I'm Dr. Mengxue Chen, a dermatologist, and I hope my answers will give you some insight in your hives treatment process:

The treatment of urticaria first find the cause: acute urticaria can usually find the cause, but the cause of chronic urticaria is difficult to clarify, but if the cause can be found and can be clearly correlated, then the possibility of urticaria cure will be greatly increased.According to the latest edition of the guide to urticaria, the causes are categorized as exogenous and endogenous, so you can match them up and see if you can find your own possible cause:

I. Exogenous etiologies include:

1、Physical stimuli: friction, pressure, cold, heat, sunlight exposure and so on;

2. Food factors:

1⃣️Animal proteins: e.g. fish, shrimp, crab, shellfish, eggs, etc;

2⃣️ Plant or fruit-based: e.g. lemons, mangoes, plums, apricots, strawberries, pecans, cocoa, garlic, tomatoes, etc;

3⃣️ spoiled food and food additives;

3. Drugs: e.g. penicillin, sulfonamides, serum preparations, various vaccines, etc;

4. Implants: artificial joints, anastomoses, heart valves, steel plates and nails in orthopedics and birth control devices in gynecology.

Second, endogenous etiologies include:

1, chronic infections: such as bacterial, fungal, viral, parasitic and other infections, the stomach Helicobacter pylori infection in some patients may be an important factor;

2. Exhaustion or mental stress;

3. Autoimmune diseases such as rheumatic fever, systemic lupus erythematosus, thyroid disease, lymphoma, leukemia, etc.

If there is a suspicion of an association with one of the above etiologies, there are tests that can be used to clarify this, such as:

1、Suspecting that it is related to food, you can draw blood to check allergens or food intolerance test to make it clear;

2、With stomach pain, nausea, belching and other discomforts, suspected to be related to Helicobacter pylori in the stomach, you can blow or draw blood to check Helicobacter pylori;

3, with the right side of the coercive pain or swelling discomfort, suspected of chronic cholecystitis induced, can check the liver and gallbladder ultrasound clear;

4, there is fear of heat, excessive sweating, panic, hyperphagia and other symptoms, to suspect hyperthyroidism, you can draw blood to check the thyroid hormone to further clarify.

The above are just examples, some patients are difficult to find the cause of the disease, then only through the western medicine antihistamine symptomatic treatment, or traditional Chinese medicine body identification treatment.

For more hives related science, feel free to follow my micro headlines and I'll be posting about it regularly.

Last year after giving birth to a child, I slept on a cool mat, I guess it was too cool, and all of a sudden it came back. I took loratadine to suppress it at the time, but if I ate something hairy for a few days, it would come up again. Now I can't touch anything like soy milk, bean sprouts, fish, lobster or anything else. The underwear straps are a little bit tight, and then a circle will rise. I'm so fed up that I can't eat anything good. At present, I found a village eighty-year-old old Chinese medicine doctor to see me, he said this kind of more difficult to cure, to take medicine first issued. Slowly not hair will soon be fine, hey, I have eaten 12 Chinese medicine, and now every morning will still get up a little bit. After a couple of hours, it will go away again. Tomorrow, I have to go to the old Chinese medicine practitioner to prescribe medicine, usually I also dance aerobics, I hope to train the physical fitness a little better. This ghost disease, really itchy, I used to scratch on my legs and left a lot of small scars, now I do not dare to scratch. The old Chinese doctor said also not allowed to take Western medicine, said Western medicine is always pressed down, so not, this must be issued, I do not quite understand, I do not know if it works, no way, at present or listen to him, with the treatment it.

(October 7, 2018 Dr. Tsang has questions and answers)

When it comes to hives, Dr. Tsang is all too familiar with them, having suffered from them so much that the itchy sensation is so unbearable that you can't help but scratch them.

Urticaria is what the common people often refer to as windy bumps and windy bumps, and is a common allergic skin disease. It is due to the rapid expansion of small blood vessels in the skin, thus appearing on the surface of the skin of different sizes, irregular shape of the pale white flat bumps, some will be fused into a piece, can be spread all over the body, accompanied by obvious itching, usually within 24 hours to subside, but will be repeated attacks. The course of the disease may last from a few days to several months.

Hives come and go without a trace, flaring up with redness and itching, and then subsiding instantly when rushing to the hospital. This battle for the skin can be a real defense for hives sufferers.

The causes of urticaria are very complex, and we can only treat urticaria better if we find the cause. However, about 75% of patients are unable to find out the exact cause, especially for chronic urticaria.

1. Drug factors:Many drugs are often prone to cause this disease. Drugs with antigenic properties: e.g., penicillin, cephalosporin antibiotics, sulfonamides, serum vaccines, etc.; histamine-releasing drugs: e.g., codeine, morphine, aspirin.

2. Food factors:Animal protein foods: such as fish, shrimp, crab, meat, eggs, etc.; plant foods: such as eggplant, bamboo shoots, spinach, plums, pineapple, and other vegetables and fruits; in addition to the addition of food pigments, flavoring agents, preservatives, natural or synthetic substances in the food, including yeast, salicylic acid, citric acid, etc., can also cause the disease.

3. Infection factors:Infections with bacteria, viruses, and parasites can stimulate the immune system, triggering an immune response that results in allergic symptoms. Bacterial infections: such as acute tonsillitis, pharyngitis, cholecystitis, appendicitis, sinusitis, etc.; viral infections: such as viral hepatitis precursor symptoms or jaundice is common, coxsackie virus infection and infectious mononucleosis and urticaria have a direct relationship with the occurrence of urticaria; parasites: such as roundworms, hookworms, pinworms, schistosoma, and trichurisuris.

4. Insect bites:The windburns are a prominent symptom in the metrorrhagia caused by insect bites such as bees and wasps. In addition, hairy phosphorus stings of beetles, moths, etc., into the skin can also produce chilblains.

5. Mental and endocrine factors:The disease can also be suffered from such things as nervousness, emotional stress, insomnia, menstrual disorders, and pregnancy.

6. Physical factors:Such as mechanical stimulation, stimulation by cold, heat and light.

7. Internal medicine diseases:Such as systemic lupus erythematosus, rheumatoid arthritis, nephritis, diabetes mellitus, hyperthyroidism, etc. can cause this disease.

8. Inhalation:Such as pollen, dust, animal hair, formaldehyde, cosmetics, irritant gases and other inhalation can occur urticaria, and these patients are often accompanied by respiratory symptoms.

9. Genetic factors:There is a genetic link to urticaria, and the urticaria associated with heredity include hereditary familial urticaria syndrome, familial urticaria, and delayed familial restrictive heat urticaria.

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Hello, Doctor, I get them in the morning or at night on my legs, and they're rare on my upper body, with a few occasional ones that aren't too big, and I think it's dampness, rheumatism, rheumatic fever, but I don't know what medicines will help me, and I've had a couple of bottles of Damp-Toxin and Blood-Toxin pills before, but I don't know if they will help me. Anyway, I don't eat them anymore because they still come up. Thank you, Doctor, for pointing out the medicines.

I started in September last year, it comes and goes quickly, when it is serious, I take medicine (loratadine tablets), usually by applying some ointment, all for no reason, I went to the hospital to check the allergens, immunoglobulin E is a little bit high, and I don't know how to do it, I don't care about it now, anyway, if it is serious, I will take the medicine.

This thing is really itchy to me want to die we called the rheumatism goose bumps, vernacular, when I was a child, many years did not have, cold winter days with cold water to wash their hands, the hands will occasionally rise, but soon disappeared, did not care, just two days ago, hair, thighs and buttocks, suddenly itchy to the explosion, I do not know how to do, and then scratched, and then rose a large lumps, and then the back, neck, forehead, I want to die, a scratch, finished and swollen, in the middle of the night to wake up, get up and scratch again, I did not go to the doctor, I do not know and did not go to the doctor. want to die, a scratch, finished also swollen, midnight itch to wake up, get up and scratch, I did not go to the doctor, scrub yourself with sulfur soap, these two days unknowingly and no, and not itchy, I do not know what is going on, that thing is really too unbearable, itchy I sometimes want to use a razor blade to cut open the skin to see what is the situation in the inside (>﹏<)

As a Chinese medicine practitioner, I will analyze this from the perspective of Chinese medicine.

In Chinese medicine, we call it "hives."It can occur in all parts of the body, even the private parts. Considering from the perspective of Chinese medicine, the onset of urticaria is mainly due to the fact thatWeakness of the body, plus wind, cold, summer, dampness, dryness and heat caused by the attack of the six evils; or weakness of the body, insufficient qi and blood, Wei and external deficiencies; or dietary disorders, intestinal and stomach dampness and heat.There are roughly 5 types of evidence in the clinic, and I've compiled treatment plans for the different types of evidence.

Image from the web

1. Wind-heat syndrome

The wind mass is red in color, with burning sensation when looking at it, and self-conscious itching, which is severe when it is hot and slowed down when it is cold; or accompanied by fever and wind, upset, thirst, and dry throat; the tongue is red, the moss is thin and yellow, and the pulse is floating and numberless. Treatment is based on dispersing wind, clearing heat and relieving itching.

2、Wind-cold evidence

The wind mass is light red in color, with conscious itching, which is severe when it is cold and decreases when it is warm; or accompanied by bad wind and cold, with no thirst in the mouth; the tongue is light red, the moss is thin and white, and the pulse is floating and tight. Treatment is based on dispersing wind and dispersing cold, harmonizing Ying and Wei.

Image from the web

3、Dampness and heat in the stomach and intestines

The color of wind ball is bright red, the appearance of wind ball is related to dietary disorders, mostly accompanied by abdominal pain and diarrhea or vomiting and chest tightness, loose stools or constipation, red tongue with yellowish greasy coating, and number of pulses or moistening number. Treatment is based on clearing away heat and dampness, dispelling wind and relieving itching.

4、Toxic heat blazing evidence

Sudden onset, red, burning, fused into pieces, like a map, or even diffuse all over the body; itching is intense, or accompanied by strong heat and cold, thirst and cold drinks; or red face and eyes, disturbed. Constipation, short and red urine. The tongue is red, the moss is yellow or yellow and dry, and the pulse is strong. Treatment is based on clearing the camp and cooling the blood, detoxifying and relieving itching.

Image from the web

5. Evidence of deficiency of qi and blood

The wind mass is pale red in color, or the same as skin color, recurrent, prolonged for months or even years, or aggravated by exertion; accompanied by dizziness and panic, fatigue, white lips, and insomnia. The tongue is pale, the moss is thin and white, and the pulse is fine. Treatment is based on benefiting qi, nourishing blood and consolidating the surface.

Remember, don't scratch or tickle, as this can cause the bumps to form into patches that get worse and worse, and may leave scars if the skin breaks.

Urticaria for the disease, the wind bunch of surface, the skin for the disease, late up early disappearance, itchy and intolerable, very troublesome, lingering difficult to heal, very easy to recur. The mechanism of the disease for the Shaoyin fire, offend the lung cold, hair on the skin, fire and heat to be out, cold and collection of obstruction, cold and heat, wind and fire fight, stay in the muscle surface, when the hair, night and day itching. Abnormal heart fire is insomnia and dreaming, move hot small intestine, and then to the bladder, the lungs are on the water, cold is not allowed to gasification, so urination is not good or astringent pain, or even urinary frequency urinary urgency urinary waiting, defecation is not much, and sometimes there is a desire to poop, men and women, the lung meridian waterway is not conducive to a lot of urticaria patients are concomitant with plum nucleus qi or chronic pharyngitis. Urticaria is easy to cure, but it takes time, not a moment's work, patients must have patience. Five Ling San plus flavor and then add flavor can be treated, after the healing must be avoided to blaze BELONG thick taste, otherwise it is easy to relapse.

I'm dermatologist Shannon Wang, and I'm answering this question from my professional perspective:

What are hives?

Hives are what the common people often call windy bumps and hives, and they are a common allergic skin condition.

It is due to the rapid dilation of small blood vessels in the skin, thus appearing on the surface of the skin a kind of size, irregular shape of pale white flat bumps, some will be fused into a piece, can be spread all over the body, accompanied by obvious itching, usually within 24 hours to subside, but will be recurring. The course of the disease may last from a few days to several months.

What are the causes of hives?

The causes of urticaria are very complex, and we can only treat urticaria better if we find the cause. However, about 75% of patients are unable to find out the exact cause, especially for chronic urticaria. Several common allergens are:

1. Drug factors:Many drugs often predispose to this disease. Drugs with antigenic properties

2. Food factors:Animal protein foods, plant foods: vegetables and fruits such as eggplant, bamboo shoots, spinach, plums, pineapple, etc.

3. Infection factors:Infections with bacteria, viruses, and parasites can stimulate the immune system, triggering an immune response that can lead to allergy symptoms.

4. Insect bites:Windswept masses are a prominent symptom in allergic reactions due to insect bites such as bees and wasps.

5. Mental and endocrine factors:The disease can also be suffered from such things as nervousness, emotional stress, insomnia, menstrual disorders, and pregnancy.

6. Physical factors:Such as mechanical stimulation, stimulation by cold, heat and light.

7. Internal medicine diseases:Such as systemic lupus erythematosus, rheumatoid arthritis, nephritis, diabetes mellitus, hyperthyroidism, etc. can cause this disease.

8. Inhalation:Inhalation of pollen, dust, animal hair, formaldehyde, cosmetics, and irritant gases, for example, can cause urticaria.

9. Genetic factors:There is a genetic link to hives.

How should hives be treated?

Hives are most commonly treated with antihistamines, which are anti-allergy medications likeLoratadine, cetirizine, ebastine, fexofenadineAnd so on.

Because urticaria belongs to allergic diseases, with type I allergic reactions, with histamine as the main inflammatory mediator, so with antihistamines, competitive binding receptors, so that histamine can not bind receptors, can not occur allergic reactions, and naturally, the treatment is good.

Individual efficacy is poor, but a combination of immunosuppressants or even the use of biologics may be necessary. In addition to the treatment of the cause, such as infectious urticaria, to use anti-infective drugs, the treatment effect will be good, or acute urticaria appeared, respiratory difficulties or even anaphylaxis, glucocorticosteroids, such as prednisone acetate, methylprednisolone, and so on, and even anaphylactic shock, the use of adrenaline for first aid, in short, urticaria treatment, the most commonly used is the antiallergic drugs, and there are some need to treat the treatment of the cause, or first aid.

Eating frozen seafood and lamb shabu-shabu makes you susceptible to this disease 😭