Hives From Heat or Sweat

What Is Cholinergic Urticaria?

Cholinergic urticaria (also called cholinergic angioedema or heat bumps) is a reaction that results in tiny hives surrounded by large patches of red skin. They’re related to an increase in your body temperature.  You can get itchy red hives on your skin for lots of reasons. The ones that break out when you’re sweaty from a workout, nervous, or just hot are called cholinergic urticaria (CU).

It’s not clear what causes this condition. Some evidence suggests it may be due to the nervous system or from an allergic response to sweat. 

You may be more likely to get these hives if you have eczema, asthma, or other allergies like hay fever, or if you get hives for other reasons, such as from certain foods or medications, pressure on your skin, or cold weather. Anyone can get cholinergic urticaria.

Some people with CU have only a mild case of the condition; but others can get a serious or life-threatening version of the disease. Signs and symptoms of a serious case of CU include:

• Hives all over your body (generalized urticaria)

• Swelling in the deeper layers of the skin (angioedema) often around the face and lips. If swelling causes your throat or tongue to block your airway, this can be life-threatening.

• Bronchospasm. Your airways go into spasm and contract abnormally, making it difficult to breathe.  You can also have wheezing or coughing.

• Low blood pressure (hypotension). Very low blood pressure can be life-threatening.

Cholinergic Urticaria Symptoms

These hives are itchy, tingly, and warm. They’re usually small (1-3 millimeter) red bumps with flares or circles around them called wheals.

You can get them anywhere on your body, but most of the time they show up on your chest, face, upper back, and arms. Sometimes, the bumps are close together. Your skin can look swollen and blotchy, or you may just look flushed.

CU hives pop up within 6 minutes of contact with a trigger. They last about 30 minutes to an hour or two before they fade away.

It’s not common, but you also may have one or more of these along with hives:

Exercise-induced anaphylaxis 

Although it’s very rare, some people can get anaphylaxis (a serious allergic reaction) from doing active exercise like aerobics and  jogging, or even less intense activity like walking. Symptoms of exercise-induced anaphylaxis are:

• Skin reactions, like hives, itching, flushed or pale skin

• Low blood pressure (hypotension)

• Weak and rapid pulse

• Airway constriction — sometimes with swollen tongue or throat, which can cause wheezing and difficulty breathing

• Dizziness or fainting

• Nausea, vomiting, or diarrhea

If you notice a skin reaction after exercise, look out for these other warning signs. If you or someone you are with has them, call 911.

Cholinergic Urticaria Causes and Risk Factors

CU is caused by nerve fibers in your sweat glands. Your skin reacts to the heat and sweat when your body temperature goes up.

You may get these hives when you:

• Take a hot shower or bath

• Work up a sweat from exercise

• Are in a hot climate

• Wear a tight, clingy bandage 

• Get nervous, have anxiety,  or start to sweat

• Eat hot or spicy foods

• Are upset or angry

Cholinergic Urticaria Diagnosis

If you notice that your skin gets itchy, red, and blotchy when you’re hot or you’re a few minutes into a workout, see your doctor. A dermatologist (skin specialist) or allergist can also diagnose CU. In order to diagnose it:

• Your doctor will ask you what your hives look like when you get them and how long they last to rule out other causes, such as foods you eat. 

• They may ask you to run or ride a stationary bike for about 15 minutes to see whether you break out as you sweat.

• They may give you a shot of methacholine, a medicine that shrinks your airways, to make the bumps show up.

Cholinergic Urticaria Treatment

If you live in a hot climate or like to exercise, it can be hard to stay away from the heat that causes these hives.

These antihistamines, used to treat allergies, may help control them:

If antihistamines don’t work, your doctor may recommend steroids for a short time or histamine 2 receptor blockers such as Zantac or Tagamet. All antihistamines are more effective if taken daily rather than on an as-needed basis.

Other treatments for CU include leukotriene inhibitors (Singulair), immunosuppressives (cyclosporine, dapsone), Danazol, beta-blockers (propranolol), topical scopolamine, and omalizumab (Xolair).

If you have serious reactions — like shortness of breath — when you get hives, your doctor might give you an epinephrine shot for you to keep on hand. This can help your breathing and get rid of hives and swelling.

Cholinergic Urticaria Prevention

Stop or slow down your workouts if you break out in hives. If some types of exercise make you break out more often, try other activities instead.

Cool your hot skin to prevent or ease hives:

• Try a cool shower, press a cloth soaked in cool water to your skin, or stand in front of a fan.

• Wear loose clothes.

• Keep your home and bedroom at a cool temperature.

• If stress causes your hives, try to avoid situations that upset you. Find ways to calm down and manage it.

Heat Rash or Prickly Heat (Miliaria Rubra) in Adults: Condition, Treatments, and Pictures – Overview

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Images of Miliaria Rubra

Overview

Heat rash (miliaria rubra), also known as prickly heat, is a rash of small red bumps caused by blockage of the sweat glands. It can be due to high fever, excessive sweating, or being over-bundled. It is commonly seen in hot, humid tropical climates. It can cause discomfort, itching, and, sometimes, stinging or “prickly”-type pain.

Who’s at risk?

Heat rash is more common in hot, humid tropical climates. Someone who is new to such an environment is especially vulnerable. Heat rash can be due to high fever, excessive sweating, or being over-bundled. It occurs in individuals of all races, although to a lesser degree in Asians. Infants are the most commonly affected as they are subject to over-bundling out of concern for heat loss after birth.

Signs and Symptoms

Heat rash can occur after exposure to hot conditions. There can be many small, red bumps all over the body. The bumps of heat rash usually occur in highest concentration in covered areas where there is a lot of friction, such as the neck, chest, and body folds. The face, palms, and soles are generally not affected by heat rash. The rash can cause intense itching and stinging, which can become worsened by heat. The individual may feel fatigued and become intolerant of heat because of little or no sweating at the affected areas.

Self-Care Guidelines

Prevention and treatment of heat rash consist of controlling heat and humidity. Acetaminophen or ibuprofen can help to reduce fever, which can be a causative agent in the development of the rash. Remove any occlusive clothing, limit activity, and seek air conditioning or any cooler environment. Cool compresses can also help with the discomfort. Heat rash usually resolves once people move to a cooler environment. Make sure to drink lots of fluids.

When to Seek Medical Care

The most common complications from heat rash include secondary infection from scratching and heat exhaustion.

Although uncommon, infected areas due to breaks in the skin caused by scratching may need antibiotic treatment for resolution. Seek care if the rash develops pus, redness, crusting, swelling, or tenderness.

In cases of heat exhaustion, the skin will appear hot and flushed without any sweat. The person may complain of dizziness, nausea, weakness, headache, confusion, or difficulty breathing. Heat exhaustion can progress to heat stroke, so medical care should be obtained right away. Symptoms of heat stroke include a very high temperature of 105°F or greater, decreased or loss of consciousness, or seizure.

While awaiting medical care, get the affected person indoors or under shade, undress them, and apply cool compresses to the body.

Treatments Your Physician May Prescribe

If there are signs of secondary bacterial skin infection associated with the heat rash or otherwise, oral or topical antibiotics may be given.

Dehydration may be treated with intravenous fluids, especially if there is vomiting. Heat stroke is treated by trying to quickly reduce the core temperature to normal. Immersion, evaporative, or invasive cooling techniques may be used in addition to rapid administration of intravenous fluids. This type of care is administered within a hospital setting.

Trusted Links

MedlinePlus: Heat Illness
MedlinePlus: Rashes
MedlinePlus: Sweat
Clinical Information and Differential Diagnosis of Miliaria Rubra

References

>Bolognia, Jean L. , ed. Dermatology, pp. 510, 578-579. New York: Mosby, 2003.

Wolff, Klaus, ed. Fitzpatrick’s Dermatology in General Medicine. 7^th ed, p. 730. New York: McGraw-Hill, 2008.

Prickly Heat | Cedars-Sinai

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What is prickly heat?

Prickly heat is a skin rash caused by sweat trapped in the skin.
Normally, sweat travels to the surface of the skin through tiny ducts. If the ducts
become narrowed or clogged, the sweat is trapped in the skin. This can cause
redness, itching, and small blisters. The rash often appears on the torso and
thighs, especially where skin touches skin. Prickly heat tends to be more common in
hot, humid climates.

What causes prickly heat?

The condition is caused by narrowed or clogged sweat ducts. This
may be because of things that cause sweating, such as:

• Hot, humid weather
• A lot of physical activity
• Illness with fever
• Tight or warm clothing
• Bandages
• Medicine patches that stick to the skin
• Health conditions that cause extra sweating
  (hyperhidrosis)

It may also be from:

• Some medicines, such as isotretinoin or beta blockers
• Bacteria

Who is at risk for prickly heat?

You are more at risk for prickly heat if you sweat a lot, but it
is more common in children.

What are the symptoms of prickly heat?

Symptoms can occur a bit differently in each person. They can
include:

• Itching
• Irritation that feels like prickling
• Small bumps or blisters
• Large, red areas of skin

The symptoms of prickly heat can be like other health conditions.
Make sure to see your healthcare provider for a diagnosis.

How is prickly heat diagnosed?

Your healthcare provider will ask about your symptoms and health
history. They will give you a physical exam. The physical exam will include looking
closely at your skin.

If you have severe symptoms, your healthcare provider may do a
skin biopsy. They will remove a small piece of skin to send to a lab.

How is prickly heat treated?

Treatment will depend on your symptoms, your age, and your general
health. It will also depend on how severe the condition is.

The rash usually goes away on its own when sweating is prevented.
You can do this by:

• Keeping your skin cool and dry
• Wearing lightweight, loose clothing
• Wearing fabric that lets air get to the skin, such as
  cotton
• Removing bandages or patches

Other treatment may include:

• Using a gentle exfoliator in the bath or shower
• Corticosteroid cream or lotion to help reduce itching and
  inflammation
• Antibiotic cream or lotion if bacteria is part of the
  cause
• Drying powders

Talk with your healthcare providers about the risks, benefits, and
possible side effects of all medicines.

What are possible complications of prickly heat?

In rare cases, blocked ducts may cause damage to sweat glands.
This is called miliaria profunda. The sweat glands stop working (anhidrosis). This
causes problems with the body cooling itself normally with sweat. You can then be
more easily overheated (hyperthermia).

Can prickly heat be prevented?

You can help prevent the problem by:

• Staying in cool environments
• Wearing lightweight, loose clothing
• Taking other steps to prevent extra sweating

When should I call my healthcare provider?

Call the healthcare provider if you have:

• Symptoms that don’t get better, or get worse even after
  using suggested treatments
• New symptoms

Key points about prickly heat 

• Prickly heat is a skin rash caused by sweat trapped in the
  skin. It tends to be more common in hot, humid climates.
• Symptoms include redness, itching, and small blisters.
• The condition is caused by narrowed or clogged sweat ducts.
  This may be from things that cause sweating, such as hot, humid weather or
  physical activity.
• The rash usually goes away on its own when sweating is
  prevented. You can do this by keeping your skin cool and dry.
• Treatment may also include corticosteroid cream or lotion to
  help reduce itching and inflammation.

Next steps

Tips to help you get the most from a visit to your healthcare
provider:

• Know the reason for your visit and what you want to
  happen.
• Before your visit, write down questions you want
  answered.
• Bring someone with you to help you ask questions and
  remember what your provider tells you.
• At the visit, write down the name of a new diagnosis and any
  new medicines, treatments, or tests. Also write down any new instructions your
  provider gives you.
• Know why a new medicine or treatment is prescribed and how
  it will help you. Also know what the side effects are.
• Ask if your condition can be treated in other ways.
• Know why a test or procedure is recommended and what the
  results could mean.
• Know what to expect if you do not take the medicine or have
  the test or procedure.
• If you have a follow-up appointment, write down the date,
  time, and purpose for that visit.
• Know how you can contact your provider if you have
  questions.

Medical Reviewer: Michael Lehrer MD

Medical Reviewer: Marianne Fraser MSN RN

Medical Reviewer: Raymond Kent Turley BSN MSN RN

© 2000-2021 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional’s instructions.

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Summer rashes | University of Iowa Hospitals & Clinics

Rash is a term that describes any visible skin outbreak. Many rashes are itchy, red, painful, and irritated. Rashes are very common in all ages, and nearly everyone will have some type of rash at some point in their life. These rashes can be caused by sunlight, insects, sweating, and overheating during the summer months—especially if they have allergies and/or pre-existing skin conditions. There are several different types of skin rashes; here are some that are likely to occur during the summer months.

Heat rash (prickly heat)

Heat can cause rashes when sweat ducts, found all over your body, are blocked and sweat is unable to come out of your skin. It often leads to discomfort and itching. Heat rash is a red or pink rash usually found on body areas covered by clothing. It can happen if you’re wearing thick clothing, heavy creams, or are in extreme heat.

Wear breathable, natural fabrics, and stay away from heavy lotions or creams to prevent a heat rash. Sitting in an air conditioned room or near a fan may help. A light moisturizer after a cool shower can also ease the pain.

Heat rash usually goes away on its own within a day or two when your skin cools down, and a hydrocortisone cream can help alleviate any discomfort in the meantime. If it doesn’t go away after three or four days, or if it appears to be getting worse, it’s not a heat rash and you should immediately contact your doctor.

Mosquito bites

Mosquitoes are most attracted to exposed areas of skin that are warm and moist. You may quickly develop redness, swelling, itching, and a small bump the size of a fingertip.  Sometimes this does not appear for 24 hours. Most people will get relief by using hydrocortisone cream or taking an antihistamine (certirizine (Zyrtec) or diphenhydramine (Benadryl).  Ask your pharmacist which is the best one for you. Your body may react more strongly to mosquitoes in different regions, so be sure to pack insect repellent for any trip. Look for DEET 20% or so.  Spray it on your clothing and exposed skin.

Bee stings

Bees are most active during the day’s hottest hours. You’ll feel a sting as soon as it happens. Bee venom causes itchy or stinging sensations, which last for 15 to 20 minutes, and creates a welt about the size of a dime. Immediately apply ice wrapped in a towel for 10 to 20 minutes to ease discomfort. Hydrocortisone cream and calamine lotion can relieve itching. Certirizine (Zyrtec) or diphenhydramine (Benadryl) will also work.  Use acetaminophen (Tylenol) for the pain.  Avoid bright clothing and fragrances, and try to keep your skin covered. Most bees don’t sting people unless aggravated, so don’t panic if you see one; just try to avoid it.

Poison ivy, oak, and sumac

Any part of the body that comes in contact with poison ivy, poison oak, or poison sumac may get red and itchy and swell, sometimes followed by blisters. All three plants contain the toxin urushiol, which causes an allergic reaction in most people. You’ll likely notice the rash within 48-72 hours, and symptoms could actually worsen as many as five days later. While the rash should go away on its own within one to two weeks, you can ease the itching with calamine lotion, hydrocortisone 1% applied to the rash, and an antihistamine (certirizine or diphenhydramine).

See your doctor if your rash is severe or your eyes, face, or genitals are affected. Clothing, garden tools, or even pets that have been exposed to poison ivy, oak, or sumac, can spread the toxin. The oil from these plants is most potent for 30 to 60 minutes after contact, so wash your clothing and rinse exposed skin with soap and water.

Athlete’s foot

Going barefoot in environments where fungi thrive, like pools, the backyard, or the gym causes cracking, itching, or skin to appear white, dry, or scaly. Advisable to keep your flip-flops on.

Swimmer’s itch

Swimming in contaminated water can expose skin to parasites, often from bird droppings. A red, patchy, itchy rash develops within 48 hours. The rash will go away on its own, but symptoms can last for weeks. Ease discomfort with calamine lotion, hydrocortisone creams, or antihistamines. Though the rash can occur after swimming in any natural body of water, it is less common in the ocean and running water. Avoid lakes with large bird populations or stagnant shallows, especially after a warm or dry spell. Rinsing off after a swim can help too.

Self-care and treatments

Most summer skin rashes are not harmful and will disappear by themselves after a few days. Most rashes can be safely and effectively treated at home.

Try one or more of these measures:

• Wear light, loose-fitting soft clothes that don’t trap heat or moisture. Natural fabrics such as cotton are the best.
• Spend time in cool, air-conditioned, or well-ventilated environments.
• Take frequent cool baths or showers.
• Ask your doctor or pharmacist if there are any creams or tablets that may help you.
• Don’t scratch the affected area, as it may worsen and become infected.

It’s important to drink plenty of water in hot weather and ensure that you reduce sun exposure to your skin.

When to seek medical help

The need for medical treatment often depends on what other symptoms are present. A rash that occurs with other symptoms, such as shortness of breath or fever, may mean another problem, such as a serious allergic reaction or infection.

A dermatologist is a medical provider who specializes in diseases of the skin and may need to be consulted for rashes that are difficult to diagnose and treat. See your doctor if the rash doesn’t improve by itself, seems to be getting worse, or if you have signs of skin infection.

Individuals should consult with their health care provider before starting any medications. 

How To Cool Down Your Child’s Heat Rash – Cleveland Clinic

You might associate heat rash with babies, but hot, humid weather puts active kids at a higher risk for developing heat rash, too. Some people refer to it as prickly heat.

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When it’s hot outside, there’s a higher risk of heat rash in children who are highly active, overdressed for the weather or wearing clothes that don’t allow the skin to breathe. These can increase the amount of sweat on a child’s skin, which increases the chance for a heat rash to develop.

“Excessive sweating can cause a child’s pores, which are actually sweat gland ducts, to become blocked, and perspiration can become trapped underneath the skin,” says pediatrician Paula Sabella, MD. “This can result in irritation, redness and sometimes itchy rash, known as heat rash.”

What does a heat rash look like? 

A heat rash may look like tiny bumps surrounded by red skin. Some forms of heat rash can be itchy or cause a prickly sensation, but it’s typically not painful.

In infants, the rash usually develops on the neck, armpits, elbow creases and groin. In older children, it can also occur on the chest and back. The rash doesn’t typically involve the eyes, nose, mouth, palms or soles.

“If your child develops the rash, you can expect that he or she will act normally,” says Dr. Sabella. “A child with a heat rash should not have fever or other signs of illness.”

These factors can contribute to heat rash:

• Hot, humid weather or environment.
• Physical activity, intense exercise, hard work or activity.
• Fabrics that do not allow sweat to evaporate from the skin.
• Overdressing a child or dressing in too heavy of fabric for the weather.  
• Sleeping under too many blankets. 
• Use of oils, thick creams or ointments, which can block the sweat ducts. 
• Immature sweat ducts, such as in a newborn. 
• Prescription medications that increase sweat gland function.

How to cool your child’s heat rash 

If you suspect your child has a heat rash, you should start the cool down process right away.

• Immediately get your child out of the heat and into a cooler area. 
• You may also try to cool your child off with a fan. 
• Remove any extra clothing that your child may be wearing and loosen it. 
• You may also use a cool, damp washcloth on the skin to remove sweat and body oils. Dry off of any excess moisture.

“There is no need to use any lotions, oils, creams or ointments on the skin, as this could further block the pores, trap moisture and make the heat rash worse,” says Dr. Sabella.

Remember to dress your child in a breathable fabric, such as cotton, which allows the air to circulate and allows the sweat to evaporate. This will keep your child’s skin cool and dry, and it will help treat and prevent heat rash. Be sure your child is drinking enough fluid to avoid dehydration, too.

Heat rash typically clears up in a few days on its own and leaves no permanent damage to the skin.

When to call a doctor

Be sure to call your pediatrician if the heat rash persists, does not improve in a few days, seems to get worse or if you see signs of infection. 

Signs of infection could be in the form of:

• Fever or chills.
• Pain, swelling, redness or warmth around the affected area.
• Pus draining from the lesions.
• Blisters or scabs.
• Swollen lymph nodes in the armpit, neck or groin.

Seek medical care if your child has fever, is acting sick or has any other symptoms.​

Summer Skin Rashes; What You Should Know

Ah, summertime. It’s a time of longer, sunnier days, warmer temperatures, digging in the garden, picnics and trips to the beach.

But it’s also a season that can wreak havoc on your skin, if you’re not careful. Overexposure to the sun’s rays, the combination of heat and humidity, and contact with certain plants can cause nasty skin bumps, sores and rashes.

“Spring and summer burst upon us and we’re excited to get back outdoors, and we forget certain rules we learned until it’s too late,” says Darrell Vlachos, D.O., medical director of Beaumont Urgent Care – Redford. “It’s one of those things where an ounce of prevention may be helpful.”

We spoke with Dr. Vlachos about some of the more common skin conditions found in Michigan during the spring and summer months – plus how to detect and prevent them.

Contact dermatitis

The most common contact dermatitis, or skin inflammation, results from exposure to poison ivy, poison oak and poison sumac, which all contain an oily resin called urushiol in their leaves, stems, flowers and roots. It’s estimated that roughly 80 to 90 percent of people are allergic to urushiol.

“It is a rash that’s associated with chemicals that are produced by poison ivy, and contact with that causes a reaction with the skin,” Dr. Vlachos says. “Some people have a concomitant allergy, so when some people get it, it gets worse and worse. They have not only the contact aspect, but they’re allergic.”

How to treat it

If you’ve been exposed, you should wash the affected areas with soap as soon as possible so the oil doesn’t transfer to other parts of your body. And wash your clothes, which can also pick up the oils, to minimize spread. As hard as it is to resist itching, keep in mind that’s a primary way the oil transfers to places like your arms, neck and even face.

Dr. Vlachos also recommends over-the-counter topicals like Zyrtec or Benadryl, or 1-percent hydrocortisone creams. Calamine lotion or Aveno baths can also help provide relief. “Once the rash is really stabilized and involves a large part of your body, then you probably need to go to a doctor and get an injection of a steroid medication,” he says.

How to prevent it

Prevent exposure by familiarizing yourself with each plant (here’s a good photo ID resource), wearing protective clothing, socks and gloves when working around the plants or hiking in areas where it might grow.

Heat rash

Hot and humid weather can cause sweat ducts to clog and trap perspiration under the skin, resulting in a rash that shows up as tiny bumps or blisters. It’s particularly common in skin folds or in reaction with clothes, and certain people are more prone to getting it. Heat rash usually goes away after a few days.

How to prevent it

Dr. Vlachos recommends wearing clothes that are loose-fitting and made of breathable fabrics and avoiding tight-fitting clothes that don’t allow perspiration to escape the skin. It’s also a good idea to avoid heavy creams and oils that block sweat ducts.

Yeast infections and athlete’s foot

Yeast likes warm, moist conditions, and infections occur in the vagina, under breasts, in skin folds and in the groin area. Infections are more prevalent with diabetics because they have more sugar available on their skin and in their perspiration.

It’s the same principle at work with athlete’s foot, a fungal infection that causes cracked, flaking and peeling skin that can take root when your feet get sweaty in closed-toed shoes.

How to prevent it

To minimize risk, keep skin-fold areas cool and dry, using powders if necessary to keep moisture at bay. Change your clothes often if you’re sweaty.

How to treat it

To treat it, use over-the-counter yeast infection treatments or antifungals for athlete’s foot.

Hives

Hives is a common term for a raised red rash, or welts, that may be due to many things that can trigger an allergic reaction: animal dander, insect bites, pollen, foods and even sun exposure.

How to treat it

They’re usually treated with antihistamines.

Eczema

Eczema isn’t necessarily particular to any one season, but it often flares up in the hot and humid summer months. It’s defined by red, itchy and sometimes blistery skin.

How to treat it

Eczema often requires prescription ointments or creams to treat. Dr. Vlachos recommends people who have it establish a game plan with their primary care doctor about what to do during an outbreak.

Sunburns

Sunburns result from too much exposure to ultraviolet light from the sun. It’s damage to the skin, just like a first-degree burn, and the skin often sloughs just like it does in other types of burns. Repeated exposure can damage skin or cause certain diseases, including skin cancer.

“Since skin’s a barrier for us to prevent fluid loss, if you burned badly enough, it can cause significant problems for you,” Dr. Vlachos says.

How to prevent it

You can minimize your risk be applying sunblock or sunscreen with an SPF of 15 or higher, wearing a wide-brimmed hat and clothing that covers the skin, and avoiding exposure during the hottest parts of the day, generally between 10 a. m. and 4 p.m.

5 Ways to Treat Heat Rash in Bed Rest Patients

Did you know that heat rash doesn’t only affect infants and young children? Heat rash can affect a person of any age for a variety of reasons, but bed rest patients are particularly at risk.

Heat Rash Isn’t Just From the Hot Weather

While many people believe heat rash only occurs because due to hot and humid weather, bed rest patients are at high risk for reasons unrelated to the weather. Heat rash can develop when pores trap sweat beneath the skin. It can be especially visible in those who experience excessive sweating. Once the sweat is trapped, you will likely begin to see blisters, red lumps and even a prickly, intense itch in some places.

Heat rash prevention can include simple daily changes such as taking a cold shower, keeping your living space cold, avoiding thick ointments, and applying cool compresses to the skin. If heat rash has already made an appearance, treatments can include the following:

1. Over-the-Counter (OTC) Lotions

Heat rash often causes itching and bumps. OTC items help keep the rash dry, stop itching, and prevent other bumps from forming. The best remedies include calamine lotion, aloe vera, corticosteroid cream, and antihistamines.

If you can’t find an OTC lotion, try making your own. Sandalwood powder mixed with water creates a paste-like substance. This anti-inflammatory should reduce itching and pain in bed rest patients who have heat rash. Mix two parts sandalwood powder with one part water and test the paste on skin not affected by heat rash. If there is no reaction over the course of one hour, apply it to the affected skin.

2. Use Cold Water

Another important heat rash treatment is as simple as using cold water. Showering and bathing in cold water will help soothe itchy and bumpy skin. After bathing, be sure to allow skin to air-dry rather than toweling off, which could block your pores and contribute to the heat rash. Cool compresses can also help alleviate heat rash symptoms and pain.

3. Have a Drink

…of cold water, that is! Bed rest patients with heat rash should drink plenty of cold water to not only stay hydrated, but to maintain cooler body temperatures. Cooler body temperatures will help relieve your itching and sensations of pain.

4. Unblock Your Sweat Glands

The main cause of heat rash is blocked sweat glands. Once heat rash is apparent in a bed rest patient, it’s important to remove any kind of tight clothing from around the waist, abdomen, chest, or groin that might be preventing sweat from evaporating. Change into lightweight clothing to avoid sweat accumulating on skin. Additionally, avoid using any heavy creams, lotions with oil, or large bandages that can trap in body heat.

5. Oatmeal

Believe it or not, oatmeal is a known home remedy for heat rash – but we aren’t going to have you eat it. Start a lukewarm bath and mix in one or two cups of oatmeal with the water. Soak in the bath for 20 minutes to feel relief from the heat rash. Additionally, you can mix 1 part oatmeal to 1 part water until it forms a paste. Next, gently apply the paste to the affected areas.

Bed rest patient or not, if you think you have heat rash or symptoms of heat rash, be sure to contact Dermatology & Mohs Surgery Institute for help with these and other treatment solutions. Patient forms and insurance information is available here.

90,000 what is dangerous and how to treat.

Urticaria is a skin symptom of an allergy or other pathology associated with the release of histamine. It got its name from the redness and blisters, very similar to a nettle burn. You can also find the names “nettle fever” or “urticaria”.
This condition requires careful examination and treatment, as it is fraught with complications: Quincke’s edema and anaphylactic shock.

Symptoms and manifestations of urticaria

• Skin rashes and redness.
• Itching of the skin.
• Fever, chills.
• Sometimes nausea, vomiting, abdominal pain.

On contact with an allergen, mast cells are activated and release histamine, a substance that causes swelling of the skin and mucous membranes, leading to blistering.

These rashes look like blisters or nodules, dense to the touch, have a clear outline, rise above healthy skin and turn pale with pressure. Diameter from one millimeter to several centimeters, large blisters can merge with each other, forming a large spot of irregular shape. The color ranges from white to bright red. They fade without leaving spots or scars. Necessarily accompanied by itching – from moderate to painful.

Blisters are volatile, meaning they appear quickly and pass just as quickly, but may return after a few hours.In some cases, the episodes of rashes are repeated many times.

Localization of urticaria is different – on the face, neck, arms, back and abdomen. In the generalized form, the rash covers most of the body.

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Clinical forms

By the nature of the course of the disease, acute and chronic forms are distinguished.Acute lasts from several hours to 1.5 months. During this time, symptoms may subside, but do not go away completely.

The chronic form is characterized by a cyclical alternation of light intervals (remission) with periods of exacerbation. Sometimes expressed remission is not observed at all.

According to the etiology of occurrence, the following forms are distinguished:

• allergic – manifests itself in contact with food, medicinal, inhalation and other allergens;
• cold – from contact with cold water or being in cold air.In a local skin reaction, blisters form around the cooled area of ​​the skin;
• heat or cholinergic – provoked by a hot shower or bath;
• from pressure – occurs in places where the skin is compressed by tight clothing and shoes, a tight belt or tight stockings;
• contact – with direct skin contact with an allergen, for example, latex or household chemicals.

Risk factors

One of the factors, or a combination of them, can provoke an episode of urticaria or the development of a chronic form:

• previously identified allergy, especially with skin manifestations;
• hereditary predisposition – plays a significant role in heat and cold forms;
• eating foods that promote the release of histamine – strawberries, shrimps, fish, soybeans, nuts, citrus fruits;
• the presence of foci of chronic infection in the body – caries, tonsillitis, sinusitis.This increases immune tension and can provoke allergic reactions;
• infectious diseases (viral hepatitis, herpes, infectious mononucleosis) and helminthiasis;
• hormonal disruptions during pregnancy, lactation, puberty and menopause;
• medication – aspirin and other NSAIDs, codeine, oral contraceptives, some drugs that lower blood pressure;
• stress is a provoking factor.

Complications of urticaria

Quincke’s edema or angioedema

An emergency, in its mechanism of development, similar to urticaria, characterized by edema of the deep layers of the skin, mucous membranes and subcutaneous tissue.

Sometimes urticaria turns into Quincke’s edema, or they develop simultaneously with each other. The danger lies in the possible development of laryngeal edema, difficulty breathing and suffocation.

Myocarditis and glomerulonephritis

Rare but formidable complications of urticaria. Their development is associated with a violation of the permeability of the vascular wall, which is fraught with a violation of the heart rhythm and the filtration function of the kidneys.

Anaphylactic shock

With the progression of the allergy, there is a possibility of developing anaphylactic shock upon contact with the allergen.This is a life-threatening condition, accompanied by the suppression of all vital functions of the body. Requires immediate medical attention. The risk of death is very high.

Purulent skin lesions

Because of the excruciating itching, people with hives often scratch the affected area violently. With a decrease in immunity, or with a violation of hygiene, there is a danger of ingress of bacterial flora. This leads to the appearance of pustules and boils.

Do I need to see a doctor

Despite the fact that urticaria most often goes away quickly and without consequences, it is necessary to identify its causes.At least in order to avoid serious complications. As a maximum, to prevent its occurrence in the future and to protect yourself from discomfort.

JSC “Medicine” (the clinic of Academician Roitberg) is located in the center of Moscow at the 2nd Tverskoy-Yamskaya lane 10 within walking distance from the Mayakovskaya, Belorusskaya, Tverskaya, Chekhovskaya, Novoslobodskaya metro stations.

You can make an appointment with our specialists on the website or by phone +7 (495) 775-73-60.

Diagnostics and examination for urticaria

The leading role in the diagnosis is played by the identification of the provoking factor, especially if it is not possible to establish the relationship of urticaria with something. In such cases, diagnostic tests come to the rescue:

• cutaneous – intradermal administration of suspected allergens;
• cold – placing an ice cube on the skin with an assessment of the reaction;
• solar – insolation of a skin area with a wave of a certain length;
• food provocative test;
• provocation by physical activity.

Some of these tests are done on the same day, while others may require preparation. When setting tests for allergens, it is necessary to exclude the intake of antihistamines for two weeks – for a correct result.

For completeness of the clinical picture, blood and urine tests, fluorography, ECG and other examinations according to indications are carried out.

JSC “Medicine” (Clinic of Academician Roitberg) has a modern department of allergology and immunology, staffed by qualified specialists.Each patient is assigned an attending physician who oversees the examination and treatment process. If the patient has concomitant diseases, for example, bronchial asthma or heart disease, specialized specialists are involved in the treatment.

Treatment of various forms of urticaria

Medication is prescribed and corrected only by a doctor, self-medication is unacceptable.Dosages of drugs depend on the patient’s body weight, age and severity of the disease.

With allergic etiology, antihistamines are required. In cold and cholinergic forms, histamine receptor blockers are used. In severe autoimmune forms and the ineffectiveness of conventional therapy, hormonal drugs (glucocorticosteroids) are added to the treatment.

When choosing drug therapy, it is necessary to take into account the presence of concomitant diseases and contraindications, as well as possible adverse reactions.

Patient participation in treatment

In addition to taking the prescribed drugs, the patient needs to follow a healthy lifestyle and monitor the body’s response to allergens and provoking factors.

In case of food allergic urticaria, it is worth adhering to a hypoallergenic diet – to exclude everything that previously experienced a reaction, and to use products containing histaminoliberators with caution.This group includes cow’s milk, eggs, many types of fish, caviar and seafood, spices and herbs, marinades, alcohol, as well as all products containing dyes, flavors and preservatives.

Care should be taken to hygiene of the skin to avoid pustular diseases. It is recommended to take a warm but not hot shower with liquid hypoallergenic soap and use a soft washcloth carefully to avoid injuring irritated skin.

Ointments with hormones will help relieve itching with urticaria.

How to get an appointment with a doctor

You can make an appointment with the specialists of our clinic at a convenient time by filling out the form on the website, or by calling the round-the-clock phone +7 (495) 775-73-60.

Our address: Moscow, 2nd Tverskoy-Yamskaya lane, 10.

The most convenient way to get there is from Mayakovskaya metro station – just 5 minutes on foot. Also within walking distance are the stations: Belorusskaya, Tverskaya, Chekhovskaya and Novoslobodskaya.

We will be happy to help you and your loved ones stay healthy!

90,000 symptoms and signs, treatment of urticaria in children and adults

Urticaria ranks 2nd after bronchial asthma among dangerous allergic diseases.Urticaria most often manifests itself in the form of an allergy to an irritant or may be a consequence of a certain disease. It manifests itself in an acute or chronic form. Acute urticaria occurs suddenly and lasts for several days or for 1 to 2 weeks. Chronic urticaria occurs for a long time over several years, rashes occur every day or at intervals.

There are several types of urticaria, depending on the factors of the disease:

• Allergic urticaria – the reaction occurs due to various pathogens, insect bite, food.
• Idiopathic urticaria – this type of disease is diagnosed if it is impossible to determine the causes of the allergy.
• Cholinergic urticaria – occurs due to severe emotional stress or physical exertion, in the presence of disorders of the nervous system. It can manifest itself in a chronic form.
• Cold urticaria – manifests itself as a result of the body’s reaction to a cold climate, wind or water. Most common in countries with cold and temperate climates.

Causes of urticaria

The disease is based on the body’s response to irritating factors. Urticaria is caused by a high sensitivity to a specific pathogen. It could be an insect bite or some food. An antigen triggers a reaction in the body, and an antibody is produced by the immune system to destroy the extracellular antigen.

Urticaria can occur against the background of anaphylactoid reactions. In this case, the ability of mast cells (cells that are located under the skin and mucous membranes and contain a large amount of biologically active substances) to release accumulated enzymes and active proteins increases.This phenomenon occurs without the participation of cells of the immune system.

Among the causes of urticaria, chronic liver diseases are distinguished, which lead to a decrease in the destruction of histamine, which is actively involved in an allergic reaction. In many cases, urticaria occurs after autoimmune inflammation. In this state, the body’s immune system perceives its own tissues as foreign, resulting in allergies.

Other causes of urticaria are not fully understood, doctors find new factors every year.The disease worsens after taking certain medications, foods, insect bites. The chronic form of urticaria develops against the background of changes in the body and long-term diseases: chronic cholecystitis, adnexitis, tonsillitis, sinusitis, stomach diseases, viral and bacterial diseases, alcoholism and others.

Symptoms of urticaria

Urticaria is much more acute in children than in adults. It can manifest itself in mild, moderate and severe forms. A mild form of urticaria is accompanied by mild symptoms: slight itching, no nausea, no swelling.Skin rashes form in one place and disappear after a day.

With a moderate form of urticaria, the patient’s condition worsens. Nausea, headaches, fever may occur, and Quincke’s edema forms in some areas of the body. This is a fast-onset swelling of the skin with allergies that spreads throughout the body in a short space of time. First, swelling occurs on the eyelids and lips, then the face and hands swell. The most dangerous is swelling of the larynx and tongue, in which the patient may suffocate if he is not helped in time.The skin swells, the rash is accompanied by painful sensations.

The most common symptom of urticaria is the formation of blisters on the face and hands. Formations of a red or pink tint, reminiscent of an insect bite or a nettle burn. At the site of the rash, the skin itches and turns red. Skin lesions may coalesce to cover some areas of the body. They are usually symmetrical.

With a moderate form of urticaria, the gastrointestinal tract can be affected, severe nausea and vomiting occur.The patient may experience a slight burning sensation and itching of the skin. Edema disappears after a few hours, or after 1-2 days, relapses of the disease are not excluded. With a severe form of the disease, the temperature rises, Quincke’s edema occurs, which must be eliminated with the help of drugs for allergies. Rashes appear on the mucous membranes of various organs.

Urticaria proceeds mostly without complications, the skin returns to its previous appearance. After the rashes, there is no pigmentation, scars and other marks.Blisters can occur anywhere on the body and spread to the skin. In the chronic form of the disease, nervous disorders and insomnia may occur due to severe itching and discomfort on the skin.

Urticaria treatment

How to treat urticaria:

• elimination of the pathogenic factor;
• correct diet, excluding allergenic foods;
• taking medications for allergies;
• cleansing the body.

Treatment of urticaria involves, first of all, the elimination of the negative factor that causes the allergy.If the disease has arisen from food, it is necessary to remove allergenic substances from the body. You can take a laxative and drink plenty of fluids. Allergy to food is quickly removed with a cleansing enema, diuretics. It is most effective in the early hours of urticaria.

Symptoms of urticaria are eliminated with the help of effective antihistamines, sulfates. Thanks to their effect on the body, the patient’s condition is alleviated, the rash on the skin and itching are reduced.The medicine is used in the form of injections or tablets. It is best to take the medications before bed, as they cause lethargy and drowsiness.

You can book medicines on our website.

Cold compresses help relieve discomfort and itching. To do this, mix one tablespoon of vinegar in a glass of cool water, moisten the bandage and apply it to the affected area of ​​the skin.

Equally important point in the treatment of urticaria is proper nutrition. It is aimed at eliminating painful symptoms and protecting the body from external factors.It is necessary to exclude the food allergen from the diet, and strictly adhere to the prescribed diet for 2 weeks or a month.

With this diagnosis, you can eat dairy products in the form of kefir and cottage cheese, boiled or stewed vegetables, some fruits, excluding citrus fruits, strawberries and other allergens. Confectionery, pastries, strong tea and coffee, canned food, salty foods should be excluded from the diet. During the period of treatment of urticaria, it is necessary to refrain from milk, eggs, carrots, beets, tomatoes, red peppers, mushrooms, apples, cocoa, nuts, honey, seasonings and spices, as well as fried and smoked foods and products.

New products should be introduced into the patient’s diet gradually, giving in small quantities. If, after adding a new product, the urticaria does not return, you can give boiled meat or fish. In this case, the diet should be adhered to for a month. During treatment, do not treat the hives rash with regular cream or ointment. This will only exacerbate the rash.

During the treatment period, it is forbidden to take a hot bath, visit a sauna or bath, spend time on the beach, as the sun’s rays irritate and dry the skin.If a person gets sick with urticaria in the summer, before going out, it is necessary to lubricate the skin with a sun cream of high protection. In the cold season, you need to dress warmer, be sure to use gloves and a hat.

To restore the metabolic process in the body, it is necessary to take iron complexes, B vitamins, sodium and others. During an attack of urticaria, glucorticoids, as well as histaglobin, can be used. For external treatment, baths with a decoction of chamomile, string, starch and bran are used, the skin is lubricated with water-zinc paste, ointments with hormones.However, topical therapy for urticaria has little effect.

Prevention of urticaria

The measures for the prevention of urticaria primarily include the elimination of a negative factor that causes allergies. It is necessary to treat diseases of the gastrointestinal tract, liver, kidneys, avoid viral diseases, helminthic pathogens. It is important to observe proper nutrition, lead an active lifestyle, and protect yourself from the effects of stress and other stress.

Patients with chronic urticaria are advised by allergists to adhere to some rules:

• wash your hands and take a shower in warm water, as hot water negatively affects the skin and causes irritation;
• it is better to buy clothes from natural fabrics made of cotton, linen, since they do not cause irritation, it is better to refuse synthetics;
• for hygiene, it is worth choosing liquid soap with natural oils so that it does not dry out the skin;
• after bathing or taking a shower, you need to wipe yourself off with a soft-bristled towel so as not to injure the skin;
• it is worth excluding staying in direct sunlight and sunbathing in a solarium, especially for women;
• avoid emotional stress and stress, take sedatives in the form of herbal preparations and tinctures to calm down;
• to exclude taking aspirin when diagnosed with allergic urticaria;
• Observe proper nutrition, do not eat foods, fruits and vegetables that cause an allergic reaction.

Urticaria causes of the disease. Symptoms and treatments for urticaria. Folk and medicines

Urticaria is a widespread disease in the human population. According to various sources, episodes of urticaria were observed in 15-25% of the world’s population, and in 25% of them the disease is chronic. Adults get sick more often than children. Among the patients with urticaria, women predominate. Often, urticaria is manifested in people who already suffer from allergic diseases.

Urticaria code according to ICD-10

Urticaria according to ICD-10 is included in the class “Diseases of the skin and subcutaneous tissue”, has the L50 code with 9 9 subheadings clarifying the diagnosis.
What is urticaria

Urticaria is several variants of diseases that differ in etiology, but are united by the leading symptom – the appearance on the skin of pinkish-red itchy formations (blisters) with clear boundaries, of various shapes and sizes, raised above the level of the skin.

Causes provoking urticaria

Exogenous:

1. Physical: mechanical, thermal, chemical.
2. Food.
3. Vegetable substances.

Endogenous:

1. Pathological changes in the urinary system, liver, intestines, oral cavity, nasopharynx, genitals, helminthic invasions.
2. Damage to the autonomic nervous system.

Regardless of the cause, different types of urticaria trigger the same mechanism for the development of pathological changes. The main role in the formation of the leading symptom of urticaria – the blister – is played by mast cells, which are one of the links of cellular immunity. When a foreign agent enters the body, mast cells are activated and release biologically active reagents – mediators into the blood. The main mediator that dilates capillaries, increases their permeability and provides perivascular edema is histamine.As a result of its action, edema of the papillary layer of the dermis occurs, the intercellular fluid accumulates, which ends with the formation of blisters.

Types and types of urticaria

Types and types of urticaria are divided:

1. Downstream – acute <6 weeks, chronic> 6 weeks.

By the mechanism of the pathological process – immune, non-immune

Immune urticaria:

Allergic

• Autoimmune
• Non-immune urticaria:

Mechanical – dermographic, vibration, urticaria from pressure and physical impact.

1. Temperature – cold, heat.
2. Sunny.
3. Contact.
4. Medication.
5. Idiopathic.

Diagnosis of urticaria

Diagnosis of urticaria is based on the study of medical history, examination data, laboratory tests and instrumental studies.

Medical history: the presence in the past of episodes of urticaria or other allergic reactions, the presence of aggravated heredity for allergic diseases: intolerance to certain types of products, household chemicals, medicines, perfumes.

Physical examination methods:

1. A characteristic element of the rash is a blister with a dense transparent membrane.
2. The elements are embossed and rise above the skin.
3. Blisters vary in shape and size.
4. The cyclical nature of the appearance of elements.
5. The effect of the use of antihistamines.
6. Outpatient Surveys:
7. General analysis of blood and urine.
8. Study of feces for helminths and protozoa.
9. Establishment of Ig E in blood serum by ELISA.

Additional methods:

1. Blood biochemistry.
2. Microscopy of skin scrapings
3. Study of biological materials of the body: feces, duodenal contents, swabs from the nasal and oral cavity.
4. EFGDS.
5. Bacteriological culture of bile.
6. Allergy tests during remission.
7. Finding specific immunoglobulins to parasites by ELISA.

Symptoms of urticaria

The symptoms of urticaria are a monomorphic rash with a blister as its element. A distinctive feature of a rash with urticaria is an instant formation and a quick disappearance of the rash in 24 hours.

In many, urticaria is accompanied by angioedema of the subcutaneous tissue, submucosa of the gastrointestinal tract, urinary tract, genitals, and respiratory tract.The swelling causes a feeling of bloating and soreness in places of greatest prevalence. Completely disappears after 3 days. The preferred location for edema is areas with poorly developed connective tissue: eyelids, lips, ears, hands, feet, genitals.

Complications with urticaria

Complications in urticaria are caused by diffusion of angioedema into the deep layers of the dermis, subcutaneous tissue, mucous membranes of the respiratory tract and digestive system.

Quincke’s edema

Edema of the mucous membranes of the respiratory tract is a serious danger. Respiratory failure develops rapidly: shortness of breath, cough, cyanosis of the nasolabial triangle. This condition can be fatal without emergency medical attention.

Urticaria causes

The causes of urticaria are allergic and non-allergic in nature.
Allergens:

1. Food: nuts, seafood, citrus fruits, fruits, eggs, honey and more.
2. Plant toxins.
3. Insect poisons.
4. Helminthic invasions.

Non-allergic reasons:

1. Infectious diseases.

Physical factors:

1. solar irradiation,

2. cooling, heating,

3. mechanical impact

4. Stress.

Urticaria in children

Urticaria in children occurs unexpectedly with the appearance of excruciating itching on the skin, then dense tubeless blisters appear against a hyperemic background. In babies, a food allergy is a provocateur of urticaria: intolerance to milk, eggs, fish, chocolate and others. In older children, a previous viral infection (herpes, cytomegalovirus, adenovirus) can cause urticaria,

Rashes are often combined with a deterioration in the child’s condition: the temperature rises to 38-39 degrees, vomiting and diarrhea opens.The rash on the body is present for 2-3 hours, then disappears without a trace.

Urticaria in adults

The peak incidence of urticaria in adults is between 30 and 50 years of age. In more than half of the cases, the causative factor causing the pathology remains unclear. Acute forms pass quickly, but if the chronic form develops, the disease can last up to 10 years or more.

Medicinal urticaria

It has been proven that any drug can serve as an activator of an allergic reaction.But they often contribute to the initiation of mast cells with the release of histamine and other biologically active reagents from them:

Contact urticaria

Contact urticaria, initial signs – itching, flushing of the skin, blisters appear literally a few minutes after contact with causative antigens, as an immediate allergic reaction. A variety of foreign substances become the cause of contact urticaria: animal hair, plants (cactus, nettle), cosmetics (shampoos, gels, creams), medicines in the form of ointments and solutions, clothes made of synthetic materials, some metals (nickel).

Cold urticaria

Cold urticaria appears when the skin is exposed to low temperatures. Its occurrence is explained by the production of special proteins under the influence of cold – cryoglobulins, which have the properties of antibodies. In addition to the typical pinkish-red itchy blisters of the skin, significant swelling of the soft tissues and mucous membranes is observed. The rash persists from 2 hours to a day, then disappears without leaving pigmentation.

Solar urticaria

Solar urticaria is a type of photodermatosis.It appears when the skin is exposed to ultraviolet radiation while being in the sun or in a tanning bed. It affects most of all women with liver pathology and heightened photosensitivity to ultraviolet light. There is a profuse rash of pinkish blisters of a bizarre shape on open areas of the body, which is combined with excruciating itching. Many hours of exposure to the scorching sun is fraught with the appearance of symptoms of sunstroke: headache, pressure drop, fainting.

Acute urticaria

Acute urticaria is characterized by the spontaneous appearance of a rash on the skin and mucous membranes.Moreover, the main elements of the rash – blisters differ in a variety of shapes and sizes. If they cover large areas of the body, merge – this leads to a health disorder: poor health, joint pain, fever. This type of urticaria usually accompanies food or drug allergies, especially with parenteral infusion of drugs, serums, blood.

Chronic urticaria

Chronic urticaria as a diagnosis is made when a pathological process with a characteristic rash lasts more than 6 weeks.The attack begins with intense itching of different parts of the skin. The itching is so strong that patients scratch the skin until it bleeds, and when the wounds become infected, abscesses of varying severity form.

Chronic recurrent urticaria

Chronic recurrent urticaria is established in a sensitized organism, in which there are sources of chronic infection for a long time: pharyngitis, tonsillitis, cholecystitis, adnexitis and others; functional or organic lesions of the gastrointestinal tract and organs involved in the digestion process (liver, gallbladder, pancreas).The disease proceeds cyclically: relapses alternate with periods of relative well-being – remissions. With relapses, there are signs of intoxication: headaches, fever, arthalgia. With massive edema of the submucosa of the gastrointestinal tract – nausea, vomiting, diarrhea. Constant itching leads to insomnia, increased fatigue, irritability.

Urticaria treatment

Urticaria treatment is complex and includes non-drug methods (diet, lifestyle) and medication.
Non-drug therapy:

• If possible, eliminate the causative factor causing urticaria.

• Normalization of the patient’s lifestyle: exclude overheating, hypothermia, physical overstrain.

• Avoiding stress.

• A balanced diet with the exclusion of possible allergens (seafood, eggs, honey, and others).

Taking medications only with the permission of a doctor.

Antihistamines are the basis of basic therapy for chronic forms of urticaria.

With a tendency to a protracted course of the process and ineffectiveness of treatment, systemic glucocorticoids are used.

Urticaria drugs

Mast cell stabilizers: Ketotifen .

Folk remedies for urticaria

Folk remedies for urticaria are dangerous to use during an exacerbation of the disease.The pathogenesis of urticaria is caused by allergic reactions, some of which are characterized by a fulminant course, for example, anaphylactic shock. All plants recommended by traditional healers for the preparation of decoctions and infusions are potential allergens, which, instead of relief, will cause complications and the transition of an acute pathology to a chronic one.

How to relieve itching from urticaria

To relieve itching from urticaria, local remedies are used in the form of ointments or solutions, which for some time relieve the severity of the symptom.
Preparations with a cooling effect: 1% menthol, 0.5-1% citric acid solution.

• Ointments containing antihistamines: Fenistil gel , Elidel .

• In severe cases, ointments with glucocorticoids are prescribed, which have a quick effect: Ftorocort , Elokom .

Question-answer

Is it possible to wash with urticaria

The disease is not a contraindication for washing the body, but there are some restrictions: It is better to wash under a shower with warm water, avoiding sudden changes in water temperature.Taking a bath is undesirable, since prolonged exposure to water on the skin leads to a softening of the upper stratum corneum of the skin and increased edema. Do not use hard synthetic washcloths, shampoos, gels when washing. It is allowed to use hypoallergenic detergents or fragrance-free baby soap.

Is it possible to drink with urticaria

Any type of alcohol with obvious signs of urticaria is strictly contraindicated, since it can cause such a formidable complication as Quincke’s edema.

Is it possible to swim with urticaria

Swimming in the pool and open water is not allowed with exacerbations of urticaria. Various reagents are added to the pool to purify the water, which will aggravate the symptoms.

Is it possible to suprastin with urticaria

Suprastin is prescribed for urticaria, since it belongs to the 1st generation antihistamines.Due to side effects, it is contraindicated in pregnancy and lactating women. In addition, it has an inhibitory effect on the central nervous system (impaired coordination of movements, drowsiness), therefore, it is used with caution in people who need a quick reaction: driving a car, working in production.

Is persimmon possible with urticaria

No. Persimmons are foods with a high degree of allergenicity, and they themselves can provoke an allergic reaction.

Is it possible to go to the bath with urticaria

Sudden temperature changes negatively affect the skin affected by urticaria. Therefore, visiting baths and saunas with this disease is not recommended.

Is it possible to pumpkin with urticaria

Pumpkin does not have a pronounced allergenicity, but given that with urticaria, there is an increased sensitivity to many food components, during an exacerbation it is undesirable to use this vegetable in the patient’s diet.

Results

Urticaria is one of the most difficult problems in modern medical practice. The disease has an extremely negative effect on the quality of life of people: significant skin itching, cosmetic defects reduce a person’s social activity, lead to disorders in the psychoemotional sphere. Apathy, depression, decreased performance are the companions of this disease.