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URTICARIA (HIVES) AND TREATMENT
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WHAT IS URTICARIA (HIVES)?
SYMPTOMS
Chronic hives signs and symptoms include:
*Batches of red or white welts (wheals), usually on the face, trunk, arms or legsWhen can I see a doctor?
See your doctor if you have:
*Severe hivesSeek emergency care if you:
*Feel dizzyCAUSES
The welts that come with hives arise when certain cells release histamine and other chemicals into your bloodstream.
Doctors often can't identify the reason for this skin reaction, or why it sometimes turns into a long-term problem (chronic hives). But the skin reaction may be triggered by:
*Pain medicationsRISK FACTORS
Factors that increase your risk of developing chronic hives include:
*Being female, as women are affected twice as often as menCOMPLICATIONS
Chronic hives complications include:
*Difficulty breathing. When swelling occurs inside your mouth or throat, you may have difficulty breathing and pass out. Seek emergency medical care if you feel your tongue or throat swelling.People with chronic hives may be at increased risk of developing these immune system disorders:
*Thyroid diseasePREPARING FOR YOUR APPOINTMENT
You'll probably first visit your primary care doctor. But he or she may then refer you to a doctor who specializes in skin diseases (dermatologist) or to an allergy specialist.
TESTS AND DIAGNOSIS
Your doctor will do a physical exam and ask you a number of questions to try to understand what might be causing your symptoms. He or she may also ask you to keep a diary to keep track of:
*Your activitiesTests
It isn't always possible to determine the underlying cause of chronic hives. If the first-choice therapies haven't worked for you, your doctor may order one or more tests, including:
*Blood testsTREATMENT
Your doctor will likely recommend you treat your symptoms with home remedies, such as over-the-counter antihistamines. If self-care steps don't help, talk with your doctor about finding the prescription medication or combination of drugs that works best for you.
Treat any underlying factors causing your symptoms. If your doctor can determine that your hives are caused by another condition, he or she will first try to treat that. For example, people with chronic hives and inflamed thyroid (thyroiditis) may best be helped by treating the thyroid problem.
Check with your doctor before taking any of medications if you are pregnant or breast-feeding, have a chronic medical condition, or are taking other medications.
*Anti-inflammation medications. Oral corticosteroids can help lessen swelling, redness and itching. These usually are used only for a short time to control severe hives or angioedema because they can cause serious side effects.
Corticosteroids creams applied to the skin usually aren't effective for chronic hives. Corticosteroids can weaken your immune system, making it easier for you to get an infection or worsening an infection you already have.
*Antidepressants. The tricyclic antidepressant used in cream form, can help relieve itching. This medicine may cause dizziness and drowsiness.LIFESTYLE AND HOME REMEDIES
The following precautions may help prevent or soothe the recurring skin reactions of chronic hives:
*Wear loose, light clothing.ALTERNATIVE MEDICINE
More study is needed, but some evidence supports the following alternative medicine approaches for providing relief of symptoms:
*Diet restrictions, such as eliminating yeast, food additives and other things that may cause the skin reaction (allergens)Mtonga Isaac Pharmacy Zambia
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