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Dermatology

Hives (Urticaria): symptoms, causes & treatment in Nigeria

Also known as nettle rash, sudden itchy welts.

This page is general health information, not a diagnosis. Always consult a licensed clinician about your own health.

Overview

Hives are raised, intensely itchy welts that appear suddenly anywhere on the body, often as an allergic-type reaction to food, medicines, insect bites or infections — each welt typically fades within a day, though new ones may keep appearing. Most attacks settle quickly; the danger sign is swelling of the lips, tongue or throat.

Symptoms

  • Raised, itchy welts of varying sizes
  • Welts that move location over hours
  • Skin swelling, sometimes of lips or eyelids
  • Itching or burning
  • Each individual welt fading within 24 hours

Causes & risk factors

  • Allergic reactions to foods, medicines or insect stings
  • Infections, including viral illnesses and malaria
  • Heat, pressure or sunlight in sensitive people
  • Stress; often no cause is found in chronic cases

Treatment & self-care

Antihistamine tablets recommended by a pharmacist or doctor relieve most attacks; cool baths and loose cotton clothing soothe the skin. Identify and avoid any suspected food or drug trigger, and report drug-related hives to your doctor so the medicine can be changed. Hives recurring beyond six weeks deserve medical review.

See a doctor urgently if

  • Swelling of the lips, tongue or throat, or any difficulty breathing — emergency
  • Hives with dizziness, vomiting or collapse
  • Hives after starting a new medicine
  • Welts recurring for more than six weeks

Frequently asked questions

What are the first signs of Hives (Urticaria)?
Early signs often include raised, itchy welts of varying sizes, welts that move location over hours, skin swelling, sometimes of lips or eyelids. Symptoms vary from person to person, so a proper assessment by a doctor is the only way to be sure.
Can Hives (Urticaria) be treated?
Antihistamine tablets recommended by a pharmacist or doctor relieve most attacks; cool baths and loose cotton clothing soothe the skin. Identify and avoid any suspected food or drug trigger, and report drug-related hives to your doctor so the medicine can be changed. Hives recurring beyond six weeks deserve medical review.
When should I see a doctor about Hives (Urticaria)?
See a doctor promptly if you notice: swelling of the lips, tongue or throat, or any difficulty breathing — emergency; hives with dizziness, vomiting or collapse; hives after starting a new medicine; welts recurring for more than six weeks.

Talk to the right specialist

Hives (Urticaria) is usually handled by dermatology. See an online dermatology doctor in minutes on GoDoctor.

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Lab tests that may help