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Doctor insights on: When Should I Be Concerned Enough About My Hives To Go To The Er

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When should I be concerned enough about my hives to go to the er?

When should I be concerned enough about my hives to go to the er?

When severe.: You should become concerned enough to go to the er if your hives are severe, or if they are associated with cough, shortness of breath, wheezing, or other breathing difficulty including tongue or throat swelling. ...Read more

Dr. John Landi
3 Doctors shared insights

Hives (Definition)

An outbreak of red bumps or wheals that appear quickly after exposure to certain allergens (foods, medications, other substances). They can vary in size, are itchy, can burn, and can last for up to ...Read more


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I have had hives for 4 days off and on. After Benadryl (diphenhydramine) wears off they return. Have taken 400 mg today and they're back. Do I need to go to the ER???

I have had hives for 4 days off and on. After Benadryl (diphenhydramine) wears off they return. Have taken 400 mg today and they're back. Do I need to go to the ER???

Only if...: Hello. I am sorry about your hives. Can you identify what might be causing them? If so, please avoid. If not, you should see your primary care doctor or urgent care clinic ASAP who may refer you to see an allergist. Only go to the ER if you are having trouble breathing, chest pain, or if you have severe swelling, fever, or other signs of life-threatening illness. ...Read more

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Are a few hives & facial heat, flushing reasons to go to the ER or call 911? I didn't know what I was reacting to but was fine after taking xyzal (levocetirizine).

Are a few hives & facial heat, flushing reasons to go to the ER or call 911? I didn't know what I was reacting to but was fine after taking xyzal (levocetirizine).

Hive flushing: If you were fine, I don't think a trip to the er is necessary. More severe symptoms such as wheezing, shortness of breath, low blood pressure or throat swelling would be concerns that need to be addressed at the er. I recommend you see and allergist/immunologist and consider getting an epipen, (epinephrine) Adrenaclick or Auvi-Q for anaphylaxis treatment. ...Read more

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I have gone to the ER with a full body case of hives and they came back again, what should I do?

Hives: If it recurs and you don't have any problems breathing, stomach pain or nauseat, vomitting, you can take otc zyrtec, Claritin (loratadine) or Allegra once to twice a day to control your symptoms. If it lasts more than 6 weeks, you should seek medical advice from a specialist. Most of the time acute hives are benign. ...Read more

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I broke out in hives and went to the er. They gave me a few shots and they cleared up until the next morning. Nothings helping : (?

I broke out in hives and went to the er. They gave me a few shots and they cleared up until the next morning. Nothings helping : (?

Antihistamines help: Your medicines from the er may have worn off. If they gave you prescriptions you should get them filled. Antihistamines such as Diphenhydramine (benadryl) or Cetirizine (zyrtec) should be taken continuously until your regular doctor can evaluate you. Be cautious of sleepiness with the use of around the clock antihistamines. ...Read more

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breaking out which seems like from everything. I get over heated hives are everywhere even sending me to the ER and being in ICU. All test show noth?

breaking out which seems like from everything. I get over heated hives are everywhere even sending me to the ER and being in ICU. All test show noth?

See allergist: It's time for you to consult an allergist who will likely obtain a more detailed history from you re. To potential triggers and order the appropriate blood tests if indicated. ...Read more

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I have had a rash and hives all over my body since taking tdap at the er and it has been 25 days and it still has not gone away.

I have had a rash and hives all over my body since taking tdap at the er and it has been 25 days and it still has not gone away.

See your doc: Time to see your doc, not ER. As you suggest what seemed to have been a skin reaction to the vaccine is not and coinciding factors may have contributed to your ailments. A thorough exam with a good history will help in understanding the nature of your rash and the best therapeutic options. ...Read more

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I get hives with any cold/pain relievers. Delsym (dextromethorphan) landed me in the ER twice for severe hives. Is there a pain reliever that won't do this to me?

I get hives with any cold/pain relievers. Delsym (dextromethorphan) landed me in the ER twice for severe hives. Is there a pain reliever that won't do this to me?

Maybe (not). . .: You'll need to do a bit of detective work. Find the ingredient label for any cold & pain relievers that you've tried & reacted to including delsym (dextromethorphan). Look for common ingredients that could explain your allergy. It may be a coloring or flavoring agent. Consult an allergist for specific information. Get as much specific info & details as possible before going to see doc. For instance, what pain reliev. ...Read more

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I have hives on my upper arms. I was in the ER about 10 days ago and was given morphine, hydro morphine and dilaudid. Could hives now be from that?

I have hives on my upper arms. I was in the ER about 10 days ago and was given morphine, hydro morphine and dilaudid. Could hives now be from that?

Hives / urticaria: It sounds like maybe you only received a single dose of those drugs, maybe for a migraine. If you only received those medications once ten days ago, it's NOT likely you would get hives so late from that. Drugs in the narcotic class can cause immediate hives when given, due to direct effects on mast cells, meaning you don't have to be allergic to them. Hives 10d later are likely from another cause. ...Read more

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3 year old just seen at the ER last night broke out in hives don't know why she has a viral infection also. How many hours apart can I give Benadryl (diphenhydramine)?

3 year old just seen at the ER last night broke out in hives don't know why she has a viral infection also. How many hours apart can I give Benadryl (diphenhydramine)?

Rash with a virus: It is common, especially with children, to get a rash with certain viruses. The rash tends to get better in a few days. Treatment of an itchy rash can be with antihistamines. I prefer the long-acting, non-sedating antihistamines like ceterezine (Zyrtec) or loratadine (Claritin) in kids, which is taken once a day. Diphenhydramine (Benadryl) can be used every 4 to 6 hours, but it makes you sleepy. ...Read more

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How much does the average emergency room visit cost in the us?

How much does the average emergency room visit cost in the us?

It depends: The average cost in 2009 was about $1, 300 per visit- but it all depends on the reason. An ankle sprain is much cheaper than a heart attack! The reason it is more expensive than your own physician is th ed needs to be open 24 hours and have the staff to take care of everything, even at 2am! See post by american college emerg phys for details: http://www. Acep. Org/content. Aspx? Id=25902. ...Read more

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Can you tell me how to pay for an emergency room visit in cash?

Can you tell me how to pay for an emergency room visit in cash?

Wouldn't recommend: Unless you have unlimited funds. The professional fee and facility fee can be quite high let alone any lab or radiologic fees. These may seem excessive but keep in mind this level of care must be maintained 24 hours daily 365 days per year, year after year and is available at a whim. I would set up a payment plan instead of offering to pay at once. ...Read more

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How long to does it take for a spider bite reaction to resolve, it has been 2 weeks and 2 visits to the dr and an emergency room visit and it's not getting bette

How long to does it take for a spider bite reaction to resolve, it has been 2 weeks and 2 visits to the dr and an emergency room visit and it's not getting bette

Variable: Spider bites vary from one species to another. Some spider bites may be a small red bump that resolves in a few days. Sometimes, a staph infection may develop, and this can be severe, requiring antibiotics and surgical debridement. Spiders which cause tissue necrosis (black widow, brown recluse) may also require surgical debridement. ...Read more

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What is my best option financially for seeing an urgent care doctor vs. Emergency room visit?

What is my best option financially for seeing an urgent care doctor vs. Emergency room visit?

Depends: If your problem is likely to be not very deep seated, an urgent care facility can be less expensive, and quicker. If the problem is life or functionally threatening and you might need sophisticated radiology and laboratory studies with a strong possibility of hospital admission, than you should go to an er. ...Read more

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My son is 17 and have this rash all over his body. I took him to the ER and they prescribe some steroids but it is not clearing up, could this be hive?

My son is 17 and have this rash all over his body. I took him to the ER and they prescribe some steroids but it is not clearing up, could this be hive?

Rash/hives: If you run your fingers over the rash and it feels thicker and above the level of the skin, it could be hives. If it is not going away, bring him to the dermatologist for a better diagnosis. ...Read more

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Should I be concerned about hives all over my body?

Hives: Depending how long you have had them, if they are acute and just happened, it can be an allergic reaction to something and you need to see a doctor asap, if chronic and intermittent, they are probably benign. ...Read more

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My daughte got her MMR today and broke iout in hives. Is this a common reaction? If so how bad is it? Should I be concerned? Should  i halt future vax

1st or 2nd MMR?: Hives after MMR booster occurs rarely and have been reported to be due to traces of gelatin in the vaccine. Mmr vaccine is grown on gelatin. Hives in children with egg allergy receiving MMR vaccine is exceedingly rare. In either case bring this reaction to the attention of your pediatrician. An antihistamine may be prescribed. A referral to any allergist for evaluation may also be helpful. ...Read more

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Hives and light period should I be concerned?

Light period: The main reason for light periods is a change in hormone levels. Causes for what seems to be a light period can include: implantation bleeding in early pregnancy, thyroid problems, eating disorders, excessive exercise, initial periods for a girl, use of an intrauterine device, oral contraceptives & perimenopause. Hives might be unrelated. ...Read more

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My toddler has had diarrhea for a week along with hives for the past 3 days should I be concerned?

My toddler has had diarrhea for a week along with hives for the past 3 days should I be concerned?

Yes, see Peds: Diarrhea can be an indicator of food intolerance / allergy. Hives are almost always due to allergic trigger in this age group. See your pediatrician asap to start determining what the cauase is. ...Read more

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I have weird bug bites/hives on upper arm, should I be concerned?

Maybe: Insect sensitivity with persistent exposure can cause havoc on skin. First, try to confirm if you truly have bug bites, because you may just be experiencing hives. Identifying triggers is notoriously difficult, but when they persist for >6wks, one should see a physician to rule out dangerous syndromes. If insects are involved, given the time of year, have an exterminator check for bed bugs/fleas ...Read more

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I often break out in hives (allergic reaction) when sweating in cold weather. What is this condition? Should I be concerned? How do you treat?

I often break out in hives (allergic reaction) when sweating in cold weather. What is this condition? Should I be concerned? How do you treat?

Cold urticaria: Cold urticaria is an allergy to cold temperatures. Exposure to cold air or water causes redness, itching, swelling and hives on the skin that has been in contact with the cold. As much as possible, people with cold urticaria should avoid exposure to cold air and cold water. Treatment may include antihistamines taken before cold exposure. Consult your doctor. ...Read more

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Woke up with 2 puncture holes, and itchy welts, and eyes? Took a Claritin, (loratadine) and hives better. Holes still there? Should I be concerned?

Woke up with 2 puncture holes, and itchy welts, and eyes? Took a Claritin, (loratadine) and hives better. Holes still there? Should I be concerned?

Insect bite: ? spider, keep taking the Claritin (loratadine) though, please visit your doctor, or urgent care for reassurance, as you are as well on a biological medicine, humira which is kind of an immune modulator, you might need some other meds, good luck ...Read more

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I'm concerned because the rash/symptoms usually last - the itching/stinging/hives, etc?

? Chronic urticaria: Better check with a dermatologist / allergist, check aaaai. Irg or acaai. Org for an allergist in your area ...Read more

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I get very mild hives from aspirin, so stopped using it. No other sym's. Can I still use pepto? One dr told me yes, but still concerned.

I get very mild hives from aspirin, so stopped using it. No other sym's. Can I still use pepto? One dr told me yes, but still concerned.

Peptobismul and ASA: The use of peptobismol is contra-indicated in people with Aspirin allergy or sensitivity. Peptobismol contains bismuth subsalicylate. Aspirin is a salicylate. Peptobismol could cause a mild to very severe allergic reaction to people with Aspirin allergy. ...Read more

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Trying to get rid off a rash and hives lasting 2 weeks. I am concerned that it is corn or sugar related. What to do in mean time besides elimination?

Trying to get rid off a rash and hives lasting 2 weeks. I am concerned that it is corn or sugar related. What to do in mean time besides elimination?

Antihistamines: Eliminate the possible cause but I do not think it is sugar related. Corn allergy is possible and can be diagnosed with a skin test by an allergist. Treatment with Allegra 180 mg once daily may help. Zantac (ranitidine) 150 twice a day is also helpful in hives. ...Read more