I am 22. How to treat my physical urticaria?

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

You told me about your problem with physical urticaria (a condition in which red allergic skin lesions and itching are caused by exposure to heat, cold, or contact with chemicals or plants). The tests advised include:

1. CBC (complete blood count).

2. ESR (erythrocyte sedimentation rate).

3. ANA (antinuclear antibody).

4. Cryoglobulin.

5. HBsAg (hepatitis B virus antigen).

6. Anti-HCV Ab (hepatitis C antibody).

The first thing you should keep in mind is that there is no cure for cholinergic urticaria, and the treatment options are often limited. It is a chronic condition and will need long-term treatment. You can have two or more different types of urticaria at the same time. Physical urticarias by heat and sun exposure are mainly due to cholinergic urticarias.

They are responsive to the most common antihistamines like Levocetirizine, Desloratadine, and Cetirizine. Even the tablet Danazol (gonadotropin inhibitor) 200 mg twice daily is helpful in many cases. The first line of treatment and most important is to avoid the triggers and physical agents like chemicals, latex, cosmetics, plants, ointments, and stress. Also try to avoid exercise, heat, high temperature (fever), emotion, or eating spicy food. You need to modify your diet and try to avoid hot drinks and hot and spicy foods. This can give a lot of relief in symptoms.

A dose of an antihistamine just before you exercise may help to prevent or limit a flare-up of the rash. The use of cooling sprays, ice packs, or other materials may help to quickly resolve oncoming reactions. Tablet Cyclosporin (immunosuppressive agent) may be worth trying for antihistamine-resistant DU (demographic urticaria), especially in those patient cases characterized by severe itching. Consult your doctor and take the medicine accordingly.

Unlike most other types of urticaria, physical urticaria is not usually helped by steroids. So, it's better you avoid steroids in any form. It is not possible to predict how long the problem will last. In some cases, the condition may last for many years. In most cases, by avoiding the trigger and by taking antihistamines, the condition can be controlled. So a lot of patience is required before you get full relief. Meditation, prayer, or using mental relaxation techniques may help individuals cope with attacks or the stress of living with the condition.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.