Brief Answer:
I prefer to give loratadine tablets.

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum.

After analyzing the query with diligence I can get that you have the condition which is known as "urticaria" or simply known as "hives".

Before I proceed further let you understand about your problem. To tell you Medically - Our blood contains multiple type cells including red blood cells and white blood cells. Specifically these white blood cells provide immunity to our body which are of further multiple types.

Whenever anything in body is not suitable or offending to body then the number of white blood cells increases transiently. Particularly these cells which increase are eosinophils and basophils which are also known as mast cells. These cells contain granules which have a specific chemical known as histamine. So as soon as any offending factors come in contact there is bursting of the mast cells. There fore this histamine is released and we experience variable degree of itching and the kind of bumps which we can see in yourself. The bumps can remain for a very transient period to upto multiple hours.

It can remain for more than 12 hours too depending on the intensity of the offending factor but never more than 24 hours. The type of offending factor are innumerable including our food, environmental factors including temperature variation, heat, humidity, cold, dust and even simple of fragrances in air and multiple of other related things and very importantly stress too.

You check out for any change in all the factors during preceding last two hours before the bumps.

For the treatment part - it is quite simple and treated with drugs which inhibits the histamine release also known as Antihistamines. I myself prefer Loratadine ( Alaspan or Lorfast) in my patients as it is very simple medicine without any side effects of sedation. In my patients I start with 2-3 tablets/day, as soon as good effect is maintained then reduce to one to two in few weeks and then alternate days in next few weeks. Once there are no lesions/bumps for few weeks then taper off to 2-3 tablets per week for few months and then stop it.

I hope this helps.
With good health wishes,

Dr Sanjay Kumar Kanodia
MD - Dermatology

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Brief Answer:
Thanks for your feedback. Good health wishes.

Detailed Answer:
Hello,

Welcome back and thanks for your follow up. I am happy to know that you understood the simple facts regarding your query. Thanks for your feedback.

With good health wishes,

Dr Sanjay Kanodia
MD-DERMATOLOGY

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