What is urticaria (hives)?
Urticaria, also known as hives, is a skin condition characterized by the development of raised, itchy, and red or skin-colored welts (also called wheals) on the skin. These wheals can be small or large, and may join together to form larger patches. They can appear on any part of the body, and can come and go quickly.
Urticaria is typically caused by an allergic reaction to a substance, such as a medication, food, or insect bite, although it can also be triggered by non-allergic factors such as stress, infection, or exposure to heat or cold. In some cases, the cause of urticaria may be unknown.
The symptoms of urticaria can range from mild to severe, and can sometimes be accompanied by swelling of the face, lips, or throat, difficulty breathing, or other symptoms of anaphylaxis, which is a life-threatening allergic reaction. Treatment for urticaria usually involves identifying and avoiding the trigger, and may include medications to relieve symptoms such as antihistamines, corticosteroids, or epinephrine in severe cases.
Which foods commonly cause hives?
Many different types of foods can potentially trigger hives or an allergic reaction in susceptible individuals. Some of the most common food triggers for hives include:
● Shellfish:
Crustaceans such as shrimp, crab, and lobster, and mollusks such as clams and oysters are common triggers for hives.
● Nuts:
Peanuts, tree nuts such as almonds, walnuts, and cashews, and nut-containing products such as nut butters and oils can cause hives.
● Eggs:
Both egg whites and yolks can cause hives in some individuals.
● Milk:
Dairy products made from cow's milk, including cheese, yogurt, and ice cream, can be a trigger for hives.
● Soy:
Soybeans and soy-based products such as tofu, soy milk, and edamame can cause hives.
● Wheat:
Products containing wheat such as bread, pasta, and cereal can trigger hives in some people.
● Fish:
Certain types of fish, such as tuna, salmon, and cod, can cause hives.
It's important to note that any food can potentially cause an allergic reaction and trigger hives, even if it is not listed above. If you experience hives or other symptoms of an allergic reaction after eating a certain food, it is important to avoid that food and speak to a doctor or allergist to determine if you have a food allergy.
Which medicines commonly cause hives?
Hives can be a side effect of many different types of medications, including prescription and over-the-counter drugs. Some common medications that may cause hives include:
■ Antibiotics:
Penicillin, sulfa drugs, and cephalosporins are among the most common antibiotics that can cause hives.
■ Nonsteroidal anti-inflammatory drugs (NSAIDs):
Drugs such as aspirin, ibuprofen, and naproxen can cause hives in some individuals.
■ Pain medications:
Codeine, morphine, and other opioid pain medications can cause hives in some people.
■ ACE inhibitors:
These medications are commonly used to treat high blood pressure and heart failure, and can cause hives in some individuals.
■ Statins:
Cholesterol-lowering medications such as atorvastatin and simvastatin can rarely cause hives.
■ Anticonvulsants:
Medications used to treat seizures, such as phenytoin, carbamazepine, and lamotrigine, can cause hives in some individuals.
■ Immunotherapy:
Allergy shots, used to treat allergies, can occasionally cause hives as a side effect.
It's important to note that any medication can potentially cause hives or an allergic reaction, even if it is not listed above. If you experience hives or other symptoms of an allergic reaction after taking a certain medication, it is important to speak to your doctor or healthcare provider as soon as possible to determine if the medication should be discontinued or replaced with an alternative treatment.
Other causes of hives
In addition to food and medication allergies, there are several other possible causes of hives:
● Insect bites and stings:
Hives can develop in response to an insect bite or sting, such as from a mosquito, bee, or wasp.
● Physical triggers:
Exposure to certain physical triggers, such as cold or heat, pressure, or sunlight, can cause hives in some individuals.
● Stress:
Emotional stress or physical stress, such as from exercise, can sometimes trigger hives.
● Infections:
Certain viral or bacterial infections, such as the common cold or strep throat, can sometimes cause hives.
● Autoimmune disorders:
Conditions such as lupus, rheumatoid arthritis, and thyroid disease can sometimes cause hives.
● Contact with irritants:
Exposure to certain chemicals, soaps, detergents, or other irritants can sometimes cause hives.
● Idiopathic urticaria:
In some cases, the cause of hives may be unknown, and the condition is referred to as idiopathic urticaria.
It is important to see a healthcare provider if you experience hives or other symptoms of an allergic reaction to determine the underlying cause and receive appropriate treatment. In some cases, hives can be a symptom of a more serious condition, such as anaphylaxis, which requires immediate medical attention.
What is angioedema?
Angioedema is a condition characterized by swelling in the deeper layers of the skin and submucosal tissues, often around the face, lips, tongue, throat, and/or genitals. This swelling is caused by the buildup of fluid in the tissue, which can lead to redness, pain, and itching.
Angioedema can be caused by a variety of factors, including allergies, medication reactions, genetic disorders, and certain infections. In many cases, angioedema occurs alongside hives (urticaria), and both conditions are often caused by an allergic reaction.
There are several different types of angioedema, including:
■ Allergic angioedema:
This type of angioedema is caused by an allergic reaction to a substance, such as food, medication, or an insect sting.
■ Drug-induced angioedema:
Some medications, such as ACE inhibitors used to treat high blood pressure, can cause angioedema as a side effect.
■ Hereditary angioedema:
This is a rare genetic disorder that causes recurrent episodes of angioedema and can be life-threatening if it affects the airway.
■ Idiopathic angioedema:
In some cases, the cause of angioedema may be unknown.
Treatment for angioedema depends on the underlying cause and the severity of the symptoms. In cases of mild angioedema, antihistamines or corticosteroids may be effective at reducing swelling and relieving symptoms. In more severe cases, epinephrine or other emergency medications may be required. It is important to seek medical attention if you experience symptoms of angioedema, especially if it affects the airway or is accompanied by difficulty breathing or other signs of anaphylaxis.
Who's affected by urticaria?
Urticaria, also known as hives, can affect people of all ages, races, and genders. It is estimated that up to 20% of people will experience hives at some point in their lives.
Hives can occur at any age, but they are most commonly seen in young adults. It is also more common in women than in men. Chronic urticaria (hives that persist for more than 6 weeks) affects approximately 1% of the population.
Urticaria can be caused by a wide range of factors, including allergies, infections, medications, physical triggers, and underlying medical conditions. Some people may be more susceptible to hives due to genetics, immune system dysfunction, or other factors.
Individuals with a history of allergies or a family history of allergies are at increased risk for developing hives. Additionally, people with autoimmune disorders, such as lupus or thyroid disease, may be more likely to experience chronic urticaria.
It is important to seek medical attention if you experience hives or other symptoms of an allergic reaction, especially if they are severe or accompanied by difficulty breathing or other signs of anaphylaxis. A healthcare provider can help determine the underlying cause of hives and recommend appropriate treatment.
Types of urticaria
There are several types of urticaria, or hives, which can be classified based on the duration of the episodes and underlying cause. Here are some of the most common types of urticaria:
● Acute urticaria:
This is the most common type of urticaria, which lasts for less than 6 weeks and is often caused by an allergic reaction to food, medication, or other triggers.
● Chronic urticaria:
This type of urticaria lasts for more than 6 weeks and may not have an identifiable trigger. It can be associated with an autoimmune disorder or other underlying medical conditions.
● Physical urticaria:
This type of urticaria is triggered by physical stimuli such as cold, heat, pressure, or sunlight.
● Dermatographic urticaria:
This type of urticaria, also known as skin writing, occurs when the skin is rubbed or scratched and lasts for a short period of time.
● Cholinergic urticaria:
This type of urticaria is triggered by physical exertion, sweating, or stress.
● Aquagenic urticaria:
This type of urticaria is triggered by contact with water, such as bathing or swimming.
● Contact urticaria:
This type of urticaria occurs when the skin comes into contact with an irritant or allergen, such as latex or certain chemicals.
It is important to identify the underlying cause of hives to ensure proper treatment. A healthcare provider can help diagnose the type of urticaria and recommend appropriate treatment, such as antihistamines or other medications.
What causes urticaria?
Urticaria, or hives, can be caused by a variety of factors, including:
■ Allergies:
This is one of the most common causes of urticaria, and can be triggered by foods, medications, insect stings, or other allergens.
■ Infections:
Some viral or bacterial infections can cause urticaria, such as the common cold, hepatitis, or strep throat.
■ Physical triggers:
Certain physical stimuli, such as pressure, heat, cold, or sunlight, can trigger hives in some people.
■ Medications:
Certain medications, such as antibiotics, pain relievers, or blood pressure medications, can cause hives as a side effect.
■ Autoimmune disorders:
Conditions such as lupus or thyroid disease can cause chronic urticaria.
■ Idiopathic:
In some cases, the cause of hives may be unknown.
Stress: Emotional stress can trigger or worsen hives in some people.
■ Food additives:
Certain food additives, such as preservatives or dyes, can trigger hives in some people.
■ Insect bites or stings:
Some people may develop hives as a result of insect bites or stings.
It is important to identify the underlying cause of hives to ensure proper treatment. A healthcare provider can help diagnose the cause of hives and recommend appropriate treatment, such as antihistamines, corticosteroids, or other medications. In severe cases, emergency treatment may be necessary, such as epinephrine for anaphylaxis.
How common are hives?
Hives, or urticaria, are a very common condition. It is estimated that up to 20% of people will experience hives at some point in their lives.
Acute urticaria (hives that last less than 6 weeks) is more common than chronic urticaria (hives that last more than 6 weeks). Acute urticaria affects up to 20% of people at some point in their lives, while chronic urticaria affects approximately 1% of the population.
Hives can affect people of all ages, races, and genders. They can occur at any age, but are most commonly seen in young adults. Women are more likely to experience hives than men.
Overall, hives are a common condition that can be caused by a variety of factors. It is important to seek medical attention if you experience hives or other symptoms of an allergic reaction, especially if they are severe or accompanied by difficulty breathing or other signs of anaphylaxis.
Diagnosing urticaria
Diagnosing urticaria (hives) involves a physical examination and a review of your medical history to identify potential triggers. Your healthcare provider may also order some diagnostic tests to help determine the underlying cause of your hives.
During the physical exam, your healthcare provider will examine your skin to look for signs of hives or angioedema. They may also ask you questions about your symptoms, such as when they first started and whether you have any known allergies or medical conditions.
Your healthcare provider may also order some diagnostic tests, such as:
● Allergy testing:
This may involve skin tests or blood tests to identify potential allergens that may be causing your hives.
● Blood tests:
These may be done to check for underlying medical conditions, such as thyroid disease or autoimmune disorders.
● Skin biopsy:
In some cases, a small sample of skin may be taken for further examination under a microscope.
● Challenge testing:
This involves exposing you to a potential trigger in a controlled environment to see if it causes a reaction.
● Other tests:
Your healthcare provider may also order other tests, such as imaging tests or stool tests, depending on your symptoms and medical history.
It is important to work with your healthcare provider to determine the underlying cause of your hives and develop an appropriate treatment plan. Treatment may involve avoiding triggers, taking medications such as antihistamines or corticosteroids, or other interventions depending on the cause of your hives.
What is the treatment for urticaria?
The treatment for urticaria (hives) depends on the underlying cause and the severity of the symptoms. In many cases, hives will go away on their own within a few days or weeks. However, if the hives are severe or persistent, treatment may be necessary to relieve symptoms and prevent complications.
Here are some common treatments for urticaria:
■ Antihistamines:
Antihistamines are the first-line treatment for urticaria. They work by blocking the release of histamine, a chemical that causes hives and other allergy symptoms. Over-the-counter antihistamines such as loratadine, cetirizine, and fexofenadine may be effective for mild cases of urticaria. For more severe cases, your healthcare provider may prescribe a stronger antihistamine or a combination of antihistamines.
■ Corticosteroids:
If antihistamines alone are not effective, corticosteroids may be prescribed to reduce inflammation and relieve itching. Corticosteroids are usually prescribed for short periods of time to avoid potential side effects.
■ Immunomodulators:
In some cases, immunomodulators such as omalizumab or cyclosporine may be prescribed for chronic urticaria that does not respond to other treatments.
■ Avoiding triggers:
If the hives are caused by a specific trigger, such as a medication or food, avoiding the trigger is the best treatment.
■ Moisturizing lotions:
Applying a moisturizing lotion or cream to the affected area can help relieve itching and dryness.
■ Cold compresses:
Applying a cold compress to the affected area can help reduce swelling and relieve itching.
In severe cases, such as when hives are accompanied by difficulty breathing or other signs of anaphylaxis, emergency treatment may be necessary, such as epinephrine.
It is important to work with your healthcare provider to determine the appropriate treatment for your hives, as well as to identify and avoid potential triggers to prevent future episodes.
Complications of urticaria
Urticaria (hives) are generally not life-threatening and do not typically result in complications. However, in rare cases, severe or prolonged hives can lead to complications such as:
● Angioedema:
Hives can sometimes be accompanied by swelling in deeper tissues, such as the lips, tongue, or throat, leading to difficulty breathing and potentially life-threatening anaphylaxis.
● Infection:
Scratching or picking at hives can break the skin and increase the risk of infection.
● Psychological distress:
Chronic hives can be stressful and impact a person's quality of life, leading to anxiety and depression.
● Side effects of medications:
Some medications used to treat hives, such as corticosteroids, may cause side effects such as weight gain, mood changes, and increased risk of infections.
In general, the risk of complications from hives is low. However, if you experience symptoms of an allergic reaction, such as difficulty breathing, swelling in the face or throat, or severe hives that do not respond to treatment, seek emergency medical attention.
Anaphylaxis
Anaphylaxis is a severe and potentially life-threatening allergic reaction that can occur within seconds or minutes of exposure to an allergen. Anaphylaxis can affect multiple organs in the body and can rapidly progress to a state of shock, which can be fatal if left untreated.
The signs and symptoms of anaphylaxis can include:
■ Skin reactions such as hives, itching, and flushing
■ Swelling of the lips, tongue, and throat
■ Difficulty breathing or shortness of breath
■ Chest pain or tightness
■ Rapid or weak pulse
■ Nausea, vomiting, or diarrhea
■ Dizziness or fainting
Anaphylaxis can be caused by a variety of triggers, including foods, medications, insect stings, and latex. In some cases, the trigger may not be identified.
Anaphylaxis is a medical emergency and requires immediate treatment with epinephrine (adrenaline), a medication that helps reverse the symptoms of anaphylaxis. Other treatments may include supplemental oxygen, intravenous fluids, and medications to help stabilize blood pressure.
If you have a history of anaphylaxis, it is important to carry an epinephrine auto-injector (such as an EpiPen) at all times and to know how to use it. It is also important to work with your healthcare provider to identify and avoid potential triggers and to have an emergency action plan in place in case of a reaction.
Hives Triggers
Hives (urticaria) can be triggered by a variety of factors, including:
● Foods:
Common food triggers include shellfish, nuts, eggs, and dairy products, but any food can potentially trigger hives.
● Medications:
Certain medications, such as antibiotics, painkillers, and blood pressure medications, can cause hives.
● Insect bites or stings:
Bee stings, mosquito bites, and other insect bites can cause hives.
● Physical triggers:
Physical triggers such as pressure, cold, heat, sweating, and sun exposure can cause hives.
● Infections:
Viral infections, bacterial infections, and fungal infections can trigger hives.
● Environmental factors:
Exposure to certain environmental factors, such as pollen, dust, and pet dander, can trigger hives in some people.
● Stress:
Emotional stress can trigger hives in some people.
● Autoimmune disorders:
Certain autoimmune disorders, such as lupus and thyroid disease, can cause hives.
In many cases, the cause of hives is unknown. It is important to work with your healthcare provider to identify potential triggers and to develop a plan for managing hives. If you experience hives or other signs of an allergic reaction, seek medical attention immediately, especially if you experience difficulty breathing, swelling in the face or throat, or other signs of anaphylaxis.
What are the clinical features of urticaria?
Urticaria, also known as hives, is characterized by the sudden appearance of raised, itchy, red or white bumps or welts on the skin. The clinical features of urticaria can include:
■ Raised welts or bumps on the skin that are typically round or oval in shape.
■ Red or white in color, and surrounded by an area of redness known as a flare.
■ The welts may be of varying sizes and can merge together to form larger areas of hives.
■ They are often very itchy and may feel like a stinging or burning sensation.
■ The welts may appear and disappear quickly, often moving around the body, and can last anywhere from a few minutes to several hours.
■ Hives can appear anywhere on the body, including the face, trunk, limbs, and genitals.
In some cases, hives may be accompanied by swelling of the face, lips, or tongue, known as angioedema. Rarely, hives may be a symptom of a more serious underlying condition, such as anaphylaxis or autoimmune disease.
If you experience hives or other symptoms of an allergic reaction, seek medical attention immediately, especially if you experience difficulty breathing, swelling in the face or throat, or other signs of anaphylaxis.
Urticaria severity assessment
The severity of urticaria (hives) can be assessed based on the extent and duration of the rash, as well as the presence of associated symptoms such as angioedema (swelling), difficulty breathing, and other signs of anaphylaxis.
One commonly used method for assessing the severity of urticaria is the Urticaria Activity Score (UAS), which takes into account the number, size, and duration of hives, as well as the presence of associated symptoms. The UAS is a useful tool for monitoring the effectiveness of treatment and determining the need for additional interventions.
Other factors that may be taken into account when assessing the severity of urticaria include the underlying cause of the hives, the presence of any underlying medical conditions or allergies, and the impact of the hives on the patient's quality of life.
If you are experiencing hives or other symptoms of an allergic reaction, it is important to seek medical attention, especially if you experience difficulty breathing, swelling in the face or throat, or other signs of anaphylaxis. Your healthcare provider can help determine the cause of your symptoms and develop an appropriate treatment plan based on the severity of your condition.
What is the outlook for chronic urticaria?
Chronic urticaria is a condition in which hives (urticaria) persist for more than 6 weeks. The outlook for chronic urticaria is generally good, but the condition can be unpredictable and may last for months or even years in some cases. The symptoms of chronic urticaria can come and go over time, and there may be periods of remission followed by relapses.
While chronic urticaria is not typically life-threatening, it can have a significant impact on a person's quality of life, causing discomfort, embarrassment, and anxiety. Treatment for chronic urticaria may include antihistamines, corticosteroids, and other medications, as well as lifestyle modifications to help identify and avoid triggers.
In some cases, chronic urticaria may be associated with underlying medical conditions, such as autoimmune disease or thyroid dysfunction, and it is important to work with a healthcare provider to identify and address any underlying issues.
Overall, with appropriate treatment and management, most people with chronic urticaria are able to manage their symptoms effectively and maintain a good quality of life.
What’s the difference between hives and a rash?
Hives and rashes are both skin conditions that can cause redness and itchiness, but they have different characteristics and causes.
Hives, also known as urticaria, are raised, itchy welts that typically appear suddenly and can move around the body. They often have a white or pale center and a red outer border, and they may vary in size and shape. Hives are usually caused by an allergic reaction to a specific trigger, such as a food or medication, or by an autoimmune response.
On the other hand, a rash is a more general term that can refer to a variety of skin conditions characterized by a change in the skin's appearance, such as redness, bumps, blisters, or scaly patches. Rashes can be caused by a wide range of factors, including allergies, infections, irritants, and underlying medical conditions.
One key difference between hives and a rash is that hives are typically more transient and can appear and disappear quickly, often within a matter of hours, whereas rashes may persist for days or weeks. Additionally, hives tend to be more localized and irregular in shape, while rashes may cover a larger area of skin and have a more consistent appearance.
If you are experiencing skin symptoms such as hives or a rash, it is important to seek medical attention to determine the underlying cause and receive appropriate treatment.
How can I prevent hives?
Preventing hives (urticaria) can be challenging because the causes of the condition are often unknown or unpredictable. However, there are some steps you can take to reduce the risk of developing hives or minimize the severity of symptoms if you do experience an outbreak.
● Identify and avoid triggers:
Keep a record of activities, foods, medications, or other factors that seem to trigger your hives, and avoid them if possible. Common triggers include certain foods (such as shellfish, nuts, and eggs), medications (such as antibiotics and aspirin), and physical factors (such as heat, cold, and pressure).
● Practice good skin care:
Taking care of your skin can help reduce the risk of developing hives. This includes avoiding harsh soaps and detergents, using moisturizers to keep skin hydrated, and wearing protective clothing in extreme temperatures.
● Manage stress:
Stress can trigger or exacerbate hives, so finding ways to manage stress can help reduce the risk of outbreaks. This may include exercise, meditation, or other relaxation techniques.
● Take medications as prescribed:
If you have a known allergy or are taking medications that may cause hives, make sure to take them as prescribed and let your healthcare provider know if you experience any symptoms.
● Seek medical attention:
If you experience hives or other symptoms of an allergic reaction, seek medical attention immediately, especially if you experience difficulty breathing or other signs of anaphylaxis.
Overall, while it may not be possible to completely prevent hives, taking these steps can help reduce the risk of outbreaks and minimize the impact of symptoms on your quality of life.
What is the prognosis (outlook) for people with hives?
The prognosis (outlook) for people with hives (urticaria) depends on the underlying cause and severity of the condition. In most cases, acute hives resolve on their own within a few hours to days, and do not have any long-term effects. However, chronic hives can be more challenging to manage, and may last for months or even years.
If hives are caused by an underlying medical condition, treating that condition may help alleviate symptoms. For example, if hives are caused by an autoimmune disorder, medications that suppress the immune system may be used. If hives are caused by an allergic reaction, avoiding the trigger and taking antihistamines may be effective.
While hives themselves are not usually life-threatening, severe cases can lead to complications such as anaphylaxis, a potentially life-threatening allergic reaction. It is important to seek medical attention immediately if you experience any symptoms of anaphylaxis, such as difficulty breathing or swelling of the face or throat.
Overall, with appropriate treatment and management, most people with hives can expect to experience relief from symptoms and a good quality of life.
When should I call my healthcare provider about hives?
You should call your healthcare provider about hives (urticaria) if you experience any of the following:
■ Difficulty breathing, wheezing, or shortness of breath: This could be a sign of a severe allergic reaction called anaphylaxis, which requires immediate medical attention.
■ Swelling of the face, tongue, or throat: This can also be a sign of anaphylaxis and requires immediate medical attention.
■ Dizziness or fainting: These symptoms can also be a sign of anaphylaxis, or can occur due to low blood pressure caused by hives.
■ Severe or widespread hives: If you have hives covering a large area of your body, or if they are causing significant discomfort, your healthcare provider may prescribe medications to help alleviate symptoms.
■ Hives that persist for more than a few days: If you have hives that persist for more than a few days, or if they recur frequently, your healthcare provider may want to investigate underlying causes or prescribe medications to manage symptoms.
■ Hives accompanied by other symptoms: If you have hives accompanied by other symptoms such as fever, joint pain, or fatigue, your healthcare provider may want to investigate underlying causes.
Overall, if you have any concerns about your symptoms or are experiencing significant discomfort, it is important to seek medical attention to ensure that you receive appropriate treatment and management.
What questions should I ask my healthcare provider?
If you have hives and are seeing a healthcare provider, here are some questions that you may want to ask:
● What is causing my hives, and are there any underlying conditions that may be contributing to them?
● What treatment options are available for my hives, and what are the potential benefits and risks of each?
● Are there any lifestyle changes I can make to help prevent my hives from recurring?
● Are there any over-the-counter medications or home remedies that may be helpful in managing my symptoms?
● Should I avoid certain foods, medications, or other triggers to prevent my hives from recurring?
● What should I do if I experience any severe symptoms, such as difficulty breathing or swelling of the face or throat?
● When should I follow up with you to monitor my condition or adjust my treatment plan?
● Are there any resources or support groups that you recommend for people with hives?
By asking these questions, you can gain a better understanding of your condition and how to manage it effectively.
How long does it take for hives to go away?
The duration of hives (urticaria) can vary depending on the underlying cause and individual factors. In general, acute hives caused by an allergic reaction or infection may resolve within a few hours to days, while chronic hives may last for several weeks or even months.
For acute hives, treatment may not be necessary as they often resolve on their own. However, taking antihistamines or corticosteroids can help alleviate symptoms and speed up the healing process.
For chronic hives, treatment may be more challenging, as the underlying cause may be difficult to identify. However, taking antihistamines or other medications prescribed by a healthcare provider can help manage symptoms and prevent recurrence.
It is important to note that even if the hives go away, they may still recur if the underlying cause is not identified and addressed. Therefore, it is important to work with a healthcare provider to identify any underlying triggers or conditions that may be contributing to your hives, and to develop an appropriate treatment plan.
Conclusion:
Urticaria, or hives, is a skin condition characterized by raised, itchy, and red welts on the skin. It can be caused by a variety of factors, including allergic reactions, infections, medications, and underlying medical conditions. The severity and duration of hives can vary depending on the underlying cause and individual factors.
While treatment may not be necessary for acute hives, chronic hives may require ongoing management with antihistamines or other medications. It is important to work with a healthcare provider to identify and address any underlying triggers or conditions that may be contributing to your hives.
If you experience severe symptoms such as difficulty breathing or swelling of the face or throat, you should seek immediate medical attention. Otherwise, if you have any concerns about your symptoms or are experiencing significant discomfort, it is important to speak with your healthcare provider to ensure that you receive appropriate treatment and management.
