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Hives, also called urticaria, are a skin reaction that causes itchy welts. Chronic hives are welts that last for more than six weeks and return often over months or years.

The welts often start as itchy patches that turn into swollen welts that vary in size. These welts appear and fade at random as the reaction runs its course. Each individual welt typically lasts less than 24 hours.

Chronic hives can be very uncomfortable and interfere with sleep and daily activities.

Symptoms of chronic hives include:

Batches of welts, called weals, can arise anywhere on the body.

Welts that might be red, purple, or skin-coloured, depending on your skin color.

Welts that vary in size, change shape, and appear and fade repeatedly.

Itchiness, also called pruritus, can be intense.

Painful swelling, called angioedema, around the eyes, cheeks or lips.

Flares are triggered by heat, exercise, or stress.

Symptoms that persist for more than six weeks and recur often and anytime, sometimes for months or years.

CAUSES

The welts that come with hives are caused by the release of immune system chemicals, such as histamine, into your bloodstream. It's often not known why chronic hives happen or why short-term hives sometimes turn into a long-term problem.

The skin reaction may be triggered by:

Heat or cold.

Sunlight.

Vibration, such as that caused by jogging or using lawn mowers.

Pressure on the skin, as from a tight waistband.

Medical conditions, such as thyroid disease, infection, allergy and cancer.

RISK FACTORS

These include infection, thyroid disease, allergy, cancer, and swelling of the blood vessels, called vasculitis

Chronic hives don't put you at sudden risk of a serious allergic reaction, called anaphylaxis. If you do get hives as part of a severe allergic reaction, seek emergency care. Symptoms of anaphylaxis include dizziness, trouble breathing, and swelling of the tongue, lips, mouth or throat.

PREVENTION

To lower your likelihood of getting hives,

Avoid known triggers. 

Bathe and change your clothes. If pollen or animal contact has triggered your hives in the past, take a bath or shower and change your clothes if you're exposed to pollen or animals.

DIAGNOSIS

To diagnose chronic hives, talk about your symptoms and the look of your skin. One of the telling features of chronic hives is that the welts come and go at random, with each spot usually lasting less than 24 hours. You might be asked to keep a diary to keep track of:

Your activities.

Any medicines or supplements you take.

What you eat and drink.

Where hives appear, and how long it takes a welt to fade, and whether it leaves behind a bruise or other mark.

Whether your hives come with painful swelling.

Self-care

Chronic hives can go on for months and years. They can interfere with sleep, work, and other activities.

Avoid triggers. These can include foods, medicines, pet dander, latex and insect stings, and pollens. Some studies suggest that stress or fatigue can trigger hives.

 

Apply cold. Soothe the skin by covering the itchy area with a cold washcloth or rubbing an ice cube over it for a few minutes.

Take a comfortably cool shower or bath. Some people might relieve itching in the short term by taking a cool shower or bath. Try sprinkling the bath water with baking soda or oatmeal powder

Try a cream with menthol for a soothing effect.

Wear loose, smooth-textured cotton clothing. Avoid wearing clothing that's rough, tight, scratchy, or made from wool.

Protect your skin from the sun. Liberally apply sunscreen about half hour before going outdoors. When outdoors, seek shade to help relieve discomfort.

Track your symptoms. Keep a diary of when and where hives occur, what you were doing, what you were eating, and so on

HOMEOPATHIC MEDICINE

Urtica urens

Astacus fluvitalis

Bovista

Homeopathy can treat your symptoms in acute urticaria and can act as a curative treatment in chronic urticaria. Homeopathy mostly depends on symptoms and triggers to treat the condition successfully