6 Jun 2016

Urticaria



URTICARIA


By decision of the English Government, we should be 2 years together after our marriage and expect my British citizenship. So my husband choose Peru (my country of origin, Italy is the country of my residence). 
But we do not imagine the pressure, stress, climate change and society that my husband would suffer the first year, so much so that today suffers from "Chronic Urticaria Hives".

We were lucky to find a good dermatologist its unguents and medicines are natural. From time to time they come new red spots on your skin and when you have stress or depression or anxiety.

Now, we know how to fight, avoid stress, avoid depression, anxiety avoid, because my husband will have this forever!

I share with you the note
@ amadriadi



URTICARIA HIVES STRESS?

Urticaria is commonly referred to as hives, which are weal like swellings on the surface of the skin that look like mosquito bites. They range from the size of a pinhead to that of a dinner plate. Although some unlucky individuals can have them every day for weeks, individual lumps usually disappear within minutes to hours. In most people hives are not due to allergy.

Underneath the lining of the skin, gut, lungs, nose and eyes are mast cells. These are designed to kill worms and parasites. Mast cells are like land-mines, and contain bags filled with irritant chemicals including histamine. When these are released in small amounts, they cause local itch and irritation. In larger amounts, they will cause fluid to leak out of blood vessels, resulting in swelling of the skin. Occasionally, hives may not be itchy at all.

Approximately 1 in 6 people will develop hives some time during their life and are most common in children. Although some unlucky individuals can have them every day for weeks, individual lumps usually go in minutes to hours. In most people, hives are not due to allergy. Hives may reappear following infection, when under stress or for no particular reason.
Hives cause swellings on the surface of the skin, including the face and lips. Although these can be uncomfortable and cosmetically embarrassing, they are not dangerous. However around 1 in 3 people with hives will also have swelling of the tongue and throat, known as angioedema. Since this can cause difficulty breathing, urgent medical treatment is required. 

The rash can affect any area of skin. Small raised areas called weals (or wheals) develop on the skin. The weals look like mild blisters and are itchy. Each weal is white or red and is usually surrounded by a small red area of skin which is called a flare. The weals are commonly 1-2 cm across but can vary in size. There may be just a few but sometimes many develop over various parts of the body. Sometimes weals that are next to each other join together to form larger ones. The weals can be any shape but are often round.

The release of histamine under the skin is involved in causing urticaria. Antihistamines block the action of the histamine. Most affected people have at least partial relief, and sometimes total relief, of their symptoms with antihistamines.

Persistent (chronic) urticaria tends to come and go. You may have times when the rash appears on most days, and then times when the rash may go away for a while. The severity of the rash and itch varies from person to person. Some things such as heat, cold, menstrual periods, stress, or emotion may make the rash flare up worse than usual.



Acute urticaria: 
it develops suddenly and lasts less than six weeks. Most cases last 24-48 hours. About 1 in 6 people will have at least one bout of urticaria in their life. It can affect anyone at any age. Some people have recurring bouts of acute urticaria. (See separate leaflet called Acute Urticaria (Hives) for more details.)


Chronic urticaria:
 it persists long-term. Chronic means persistent or ongoing. In chronic urticaria a rash develops on most days for at least six weeks. This is uncommon. About 1 in 1,000 people develop chronic urticaria at some stage in their life. It is more common in women than it is in men. Some people have an urticarial rash on and off for months, or even years.
The rest of this leaflet deals only with chroni




HOW'S THE SYMPTOMS?

Symptoms can last anywhere from minutes to months or even years.

- While they resemble bug bites, hives (also known as urticaria) are different in several ways:

- Hives can appear on any area of the body; they may change shape, move around, disappear and reappear over short periods of time.
- The bumps - red or skin-colored “wheals” with clear edges - usually appear suddenly and go away just as quickly.
- Pressing the center of a red hive makes it turn white - a process called “blanching.”



HOW I CAN CARE ITS?

- Time is a wonderful healer. Most hives resolve within a couple of weeks.


- Avoid aggravating factors Non-specific measures such as avoiding excessive heat, spicy foods or alcohol are often useful.


- Aspirin should also be avoided as it often makes symptoms worse.


- Medicines like antihistamines are often used to reduce the severity of the itch. Severe throat swelling requires early use of medication and attention by your doctor or in hospital. Other medicines (like cortisone tablets) may be needed if symptoms are severe.


- Special diets Occasionally, going on a restricted diet will help. Unfortunately, one cannot predict who will or will not respond to diet on the basis of history or allergy testing. The only way to sort it out is to put people on a temporary elimination diet under close supervision, followed by challenges if it helps.


THE CHRONIC HIVES :
Chronic hives occur almost daily for more than six weeks and are typically itchy. Each hive lasts less than 24 hours. They do not bruise nor leave any scar.
If your hives last more than a month or if they recur over time, see an allergist, who will take a history and perform a thorough physical exam to determine the cause of your symptoms. A skin test and challenge test may also be needed to identify triggers.

Therapies range from cool compresses to relieve itching to prescription antihistamines and other drugs, such as anti-inflammatory medications and medications that may modify your immune system.
Chronic urticaria tends to come and go. 

Many people find that certain things make it reappear or make existing symptoms worse.



 Triggers  sometimes include:
- stress
- alcohol
- caffeine
- warm temperatures
- prolonged pressure on the skin – this can happen by wearing tight clothing
- medications – such as NSAIDs, and the painkiller codeine
- certain food additives – such as salicylates, which are found in tomatoes, orange juice and tea
- insect bites and stings
exposure to heat, cold, pressure or water.
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