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Doctor insights on: How Much Should I Worry About Urticaria

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How much should I worry about urticaria?

How much should I worry about urticaria?

Hive Worry Index: On a scale of 1-10 (10 worst). Hives <6 weeks: 2. Hives >6 weeks: 3. After you see your doctor or allergist to rule-out the bad stuff: 2. Hives with swollen lips or eyelids (angioedema):4. Hives with swollen tongue:5. Angioedema without hives:5. Hives with vomiting, stomachache, difficulty breathing, passing out or nearly so:10. If score 3 or more see your doctor. ...Read more

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Dr. Sandra Lora Cremers
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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How can I treat urticaria?

How can I treat urticaria?

Antihistamines: Antihistamines are the primary treatment for hives. Long acting ones like zyrtec or Allegra (fexofenadine) are often effective and easier to take than short acting ones like benedryl. If the hives are persistent or recurrent, see your doctor. ...Read more

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How can I manage urticaria?

How can I manage urticaria?

Antihistamines: The primary way to manage hives (urticaria) is with over the counter antihistamines (cetirizine) or prescription antihistamines (hydroxyzine). If your hives have been present for more than 3-4 weeks, i would recommend seeing your physician asap. ...Read more

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What causes urticaria to occur?

Histamine: Urticaria is caused by the release of histamine from mast cells located in the skin. This can occur due to a variety of mechanisms, with allergy being the most common acute cause of hives. ...Read more

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Who dr do you see for urticaria?

Some simple solution: Many types, but an easy cure without asignificant side-effects is the combination of Hydroxyzine (50mg) at night with rantidine (300mg). Most people experience significant relief, almost immediately. Both of these drugs are $4.00/mo at target, walmart, kroger's, etc. ...Read more

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What exactly is cold urticaria?

What exactly is  cold urticaria?

Hives: Cold urticaria is the development of urticaria or hives when one is exposed to a cold environment or other cold exposure (drink, ice). ...Read more

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Can cold urticaria be temporary?

Can cold urticaria be temporary?

Sometimes: Cold urticaria is usually a chronic problem but sometimes it can be temporary if triggered by another problem which resolves. An allergy evaluation can be helpful. ...Read more

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What are the tests for urticaria?

What are the tests for urticaria?

Multiple: There are many because the causes of urticaria are many. Some of the tests are actually physical stimuli (temperature, vibration, etc). Most others will involve skin prick or blood testing: cbc, cmp, ana, esr, crp, tsh, food ige, total ige, just to name a few... This is generally very low yield though. A good allergist will help you sort through all the options. ...Read more

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What can I do if I have urticaria?

What can I do if I have urticaria?

Antihistamines: Over-the-counter non-sedating antihistamines like Allegra, Claritin, or Zyrtec are helpful for persistent hives while sedating antihistamine like Benadryl (diphenhydramine) can be helpful for acute hives. If you have persistent hive reactions consider being seen by an Allergist for further treatment and evaluation. There are many triggers of hives so determining right trigger is important moving forward. ...Read more

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How is urticaria diagnosed usually?

How is urticaria diagnosed usually?

Examination: Examination of the skin or pictures of the skin during an outbreak. ...Read more