The hives, which corresponds to an allergic reaction in the skin, has no cure when the cause is identified and treated quickly. Typically the symptoms of hives disappear with time, it is not necessary treatment, but as can be quite uncomfortable, it is important to go to the doctor. When the symptoms of hives last more than 6 weeks, shall be considered to be chronic and, therefore, the cure is more difficult to be achieved, and is usually conducted for the control of symptoms according to the medical advice.
The best way to treat hives is to try to identify if there is a cause that is causing the symptoms and avoid it as much as possible, so that the hives do not come up again. However these causes can be very varied, including everything from food, to the use of drugs and some objects. In this way, identify the cause of the problem can be quite a difficult task.
The main forms of treatment for hives are:
1. Avoid the causes
The simplest and most effective treatment of hives is to identify the causative agent of the symptoms, and thus avoid the contact. The most common causes of trigger the allergic reaction in the skin are:
- Consumption of some types of food, especially eggs, peanuts, shellfish, or nuts;
- Frequent use of medications, such as antibiotics, Aspirin or Ibuprofen;
- Contact with some objectsof the day-to-day, mostly made with latex or nickel;
- Mites or contact with the furof animals;
- Insect bites;
- Physical stimuli, such as pressure on the skin, cold, heat, excessive exercise or sun exposure;
- Frequent infections, such as flu, colds or urinary tract infections;
- Exposure to certain plants or pollen.
To help identify what may be causing the appearance of the rash, the allergologyst you can ask for an allergy testing that allows us to identify some specific causes, such as sensitivity to dust mites or animal hair, for example.
However, when it is not possible to find the cause through various tests for allergies are available, it is recommended to remove foods, drugs, or objects more allergens of the day-to-day, trying to identify if at any time the symptoms of urticaria decrease.
2. The use of anti-histamines
The use of medicines anti-histamines, popularly known as anti-allergic, it is recommended when it is not possible to identify the cause, it is difficult to avoid the contact with the agent trigger of the rash or when the symptoms are very uncomfortable and may disrupt the activities of the day-to-day. Thus, it is recommended to consult the general practitioner or allergologyst to be stated the best anti-histamine for each case, the most common being the Cetirizine and Hydroxyzine, which help alleviate symptoms and decrease the amount of histamine in the body.
Generally, this type of medications can be used for a long period of time, as it does not present many side effects and can be taken daily to reduce the symptoms, such as itching and redness in the skin.
In addition, some techniques homemade, how to apply cold compresses on the skin or pass poultices anti-inflammatory drugs in areas assigned, to help decrease the development of symptoms, also allowing to reduce the required dose of anti-histamine.
3. Use of medicines and corticoids
When it comes episodes of symptoms are very intense, that does not improve with the use of anti-histamines, the doctor may increase the dose or recommend the use of medicines and corticoids, such as Prednisone, that has an effect more powerful, but that also has many side effects, such as increased weight, high blood pressure, diabetes or weakening of bones, and should, therefore, be used for a short time.
4. Association of antihistamines and corticoids
The use in conjunction of medications antihistamines and corticoids is indicated by the doctor in the case of chronic urticaria, which is when the symptoms last more than 6 weeks, they are intense, often arise or never disappear. Therefore, the treatment for this type of hives is done with anti-histamines, which can be completed with the use of corticoids, such as Hydrocortisone or Betamethasone, which relieve a lot of symptoms, even when you don’t you avoid the cause of the hives.
However, as the corticoids also have many side effects, the FDA approved a new drug, known as Omalizumabe, which is able to reduce the symptoms of chronic urticaria without specific cause, avoiding the emergence of so many side effects.
In cases in which the urticaria is accompanied by severe symptoms, such as swelling of the tongue or of the lips or difficulty breathing, for example, the doctor may recommend the use of a pen of epinephrine to be injected immediately in person so that arise in these symptoms.