Understanding Hives (Urticaria)

A Comprehensive Guide to Causes, Symptoms, and Treatment Options

Dermatology

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Last updated: Mar 24, 2025

What Are Hives?

Hives, medically known as urticaria, are raised, itchy welts that appear on the skin. These welts can vary in size from small spots to large patches and typically appear suddenly.

Key Characteristics

  • Appearance: Red or skin-colored welts with clear edges
  • Duration: Individual welts typically last 24 hours or less
  • Location: Can appear anywhere on the body
  • Sensation: Usually itchy, may burn or sting

Common Causes

Allergic Reactions

  • Foods (especially nuts, eggs, shellfish)
  • Medications
  • Insect bites or stings
  • Latex

Non-Allergic Triggers

  • Stress
  • Exercise
  • Heat or cold exposure
  • Pressure on the skin
  • Viral infections

Types of Hives

  1. Acute Hives

    • Last less than 6 weeks
    • Usually caused by specific triggers
  2. Chronic Hives

    • Last more than 6 weeks
    • May have no identifiable cause

Treatment Options

Immediate Relief

  • Antihistamines (over-the-counter)
  • Cool compresses
  • Loose, comfortable clothing

Medical Treatments

  • Prescription antihistamines
  • Oral corticosteroids (for severe cases)
  • Injectable medications (for chronic cases)

When to Seek Medical Care

  • Difficulty breathing
  • Swelling of throat or tongue
  • Dizziness
  • Severe chest tightness

Prevention Tips

  1. Identify and avoid triggers
  2. Keep a symptom diary
  3. Wear loose-fitting clothes
  4. Manage stress levels
  5. Maintain good skin care

Long-term Management

  • Regular follow-up with healthcare provider
  • Consistent use of prescribed medications
  • Lifestyle modifications as needed

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