What should I do if allergic purpura causes vomiting?

Written by Yang Ya Meng
Rheumatology
Updated on December 09, 2024
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Patients with allergic purpura who experience symptoms of vomiting need to be highly vigilant to determine if it is the gastrointestinal type of allergic purpura. In addition to observing the vomiting, we also need to check for symptoms such as abdominal pain and diarrhea in the patient. Regarding treatment, we need to consider the use of corticosteroids. If the patient’s condition allows, immunosuppressants might also be needed. Dietary considerations are also very important; first, it is essential to maintain a light, liquid diet, avoid spicy or tough foods to manage the vomiting symptoms associated with allergic purpura. (The use of medications should be under the guidance of a professional doctor.)

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Rheumatology
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Can allergic purpura cause itching?

Allergic purpura is mainly seen in adolescents and children, with a higher incidence in spring and autumn. The most common cause is infection, followed by medications or food, which can also trigger an episode of allergic purpura. The most common symptoms include purpura on the skin and mucous membranes, abdominal pain, blood in stools, hematuria, or joint pain. The purpura primarily affects the limbs, rarely appears on the trunk, and is symmetrically distributed. At this time, the bleeding spots often have no symptoms, meaning there is no itching of the skin. However, when there is concomitant skin edema or hives, itching can occur.

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What can people with allergic purpura eat?

Firstly, allergic purpura commonly occurs in adolescents and children, mainly between the ages of 5 to 14, and is frequent during the spring and autumn seasons. The most common causes of allergic purpura are infections, drug and food allergies, with infections being the most prevalent cause, such as bacterial, viral, and parasitic infections. Allergic purpura cannot be cured and often relapses. During the acute phase, it is primarily recommended to rest in bed, and to eat a light diet. It is advisable to consume fresh fruits and vegetables, such as oranges, grapes, grapefruits, and kiwis, which are rich in vitamin C, as well as various green leafy vegetables. These foods, rich in vitamin C, are beneficial for recovery and good for the body. Additionally, foods like seafood and mangoes, as well as previously untried fruits and foods, are not recommended during this phase to avoid triggering allergic reactions or worsening the condition.

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Written by Li Jing
Rheumatology
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What causes allergic purpura?

Allergic purpura commonly occurs in adolescents and children, characterized by frequent relapses and being intractable. It is primarily seen in youth aged between 5 to 14 years. As they age and their immunity strengthens, the frequency of episodes gradually decreases. The most common causes of allergic purpura include infections such as bacteria, viruses, parasites, mycoplasma infections, and allergies to medications and foods, with food allergies mainly stemming from high-protein foods like fish and shrimp, which can easily trigger allergic reactions. Therefore, once skin purpura or proteinuria appears, it is crucial to rest in bed until the pain and proteinuria dissipate and the purpura eases. During treatment, it is also important to avoid cold exposure and overexertion.

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Written by Zhou Qi
Nephrology
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Is allergic purpura nephritis contagious?

Henoch-Schönlein purpura nephritis and allergic purpura are not infectious diseases; there is no contagious element involved. Henoch-Schönlein purpura nephritis is actually kidney damage caused by allergic purpura, which is an allergic disease itself. Patients suffer from an abnormal immune response in the body’s immune system after coming into contact with allergenic drugs or foods, leading to necrotizing vasculitis. This disease is unrelated to pathogens. Generally, there is no direct damage to the kidneys caused by a specific pathogen in this disease, nor do patients carry pathogens that can cause Henoch-Schönlein purpura nephritis, such as bacteria or viruses, thus making the disease non-contagious.

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How to deal with abdominal pain from allergic purpura?

The most common clinical manifestations of allergic purpura are bleeding spots on the lower limbs, hematuria, melena, and joint pain. The presence of melena or bloody stools accompanied by abdominal pain often indicates bleeding from the intestinal mucosa. It is recommended to complete a mesenteric vascular color Doppler ultrasound as soon as possible to identify the bleeding sites. At this time, fasting is absolutely necessary, meaning no food or water should be consumed, as this can exacerbate abdominal pain and bleeding. Fasting should continue until the melena and pain are alleviated. If symptoms continue to worsen, surgery may be necessary to prevent intestinal perforation and the onset of acute peritonitis.