Urticaria: Effective Relief for Itchy Skin Issues

It's unbearably itchy!!

My hands and face have started to develop small red spots over the past couple of days, which are very itchy.
Now, it has turned into larger patches, and my face feels hard when pinched.
Currently, only my hands and face are affected.
Initially, I visited a dermatologist who said it was an allergy, but isn't it usually the case that allergies can be resolved with a shot or medication? After seeing two or three doctors, the last one told me it was urticaria, which caught me off guard because I’ve heard that urticaria can be quite serious.
I would like to ask: what should I do to recover quickly? The topical medication the doctor prescribed smells a lot like a heat rash cream; can I use it on my face? I feel that whenever I get hot, my hands also start to itch, which I assume is a symptom of urticaria as well.
How can I prevent itching when it occurs?

Xuan Xuan, 20~29 year old female. Ask Date: 2004/08/21

Dr. Jiang Zheen reply Dermatology

The most important aspect of managing urticaria is identifying the underlying allergens.
The most common allergens include foods such as seafood, eggs, fermented dairy products, bamboo shoots, and mushrooms, as well as medications.
Sometimes, it may be necessary to take medication for 1-2 weeks.
In 90% of cases, urticaria resolves within 1-2 weeks.
Wishing you well.

Reply Date: 2004/08/21

More Info

Urticaria, commonly known as hives, is a skin condition characterized by raised, itchy welts that can appear suddenly and may vary in size. It can be triggered by various factors, including allergies, stress, medications, and environmental changes. Given your recent experience with red, itchy patches on your hands and face that have progressed to larger areas, it is understandable that you are concerned about the diagnosis and treatment options.

First and foremost, it is essential to confirm that your symptoms align with urticaria. The fact that your skin feels hard and itchy, especially in response to heat, suggests that you may be experiencing a form of urticaria known as heat-induced urticaria or cholinergic urticaria. This type of urticaria can be triggered by an increase in body temperature, such as from exercise, hot showers, or emotional stress.
The treatment for urticaria typically involves antihistamines, which help alleviate itching and reduce the appearance of hives. If your doctor has prescribed topical medications, such as corticosteroid creams, these can also provide relief from inflammation and itching. However, it is crucial to follow your doctor's instructions regarding the application of these medications, especially on sensitive areas like the face.
Regarding your concern about the topical medication that resembles a prickly heat powder, it is essential to ensure that it is safe for facial use. Some topical treatments may be too harsh for the delicate skin on your face, so it is advisable to consult your dermatologist before applying any new product to that area.
As for the itching that intensifies with heat, this is indeed a common symptom of urticaria. To manage this, consider the following strategies:
1. Avoid Triggers: Identify and avoid known triggers that exacerbate your symptoms. This may include certain foods, medications, or environmental factors.

2. Cool Compresses: Applying a cool compress to the affected areas can help soothe itching and reduce inflammation.

3. Loose Clothing: Wear loose-fitting clothing to minimize irritation on your skin.

4. Stay Hydrated: Keeping your skin well-hydrated can help reduce dryness and irritation, which may worsen itching.

5. Antihistamines: Over-the-counter antihistamines can be effective in managing symptoms. Non-drowsy options are available if you need to remain alert during the day.

6. Stress Management: Since stress can trigger or worsen urticaria, consider incorporating relaxation techniques such as deep breathing, meditation, or yoga into your routine.

If your symptoms persist or worsen despite these measures, it is crucial to follow up with your healthcare provider. They may recommend additional treatments, such as prescription antihistamines or other medications, to help manage your condition effectively.

In summary, urticaria can be distressing, but with appropriate management strategies and medical guidance, you can find relief from your symptoms. Always consult with your healthcare provider before making any changes to your treatment plan, especially when it comes to topical medications on sensitive areas like the face.

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