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hi my name is marie , i am 21 years old patientold. lately i have been diagnosed with citric intolerance. i was feeling ok since was handling the intolerance by avoiding food with high percentage of citric acid. a week a go , i did an anaphylaxis reaction after taking a pill i used to talk for my skin( makari) , i smoked and 10 min after that the reaction started. i first taught it was the pill, so i did smoke again and 30 second later i did another anaphylaxis reaction. since then i am not feeling good, the symptom of the anaphylaxis still come up everyday. i have the feeling of fishbones in my throat. i diet , i barely eat because i am so scared that something i will eat will bring it back again. what can i do?

Category: Gastroenterologist, Medical

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Category: Hepatologist
 20 Doctors Online

Thanks for posting your query at
I am Dr.R.K and I am pleased to assist you.
Please describe in detail the symptoms you develop which you consider as anaphylaxis reaction.
Are you on any medications?
Do you have any other medical illness?

Patient replied :

i had a feeling in my chest as if i was receiving needles . the feeling went from my chest up to my throat, my ears and nose was kind of closing up to. my throat was tighten up while i had that needle( fishbone) feeling. my heart was beating really fast , i felt dizzy too.
Right now i take allegra once a day and pure coenzyme A. but sometimes when i could not sleep i used " Cvs Pharmacy allergy tablets and loratadine during the day. yesterday when i was on my way to class i took a benadryl pill because i was feeling good at all. i did eat fish and exercise yesterday , and read last night that it can trigger the anaphylaxis. i still have a sligt feeling of an inflammation in my throat right now
i do not have another medical illness. i want to know what i am doing wrong that it stopping me from doing well.

Thanks for the additional information.
The symptoms you have described does not look like that of anaphylaxis.
It looks more like a acid reflux disease and a probable hiatal hernia. You can get a upper GI endoscopy done . Taking prilosec will provide relief.
Yes, eating fish can cause anaphylaxis.
But Since you are on antihistamines, anaphylaxis is also less likely.
You can check your eosinophil count and IgE levels to see if you develop allergic reactions.
I hope that answers your query.
Let me know if I can assist you further.

Patient replied :

It is true that taking allergies pills doesn't relieve the feeling og my throat been tighten up. But when i took the allergy pills during the atacks it opens my throat and the last time i ate a banana 10 seconds after i had an attack. If it is acid reflux why that reactions with a banana or when i smoked

Thanks for getting back to me with more questions.
Smoking is a risk factor for acid reflux.
But difficult to explain the relationship with eating banana other than eating it with full stomach or you would have also smoked then.
You can take a course of Prilosec.
As suggested earlier get eosinophil count and serum IgE done.
You can also get spirometry done to see whether you have reactive airways causing these symptoms.
I hope that answers your question.
Let me know if you have any more questions.


Dr. Ratnakar Kini
Category: Hepatologist
Fellowship - DM - TN Dr.MGR Medical UniversityResidency - TN Dr.MGR Medical University Medical School - Stanely Medical College, TN Dr.MGR Medical University
Dr. Ratnakar Kini and 4 other Medical Specialists are ready to help you

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