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Do You Have an Aspirin Allergy or Sensitivity?

Aspirin, Chronic Sinusitis, Menstrual Pain, Nsaid, Vulvodynia

I have been sensitive to various prescription medications but never had a problem with aspirin until recently. Aspirin may sometimes cause an allergic-type reaction in people without a known reason. Although it is not always a true allergy, even sensitivities can sometimes cause life-threatening reactions. I found out from my allergist that people with moderate to severe asthma and chronic sinusitis are more likely to be aspirin sensitive.

Aspirin (acetyl-salicylic acid) is found in many over-the-counter drugs and some prescription medications. It is used for pain and fever reduction. Many preparations for headaches, colds, sinus problems, arthritis, rheumatism (joint aches) and menstrual pain contain aspirin. So, it’s very important that you read labels carefully when buying an OTC preparation.

In some people, non-steroidal anti-inflammatory drugs (NSAID) can cause the same reactions in aspirin sensitive people. Common NSAIDs are Advil, Motrin and Aleve. Who would know that taking Midol liquid gel caps for menstrual pain contains ibuprofen that is a NSAID? This product bothered me and I didn’t know why. I was also advised to stay away from artificial coloring, such as Tartrazine Yellow (FD & C No. 5) as this may cause symptoms like an aspirin sensitivity. This dye can be found in many foods, soft drinks, candy, lunch meats, jams, gelatin desserts and even toothpaste and mouthwash. Tartrazine dyes are also present in medications including some antihistamines used to treat allergies – how ironic! Would you believe that there is an aspirin-like substance in Pepto Bismol? It’s always best to check with your doctor or pharmacist when taking medications and to be cautious of any pills that have coloring.

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Main types of reactions

If you are aspirin sensitive you may have one or more of these reactions:

Skin – an aspirin allergy or sensitivity may cause itching, rashes, hives or swelling in the extremities or mouth. I tend to get idiopathic angioedema of my lips and tongue, where I experience subcutaneous swelling. This happens when I take aspirin, so I now avoid the substance.

Respiratory – reactions include nasal congestion, cough, difficulty breathing or wheezing and asthma attacks.

Eyes – may become itchy and watery – sometimes swollen.

Cardiovascular – anaphylactic-type shock can occur, but in very rare cases.

Stomach – pain from taking aspirin is usually not allergic but more so due to the irritation of the stomach lining.

The bottom line…

If you take aspirin and get any of these symptoms, it’s best to check with your doctor right away and even see an allergist to be tested. If you are positive to an aspirin-type allergy then you will need to go over all your medications and foods with a specialist or nutritionist to make sure all acetyl-salicylic acid products are out of your diet.

Sources:

Personal experience

Advice from my allergist- Asthma and Allergy Associates of Florida

Drug Allergy – Mayo Clinic

Salicylate Allergy

More from this contributor:

Beware of MAC Lung Infections Lurking in Showerheads

What’s This on My Skin? Women’s Dermatologic Conditions

Self-Help Tips for Women With Vulvodynia