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Any combination of these symptoms appearing together with hives is a signal to treat the situation as a health emergency and seek help right away.
Anaphylaxis and severe allergic reactions are triggered by a wide range of substances. What makes this particularly important for adults over 60 is that a person can develop a new sensitivity at any age, even to something they have been exposed to many times before.
Food is one of the most common triggers. Peanuts, tree nuts, shellfish, fish, eggs, and milk are among the most frequent offenders. For some adults, a food they have eaten for decades can suddenly produce a reaction their body never showed before.
Insect stings, particularly from bees or wasps, are a well-known trigger. For those who spend time outdoors gardening, walking, or simply sitting on a porch, this is a real consideration.