Doctor insights on:
What Is The Treatment For Chronic Cholinergic Hives
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
Cholinergic typically refers to acetylcholine in the neurological sense. The parasympathetic nervous system, which uses acetylcholine almost exclusively to send its messages, is said to be almost entirely cholinergic. Neuromuscular junctions, preganglionic neurons of the sympathetic nervous system, the basal forebrain, and brain stem ...Read more
What are common treatments for cholinergic urticaria?
list medicine, dosage, etc
5 mg Levocetrizine no effect
history: allergic rhinitis
Anthistamines: Antihistamines are main treatment for cholinergic urticaria, but sometimes must take more than normal dose. You can try twice daily dosing of cetrizine (10 mg twice a day) or twice daily dosing of fexofenadine (180 mg twice a day). If this regimen not working, I suggest seeing an allergist to further manage/evaluate. ...Read more
Causes rarely known: We rarely find the cause for hives that last longer than 4 weeks. Individual hives last less than 24 hours and don't leave any scars are usually benign (not due to some bad disease), even if they are very itchy and make you miserable. Initial treatment is with high doses of antihistamines. If unsuccessful, there are protocols as to how to proceed. See a board-certified allergist/immunologist. ...Read more
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
Starting Xolair tomorrow for chronic hives, given once a month, how long does this treatment usually last?
Possibly a year or 2: Chronic hives can stop on their own any time. The fact that you live in NC and have IBS symptoms, makes it important that a Alpha gal and total IgE level be done before starting the Xoliar since Alpha gal meat allergy can present with IBS symptoms and with additional itchy tick bites progress to hives. Symptoms happen 4-6 hours after eating any beef or pork products, make it difficult to associate ...Read moreSee 1 more doctor answer
I have chronic hives 3 years now. I take 5mg of prednisone daily and started xolair 4 months ago. Is there any test I should have or other treatment. Both the prescription scare me for long term treatment?
CHRONIC HIVES: AFTER 3 YEARS YOU SHOULD SEE A DERMATOLOGIST OR AN ALLERGIST. ...Read more
Doctors don't seem to know a lot about chronic cholinergic hives. Does reducing chronic stress make them disappear spontaneously in some cases?
Cholinergic Hives: There is no cure for cholinergic urticaria, and treatment options are often limited. Some common treatments include taking antihistamines (such a allegra, (fexofenadine) zyrtec, or stronger ones), avoiding known triggers (such as hot weather, physical activity, and spicy foods), corticosteriods (only for extreme cases), anabolic steroids, uvb therapy, sweat/exercise therapy, diet changes. ...Read more
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
Chronic cholinergic hives never cause angioedema or anaphylaxis. They are common in teens and disappear after a while alone. Is this all true?
Hives: They are common and benign and may come and go as they please. ...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
"most people who experience chronic cholinergic urticaria experienced a stressful event one year before their first outbreak". Immunology explanation?
Not unnessarily: Cholinergic urticaria happens in some people after the core body temperature rises then cools down. It may happen with stress, exercise, or even after having taken a hot shower. The cause is unknown but it is speculated that this group of people have an overactive cholinergic system. ...Read more
Is there a link between chronic cholinergic urticaria and anxiety? Doctor told me condition is only the rash. No anaphylaxis, swelling, etc? Thanks :)
multiple causes: Urticaria can be associated with many contions and if confined to the skin structures is annoying but not dangerous. Try fexofeniine 180mg daily, but if recalcitrant or other body organs are affected (lung-cough, or gastrointestinal-abd cramping) consult your doctor. ...Read moreSee 1 more doctor answer
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
I am busy with my large family and don't have time for taking a child to doctors for something like hives. Who do we see for one-stop treatment?
Condom: Syphilis can be prevented by using latex condom, avoiding multiple partners, and receiving treatment for early stage syphilis. To develop late stage syphilis you would ha e to if ore the ulcer, the second stage ulcer, and avoid medical care for over a year.Syphilis is treatable in early stages 1 or second with penicillin. ...Read moreSee 1 more doctor answer
Why don't men want to go to doctors? My husband has hives, and I feel I have to drag him in to be seen. What will happen to him without treatment?
Hives: Usually just uncomfortable and sometimes unsightly. Most times hives will burn out, never to return. Sometimes they fester or will come & go intermittently. Antihistamines are best for suppression. Long term side effects from hives are not something to worry about. If you are worried, definitely see an allergist to test for what might be the causative factor to get it treated. ...Read more
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