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Exercise Induced Anaphylaxis & Urticaria

- Summary
- About exercise-induced reactions
- Types and differences
- Potential causes
- Signs and symptoms
- Diagnosis and treatment
- Prevention methods
- Questions for your doctor

Reviewed By:
Marc J. Sicklick, M.D., FAAAAI, FACAAI
Norman Klein, M.D., FAAAAI

Prevention methods

Preventative medications have not been effective in treating exercise-induced anaphylaxis. However, there are a number of steps an individual can take to either cut down the likelihood of experiencing symptoms, or to increase the odds of surviving an attack that does occur. They include:

  • Exercise during the cooler parts of the day, such as early morning and evening.

  • Stop exercising as soon as symptoms develop.

  • Always carry prescribed emergency medications when exercising.

  • Find an exercise partner who can respond in case of emergency.

  • Wear a medical bracelet detailing personal exercise–induced anaphylactic triggers.

  • Know personal triggers, and avoid them. For example, people should not consume foods that have triggered reactions in the past before they exercise. Physicians may also recommend that patients avoid exercise for four to six hours after a meal or snack.

  • Seek immediate medical attention at the first sign of symptoms.

While these steps can benefit many patients, some patients will be required to abstain from certain activities or exercise altogether.

Those who have exercise-induced urticaria should consult a physician about the possible use of prescription antihistamines to prevent symptoms of the disorder. Antihistamines inhibit the ability of the body chemical histamine to produce symptoms of an allergic reaction.  

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Review Date: 04-30-2007
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