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Child having hives on hands, legs, itchy. What should i do? - Online Doctor Chats

Date : 19-Mar-2013
User rating for this question
Very Good Posted in: Asthma and Allergy
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1566 Questions
User:Hi doctor
Doctor:How can I help you?
User:i have almost 3 year old son ( will be 3 this april)
User:he got kind of hives
User:too much on hands and legs and few at other places
User:first they came on hands
User:tey are small and itchy
User:we took to a pediatrician day before yesterday
User:he said it looks like allergy and gave a medicine
User:oral drops
User:but even after using that they increased
User:so much
User:we are thinking to use any antihistamine
User:do you suggest anything?
Doctor:How big are those spots?
User:they are small
Doctor:Is there any skin colour changes associated with it?
User:little big than dots
Doctor:Since when has he had them?
User:they are little pinkish
User:he had them first 2 days back
User:only on hand below elbow till hand
User:we first thought musquito bites
Doctor:What medication what given to your son?
Doctor:Does he have wheezing, dry cough?
Doctor:Is he running fever?
Doctor:Let me explain.
Doctor:The symptoms you describe definitely looks like an allergic reaction.
Doctor:Probably related to some insect bites or if he is playing outside in a bushy area exposure to pollens and particles could be causing it.
Doctor:Allegra is an antihistamine by itself.
Doctor:It takes about a few days before we see any improvement with it.
Doctor:Another antihistamine that can be tried is benadryl.
Doctor:However both these medication can cause drowsiness, it is important that you use one antihistamine only.
User:can we try benadryl along wuth allegra?
Doctor:You shouldn't take two antihistamines.
Doctor:You can try caladryl lotion which can be applied to the skin
Doctor:to reduce symptoms.
User:but he is feeling alot itchy and they are keeping on increasing
Doctor:you would need to consult a dermatologist
Doctor:to have a closer look at these lesions.
Doctor:A stronger anti allergic like a topical steroid may be needed.
Doctor:If these antihistamines do not reduce the symptoms,
Doctor:In addition to these measures, I also suggest you to do the following:
Doctor:1. Keep him clothed always. Preferrably use a full sleeve shirt or T-shirt and full pants.
Doctor:Do not let the arms and legs open.
Doctor:2. Encourage him not to scratch any of those lesions.
Doctor:He may introduce infection by touching them with barefingers.
Doctor:3. Try keeping him indoors till there is improvement in his symptoms.
Doctor:4. If you have pets in your home, it needs to be kept away from your son.
Doctor:5. Clean his skin regularly with XXXXXXX warm water.
Doctor:6. Watch out for more lesions developing. If it worsens or he develops any other symptoms such as fever, dry cough, wheezing you need to seek medical attention immediately.
Doctor:I understand you are worried, but usually the symptoms resolve and very less may need steroids.
Doctor:Have you followed what I have suggested?
Doctor:Do you have any other query?
User:from few days we are using a different moisturizer, can this be the reason
Doctor:It may be the cause.
User:ok thank you
Doctor:Any new products tried on his skin needs to be tested for allergies.
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