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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Reason For Braking Out In Hives All Over The Body?

I took plan be one step a week ago with my period due today, since yesterday I have been breaking out in hives all over my body. Is this something I should see a Dr. For or continue to wait out and treat at home? I was hesitant to go to the ER because it has been a week from taking the pill and thought maybe it was some sort of hormonal imbalance due to my period being due and taking the pill.
Fri, 25 Apr 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic

I would keep a possibility of Acute Urticaria. It presents as itching and skin welts/swellings, which can be distributed all over the body.

Urticaria OR hives can occur due to various causes like(to name a few):
--Infections(bacterial , viral, fungal)
--Drugs(Pain killers/ antibiotics etc)
--Certain foods and food additives/preservatives
--Physical Urticaria: Cold temperature, Heat, Pressure(Prolonged Standing, Sitting), Dermaographism etc.
--Cholinergic Urticaria: in response to strong emotions, exercise, spicy food etc --Autoimmune disorders like SLE, RA etc.
--A few cases have no underlying cause and are known as idiopathic urticaria.

I would advice you to get few basic lab tests like Hemogram, stool for ova/cyst, Urine routine, Chest X-Ray.

An oral antihistamine like Fexofenadine (Allegra 180 mg tab) OR Loratadine (Alaspan 10mg tablet) once or twice daily for a week would be suitable. They are non-sedating and wont affect your alertness level.

If I was your treating doctor I would have also given you a shot of injectable antihistamines like Avil(pheniramine) and Injectable effcorlin(hydrocortisone) for rapid relief.

A topical soothing lotion like calamine would help you symptomatically.

take care
regards
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Reason For Braking Out In Hives All Over The Body?

Hello and welcome to healthcaremagic I would keep a possibility of Acute Urticaria. It presents as itching and skin welts/swellings, which can be distributed all over the body. Urticaria OR hives can occur due to various causes like(to name a few): --Infections(bacterial , viral, fungal) --Drugs(Pain killers/ antibiotics etc) --Certain foods and food additives/preservatives --Physical Urticaria: Cold temperature, Heat, Pressure(Prolonged Standing, Sitting), Dermaographism etc. --Cholinergic Urticaria: in response to strong emotions, exercise, spicy food etc --Autoimmune disorders like SLE, RA etc. --A few cases have no underlying cause and are known as idiopathic urticaria. I would advice you to get few basic lab tests like Hemogram, stool for ova/cyst, Urine routine, Chest X-Ray. An oral antihistamine like Fexofenadine (Allegra 180 mg tab) OR Loratadine (Alaspan 10mg tablet) once or twice daily for a week would be suitable. They are non-sedating and wont affect your alertness level. If I was your treating doctor I would have also given you a shot of injectable antihistamines like Avil(pheniramine) and Injectable effcorlin(hydrocortisone) for rapid relief. A topical soothing lotion like calamine would help you symptomatically. take care regards