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Urticaria(Hives) - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3393 Questions
User :   hi
Doctor :   Hi
Doctor :   Please post your query
User :   Hello Dr ...i have a skin problem-urticaria
User :   i ve been taking allegra
Doctor :   ok
User :   any other medication you may prescribe?
Doctor :   Do you have any allergy?
User :   yes...linear rashes,which go off in ten to 15 mins
Doctor :   May i know your age?
Doctor :   Did you have any particular allergen?
Doctor :   What provokes the urticaria?
User :   am 31
User :   could not find out that
User :   hence saw a skin specialist
User :   who sd it was a state of urticaria
User :   n has asked me to take allegra for a month
Doctor :   ok
Doctor :   Many cases of ordinary urticaria are "idiopathic," meaning no cause is known.
Doctor :   A few may be caused by medications, usually when they have been taken for the first time a few weeks before
Doctor :   The term physical urticaria refers to hives produced by direct physical stimulation of the skin. By far the most common form is dermographia, which literally means "skin writing."
User :   ok
Doctor :   The goal of treating most cases of ordinary urticaria is to relieve symptoms while the condition goes away by itself.
Doctor :   The most commonly used oral treatments are antihistamines, which help oppose the effects of the histamine leaked by mast cells
Doctor :   The main side effect of antihistamines is drowsiness.
User :   k
Doctor :   Oral steroids (prednisone,} can help severe cases of hives in the short term, but their usefulness is limited by the fact that many cases of hives last too long for steroid use
Doctor :   Topical therapies for hives include creams and calamine lotions which help numb nerve endings and reduce itching.
Doctor :   Did you follow what i say?
User :   ya kind of
Doctor :   Most treatment plans for urticaria involve being aware of one's triggers
User :   so wht do i do..shd i continue allegra?
Doctor :   yes sure
User :   i tried doing tht ,but unable to
Doctor :   Did you do a blood test?
Doctor :   for eosinophilia
User :   yes ve done it
User :   no not for eosinophilia
Doctor :   What is the result?
Doctor :   ok
User :   showed it to the skin specialist..n then he recommended allegra
Doctor :   Do you have itching over your skin?
User :   yes during the rash
Doctor :   ok
Doctor :   Do You have any special allergy to anything?
Doctor :   ok
Doctor :   Do you have asthma?
User :   no asthama
User :   no spl allergy
Doctor :   ok
User :   this thing started only in April 2010
Doctor :   When do you notice it?
Doctor :   ok
User :   in April
Doctor :   Any particular incident?
Doctor :   Environmental factors (eg, pollens, chemicals, plants, danders, dust, mold),
Exposure to undue skin pressure, cold, or heat Emotional stress, Exercise
Doctor :   etc are the common ones
User :   i came back from .....n then this started
Doctor :   OK
Doctor :   Did you have any sea food there?
User :   yes
Doctor :   Like mussels,crabs ,prawns etc.
Doctor :   oK
User :   but i ve been veing sea food since many years
User :   never had this kind of allergy
Doctor :   Were you taking that for first time?
User :   ya i had prawns,crabs,squids
User : been there 2/3 times
Doctor :   Yes ,so probably there lies the reason
Doctor :   ok
User :   ok
Doctor :   Anyway most cases are idiopathic
Doctor :   That means NO Causes detected
User :   ok
Doctor :   Acute urticaria may progress to life-threatening angioedema and/or anaphylactic shock in a very short period of time, although it usually presents as rapid-onset shock with no urticaria or angioedema.
User :   ok
Doctor :   The mainstay is avoidance of further exposure to the antigen.
Doctor :   Antihistamines, primarily the older sedating antihistamines that block the H1 receptors, are the first line of therapy for urticaria.
Doctor :   Glucocorticoids stabilize mast cell membranes and inhibit further histamine release. They also reduce the inflammatory effect of histamine and other mediators.
User :   ok
Doctor :   Consultation with or referral to a dermatologist, allergist, immunologist, or rheumatologist may be appropriate in selected cases.
User :   so wht do suggest?
Doctor :   I suggest you to continue allegra
Doctor :   Try topical application of calamine lotion also
Doctor :   Avoid sea food for some time from now
User :   ok
Doctor :   If you are taking it,take very small quantity
Doctor :   for now
User :   ok
Doctor :   And see that no urticaria appears
User :   ok
Doctor :   And later if no urticaria
Doctor :   you can eat as you like
Doctor :   But DO REMEBER..
Doctor :   sO Keep that in Mind
Doctor :   Did you follow what i said?
User :   yes
Doctor :   Is there anything else i can help you with now?
User :   do u recommend i see some Doc/specialist
Doctor :   Yes sure,if it comes again
User :   so i'll continue with allegra and cut down on sea food
Doctor :   Yes sure
User :   the moment i stop allegra,it comes back
Doctor :   Dont stop at once
Doctor :   Take on alternate days
User :   ok
Doctor :   and then try stopping slowly
User :   till how long
User :   i hope allegra wont have side effects
Doctor :   For 1 week..
Doctor :   Yes ,it might cause some sedation,dry mouth etc....
User :   n after the week...stop it slowly is it?
Doctor :   yes
Doctor :   Sure
User :   i ve been taking allegra now for almost a month
Doctor :   ok
Doctor :   Then even you can go for 2 weeks and stop slowly
Doctor :   Most patients with urticaria can be treated at home on H1 antihistamines
Doctor :   The prognosis in acute urticaria is excellent, with most cases resolving within 1-4 days.
Doctor :   The prognosis in chronic urticaria is more guarded and depends upon the comorbid disease causing the urticaria as well as the response to therapy.
Doctor :   Education regarding avoidance of the suspected offending allergen is essential.
Doctor :   OK
Doctor :   Is there anything else i can help you with now?
Doctor :   Thanks for consulting...Bye for now..........
Doctor :   Take care..................
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