Suggest Treatment For Itchy Hives On Back, Legs And Arms

Posted on Wed, 8 Apr 2015

Question: i have skin allergy like hives when i got first symptoms on my back, leg and arm then i went to doctor she gave some tablet and lotion i used those tablet one week and i thought my skin allergy is gone but after a month it came again but second time all body on my face little on my back fully it's spread then on my foot then in my hand too after that i went to skin specialist he said it's became very severe and he prescribe DF6, ACILOCIC 150 and levokon and moisturising cream and again with in three days it's gone totally but i have habit i'll go gym regularly and i used creatine when i first enter in the gym my weight is 48 kg after 5 months of workout i'm 63kg so i planned to check my blood i went to same doctor i made blood check in my blood my immunoglubin level is high 345 IU/ml now doctor prescribe skomyce for three days and XXXXXXX 10 for 21 days and levokon-m for 21 days now i'm really afraid because my marriage is on may so please say is this curable and i like to know the reason of my high immunoglubin level and please say is this curable and is there medicine for reduce my immunoglubin level???

Answered by Dr. Dr. Kakkar (29 minutes later)

Brief Answer:
I suggest a possibility of allergic urticaria

Detailed Answer:
Hello. Thank you for writing to us

I have taken note of your query and I have understood it.

You have a condition known as Urticaria/ Hives.
It presents as skin welts and itching that can be distributed over wide areas of the body.

Urticaria can be classified as either Acute (if the duration is less than 6 weeks) Or Chronic (if it has been present for more than 6 weeks).

If your urticaria has been persisting for more than 6 months I would classify your urticaria as Chronic Urticaria.

Overall, approximately half of the patients of chronic urticaria have no underlying cause and are known as "idiopathic urticaria" i.e all testing is normal.

Raised immunoglobulin levels just indicates that you have an allergic cause behind your urticaria but raised immunoglobulin levels itself is not the real cause/ reason behind urticaria.... it is just an indicator that probably there is an allergen.

The allergen responsible may be present in your diet, Or in your atmosphere..

You may take up a blood test to identify antibodies (IgE) to specific allergen that may be responsible for causing this type of reaction.
This blood test would test for all major allergens that are commonly present in the environment of individual, including food & therefore might help in identifying the particular cause/ allergen that may be causing urticaria...

Once a specific allergen is identified by this test it may be possible to eliminate it from your environment or diet and then automatically the raised immunoglobulin levels would come down.

Treatment of urticaria is symptomatic till the specific cause is identified and eliminated e.g an oral antihistamine like cetrizine 10 mg once daily or twice daily.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Kakkar (2 days later)

shall i go to gym from tomorrow because my doctor said to don't go gym for 2 weeks and i'm getting little itching on ma beard side and ma back doctor and my face became little big i really afraid doctor

Answered by Dr. Dr. Kakkar (17 minutes later)

Brief Answer:
Can attend gym; continue with Oral antihistamine

Detailed Answer:
Hi.

I don't think there is any problem going to a gym.

Continue with the Oral antihistamine i.e cetrizine 10 mg, once daily is usually enough but it can be increased to even twice daily, if required.

I would suggest you take up a blood test for possible allergens present in your environment or diet that may be causing urticaria.

Regards

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Dr. Kakkar (11 hours later)

I made a blood test doctor and result is my immunoglobin E level is high 345 and my doctor said it should be below 160 so now u say what should I do

Answered by Dr. Dr. Kakkar (21 minutes later)

Brief Answer:
I suggest a blood test to identify responsible allergen

Detailed Answer:
Hi XXXXXXX

As I have already mentioned in one of my previous reply that raised serum IgE levels is just an indicator that you have an allergic cause for your urticaria. It does'nt help anything more than that.

Exactly what is that allergen(s)?? we do not know as yet....

The responsible allergen (s) could be either present in your environment Or it could be something in your diet.

I asked you to go for a specific test to try identify the responsible allergen(s) so that we can possibly eliminate it from your surroundings Or diet..

Unless the responsible allergen is identified treatment of urticaria would be symptomatic with daily oral antihistamines i.e cetrizine or other similar antihistamines.

Regards

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Dr. Kakkar (5 hours later)

is there any spefic test is there to find a allergen in my blood ???

Answered by Dr. Dr. Kakkar (11 minutes later)

Brief Answer:
Allergen specific IgE test

Detailed Answer:
Hi.

You may go for an "Allergen specific IgE test". This test will check whether you have allergy against one or more of the 100's of allergens, that are part of the test kit.
This will determine whether you have an allergy to one or more of the commonly present allergens in your environment, diet etc.
It is available in all major labs like SRL Ranbaxy lab, Dr. Lal Path lab.

Regards

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar