What Are the Different Stages of an Allergic Reaction?
An allergic reaction can develop in different ways depending on the allergen and the individual’s immune response. Early symptoms may include itching, sneezing, watery eyes, hives, or mild swelling, while more significant reactions can involve breathing difficulties, throat swelling, dizziness, or other systemic symptoms requiring urgent medical attention. Dr. Carlos J. Piniella, MD, and our team at Piniella Asthma + Allergy evaluate allergy symptoms and potential triggers to help patients understand their reactions and receive appropriate allergy care. Contact us today for more information or request an appointment online. We are conveniently located at 6705 SW 57th Ave # 520 South Miami, FL 33143.


Table of Contents:
What is an allergic reaction?
What happens when you have an allergic reaction?
What are the four types of allergic reactions?
What are the triggers of allergic reactions?
Many different things can cause allergies, including dust, pollens, dander, chemicals, and foods. Some people have multiple allergies, while others are only mildly allergic to one or two things. In most cases, it is impossible to know for sure what caused an allergy without consulting with an allergist; they can provide a wide number of tests to determine the cause of the allergies. Receiving an accurate diagnosis is important in order to avoid specific triggers and environmental factors that are triggering or exacerbating allergies.
An allergic reaction can occur when the immune system responds to an allergen, a substance that is normally harmless but induces a reaction in some people with hypersensitivities. In the case of an allergic reaction, an allergen triggers the release of histamine into the body, which causes the body to fight back with an immune response, often resulting in symptoms such as itchy skin, watery eyes, and a runny nose.
An allergic reaction causes the body’s immune system to enter a defensive state and starts when first coming into contact with a trigger that was inhaled, swallowed, or touched. In response, the immune system starts producing a protein known as IgE (immunoglobulin E), which attaches itself to the allergen. Following this, histamine and other chemicals are released into the blood, resulting in allergic symptoms.
The four types of allergic reactions are:
• Type I — The most common allergic reaction, Type I, or anaphylactic reactions, are triggered by allergens like pollen, certain foods, dust mites, and pet dander. Type I reactions are characterized by the release of histamine and other chemicals, resulting in swelling and inflammation in the body.
• Type II — Also known as cytotoxic reactions, Type II reactions occur when IgG or IgM antibodies bind with antigens on the surface of the cell. This causes a chain of reactions, ultimately resulting in cell death. Symptoms occur minutes or hours after exposure.
• Type III — Also linked to IgG and IgM antibodies, Type III, or immunocomplex reactions occur when these antibodies bind with antigens, forming immunocomplexes that settle on tissues and organs. When the body attempts to remove these complexes, it results in damage to the underlying tissue.
• Type IV — Cell-mediated allergic reactions in Type IV are also referred to as delayed allergic reactions; this is because symptoms manifest at least 24 hours after coming into contact with the allergen.
Common triggers of allergic reactions include:
• Pollen, which often results in:
• Fatigue
• Itchy eyes, nose, or roof of the mouth
• Runny, stuffy nose
• Sneezing
• Watery eyes, redness, or swelling
• Dust mites, which often cause:
• Sneezing
• Itchy eyes
• Watery eyes
• Localized rash
• Mold, which can lead to symptoms like:
• Sneezing
• Congestion
• Itchy and watery eyes
• Runny nose
• Coughing
• Animal dander and cockroaches, which can cause:
• Sneezing
• Congestion
• Itchy and watery eyes
• Insect stings, which can cause symptoms of:
• Trouble breathing
• Wheezing
• Swelling, especially around the face
• Belly cramps, nausea, vomiting, or diarrhea
• Feeling dizzy or losing consciousness
• Latex, which may lead to:
• Teary, irritated eyes
• Runny nose
• Sneezing
• Cough
• Wheezing
• Food, causing symptoms of:
• Wheezing or trouble breathing
• Hives
• Vomiting
• Diarrhea
• Swelling around the mouth
• Drugs, with symptoms including:
• Hives
• Itchy eyes & skin
• Flushing
• Belly pain, nausea, vomiting
• Swelling in the mouth, throat, hands, and feet
• Feeling lightheaded or passing out
If you are experiencing allergies, trust the professionals at Piniella Asthma + Allergy to provide you with top-level care. Contact us today for more information or request an appointment online. We are conveniently located at 6705 SW 57th Ave # 520 South Miami, FL 33143! We serve patients from Coral Gables FL, Miami FL, South Miami FL, Westchester FL, Medley FL, Hialeah FL, and Kendall FL and surrounding areas.

Additional Services You May Need
▸ Asthma
▸ Allergy Testing
▸ Food Allergies
▸ Immunotherapy
▸ Patch Testing
▸ Allergy Treatment
▸ Pediatric Asthma Specialist
▸ Pediatric Allergist
▸ Insect Bite Allergy
▸ Drug Allergy
▸ Seasonal Allergies
▸ Skin Allergy

Additional Services You May Need
▸ Asthma
▸ Allergy Testing
▸ Food Allergies
▸ Immunotherapy
▸ Patch Testing
▸ Allergy Treatment
▸ Pediatric Asthma Specialist
▸ Pediatric Allergist
▸ Insect Bite Allergy
▸ Drug Allergy
▸ Seasonal Allergies
▸ Skin Allergy
