Urticaria: Symptoms, Triggers, and Management Tips

Q: Urticaria: Symptoms, Triggers, and Management Tips

Hello： Generally speaking, urticaria is not directly related to nerve compression. <br>Most cases are triggered by allergic reactions to medications or foods, or by exposure to environmental allergens. <br>Based on your description, you experience severe allergic reactions leadin

What should I pay attention to in this situation?

About a year ago, I suddenly started experiencing itching on my palms and soles for unknown reasons.
Shortly after, I began to cough persistently, and then I lost my vision, which returned shortly thereafter.
I was taken to the emergency room, where the doctor diagnosed me with urticaria (hives).
After receiving an injection, my condition improved, but it recurred three days later for unknown reasons, although it was not as severe as the first episode.
I went to a clinic, received another injection, and after taking medication for a week, I did not have any further recurrences.

Recently, due to muscle soreness, I took Cataflam prescribed by the hospital, which triggered an allergic reaction.
I started coughing uncontrollably, and within minutes, I lost my vision again.
By the time I arrived at the hospital, my limbs were weak, and I was close to losing consciousness.
The doctor noted that my blood pressure was 50/30, diagnosing me with drug allergy shock.
After being discharged, I researched online and found out that this medication should not be taken by individuals with a history of urticaria.
At that time, the doctor only asked if I had any drug allergies, and I was unaware that urticaria patients should avoid this medication.
Later, I had blood tests done, and the doctor prescribed me Donison and Xyzal to take once daily, with a follow-up appointment in a month.
I have a few questions:
1.
Is there a connection between urticaria outbreaks and nerve compression? I have been experiencing frequent neck stiffness and suspect that my cervical spine may be compressed.
Additionally, due to my work, I often use a mouse, which has caused swelling and blisters on my wrist.
Could this lead to a state of heightened nerve excitability, making me more prone to allergies?
2.
The blood test results indicated that I am only allergic to dust mites.
I remember not having any allergic reactions during my childhood.
What could be the reason for this? Is it possible for foods that previously did not cause allergies to later become allergens? The doctor mentioned that as long as I eliminate dust mites from my environment, I wouldn't have allergic reactions to that medication.
Is this true?
3.
Are there any precautions I should take in my daily life? The experience was truly frightening, and I do not want to go through it again.
4.
After returning home and continuing the medication, I sometimes feel a slight itch on my upper arms and limbs, which can lead to red, raised welts when scratched (though not always).
Is this normal, or could it just be a psychological effect?
5.
Do these two medications have side effects? I have read that one of them contains a steroid component.
If taken continuously, could this lead to drug resistance, requiring increasing dosages, or make me more susceptible to colds after stopping the medication? I am a bit worried about the recent H7N9 case.
I apologize for having so many and such varied questions, but I am genuinely concerned.
Thank you for your assistance!

Xiao An, 20~29 year old female. Ask Date: 2013/04/25

Dr. Li Yufen reply Dermatology

Hello: Generally speaking, urticaria is not directly related to nerve compression.
Most cases are triggered by allergic reactions to medications or foods, or by exposure to environmental allergens.
Based on your description, you experience severe allergic reactions leading to anaphylactic shock.
It is crucial that you write down the names of the medications you are allergic to and inform your physician each time you seek medical care or require medication, so alternative medications can be chosen.
Otherwise, severe allergic reactions can be life-threatening, so please be cautious! Currently, you are taking Donison and Xyzal, and you occasionally experience mild itching or redness, indicating that the allergic reaction has not completely resolved.
You may need to continue taking medication.
Xyzal is a long-acting antihistamine, while Donison is a corticosteroid, which is typically used for acute allergic reactions.
Once your condition stabilizes, you will not need to continue taking it.
If the dosage is not high, there is no need to worry about the immunosuppressive effects leading to serious infections.
Thank you!

Reply Date: 2013/04/25

More Info

Urticaria, commonly known as hives, is a skin condition characterized by itchy, raised welts or bumps on the skin. It can be triggered by various factors, including allergens, medications, stress, and even physical stimuli. Your experience with urticaria, particularly the severe reactions you described, highlights the importance of understanding its symptoms, triggers, and management strategies.

1. Symptoms of Urticaria: The primary symptom of urticaria is itching, which can be accompanied by swelling and redness. In some cases, individuals may experience systemic symptoms such as difficulty breathing, swelling of the face or throat, and even loss of consciousness, which can indicate a severe allergic reaction known as anaphylaxis. Your experience of losing vision and feeling faint during an allergic reaction is concerning and suggests a significant systemic response.

2. Triggers: Urticaria can be triggered by a variety of factors. In your case, it appears that the medication Cataflam (a nonsteroidal anti-inflammatory drug) triggered a severe allergic reaction. It is crucial to inform healthcare providers about any known allergies, especially to medications. Allergies can develop at any point in life, even to substances that were previously tolerated without issue. This phenomenon is known as "new-onset allergies," and it can occur due to changes in the immune system or environmental exposures.

3. Management: The management of urticaria typically involves avoiding known triggers and using medications to control symptoms. Antihistamines, such as Xyzal (levocetirizine), are commonly prescribed to alleviate itching and reduce swelling. Corticosteroids, like Dexamethasone, may be used for more severe cases to reduce inflammation. It is essential to follow your doctor's instructions regarding medication use and to attend follow-up appointments to monitor your condition.

4. Connection to Other Conditions: Regarding your question about whether nerve compression or musculoskeletal issues could be related to urticaria, there is no direct link between nerve compression and the development of hives. However, stress and discomfort from physical ailments can exacerbate allergic reactions or make one more sensitive to triggers. It is essential to manage any underlying conditions, such as neck pain or wrist issues, to improve your overall well-being.

5. Monitoring and Precautions: It is advisable to keep a diary of your symptoms, noting any potential triggers, including foods, medications, and environmental factors. This can help you and your healthcare provider identify patterns and avoid specific triggers. If you notice any new symptoms or changes in your condition, such as persistent itching or redness, it is crucial to consult your doctor.

6. Side Effects of Medications: Both antihistamines and corticosteroids can have side effects. Antihistamines may cause drowsiness, dry mouth, or dizziness, while long-term use of corticosteroids can lead to more serious side effects, including weight gain, increased blood pressure, and a weakened immune system. It is essential to discuss any concerns about medication side effects with your healthcare provider, who can help you weigh the benefits and risks and adjust your treatment plan as necessary.

In conclusion, managing urticaria involves understanding your triggers, adhering to prescribed medications, and maintaining open communication with your healthcare provider. If you experience any severe symptoms or have concerns about your treatment, do not hesitate to seek medical attention. Your health and safety are paramount, and proactive management can help you lead a more comfortable life.

Similar Q&A

Understanding Chronic Urticaria: Causes, Symptoms, and Management Tips

Symptoms: 1. When pressure (such as pressing or rubbing) is applied to the skin, it becomes red and raised, resembling mosquito bites. 2. Foods with higher allergenic potential, such as pineapple, banana, and apple, now cause allergic reactions (previously did not). 3. If the itc...

Dr. Li Yufen reply Dermatology
Hello: For a detailed introduction to urticaria, you can refer to the article by Med's Good Friend at https://www.medpartner.club/urticaria-treatment-prevention-introdution/. If the skin condition does not improve or worsens, it is recommended to consult a nearby dermatologi...

Understanding Urticaria: Symptoms, Treatment, and Lifestyle Tips

If someone has urticaria, can it cause the whole body to feel warm and itchy? Will there be small red spots on the face as well? Should urticaria be allowed to breathe? Is it advisable to avoid wearing tight clothing? What dietary considerations should be taken (besides avoiding ...

Dr. Huang Ruiyun reply Dermatology
Some people with urticaria experience itching, while others may feel a stinging sensation, and some may not feel any discomfort at all. If wearing tight clothing triggers an outbreak, it's best to avoid tight-fitting garments. If you notice that certain foods cause flare-ups...

Understanding Hives: Symptoms, Causes, Prevention, and Contagion Facts

Urticaria, commonly known as hives, is characterized by raised, itchy welts on the skin. Symptoms may include: 1. Itchy, raised welts (wheals) that can vary in size and shape. 2. Red or skin-colored bumps that may appear anywhere on the body. 3. Swelling (angioedema) that can oc...

Dr. Huang Ruiyun reply Dermatology
Urticaria is characterized by transient (temporary) wheals that can disappear or change location within 24 hours. It is an immune response, and the causes are numerous and often unidentified, making prevention difficult. It is not contagious.

Understanding Acute Urticaria: Causes, Symptoms, and Treatment Options

Hello, I would like to ask about urticaria. I have a history of allergies, specifically an allergy to animal fats, which was diagnosed when I was young. Since I learned about this condition, I have been following a vegetarian diet, as my doctor recommended. I have experienced all...

Dr. Jiang Yujiao reply Dermatology
Hello: In response to your question, acute urticaria is defined as hives occurring for less than 6 weeks. First, it is essential to rule out drug allergies. If no medications have been taken recently, consider external and internal factors. External factors include food, airborne...