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Hives

WHAT YOU SHOULD KNOW

Hives, known medically as urticaria (UR-tih-KARE-e-uh), is an allergic reaction appearing on the skin. The problem may disappear quickly or last for months or years.

Causes

The reaction can be caused by medicines, pets, foods, insect bites, or infections. Cold, heat, sunlight, exercise, and water may also produce hives in susceptible individuals. Hives tend to run in families.

Signs/Symptoms

The reaction produces red, itchy, swollen bumps called wheals that quickly change in size, shape, and location. The wheals may come and go in minutes or last for hours. In some people, they are accompanied by more serious allergic symptoms. Hives cannot be spread from person to person.

Care

Medicine may relieve the itch and irritation and prevent more hives from developing. If you suffer violent allergic reactions, you may need to keep an emergency medicine kit with you at all times.

WHAT YOU SHOULD DO

  • If you know what causes the hives, avoid whatever brought on the attack. Your doctor may suggest that you see an allergy specialist.
  • If your doctor prescribes medication to relieve itching and rash, take it exactly as directed. You may use an over-the-counter antihistamine until the hives are completely gone for 24 hours. Do not take any medications, including aspirin, laxatives, vitamins, antacids, pain killers, or cough syrups, without first checking with your doctor.
  • Apply cold compresses to the skin or take baths in cool water. Don't take hot baths or showers; the warmth will make the itching worse.
  • Wear loose fitting clothing; avoid tight underwear. Any skin irritation may trigger another attack.

Call Your Doctor If...

  • You still have a lot of itching after taking medicine for 24 hours.
  • You develop a high temperature
  • You have any pain or swelling in your joints.
  • The condition lasts more than 1 week.
  • You develop new, unexplained symptoms.

Seek Care Immediately If...

  • You have the following symptoms during an attack of hives: swollen lips or tongue, difficulty breathing or swallowing, or abdominal pain. These may be the first signs of a life-threatening allergic reaction. THIS IS AN EMERGENCY. Call O (operator) or 911 for medical help.

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