Doctor insights on:
Stress Urticaria Treatment
Chronic urticaria: can be very tough to control, but treatment modalities are present, different protocols are used, needs first to be diagnosed right as so many types are there, chronic idiopathic urticaria is only diagnosed after exhausting all possible causes, and still there's treatment to control it, takes time, and compliance is important, check aaaai.org or acaai.org for an allergist in your area ...Read moreSee 1 more doctor answer
Stress affects most people in some way. Acute (sudden, short-term) stress leads to rapid changes throughout the body. Almost all body systems (the heart and blood vessels, immune system, lungs, digestive system, sensory organs, and brain) gear up to meet perceived danger. These stress responses could prove beneficial in a critical, life-or-death situation. Over time, however, repeated stressful situations put a strain on the body that may contribute to physical and psychological problems. Chronic (long-term) stress can have real health consequences and should be addressed like any other health concern. Fortunately, research is showing that lifestyle changes and stress-reduction techniques can help people learn ...Read more
What r the symptoms, tests, & treatments for autoimmune urticaria? Is it different from chronic urticaria?
Not necessarily: Chronic urticaria ilasts longer than 6 weeks, and most of those are of unknown cause, chronic idiopathic urticaria (ciu). Part of ciu is due to autoimmunity. However, the tests for autoimmune urticaria may not be sspecific. Autoimmune urticaria may not respond to antihistamines alone. Such patients may require leukotriene antagonists, prednisone, dapsone, Cyclosporine and even ivig. ...Read moreSee 1 more doctor answer
Is pruritus (body) a common allergy symptom? are allergy induced pruritus alleviated with anti histamines? how different from miliara rubra?
Yes: Allergy is usually associated with itching at the affected organ but most itching are not caused by allergies. Dry skin is by far the most common cause for itching without a skin rash. If the itching is caused by allergies (but not contact allergy), antihistamine in sufficient doses would work. In contact allergy involving the skin, topical cortisone works far better. ...Read more
Chronic hives: Chronic urticaria can persist for months, year or even decades in some cases. Frequently, the reason or cause of chronic hives cannot be identified. If a cause can be found, then avoidance of the trigger results in resolution. Medications can help decrease symptoms, but sometimes hives will return even after months or years of being gone. Very frustrating disorder for patient and doctor. ...Read more
Hives: That is a great question. Hives are very common. People are more likely to have hives if they have a family history of the condition. Stress hives, by definition, are caused by stress. Most cases of hives spontaneously resolve. If you have symptoms more than 24 hours, visit your doctor for an exam and to discuss your condition. Remember to bring any medicines you take. ...Read more
That depends on.....: In some severe cases, i would stabilize the patient on psychotropic medications before going near any form of therapy. In a patient who has marked hyperarousal or who is agitated - touching on triggers at all can throw them into crisis. In some of these cases, we may take weeks regulating meds before we start talking therapy. Psychoeducation & cognitive processing therapy are very important. ...Read moreSee 1 more doctor answer
Agree w Dr. Pappas: Cognitive process therapy (a type of cbt) has a very good success rate even with complex post traumatic disorder (ptsd). Virtual reality exposure therapy ; emdr are also helpful. Psychoeducation is very important. Insure that you work with a therapist/ psycholgoist/ psychiatrist who is experienced in working w ptsd. Psychiatric drugs are sometimes indicated as well. ...Read moreSee 1 more doctor answer
Solar urticaia Rx.: Sun avoidance, good sun screens, and antistamines are primary treatments. Solar urticaria is a form of physical urticaria (hives) and can be very annoying. There are some medications that can cause a person have a rash on exposure to sun, but they are usually not urticarial in nature. ...Read more
Antihistamines: Cholinergic urticaria (hives) is caused by increase in core body temperature with triggers like exercise with sweating, strong emotions, and bathing in hot water. Identify and avoid known triggers, avoid bathing in hot water and performing strenuous exercise during hot weather. Can take non-sedating antihistamines 1-2 times daily. Allergist can perform methacholine challenge in office to confirm. ...Read more
Stay cool.: If you have cholinergic urticariia you get tiny hives that grow & merge when skin temperature increases. This occurs with hot showers, hot weather, exercise & fever. Cooler showers, air conditioning, & tylenol (acetaminophen) for fevers will help. All antihistamines are useful but the best is thought to be periactin (cyproheptidine). In difficult cases i add Neurontin (gabapentin). Be prepared to be drowsy. ...Read moreSee 1 more doctor answer
Only psychiatrist respond please.Mentally ill.It's not PTSD. Sufferin from delayed emotional response an reaction related 2 recent non traumatic thing?
Therapy?: Not sure what the question is here. This indicates Mental illness w diagnosis of PTSD and use of Paxil (paroxetine). The question is: Are you in therapy? Even though most recent reactions are not due to recent trauma - that can still be addressed in therapy. Take care. ...Read moreSee 1 more doctor answer
PTSD treatment: Post-traumatic stress disorder (ptsd) can be very complex, and may need multiple types of treatment. A thorough psychiatric evaluation is the best way to start, to understand some of the precipitating events and ongoing triggers. Psychotherapy with emdr (eye movement desensitization and reprocessing) can help move through and release painful emotion. Medications are sometimes needed, not always. ...Read moreSee 1 more doctor answer
Biopsy petechiae right arm: spongiotic psoriasiform dermatitis w/purpura. Drug eruption in a pt. W/underlying psoriasis or eruptive psoriasis exacerbated by a drug. What does this mean? Drug allergy?
See your doctor: This is what is called a "descriptive" path report. In these cases we construct a list of conditions that can produce this type of reaction pattern then try to narrow it down if possible. In these cases a good solid history needs to be taken to identify any possible cause (drug or other). I am afraid this can be a challenging process and sometimes we do not find the actual diagnosis. Good luck. ...Read moreSee 1 more doctor answer
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