What should I do?
Hello Doctor: A few days ago, I went out to eat with friends, and the next day my body felt itchy, like an allergic reaction.
The doctor said it was urticaria, but I have experienced various symptoms, such as a high fever, throat inflammation, a completely red and sore tongue, and overall body aches.
The fever has subsided, and the itching has stopped, but the other symptoms persist.
Which specialist should I see? Can blood tests determine the cause? I really want to get better quickly...
Thank you.
Xiao Ying, 20~29 year old female. Ask Date: 2005/11/03
Dr. Hong Zhengsheng reply Dermatology
Hello Xiaoying: Based on your description, both dermatology and internal medicine can assist you.
I recommend that you visit the public hospitals under the Department of Health in various counties and cities, where the physicians mentioned are more than willing to help you.
Thank you for using "Taiwan e-Hospital" to ask your question; "Taiwan e-Hospital" cares about your health.
Wishing you a speedy recovery, Hong Zhengsheng.
Reply Date: 2005/11/03
More Info
Urticaria, commonly known as hives, is a skin condition characterized by itchy welts or bumps that can appear suddenly and may vary in size and shape. It can be triggered by various factors, including allergic reactions, infections, stress, or even certain foods. Your symptoms, including fever, sore throat, and a red, sore tongue, suggest that there might be more going on than just urticaria.
Given your situation, it is essential to understand when to seek specialized medical care. If you experience hives accompanied by systemic symptoms such as fever, severe pain, or difficulty breathing, it is crucial to see a healthcare provider promptly. These symptoms could indicate a more serious allergic reaction or another underlying condition that requires immediate attention.
In your case, since you mentioned experiencing a high fever, sore throat, and body aches along with the hives, it would be advisable to consult a physician who specializes in allergies and immunology. An allergist can help determine if your hives are indeed related to an allergic reaction and can conduct tests to identify potential allergens. They may perform skin tests or blood tests to check for specific allergies, which can help pinpoint the cause of your symptoms.
Additionally, if your symptoms persist or worsen, it may be necessary to see a primary care physician or an internist. They can evaluate your overall health, consider other potential causes for your symptoms, and refer you to a specialist if needed. In some cases, a dermatologist may also be involved, especially if the hives are chronic or if there are significant skin changes.
Blood tests can be helpful in diagnosing the underlying cause of your symptoms. For instance, they can check for signs of infection, inflammation, or specific allergic responses. However, it is important to note that not all causes of urticaria can be identified through blood tests, and sometimes the cause remains unknown even after thorough testing.
In the meantime, while you are awaiting further evaluation, there are some general measures you can take to alleviate your symptoms. Over-the-counter antihistamines can help reduce itching and discomfort associated with hives. However, if you experience severe symptoms such as difficulty breathing, swelling of the face or throat, or a rapid heartbeat, seek emergency medical attention immediately, as these may be signs of anaphylaxis, a life-threatening allergic reaction.
In summary, given your symptoms, it is advisable to see an allergist or your primary care physician. They can help determine the cause of your urticaria and any associated symptoms, guide you through appropriate testing, and develop a treatment plan tailored to your needs. Remember, timely intervention is key to managing your symptoms effectively and ensuring your overall well-being.
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