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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hives

hello docter.... my baby girl of 1 year 9 months has been getting hives for the last 2 months... usually after she gets up in the morning n after a afternoon nap.. allergy testing done showed she is allergic to milk. so we have stopped it and giving her isomil. but still ni improvement. she requires to be given allerid once a day otherwise the patches increase. what to do? worried abt giving allerid on a long term basis.
Mon, 9 Feb 2015
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Allergist and Immunologist 's  Response
Hello,

Thank you for asking at HCM.

I went through your daughter's history and would like to make suggestions for her as follows:

1. I would like to know more about her milk allergy symptoms. How was milk allergy diagnosed?

If she is really allergic to milk, taking any milk product (be it curd, buttermilk, butter, milk biscuits, milk chocolates, etc) can cause her allergic reactions.

2. If she is not taking any milk products and still she develops allergic reactions, I would suggest allergy testing for other foods such as soy, ground nut, wheat, rice, egg, sea foods, tree nuts, etc. This will help you to identify the allergy, if any.

3. Hives can occur even without allergies. Possible causes are viral infections, bacterial infections, parasites, drugs, etc.

4. As she is getting hives since 2 months, I usually suggest my such patients investigations like serum total IgE, allergy testing for common allergens, complete blood counts, ESR, stool examination, urine examination, etc. However, before suggesting investigations, I always take a detailed history about her each and every symptom, diet, environment, drugs, etc etc. This may minimize requirement of investigations.

5. For symptom management of hives, I usually suggest my patients cetirizine which causes less sedation as compared to chlorpheniramine maleate (Allerid).

6. Please trim her nails regularly to make sure she does not scratch and damage the itchy skin as scratching would only aggravate itching.

7. Application of moisturizers or calamine lotion over her dry/itchy skin and rashes would also help.

Hope above suggestions will be helpful to your daughter.

Should you have any further query, please feel free to ask at HCM.

Wish your daughter the best of the health ahead.

Thank you & Regards.
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Suggest Treatment For Hives

Hello, Thank you for asking at HCM. I went through your daughter s history and would like to make suggestions for her as follows: 1. I would like to know more about her milk allergy symptoms. How was milk allergy diagnosed? If she is really allergic to milk, taking any milk product (be it curd, buttermilk, butter, milk biscuits, milk chocolates, etc) can cause her allergic reactions. 2. If she is not taking any milk products and still she develops allergic reactions, I would suggest allergy testing for other foods such as soy, ground nut, wheat, rice, egg, sea foods, tree nuts, etc. This will help you to identify the allergy, if any. 3. Hives can occur even without allergies. Possible causes are viral infections, bacterial infections, parasites, drugs, etc. 4. As she is getting hives since 2 months, I usually suggest my such patients investigations like serum total IgE, allergy testing for common allergens, complete blood counts, ESR, stool examination, urine examination, etc. However, before suggesting investigations, I always take a detailed history about her each and every symptom, diet, environment, drugs, etc etc. This may minimize requirement of investigations. 5. For symptom management of hives, I usually suggest my patients cetirizine which causes less sedation as compared to chlorpheniramine maleate (Allerid). 6. Please trim her nails regularly to make sure she does not scratch and damage the itchy skin as scratching would only aggravate itching. 7. Application of moisturizers or calamine lotion over her dry/itchy skin and rashes would also help. Hope above suggestions will be helpful to your daughter. Should you have any further query, please feel free to ask at HCM. Wish your daughter the best of the health ahead. Thank you & Regards.