Thursday, October 30, 2008

Can stress cause hives and what else causes them?

By Dr. T. Johnson

First, a word of warning. Seek medical help immediately if an outbreak of hives includes swelling of the mouth or tongue, or if you have difficulty breathing. Always seek medical attention if hives last for longer than a week without a break.

Hives are bumpy, red, itchy patches that go away in less than a day usually. They are raised bumps because histamine, a chemical in the body, squeezes fluid out of blood vessels and it collects under the skin. It is said that they feel like there is a bunch of bees having a raucous party under the skin, hence the name.

Most people know what causes their little bumps. They know that when they eat a radish, they will end up resembling one.

Some people develop the itchy little bumps after taking certain medications. Some causes are harder to find because they can be triggered by animals, mold, chemicals we use for personal hygiene, and some other diseases like lupus. The weather can also be a factor.

Our body's covering is an organ. As such, it is very sensitive to chemical changes. Stress changes body chemistry, some of it very drastically so yes, stress does cause hives in some people.

No one knows for sure what triggers an outbreak but, it is thought to be a combination of a chemical produced in the gut, adrenaline and another hormone released as part of the 'fight or flight" phenomenon. Get all these together in overabundance and you could get real itchy, real fast. Some people get hives as one of the symptoms of anxiety attacks.

If your skin is allergic to the chemicals caused by stress, it will likely keep having hives for longer than 6 weeks which is the clinical requirement for chronic hives. Unless you can get rifd of what is bothering you, the bumps will persist.

Chronic hives are usually more mysterious. Their causes are rarely uncovered, even by expert investigators. Fortunately, both kinds of hives respond to a variety of treatments.

When hives begin to blossom, you often can save your body from becoming a bouquet of red lumps by taking a cool shower. That's a cool shower. Hot water stimulates histamine release and can turn you into a giant, walking bump colony.

Doxepin is often prescribed where the doctor thinks that anxiety is the cause of the outbreak. It contains an antidepressant to help reduce the anxiety and an antihistamine to reduce swelling. If there are signs of clinical depression, then more treatments might be in order.

What to do? First determine whether or not the hives are caused by stress or allergies. They generally appear the same no matter what the cause, so you can't tell just by looking at them whether they're caused by a fight with your spouse or the new carpet shampoo they're using at the office.

The trigger to a hives episode could be just a tiny trace of something or just a sharp word. Doctors recommend keeping an accurate journal of everything involved when the itching begins. Time, day of the week, location, food, chemical smells in the air, everything should be marked down. So, if the cause is not obvious, maybe the experts can find the clue in your journal.

Your doctor knows that sometimes hives are the first sign of other, deeper disease so make sure to checked out when the itching begins. Don't let the little red bumps camouflage something else. - 15343

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