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HomeAnswersDermatologyhivesI have hives on my body and it is very itching. Please help.

What causes hives over the body and intense itching that disturbs sleep?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At March 8, 2023
Reviewed AtOctober 12, 2023

Patient's Query

Hello doctor,

I am a 61-year-old female with 5.71 feet height and 233.69 Ibs weight. I think there are very itchy hives all over my body, and I have been there for over six weeks. I have completed two weeks of intense steroids via a local doctor that have had no impact. Other medications I take are beta blockers, acid reflux medications, Emozole, and Xlaltan eye drops. I cannot sleep due to the itching and have tried everything to stop it. What should I do?

Hello,

Welcome to icliniq.com.

Please get back with the following details for clarification:

  1. Rashes distribution, are rashes persistent or transient and reappear?
  2. Is it in web spaces of hands, palms, wrists, groins, mucus membranes, and scalp hairs?
  3. Is it worse at night or any time of the day?
  4. Do you have any exacerbating or relieving factors?
  5. Do you have any other associated symptoms?
  6. Have you had significant weather, temperature, or humidity changes in the past few weeks?
  7. Do you have any travel history?
  8. Do you have any pets in the house?
  9. Do you have any family history or partner history?
  10. Do you have any investigations, if any, done?
  11. Do you have any treatment history apart from those mentioned?
  12. Do you have any associated diseases?
  13. Do you have any history of allergies (food)?
  14. Do you have any other relevant details?

I hope this may help in further evaluation.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

Spots are sporadically distributed, mainly on my arms and legs, with some on my back. They are persistent and have not disappeared in over six weeks, with occasional new ones appearing. None in web spaces. Much worse at night in terms of continual itching, so sleep is impossible. They are not so itchy during the day though the heater worsens them. Nothing relieves them apart from moisturizer, but that is only short-term. No other symptoms. The weather here is much colder, the coldest we have ever known. We do not have pets. My husband has no symptoms. I have some minor allergy issues; for most of my life, I have taken an antihistamine every day and have done it for years. My sinuses are often irritable, like hay fever issues. No food allergies, of which I am aware. Have eliminated supplements in the last six weeks in case they were the cause, but there has been no change.

Hello,

Welcome back to icliniq.com.

It may be due to weather conditions and dry skin. You can try these which may be helpful:

1. Take showers with moisturizing oils.

2. Avoid harsh soaps. Use cleansers or moisturizing soaps.

3. Do not rub or cause friction to your skin. Tap dry after bathing with a soft cloth.

4. Use moisturizing creams liberally after baths and twice a day.

5. Avoid woolen or synthetic garments or bedding.

6. Prefer soft cotton wears.

7. You can use room humidifiers if needed.

8. Continue to use antihistamines at night to reduce itching and get sleep.

9. Reduce scratching as itching exacerbates with scratching.

10. I suggest topical menthol in the cream base available in your area or topical Hydrocortisone cream in itchy areas.

As the weather gets warmer, it should improve. You can consult your dermatologist for further examination, investigations, and management if it persists or worsens.

Thank you.

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

Dr. Basti Bharatesh Devendra
Dr. Basti Bharatesh Devendra

Dermatology

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