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How to effectively manage cholinergic urticaria?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

Daily, after my shower, my face turns red and develops a rash. This has been happening for years. I have changed my soap and face wash multiple times, and I have lived in various cities, but the problem persists regardless of location. What could be causing this? What steps should I take to address it?

Please help.

Answered by Dr. Amol Kumar Wasudeorao Diwan

Education:

MBBS

Professional Bio:

Dr. Amol Kumar Wasudeorao Diwan is a qualified Specialist in Pulmonary Medicine, Tuberculosis, and Respiratory Diseases with extensive years of clinical experience. He has a vast network of professional contacts in the medical field, an outstanding ability to provide healthcare with an emphasis on holistic approach, treating the patients as a physical, emotional, and social being, has an excellent bedside manner, and an admirable ability to establish rapport with the patient. He also has exceptional skills in imparting health related teachings for a complete and speedy recovery of his patients and has an incomparable critical thinking and analytical skills.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

Based on your history, it appears you may be suffering from cholinergic urticaria, also known as heat hives. This condition involves hypersensitivity or extreme sensitivity to heat and sweating. People with this condition often experience itching during exercise or whenever they get hot. Sensitivity to cold water can also be a factor. Heat hives can occur at any age and may come and go without treatment, though for some, the condition persists.

As you mentioned, after exposure to hot or cold water, your skin becomes red, and sometimes itchy lesions appear. Itching or a burning sensation during the initial attack is common and typically subsides once your body temperature cools down. Currently, there is no definitive treatment to cure cholinergic urticaria, so the primary approach is to avoid known triggers. Medications like Levocetirizine or Desloratadine can provide short-term relief. Prioritizing avoidance of triggers is crucial, and Oxyhive treatment may sometimes be beneficial.

I hope this helps.

Thanks for using icliniq, and have a nice day.

Patient's Query

Thank you for your reply, doctor.

I have never experienced itching or a rash while sweating or when exposed to heat. This issue occurs only when I take a bath or wash my face.

Answered by Dr. Amol Kumar Wasudeorao Diwan

Education:

MBBS

Professional Bio:

Dr. Amol Kumar Wasudeorao Diwan is a qualified Specialist in Pulmonary Medicine, Tuberculosis, and Respiratory Diseases with extensive years of clinical experience. He has a vast network of professional contacts in the medical field, an outstanding ability to provide healthcare with an emphasis on holistic approach, treating the patients as a physical, emotional, and social being, has an excellent bedside manner, and an admirable ability to establish rapport with the patient. He also has exceptional skills in imparting health related teachings for a complete and speedy recovery of his patients and has an incomparable critical thinking and analytical skills.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

As I previously explained, the cause of your problem may be related to heat. It is not always necessary to sweat or take hot baths for this issue to arise. In many cases, this condition is idiopathic, meaning there is no obvious cause. Therefore, it can be challenging to identify the specific trigger. To manage the problem, you should avoid any sources of heat. Medications can provide only temporary relief; unfortunately, there is no permanent cure at this time.

I hope this helps you.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At June 28, 2018
Reviewed At August 16, 2024

Education:

MBBS

Professional Bio:

Dr. Amol Kumar Wasudeorao Diwan is a qualified Specialist in Pulmonary Medicine, Tuberculosis, and Respiratory Diseases with extensive years of clinical experience. He has a vast network of professional contacts in the medical field, an outstanding ability to provide healthcare with an emphasis on holistic approach, treating the patients as a physical, emotional, and social being, has an excellent bedside manner, and an admirable ability to establish rapport with the patient. He also has exceptional skills in imparting health related teachings for a complete and speedy recovery of his patients and has an incomparable critical thinking and analytical skills.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Amol Kumar Wasudeorao Diwan is a qualified Specialist in Pulmonary Medicine, Tuberculosis, and Respiratory Diseases with extensive years of clinical experience. He has a vast network of professional contacts in the medical field, an outstanding ability to provide healthcare with an emphasis on holistic approach, treating the patients as a physical, emotional, and social being, has an excellent bedside manner, and an admirable ability to establish rapport with the patient. He also has exceptional skills in imparting health related teachings for a complete and speedy recovery of his patients and has an incomparable critical thinking and analytical skills.

This doctor is not available for online consultations on the platform anymore.

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