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Hives


Hives or Urticaria refers to raised, itchy, and red or white welts that appear on the skin’s surface. In general, hives are an allergic reaction to certain food items and medicines. Chronic hives can endure for more than six weeks. They have a tendency to keep coming back periodically. Hives are very common, and in most cases they vanish within a few weeks. If you have a serious case of hives, you might need medicine or a shot to treat the hives. In rare cases, allergic reactions can cause a dangerous swelling in the airways that inhibits breathing, and this is a medical emergency.


Causes and Risk Factors

Hives are a common allergic reaction. Upon exposure to an allergen, histamine and other irritants react with the blood in the bloodstream to cause the tiny blood vessels known as capillaries to rupture. This leads to itching and swelling on the skin surface. When these capillaries dilate further and cause fluid to travel more deeply into the skin tissue, a condition known as angioedma occurs. Angioedma typically causes swelling of the lips, larynx (causing hoarseness or breathlessness), or on the lining of the stomach and intestines (causing abdominal pain). Angioedema often occurs simultaneously with hives.

It is not easy to determine the exact cause of hives. They are believed to be the result of an immune system (autoimmune) disorder and other health problems such as thyroid disease. In rare cases, insects, parasites, and some food items have been determined to be the cause. Furthermore, factors such as excessive heat, non-steroidal anti-inflammatory medications, or other stimuli may aggravate chronic hives. Some of the common allergens that cause hives are certain food items such as eggs, milk, nuts, and shellfish, certain medicines, contact with pollen or fungal spores, pet dander, insect bites, stress, exposure to extreme climates (hot or cold), excessive perspiration, infections such as mononucleosis, leukemia, lupus, and autoimmune diseases, substances such as perfumes, preservatives, colorings, nickel, or tar or contact with stinging nettles, poison ivy, and jellyfish.


Hives can affect anyone, but those who have had hives or angioedema in the past are more likely to acquire it again. People with a family history of hives also have a higher risk of suffering from this ailment. Stress can also aggravate hives in some individuals.

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