What are the treatment methods for chronic urticaria?

Sep 13, 2022 Source: Cainiu Health

Dr. Liu Wan

Introduction

The causes of chronic urticaria are diverse and may sequentially result from various bacterial, fungal, or viral infections. They may also be related to endocrine abnormalities, genetic factors, or immune system disorders in patients. Sometimes, physical conditions such as sun exposure, stress, friction, and abnormal body temperature—such as in cold-induced urticaria—can also trigger the occurrence of urticaria.

Urticaria is a common condition accompanied by various uncomfortable symptoms, causing significant distress for most patients—especially those with chronic urticaria. What are the treatment options for chronic urticaria?

What Are the Treatment Options for Chronic Urticaria?

Chronic urticaria can be treated with both Western and traditional Chinese medicine. Western medical treatments typically involve taking antihistamines such as cetirizine, chlorpheniramine, cyproheptadine, or ketotifen, along with interferon injections to boost immunity. Traditional Chinese medicine (TCM) offers alternative approaches based on syndrome differentiation, including oral herbal formulations, topical washes, acupuncture, acupoint injection, cupping, moxibustion, and acupoint application. Specific treatments should be determined according to clinical evaluation and under the guidance of a physician.

The causes of chronic urticaria are diverse and may include bacterial, fungal, or viral infections. It may also be associated with endocrine disorders, genetic factors, or immune system abnormalities. In some cases, physical factors such as sun exposure, stress, friction, or temperature changes—such as in cold-induced urticaria—can trigger outbreaks.

Chronic urticaria is a type of allergic skin disorder. It commonly presents with raised skin lesions resembling papules or wheals that are smooth-surfaced and appear pink or red, often surrounded by erythema. Angioedema may sometimes occur, and itching is typical. The condition tends to recur repeatedly. We hope this information is helpful to you. Wishing you good health and a happy life!

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Can people with urticaria (hives) receive the COVID-19 vaccine?

In general, patients with urticaria (hives) can receive the COVID-19 vaccine during a stable phase of their condition and in the absence of severe allergic reactions. However, vaccination is not recommended during an acute flare-up or if severe allergic reactions are present. After vaccination, maintain clean skin, avoid known allergens, follow a light diet, and seek medical attention promptly if symptoms such as worsening skin itching occur.

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Can vigorous scrubbing during bathing cause hives?

Whether vigorous scrubbing during bathing causes urticaria depends on the condition of the skin and the method of scrubbing. It usually does not trigger urticaria if the skin is healthy and the scrubbing is moderate. However, if the skin is sensitive or the scrubbing is too harsh, it may induce urticaria. For daily care, it's important to choose soft bathing tools, control the pressure and frequency of scrubbing, and avoid frequent use of strongly alkaline cleansers.

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What is the difference between skin itching symptoms of diabetes and urticaria?

In general, skin itching caused by diabetes differs significantly from urticaria in terms of pathogenic mechanisms, rash presentation, characteristics of itching, duration, and triggering factors. Diabetic patients should actively control blood glucose levels and maintain moist, clean skin, while patients with urticaria should identify and avoid triggers. For both conditions, care should include avoiding scratching to prevent skin damage and subsequent infection.

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Can mulberry tree leaves treat urticaria?

Mulberry leaf cannot treat urticaria. Such folk remedies lack scientific evidence and may only provide slight relief for some individuals, but they do not address the underlying problem. Therefore, they are not recommended as a routine treatment. In daily life, it is important to identify and avoid allergens such as pollen and seafood. When urticaria flares up, cold compresses with a cool towel can help relieve itching. Avoid scratching to prevent skin damage.

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How long does it take to cure artificial urticaria?

In general, the recovery time for artificial urticaria varies from person to person. Acute cases often resolve within several weeks to months, while chronic cases may take several years. Proper treatment and care can help shorten the duration of the condition. In daily life, avoid scratching or rubbing the skin to minimize mechanical irritation. Wear loose, breathable cotton clothing and avoid contact with synthetic fabrics. Maintain a regular sleep schedule, avoid staying up late, and reduce mental stress.

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Can patients with urticaria eat mulberries?

In general, whether patients with urticaria can consume mulberries depends on their individual allergy status. Patients who are not allergic to mulberries may eat them in moderation, while those with allergic constitutions or a confirmed allergy to mulberries should avoid them completely. In daily life, it is important to identify personal allergens and strictly avoid exposure. The diet should be light and easy to digest, with plenty of fresh vegetables and fruits to ensure adequate vitamin intake.

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Can patients with urticaria use salt to relieve itching?

In general, whether patients with urticaria can use salt to relieve itching should be determined according to specific circumstances. If discomfort occurs, prompt medical attention is recommended. Clean the skin daily with lukewarm water and choose mild, fragrance-free, and preservative-free skincare products. Wear loose-fitting cotton clothing to minimize friction and irritation. Maintain a light diet and avoid allergenic foods such as seafood, mangoes, and other common triggers.

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What medication is most effective for initial treatment of urticaria?

There is usually no such thing as a "most effective medication." Drugs commonly used for initial treatment of urticaria include loratadine tablets, cetirizine tablets, ebastine tablets, calamine lotion, and desonide cream. Loratadine tablets: belong to second-generation antihistamines, which can rapidly relieve symptoms such as skin itching and hives, have a quick onset of action, and cause fewer side effects, making them suitable for most patients with early-stage urticaria.

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