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What Do Extreme Itchiness On Body During Exercises?

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Posted on Wed, 1 Apr 2015
Question: my 31 year old husband has been experiencing extreme itchiness all over his body when he exercises or gets stressed. Our family doctor told him it was a histamine reaction and to take zyrtec once a day but it is still occurring. Is there anything else that he can do? Could this be a more serious problem?
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Answered by Dr. Michelle Gibson James (4 hours later)
Brief Answer:
may be cholinergic urticaria

Detailed Answer:
HI, thanks for using healthcare magic

There is a type of urticaria called cholinergic urticaria where hives/itching is provoked by heat, stress or exercise.

It is due ,as mentioned by your doctor, to a release of histamine and other chemicals in the blood that play a role in inflammation/allergies.

Treatment: (1)antihistamines as stated,
The antihistamine that he is using, zyrtec is one of the recommended meds.

They can be used at higher than normal dose, the European Academy of allergy and immunology actually state that can be used at up 4 times normal but this should only be done in conjunction of with your doctor

(2)blocking the histamine 2 receptors (H2) may also help. This is the reason that some persons with chronic urticaria also use meds such as pepcid, zantac, cimetidine

Adding one of these may help

(3)a medication called ketotifen has also had a 68% reduction in itching

(4)meds such as danazol and propanolol are also used in cholinergic urticaria

It may help to see an allergist for management.

I hope this helps, feel free to ask any other questions

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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What Do Extreme Itchiness On Body During Exercises?

Brief Answer: may be cholinergic urticaria Detailed Answer: HI, thanks for using healthcare magic There is a type of urticaria called cholinergic urticaria where hives/itching is provoked by heat, stress or exercise. It is due ,as mentioned by your doctor, to a release of histamine and other chemicals in the blood that play a role in inflammation/allergies. Treatment: (1)antihistamines as stated, The antihistamine that he is using, zyrtec is one of the recommended meds. They can be used at higher than normal dose, the European Academy of allergy and immunology actually state that can be used at up 4 times normal but this should only be done in conjunction of with your doctor (2)blocking the histamine 2 receptors (H2) may also help. This is the reason that some persons with chronic urticaria also use meds such as pepcid, zantac, cimetidine Adding one of these may help (3)a medication called ketotifen has also had a 68% reduction in itching (4)meds such as danazol and propanolol are also used in cholinergic urticaria It may help to see an allergist for management. I hope this helps, feel free to ask any other questions