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36   COMMON CONDITIONS: SKIN, HAIR, AND NAIL PROBLEMS

         Urticaria





              Urticaria, or hives, is an intensely itchy rash of white or yellow
                                                                            WARNING
              swellings (wheals) surrounded by red, inflamed skin. It is usually
              caused by an allergic reaction, which can be triggered by a range  Seek immediate medical help if you
                                                                     have urticaria and:
              of factors, such as certain foods or medicines, insect bites, or
                                                                     ● You become breathless or
              stings. People with hay fever or asthma are more susceptible.
                                                                     hoarse, or start to wheeze
              Hives can also be caused by stress, or have no obvious cause.   ● Your lips or tongue swell and/or
                                                                     you have difficulty swallowing
              See also Anaphylactic shock, p.159.


              See your doctor first
                                                                    DRUG REMEDIES
              Make an appointment to see your doctor
              to confirm that you have urticaria and/or to  Antihistamines (see p.178) control allergic
              check whether you are taking medication       swelling and itching. You may need to try several
              that could be triggering the attack.          types to find out which works best for you. The drug
                                                            may need to be taken regularly for a prolonged
                                                            attack of hives. Ask your pharmacist for advice.
         What you can do yourself                           Calamine lotion (see p.179) is a soothing
                                                            preparation with a cooling effect. Using a cotton ball,
              Urticaria is extremely uncomfortable, but the  dab it onto the rash 2–3 times a day.
              following measures will help relieve irritation and
              soothe the skin. Attacks are usually short-lived,
              but some people have persistent symptoms.
                                                                  NATURAL REMEDIES
              ● Take an antihistamine to reduce itching and
              swelling (see DRUG REMEDIES, right).
                                                            Oatmeal products (see p.187) are often
              ● Take a cool shower to reduce the redness and  effective for soothing itchy skin. Add oatmeal oil to
              “heat” of the rash. Alternatively, hold a cool  lukewarm bath water and soak for 10–20 minutes.
              compress (a clean washcloth soaked in cool water
              and wrung out) against the rash for a few minutes
              at a time. Keep reapplying for about 30 minutes.
                                                                      PREVENTION
              ● You can also relieve itching with calamine lotion
              (see DRUG REMEDIES, right).                   Preventing urticaria If you have
                                                            recurrent attacks, try these measures of prevention.
              ● Try an oatmeal bath oil (see NATURAL REMEDIES,
                                                            ● Keep a diary of attacks, and try to identify any foods,
              right) to relieve itchy skin.
                                                            medicines, or other factors that may trigger them.
              ● Minimize irritation by wearing loose-fitting,  Once you find a trigger, you can try to avoid it.
              lightweight clothes made of natural fibers.   ● If you think stress is a contributory factor, try
                                                            self-help techniques (see STRESS, pp.20–21).


              Seek further medical advice
              Arrange to see your doctor again if:
              ● Urticaria is not responding to treatment
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