Hello,
Thank you for asking at HCM.
I went through your history and would like to make suggestions for you as follows:
1. I would like to know more about your complaints like - a. did you have such hives in past? b. do you have any allergies? c. what was the cause of cough-cold? d. what is your hemoglobim level? e. do you have any digestive complaints? f. do you have any other medical conditions? g. do you take any medications regularly/frequently? h. what is your age? i. any
weight loss,
poor appetite, etc?
Above details would help me to know about your complaints better and therefore to make more specific suggestions for you. Also, there are many possible causes for hives. It is important to know more about your complaints before determining cause of hives and suggesting investigations.
2. For symptom control, I would agree with
hydroxyzine (Atarax) and
Cetirizine (Cetzine).
3. I would also suggest you to apple
calamine lotion or moisturizing cream application over the itchy areas as well as
dry skin.
4. Please do not scratch the itchy areas as scratching would aggravate itching.
5. As long as ESR is concerned, I would like to mention that ESR is very non-specific in general. There are so many possible causes of elevated ESR. Moreover, there is no specific treatment for elevated ESR, rather, treatment of the cause would normalize the ESR.
So please do not worry about ESR at present. ESR can be elevated simply because of anemia (low
hemoglobin levels) as well.
6. For patients with hives for more than 6 weeks, I usually suggest my patients investigations like complete blood counts, ESR, CRP, thyroid functions, serum proteins, serum SGPT, serum total IgE levels, urine examination and stool examination. However, detailed history is necessary before suggesting investigations.
Hope above suggestions will be helpful to you.
Should you have any further query, please feel free to ask at HCM.
Wish you the best of the health ahead.
Thank you & Regards.