What should not be eaten with hives?

Written by Xie Ming Feng
Dermatology
Updated on September 12, 2024
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Patients with urticaria have individual differences in their physical constitutions, and not everyone is allergic to the same foods. However, some foods have a higher likelihood of causing allergies, such as seafood, shrimp, crabs, silkworm pupae, beef, lamb, dog meat, various exotic birds and game, fruits like mango, pineapple, durian, and lemon, as well as various food additives. Additionally, spicy and stimulating foods and alcoholic beverages can aggravate allergic reactions and should be avoided as much as possible. Patients who frequently suffer from urticaria may consider undergoing allergen testing to identify which foods trigger allergic reactions. However, the allergen doses used in tests are very small and many factors can affect the results, hence the test outcomes may not fully reflect the actual situation within the patient's body. Moreover, the variety of foods tested is limited, and foods not tested could still potentially trigger urticaria in patients.

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Is postpartum urticaria contagious?

Postpartum urticaria is not contagious. The occurrence of urticaria is mainly an allergic reaction to various factors such as certain foods, medications, plants, or infections. Clinically, it mainly manifests as dilation and increased permeability of small blood vessels in the skin and mucosa, resulting in skin rashes and redness. However, this condition is related to a decrease in the body's immune strength, making postpartum urticaria more likely to occur after childbirth. Postpartum urticaria has a certain hereditary nature. When postpartum urticaria occurs, one should not scratch it to prevent breaking the skin and causing secondary infections. Avoid using irritating liquids for cleansing or hot water for washing. When itching occurs, topical antipruritic agents can be applied. It is advisable to eat fresh vegetables and fruits in daily life and avoid spicy and irritating foods.

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Written by Huang Ling Juan
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How to treat chronic urticaria?

Chronic urticaria often utilizes antihistamine medications to control symptoms, combined with Traditional Chinese Medicine (TCM) and differential diagnosis and treatment. Treating chronic urticaria generally requires long-term use of antihistamines, sometimes for two or three months, or even up to six months, a year, or more. Typically, treatment involves the combination of two or more types of antihistamines. For cases of chronic urticaria where antihistamines are ineffective, immunosuppressants may be used to adjust the body’s immune state, thus controlling the outbreaks of chronic urticaria. Chronic urticaria is a long-term, slow process that cannot be resolved quickly, so it is important to try to identify the triggering factors of chronic urticaria, or to identify specific allergens. However, finding the allergen is usually challenging because many patients with chronic urticaria have conditions that are also related to their own immune status.

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Written by Huang Kun Mei
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Symptoms of urticaria in children

The symptoms of urticaria in children generally include the appearance of erythema and patches of varying sizes on the skin. Some patches may be bright red and then look more obvious. Systemic symptoms can occur, and some children may experience nausea, vomiting, etc. At this time, it may be considered to be caused by allergic factors, and it is necessary to come to the hospital as soon as possible to ascertain the cause in the child. Avoid contact with allergens and then conduct anti-allergy treatment according to the child's condition. If the child's skin scratch test is positive, it can confirm that the child has urticaria. Generally, urticaria subsides quite quickly, and it is considered a specific type of disease.

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Dermatology
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Measles and Urticaria Distinction

Measles and hives have significant differences. Firstly, hives are an allergic disease and are not contagious, whereas measles is a viral infectious disease that can be spread through contact. Secondly, the treatment for hives mainly involves antiallergics, while the treatment for measles mainly includes symptomatic and antiviral therapies. However, regardless of whether it is measles or hives, it is necessary to seek medical attention promptly after onset.

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Characteristics of papular urticaria

Papular urticaria is a type of allergic reaction, generally associated with contact with irritants, or bites from mosquitoes and fleas. The likelihood of occurrence increases if small animals are kept at home. Typically, small red papules or red wheals appear on localized areas of the body or extensively, with a transparent blister on top. The itching is quite severe, and the blisters are prone to bursting when scratched. Once symptoms appear, it is crucial to treat them with proper medication, and care should be taken to prevent infection if the blisters are scratched open. To prevent recurrence, it is advisable not to keep small animals at home, to frequently disinfect clothes, sheets, and duvet covers by exposing them to sunlight to eliminate mites or fleas, and to maintain a standard diet and lifestyle habits.