Are Hives Untreatable?

What are Hives?

Hives, or urticaria, are itchy, elevated skin lesions which are itchy and prominent.They are typically of red, pink, or flesh-colored and can hurt or cause pain.In most instances, hives are triggered by such an allergic reaction to a medicine, food, or environmental irritation.In many instances, hives are just an acute (temporary) condition that can be treated with antihistamines.Most rashes resolve themselves.Chronic cases and hives followed by a strong allergic reaction, on the other hand, pose greater medical problems, impacts around 20% of the population at some point in their lives.

Scratching, alcoholic drinks, physical activity, and psychological stress can all aggravate irritation.A tiny percentage of people, however, get recurring hives for no apparent reason.Chronic idiopathic urticaria (CIU) or chronic spontaneous urticaria occurs when fresh outbreaks occur nearly every day for at least six weeks (CSU)Less than one percent of the population has it.

It is particularly prevalent in individuals ranging from 20- 40. A single breakout of CIU typically lasts no longer than 24 hours.Afterward, additional hives develop.

What are the causes of hives?

These responses are induced by allergens.

An allergen is a component that your body doesn’t seem to like, and in response, your immune system releases substances known as histamines. These are a substance produced from allergy cells (mast cell) and some other immune cells (eosinophils, basophils, etc.) to eliminate allergens.

However, your body might react to the influx of histamines with an allergic reaction characterised by hives and swelling.

There are numerous causes of hives in humans, including:

  • Airborne allergens including tree and grass pollen, mould spores and pet dander.
  • Infections caused by bacteria, include strep throat and urinary tract infections.
  • Milk, peanuts and tree nuts, eggs, fish, and shellfish allergies.
  • Insects bite
  • Allergies to medications, such as nonsteroidal anti-inflammatory medicines (NSAIDs), codeine, and blood pressure medications, notably ACE inhibitors.
  • Rapid fluctuations in body temp caused by heat, cold, or regular activity.
  • Infections caused by viruses, such as the common cold and mononucleosis.
  • Sensitivity to other substances, such as latex and detergents.
  • Hormonal difficulties, such as those resulting from pregnancy, menopause, or thyroid disease.
  • Autoimmune conditions.

How to identify hives?

The most visible sign of hives is the appearance of welts on the skin.However, they might even be the same hue as the skin.

They could be tiny and spherical, ring-shaped, or big and amorphous.Hives are uncomfortable and start to form in clusters on the targeted body region.They may increase in size, alter form, and spread.

During the period of the epidemic, welts may vanish or recur.Each hives could last anywhere between thirty minutes and a day.When a welt is pushed, it may become white.Occasionally, the hives may alter form or merge to produce a bigger, elevated region.

There are numerous locations where hives can form on the body.Call the emergency services or seek immediate medical assistance if you get hives around your neck or even on your tongue, or if you have difficulties breathing in addition to hives.

Which kinds of people are at higher risk?

Those with recognised allergies are now more likely to develop hives.You might be susceptible to developing hives if you are taking certain medications or if you are unintentionally subjected to allergens, such as food or pollen.If you have an existing infection or medical condition, you are more susceptible to getting hives.

Are Hives really contagious?

No, you cannot contract hives by touching somebody else’s hives or by being in close proximity to someone with hives.Nevertheless, some individuals acquire hives while they have an infectious illness such as strep throat or the common cold.

If a person with hives does have an infectious disease, one can get the condition but not the hives.

What provokes the hives in anyone?

Even while physicians cannot definitively determine what causes CIU, they are aware of the factors that contribute to flare-ups.

They consist of:

  • Alcoholic beverages
  • Tight attire
  • Aspirin and ibuprofen are examples of nonsteroidal anti-inflammatory medicines (NSAIDS).
  • Exercise
  • Cold
  • Heat
  • Specific food items (especially peanuts, eggs, nuts and shellfish)
  • Medications, such as antibiotics (especially penicillin and sulfa)
  • Insect stings or bites
  • Physical stimuli, such as pressure, cold, heat, exercise or sun exposure
  • Latex
  • Blood transfusions
  • Bacterial infections, including urinary tract infections and strep throat
  • Viral infections, including the common cold, infectious mononucleosis and hepatitis
  • Pet dander
  • Pollen
  • Some plants

What are signs and symptoms of hives?

The duration of symptoms might vary from minutes to months or even years.

Despite their resemblance to insect bites, hives (commonly referred as urticaria) are distinct in a number of ways:

  • Hives can occur on any part of the body; can change shape, move, vanish, and resurface over brief intervals.
  • Red or skin-colored “wheals” with obvious edges, the lumps typically arise and go abruptly
  • Blanching is the change that develops when the centre of a red hive is compressed.

What are various types of hives?

There seem to be two distinct forms of hives: acute and chronic (chronic).

Neither condition is normally fatal, but any throat swells or other symptom that affects breathing demands prompt emergency attention.Almost regularly for even more than six weeks, chronic hives are often itchy.

Each colony exists for fewer than twenty-four hours.They don’t leave bruising or scarring. Usually, there is no clear trigger.Consult an allergist if your hives persist for more about a month or reoccur during time. The allergist will do a complete physical examination and review your medical history to discover the origin of your symptoms.

Additionally, a skin test and a challenge test might well be needed to assess triggers. To reduce itching, treatments range from cool bandages to antihistamines and other pharmaceuticals, such as anti-inflammatory drugs and drugs that may alter one’s immunity.

Some major types of hives are:

Allergic reactions

Most cases of urticaria are caused by allergic responses.

These could be caused through any allergy to which you may be vulnerable, such as:

  • nuts, milk, and eggs
  • pet dander
  • pollen
  • dust mites
  • Medication for bug bites or stinging (primarily antibiotics, cancer drugs, and ibuprofen)

Allergic instances of mild urticaria are often treated either long- or short-term antihistamines and abstinence of the allergen.


Anaphylaxis is a life-threatening allergic reaction of extreme severity.

In this illness, hives are typically accompanied by difficulty breathing, nausea or vomiting, acute swelling, and vertigo.Immediately dial emergency if you fear anaphylaxis.

Chronic urticaria is a persistent condition that may not necessarily have an identified aetiology.This disorder, also known as chronic urticaria, is characterised by reoccurring hives that can conflict with your activities.According to the Mayo Clinic, its duration might range from six weeks to many months or even years.

Chronic hives may be suspected if welts do not disappear within six weeks.This variety of hives, while not fatal, can be painful and hard to cure.They may also indicate a more serious health condition, such as:

  • celiac disease
  • Type 1 diabetes
  • Lupus
  • rheumatoid arthritis
  • thyroid illness
  • Dermatographism

This type of acute urticaria is regarded to be mild.It is due to excessive scratching or persistent force on the skin.Dermatographism typically resolves by itself in a brief time without therapy.

Temperature-driven welts

People who are sensitive to fluctuations in temperature may have hives as the temperature fluctuates.Cold water or air exposure can cause cold-induced hives, while body heat through physical exertion can generate exercise-induced hives.Sunlight or tanning beds could also cause solar hives in certain individuals.

Infectious urticaria

Viruses and bacteria would both be capable of causing hives.Urinary tract infections and strep throat are frequent bacterial diseases that cause urticaria.Viruses responsible for infectious mononucleosis, hepatitis, and the common cold frequently induce hives.

Which one do I have- Hives or Angioedema?

Angioedema, the bulging of tissue under the skin’s surface, can be confused with or linked to the hives.It may be induced by adverse reactions, medicines, or an inherited enzyme deficiency.

These symptoms may be indicative of angioedema:

  • Inflammation of the eyes or mouth
  • enlargement of the arms, feet, or throat
  • Trouble breathing, stomach cramping, or swollen eyelid lining are symptoms of anaphylaxis.

Consult an allergist, who can determine and treat urticaria and angioedema, for the most accurate diagnosis of your symptoms.


In some instances, the allergen is clear: a person consumes peanuts or shrimp, and then begins shortly thereafter.Numerous potential causes necessitate investigative work on the part from both the patient and the physician in other circumstances.Usually, the cause cannot be determined if the hives have persisted for a prolonged period.A single incident of hives typically doesn’t really necessitate comprehensive testing.

If a food allergy is detected, you should consider keeping a food diary.this can help you determine whether there’s any correlation between what you eat and when you develop hives.

Chronic hives need to be assessed by an allergist, who will inquire regarding person’s medical history, substances to something they are susceptible at home and at work, contact to pets and other animals, as well as recently consumed drugs.Show it to your allergist if you’ve been maintaining a food journal. The allergist may undertake skin tests, blood tests, and urine tests in order to determine the source of your hives.If a specific meal is doubted as the trigger, your allergist might perform a skin-prick test or a blood test to confirm the examination; if the trigger is identified, you will likely be recommended to avoid that food and any items containing it.

In rare cases, the allergist may propose an oral food challenge — a carefully controlled test in which you consume a measured quantity of the a doubtful allergen to determine whether or not hives develop.

If a medicine is suspected to be the allergen, the allergist could do similar testing, and a drug challenge – similar to an oral food challenge, but with pharmaceuticals – may be necessary to confirm the diagnosis.

Due to the risk of anaphylaxis, a potentially fatal allergic reaction, these challenging tests should only be performed under close medical supervision, with emergency medication and equipment.In instances when vasculitis (inflammation of the blood cells) could be the underlying cause, your allergist may perform a skin biopsy and send it to a specialist for microscopic examination.

How long do hives last?

Typically, hives are safe and transient.A single hive typically lasts from a few minutes and several hours.Most hives disappear within twenty-four hours.

As current hives are emptied, new hives might form.New welts may occur in the same or distinct locations.The majority of people develop new hives lasting a few days to a few weeks.

If you continue to develop new hives for six weeks or longer, you have chronic hives.Chronic spontaneous urticaria is an illness in which the reason of chronic hives is uncertain (CSU).

People with CSU develop new hives regularly, or nearly daily.This can last for months or even years.

Living with CSU can diminish one’s quality of life.Some individuals report a loss of control since they cannot predict when hives will occur.However, hives frequently intensify overnight.

This can make sleeping difficult.A persistent lack of sleep can leave you feeling exhausted and angry.Some individuals suffer from anxiety or depression.

All of these factors can hinder your capacity to perform effectively at school or on the job.Dermatologists treat patients with chronic hives.The treatment can help alleviate the pain.

If a source can be identified, avoiding it can prevent future outbreaks.Some people’s hives are caused by anything that meets their skin.Your own perspiration, the cold, the sun, or even the light strain of a bag strap might trigger hives.These type of hives is known by dermatologists as inducible hives.It only occurs when an allergen that causes hives in the individual touches the skin.When this type of hives persists for at least six weeks, it is referred to as chronic inducible hives.By ignoring the cause, new hives can be avoided.

Treatment of hives

Antihistamines, which are accessible without a prescription or over-the-counter, are a commonly recommended therapy for hives.They function by inhibiting the impact of histamine, a substance in the skin that can trigger allergic symptoms such as welts.Preferred are antihistamines that don’t cause drowsiness.They are efficient, long-lasting (may be used once day), and have little negative effects.Your allergist may prescribe a mixture of two or three antihistamines, as well as cold cloths and anti-itch balms, to treat your hives.

Urticaria can be treated temporarily with prednisone, a comparable corticosteroid medicine, or an immune modulation, which can lower the severity of the symptoms.If your allergic reaction causes your tongue or lips to swell, or if you experience breathing difficulties, your allergist might prescribe an epinephrine (adrenaline) auto-injector carry at all times.These may be early signs of anaphylaxis, a potentially fatal allergic reaction that impedes breathing and can cause shock in the body.

Epinephrine is the only therapy for anaphylaxis.If you develop hives and your auto-injector is not nearby, or if using the auto-injector does not instantly alleviate the symptoms, call emergencies or go to the nearest emergency room.The emergency medical services are equipped with epinephrine and can administer quick treatment.Additionally, you should visit the emergency room after utilising an autoinjector.

If the source of hives can be established, the most effective treatment is to prevent or eliminate the allergen:

  • Items: Avoid eating the foods mentioned as causing your symptoms.
  • To prevent rubbing or scratching, ditch soaps that are too harsh.
  • Frequent bathing may minimise itching and scratching, which is advantageous because tingling and scratching can aggravate the symptoms of hives.
  • Continuous strain: avoid wearing clothing that is too tight.
  • Wearing loose clothing helps alleviate pressure urticaria.
  • If you experience hives when exposed to cold, limit getting into direct contact with cold water and have an epinephrine auto-injector at all times.
  • In chilly weather, limit exposing to cold air and cover your nose and mouth with a scarf.
  • If you really must be outside in the cold, dress warmly.
  • Wear protective gear and wear sunscreen when exposed to the sun.
  • If you feel that a certain medicine is responsible for your hives, consult your doctor or pharmacist immediately.


Although hives could be itchy and irritating, they are often not serious and will subside over time.

However, keep in mind that while some hives disappear, other ones may emerge.Mild episodes of urticaria are regarded as innocuous.If you are experiencing a severe allergic response and throat has swelling, hives can be harmful.

Immediate treatment of a serious case of hives is crucial for a positive prognosis.