Welcome to Healthcare Magic and thank you for writing to us.
Your condition is chronic idiopathic urticaria
but can be said idiopathic only after the following tests are negative or normal:
1. Hemogram and iron levels (or ferritin levels)
2. Liver function tests
3. TSH fT4 and thyroid autoantibodies (TPO, TG)
4. antinuclear antibody
5. C3 C4
Abnormalities in the above tests will need to be dealt with as per results.
You are on right treatment and usual triggers for acute attacks of urticaria may be infections; stress; physical or pressure (carrying heavy things or wearing tight clothes); diabetes or thyroid abnormality.
can cause infections to be common, so please get a Chest X ray done if the coughing continues.
Zantac or esomeprazole
should be taken BEFORE the prednisolone everyday.
Treatment with fexofenadine
180mg, levocet with montelukast one at night plus hydroxyzine
50mg (very sedative) is standard treatment.
The prednisolone may be required for upto 6 weeks with slow tapering before the urticaria settles.
Please get the bloods done to exclude underlying triggers.