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Doctor insights on: Chronic Urticaria Hives

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Dr. Andrew Seibert
3 doctors shared insights

Hives (Definition)

Also known as urticaria, hives are an outbreak of red bumps or wheals that appear quickly after exposure to certain allergens (foods, medications, other substances). Hives vary in size, are itchy, can burn, and can last for up to ...Read more


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Can chronic dehydration cause chronic hives (physical urticaria) since water directly affects histamine production in the blood? Rehydration cure it?

Can chronic dehydration cause chronic hives (physical urticaria) since water directly affects histamine production in the blood? Rehydration cure it?

No.: dehydration is not a standard cause of hives. Of course it certainly is easy enough to find out. Frankly, NEURODERMATITIS https://www.aad.org/dermatology-a-to-z/diseases-and-treatments/m---p/neurodermatitis/who-gets-causes is more common than association with dehydration. ...Read more

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Hello it has been over 6 weeks and I have hives on my body. Some are big and some are small. Some Dr say that it can be chronic urticaria. ?

Hello it has been over 6 weeks and I have hives on my body. Some are big and some are small. Some Dr say that it can be chronic  urticaria. ?

Chronic urticaria: A 39 yo female breaking with hives for over 6 weeks. This condition is called chronic urticaria and often has no known environmental or food relationship. In most cases, there are no known allergen triggers, but can be triggered by some things like heat or stress. Can treat with oral antihistamines. Might need something stronger if not working. See allergist to further evaluate and treat. ...Read more

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What r the symptoms, tests, and treatment for autoimmune urticaria? Is au the same thing as chronic idiopathic hives or is there a distinction?

What r the symptoms, tests, and treatment for autoimmune urticaria? Is au the same thing as chronic idiopathic hives or is there a distinction?

Treat the cause!: Good morning, good morning, urticaria refers to hives, due to changes in blood flow to skin due to certain neuro-chemicals. Autoimmune urticaria suggests an association of these chemicals being released as a result of immune system fighting your own cells producing antibodies against nuclear components of cells such as those of thyroid glands (thyroiditis), intestines, pancreas, skin, kidneys etc. ...Read more

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I have chronic idiopathic urticaria. Recently, I noticed my hives worsen when I use tampons, but when I remove them, they get better. Any ideas?

I have chronic idiopathic urticaria. Recently, I noticed my hives worsen when I use tampons, but when I remove them, they get better. Any ideas?

Triggers: Chronic hives have many triggers including hormonal changes such as those see with your period or pregnancy. A reaction to tampons is possible but unlikely. Try a different brand or try pads instead to what happens to the hives. ...Read more

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I have been dx'd with chronic urticaria & hypothyroid. Now I have a red vasculitic rash on my face/neck (not butterfly, not hives). What is this?

I have been dx'd with chronic urticaria & hypothyroid.  Now I have a red vasculitic rash on my face/neck (not butterfly, not hives).  What is this?

Autoimmune: It could be that your hypothyroidism is related to hashimoto's thyroiditis which can be associated with chronic urticaria, did you check your thyroid antibodies? One autoimmune disease can coexist with another causing the vasculitic rash. You need to see an immunologist for a work up. ...Read more

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How long can a chronic urticaria last? Apparentely it is related with hashimoto thyroiditis.. Any idea? Its been 1year of hives and angioedemas.

How long can a chronic urticaria last? Apparentely it is related with hashimoto thyroiditis.. Any idea? Its been 1year of hives and angioedemas.

Can be a long time: The association with hashimoto's thyroiditis is generally just thought to be that people who make antibodies to one thing inappropriately (thyroid) are more likely to make antibodies to other things inappropriately (mast cell receptors which can be a cause for urticaria). Most chronic urticarias last 2 weeks to 2 months, but 10-20% can last more than 2 years. ...Read more

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Hi I was diagnosed with have chronic urticaria, angiodema in 2011. Have had 30 anaphylaxis since I'm take antihistamines, break out in hives daily. Developing lipomas & cysts everywhere. ?

Hi I was diagnosed with have chronic urticaria,  angiodema in 2011. Have had 30 anaphylaxis since I'm take antihistamines, break out in hives daily. Developing lipomas & cysts everywhere. ?

Allergist: I recommend seeing an allergist/immunologist. Often high dose antihistamines and other meds are needed to get control. Also you need to be evaluated to find out if the episodes are the urticaria/angioedema or truly anaphylaxis. ...Read more

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Can chronic autoimmune urticaria go into remission? Will taking levothyroxine for thyroid help stop the hives without taking antihistamines?

Can chronic autoimmune urticaria go into remission? Will taking levothyroxine for thyroid help stop the hives without taking antihistamines?

Yes: The average duration of chronic hives lasts for 5-6 years and thus remission is indeed possible. As for thyroid, I have only had one patient with thyroid antibodies benefited from thyroid replacement out of the many hundreds I have seen over the years. Usually antihistamine would be needed. Studies so far with thyroid replacement have mostly been negative. ...Read more