Hives (Urticaria): When to Treat and When to Call Provider

Summary

Hives, or urticaria, are itchy, raised bumps that appear on your skin due to a reaction from certain triggers like foods, medications, or insect bites. They can be acute (lasting less than 6 weeks) or chronic (lasting longer). While most cases of hives resolve without treatment, it's essential to know when to seek medical help. This guide will help you understand how to manage hives at home and recognize when it's necessary to call your doctor.

What Is This & Why It Matters

Hives are a common skin reaction that causes red, itchy welts. These welts may be small spots or large patches and can change shape or move around the body. They occur when your body's mast cells release histamines in response to a trigger. Most acute hives resolve on their own within hours to days. Chronic hives may require further investigation by a dermatologist. Understanding your body's reaction and knowing what steps to take can help you manage symptoms effectively.

What You Should Do

• Take an over-the-counter antihistamine to reduce itching and swelling.
• Apply cool compresses to the affected areas for relief.
• Wear loose-fitting clothing to avoid irritating your skin.
• Identify and avoid known triggers like certain foods or medications.
• Keep your skin moisturized to prevent dryness and irritation.
• Contact a dermatologist if hives persist beyond six weeks.

What You Should NOT Do

• Do not scratch the affected areas as it can worsen the irritation.
• Avoid hot showers or baths, which can make itching worse.
• Refrain from using harsh soaps or skincare products.
• Do not ignore symptoms if they worsen or do not improve with treatment.
• Avoid wearing tight clothing that may aggravate the skin further.
• Do not self-medicate with multiple antihistamines without consulting a doctor.

Symptoms: Normal vs Warning Signs

FAQ