Hesperian Health Guides

Allergy: Mild or Severe (Anaphylaxis)

In this chapter:

Mild allergies are caused by dust, pollen, insect bites, or certain foods, chemicals, or medicines. These are usually treatable with antihistamines.

Signs of a mild allergy (allergic reaction)
a person having a mild allergic reaction.
Itching, swollen,
red eyes
Rash or redness
Sneezing
several swollen bites on a person's leg.
If there is an insect
bite, it may swell

A severe allergy is much more dangerous and can quickly stop someone’s breathing.

Signs of a severe allergy (allergic shock, anaphylaxis)

  • Flushing, itching, or rash
  • Swollen lips, mouth, or throat
  • Difficulty breathing or swallowing
  • Swollen hands or feet
  • Nausea or stomachache


The most common signs are rash and breathing problems.

If the person cannot swallow, or is having trouble breathing, give epinephrine right away. You can give another dose in 5 to 15 minutes if necessary.

Have this ready in a medicine kit before emergencies happen. Or include a pre-loaded epinephrine injection, called an Epipen in many places.

Inject epinephrine in the thigh muscle, here:

An arrow points to the outer thigh of a woman whose feet are propped on several pillows.
Elevate the feet above the heart

For breathing problems you can also give salbutamol. To treat symptoms such as itch and rash, you can give an antihistamine.

In most cases, if you ever have an allergic reaction to a medicine, food, bee sting, or something else, you should avoid it forever after. The second time you are exposed you can expect an even worse reaction.


This page was updated:03 Feb 2026