By definition, chronic hives are hives which last more than six weeks or hives that go away, but recur frequently. What causes chronic hives? Most chronic urticaria hives remain chronic idiopathic hives, which means their cause is never found. However, many of them have been found to be related to other underlying disorders. In fact with chronic hives, autoimmune symptoms can often follow. In hives, chronic cases have been linked to the following disorders:
- Chronic infections such as viral hepatitis, sinus infections, and urinary tract infection
- Bacterial infections which cause stomach ulcers
- Low or high thyroid function
- Diseases of the kidney or liver
- Autoimmune diseases, such as lupus
Hives has also been linked to certain medications. In fact, Dermatology.about.com states that about 10% of hives cases are caused by medications. Non-steroidal anti-inflammatory drugs (NSAIDs) and antibiotics are the medications known to most often cause hives.
Some medications, such as codeine, morphine, and aspirin, cause a direct release of histamine which sometimes makes the body break out in hives. Although, medications are not among the most common chronic hives causes, your doctor may go ahead and change some of your medications to eliminate any possible causes of chronic hives.
Chronic Hives Treatment
Treatment for chronic hives varies by the severity of the case. For a lot of people, simply taking antihistamines regularly will keep their hives under control. Oral corticosteroids may also be used to lessen swelling, redness, and itching. Many doctors have also found that the use of tricyclic antidepressants, such as doxepin, is very useful in cutting down histamine levels and relieving itch.
According to the Mayoclinic.com, symptoms can usually be treated with over-the-counter or prescription medication. However, if the first medication you try doesn’t work well to relieve your symptoms, don’t hesitate to talk to your doctor about trying something else. In cases of chronic hives, it is important to work with your doctor to find the medication, or combination of medications, that work best for you.
Chronic hives in children is often treated with the same types of drugs. Avoidance of potential triggers is a good way to manage chronic hives in children, but it is important to remember that their bodies are still growing. When cutting certain foods from their diet, be sure to add something like it back in so that they get plenty of nutrients. Also, you may want to observe a little before trying to eliminate activities that involve exercise and sunlight. Most importantly, remember that hives can be very miserable for children, so good support, empathy, and sympathy is significant. You can learn more about chronic hives and view chronic hives pictures at Chronichives.com, Webmd.com, and many other great sites.
