urgent Care and Outreach?


Anaphylaxis treatment at our urgent care is entirely child-friendly. Our pediatric team knows how to talk to children and offers:


  • Same-day appointments

  • Providers who specialize in pediatrics

  • Telemedicine access from anywhere in Alaska

  • A calm, family-centered environment


Every child is valued, and every visit is designed to support both the child and the parent as we work through allergy symptoms together.



Get Support for Your Child's Allergies in Anchorage and Across Alaska


Concerned your child had a scary reaction? Or you want an anaphylaxis treatment plan written before the next allergy flare-up? We're here for you. Schedule an appointment at our Anchorage office or contact us via telemedicine from anywhere in Alaska.



Medical Disclaimer: This information is for educational purposes and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.


Frequently Asked Questions


Can allergy flare-ups be prevented?

While you can't prevent every reaction, you can reduce many flare-ups by avoiding triggers, keeping your prescribed medication on hand, and partnering with your child's provider to create an allergy action plan. Having an epinephrine auto-injector readily available at home, school, and with any caregiver is one of the best steps you can take to be prepared, especially if your child has a history of anaphylaxis.

Symptoms of anaphylaxis usually affect more than one area of the body at once. This could look like hives along with throat tightness, vomiting, or difficulty breathing. An allergic flare-up will often remain localized to one area of the body, like a rash or congestion, without any of the other symptoms listed above.

If your child has hives, mild swelling, or other symptoms not affecting their breathing, visiting urgent care for allergic reactions is a good option, whether in person or via telemedicine. If your child has already used an epinephrine auto-injector or is showing signs of anaphylaxis, use it as directed, call 911 right away, and have them seen at a hospital afterward.


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