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Have itchy spots after shower which lasts for a hour. What is the remedy for this?

Everytime I take a shower (around 38 Celcius), I get all these itchy red spots on my body (mostly my upper body), which last for about an hour or so. It's not any of my products because I still get it when I don't use any, and I barely have this problem with cold water. I also tend to get extremely dizzy after a shower. I've had this for about two years and I still don't know how this is caused. Any suggestions?
Asked On : Wed, 17 Apr 2013
Answers:  1 Views:  31
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Dermatologist 's  Response
Welcome to Healthcare Magic Forum

You seem to be having Cholinergic urticaria
Exercise is the most common precipitating event for cholinergic urticaria, but any stimulus that causes sweating, including elevated environmental temperature, hot food, sauna baths, immersion in hot water, gustatory stimuli, emotional stress can bring on an urticarial attack in some persons. Exercise and hot baths exacerbate pruritus and provoke lesions.

Often in cholinergic urticaria, itching, burning, tingling, warmth, or irritation precedes the onset of numerous small (1-4mm in diameter), pruritic wheals with large, surrounding flares

Traditional treatment options for cholinergic urticaria are antihistamines, leukotriene inhibitors, and immunosuppressives. It responds well to a medication called hydroxyzine, which is an antihistamine. However, the main side effect of sleepiness is often not tolerated well.

Patients with cholinergic urticaria should avoid the precipitating factors.
These factors, in some persons, include exercise and any activity that causes sweating, such as elevated environmental temperature

Wishing you speedy recovery
Dr Geetika Paul
Answered: Thu, 18 Apr 2013
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