Brief Answer:
Kindly provide the details of the query.

Detailed Answer:
Hi,

Welcome and thanks for posing your query to the forum.

I can understand your concern for the rashes/ inflammation problem in your wife. After reading the query it appears to be related to "Urticaria" or commonly known as 'hives".

The part of history is though helpful but not conclusive enough to guide you to best suggestions and possibilities of complete remission.

I request you to provide some details:

- Since how long your wife has this problem.

- Number of times rashes appearing in day and week.

- Severity of itching - mild/ moderate/ severe/ very severe.

- Any medications taken by your wife.

Hope to hear soon form your side.

Regards,
Dr Sanjay Kumar Kanodia
MD (Dermatology)

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Brief Answer:
Urticaria or hives: antihistamine like loratadine is best to treat.

Detailed Answer:
Hello,

Welcome again to the forum and thanks for posting important details.
After analyzing the complete details and the pictures with diligence I can guide you that your wife has the condition which is known as "urticaria" or simply known as "hives".

Before I proceed further let you understand about your wife’s problem. To tell you medically - Our blood contains multiple type cells including red blood cells and white blood cells. Specifically these white blood cells provide immunity to our body which are of further multiple types.

Whenever anything in body is not suitable or offending to body then the number of white blood cells increases transiently. Particularly these cells which increase are eosinophils and basophils which are also known as mast cells. These cells contain granules which have a specific chemical known as histamine.

So as soon as any offending factors come in contact there is bursting of the mast cells. Therefore this histamine is released and we experience variable degree of itching and the kind of bumps which we can see in your wife. The bumps can remain for a very transient period to upto multiple hours.

Now the type of offending factor are innumerable including our food, environmental factors including temperature variation, heat, humidity, cold, dust and even simple of fragrances in air and multiple of other related things.

In your wife’s case as these are present at specific region so most probably it may be related to environmental factors or any contact allergen. You check out for any change in all the factors during preceding last two hours before the bumps.

For the treatment part - it is quite simple and treated with drugs which inhibits the histamine release also known as Antihistamines. I can make out that your wife must feeding your baby so in all these cases I myself prefer Loratadine ( Dazit or Alaspan or Lorfast) in my patients.

It is very simple medicine without any side effects of sedation or side effect to baby. In my patients I start with 2 tablets/day, as soon as good effect is maintained then reduce to one in few weeks and then alternate days in next few weeks. Once there are no lesions/bumps for few weeks then taper off to 2-3 tablets per week for few months and then stop it.

In general urticaria may remain for few months to upto a year period but sometimes it may progress even longer than that too. In most of the cases as our immune system and body get adjusted to that particular offending factor so it then self subsides. You explain your wife the whole series of things patiently and give her the best support.

I hope these information will help you in dealing the condition better. If you have any further queries I will be glad to help you.

With good health wishes,

Dr Sanjay Kumar Kanodia
MD (Dermatology)

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