Urticaria, how to handle it?

Urticaria is a threat, so I have to say that I have urticaria, especially in acute urticaria. What should I do with it?

What is urticaria called? Rash? . It is a localized edema reaction caused by the expansion and permeability increase of small blood vessels in skin and mucosa. It is characterized by wheals of different sizes, accompanied by itching, sometimes accompanied by abdominal pain, diarrhea and shortness of breath. The principle of treatment is antiallergic and symptomatic treatment, but eliminating stimulating factors is the most important thing in the treatment of urticaria. Conversely, urticaria will recur after re-exposure.

Find out the classification and then treat it!

Diseases and chronic urticaria in acute urticaria are mainly caused by food, drugs, infections and inhalants. There are also some physical special urticaria, including cold-heat urticaria, stress urticaria, solar urticaria, exercise urticaria, contact urticaria and so on. As the name implies, it is the stimulation of external environment, such as skin reaction caused by cold, heat, pressure and sunshine. It is suggested that physical stimulation should be avoided in the treatment of physical urticaria. But for many patients, it is difficult to completely avoid the attack because of its low stimulation threshold.

Therapeutic drug

It is divided into oral medication and external medication.

Urticaria should be treated with drugs without sedative effect. Sedative drugs are mainly used to treat severe urticaria. Vitamin c combined with calcium can reduce vascular permeability, and combined with the above drugs can enhance the curative effect; Abdominal pain can be given spasmodic drugs; External use: calamine can be used to relieve itching in summer and some emulsion can be used to relieve itching in winter. People with serious illness, shock and dyspnea should seek medical attention immediately.

Pay attention to the medication time!

The administration time should be adjusted according to the time when wheal appears. If you get up more in the morning, give a slightly larger dose before going to bed. If you get up more before going to bed, give a slightly larger dose after dinner. After the wheal is controlled, it is advisable to continue to use the medicine and gradually reduce it; When an antihistamine is ineffective, two or three drugs can be used in combination or alternately;

The content of this article is extracted from the Guide to the Diagnosis and Treatment of Urticaria (2007 edition).