Table of ContentsView AllTable of ContentsEmotionalPhysicalSocialPracticalNext in Urticaria GuideSymptoms of Urticaria (Hives)
Table of ContentsView All
View All
Table of Contents
Emotional
Physical
Social
Practical
Next in Urticaria Guide
While living with chronic hives can be difficult, uncomfortable, and painful, there are ways to cope. The majority of people with chronic hives develop hives with no external trigger. Talking with your doctor about a proper treatment plan can help you live well with the condition.
This article will discuss how chronic hives can impact your quality of life. Focusing on the emotional, physical, social, and practical aspects of your day-to-day life can help you manage the condition.
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Hivescommonly appear as itchy, raised bumps on the skin. They are often red and swollen and can vary in size from the smallest dots to large circles. Most hives resolve within two to three hours.
They can also be related to underlying autoimmune diseases, such as thyroid disease. The majority of cases of chronic urticaria are benign and not associated with a more severe underlying condition.
Chronic hives are hives that occur at least twice a week and last for more than six weeks. Chronic hives can be divided into two groups:
You may have one or a combination of the above types of urticaria.
When to Call Emergency HelpIf you have hives along with difficulty breathing or swelling in the lips, this can indicate a life-threating reaction known asanaphylaxisand should be treated immediately.
When to Call Emergency Help
If you have hives along with difficulty breathing or swelling in the lips, this can indicate a life-threating reaction known asanaphylaxisand should be treated immediately.
Living with a chronic condition can be draining and affect your emotional health. It is normal to want to return to your state of health before your diagnosis.Anxietyanddepressionare common with chronic hives.
Noting your feelings and talking about them with professionals or even close friends or family can help. While feeling sad, upset, and scared over a diagnosis is normal, you may be experiencing clinical depression if these feelings persist.Depression is treatable.
If you experience signs of depression, such as purposely withdrawing from activities and people you love or feelings of hopelessness, it’s important to talk to your doctor.
Taking care of your mental health as well as your physical health can help improve your quality of life with chronic hives.
The goal for treating chronic hives is to minimize symptoms and the effect they have on your life.Treatment for chronic hivesincludes medications, both over-the-counter and prescription.
Antihistaminesare usually the first therapy used to provide symptom relief.Non-sedating antihistamines are available over-the-counter and are generally preferred over sedating ones so that you do not feel sleepy.
Perhaps you are in pain or don’t get enough sleep due to itching. Maybe you experience side effects such as drowsiness from your medications. All of these are concrete ways that the condition can affect your life.
Reach out to your physician with these concerns as well. There are treatments for chronic spontaneous urticaria that may be able to help you avoid these symptoms. Regardless of your treatment plan, it is important to follow your doctor’s advice and ask questions if you don’t understand something.
Physical Urticaria Triggers
Most people with chronic urticaria do not need to avoid one particular trigger. Physical urticarias have specific triggers, but these are much rarer. If you discover what triggers or exacerbates your symptoms, you can make plans to avoid it. However, avoidance may not always be possible.
For some people, stress, exercise, and heat can cause hives; this is called cholinergic urticaria. With medical treatment, most activities can be continued so that you don’t have to give up movement that is important to your overall health.
Sometimes you need to find a balance between avoiding your triggers and your overall well-being. Do your best to avoid triggers, but know that your whole health needs to be considered when making any changes.
Living with a chronic condition like hives can feel isolating. Sometimes it is difficult to fully express how much your condition affects your life. To those who don’t experience the same symptoms, hives might seem like a small inconvenience, but it is well known that chronic hives can greatly affect your quality of life.
If you feel overwhelmed, know that you are not alone. Surrounding yourself with people who understand what you are going through can help.
A quick online search can help you find a support group for people experiencing chronic hives. Even a look through social media can help you find a tribe of others going through the same thing.
Finding a therapist who has experience with patients who live with chronic illness can also be a great help.
Although it’s been reported that approximately two-thirds of patients living with chronic hives have their condition resolved within five years, living with chronic hives for any amount of time will require adjustments to your daily life.
Sometimes looking at your day-to-day activities and doing your best to reduce your exposure to triggers during activities such as exercise or work can help you feel in control of your condition.
Workplace Accommodations
Working with chronic hives can be embarrassing, especially if the hives are on your face or neck. They can also be distracting if they are causing pain or itching. Both of these can result in a loss of productivity.
If you have physical urticaria and know that there are triggers present in your workplace, you can reasonably ask for accommodations thanks to the Americans with Disabilities Act.
For example, if the sun is a trigger, it is perfectly reasonable to ask for a desk away from the window. Speaking up about your experiences and asking for help and accommodations can improve your quality of life.
Summary
Chronic urticaria can affect your daily life. Be aware of symptoms of depression, and seek care if they persist. Seek social support through friends, support groups, or a therapist.
8 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Fine LM, Bernstein JA.Guideline of chronic urticaria beyond.Allergy Asthma Immunol Res. 2016;8(5):396-403. doi:10.4168/aair.2016.8.5.396Kayiran MA, Akdeniz N.Diagnosis and treatment of urticaria in primary care.North Clin Istanb. 2019;6(1):93-99. doi:10.14744/nci.2018.75010Tat TS.Higher Levels of Depression and Anxiety in Patients with Chronic Urticaria.Med Sci Monit. 2019;25:115-120. doi:10.12659/MSM.912362National Institute of Mental Health.Chronic illness and mental health: Recognizing and treating depression.Schaefer P.Acute and chronic urticaria: Evaluation and treatment.Am Fam Physician.2017 Jun 1;95(11):717-724.Dias GA, Pires GV, Valle SO, et al.Impact of chronic urticaria on the quality of life of patients followed up at a university hospital.An Bras Dermatol. 2016;91(6):754-759. doi:10.1590/abd1806-4841.20165071Hon KL, Leung AKC, Ng WGG, Loo SK.Chronic urticaria: An overview of treatment and recent patents.Recent Pat Inflamm Allergy Drug Discov. 2019;13(1):27-37. doi:10.2174/1872213X13666190328164931Equal Employment Opportunity Commission.Enforcement guidance on reasonable accommodation and undue hardship under the ADA.
8 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.Fine LM, Bernstein JA.Guideline of chronic urticaria beyond.Allergy Asthma Immunol Res. 2016;8(5):396-403. doi:10.4168/aair.2016.8.5.396Kayiran MA, Akdeniz N.Diagnosis and treatment of urticaria in primary care.North Clin Istanb. 2019;6(1):93-99. doi:10.14744/nci.2018.75010Tat TS.Higher Levels of Depression and Anxiety in Patients with Chronic Urticaria.Med Sci Monit. 2019;25:115-120. doi:10.12659/MSM.912362National Institute of Mental Health.Chronic illness and mental health: Recognizing and treating depression.Schaefer P.Acute and chronic urticaria: Evaluation and treatment.Am Fam Physician.2017 Jun 1;95(11):717-724.Dias GA, Pires GV, Valle SO, et al.Impact of chronic urticaria on the quality of life of patients followed up at a university hospital.An Bras Dermatol. 2016;91(6):754-759. doi:10.1590/abd1806-4841.20165071Hon KL, Leung AKC, Ng WGG, Loo SK.Chronic urticaria: An overview of treatment and recent patents.Recent Pat Inflamm Allergy Drug Discov. 2019;13(1):27-37. doi:10.2174/1872213X13666190328164931Equal Employment Opportunity Commission.Enforcement guidance on reasonable accommodation and undue hardship under the ADA.
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Fine LM, Bernstein JA.Guideline of chronic urticaria beyond.Allergy Asthma Immunol Res. 2016;8(5):396-403. doi:10.4168/aair.2016.8.5.396Kayiran MA, Akdeniz N.Diagnosis and treatment of urticaria in primary care.North Clin Istanb. 2019;6(1):93-99. doi:10.14744/nci.2018.75010Tat TS.Higher Levels of Depression and Anxiety in Patients with Chronic Urticaria.Med Sci Monit. 2019;25:115-120. doi:10.12659/MSM.912362National Institute of Mental Health.Chronic illness and mental health: Recognizing and treating depression.Schaefer P.Acute and chronic urticaria: Evaluation and treatment.Am Fam Physician.2017 Jun 1;95(11):717-724.Dias GA, Pires GV, Valle SO, et al.Impact of chronic urticaria on the quality of life of patients followed up at a university hospital.An Bras Dermatol. 2016;91(6):754-759. doi:10.1590/abd1806-4841.20165071Hon KL, Leung AKC, Ng WGG, Loo SK.Chronic urticaria: An overview of treatment and recent patents.Recent Pat Inflamm Allergy Drug Discov. 2019;13(1):27-37. doi:10.2174/1872213X13666190328164931Equal Employment Opportunity Commission.Enforcement guidance on reasonable accommodation and undue hardship under the ADA.
Fine LM, Bernstein JA.Guideline of chronic urticaria beyond.Allergy Asthma Immunol Res. 2016;8(5):396-403. doi:10.4168/aair.2016.8.5.396
Kayiran MA, Akdeniz N.Diagnosis and treatment of urticaria in primary care.North Clin Istanb. 2019;6(1):93-99. doi:10.14744/nci.2018.75010
Tat TS.Higher Levels of Depression and Anxiety in Patients with Chronic Urticaria.Med Sci Monit. 2019;25:115-120. doi:10.12659/MSM.912362
National Institute of Mental Health.Chronic illness and mental health: Recognizing and treating depression.
Schaefer P.Acute and chronic urticaria: Evaluation and treatment.Am Fam Physician.2017 Jun 1;95(11):717-724.
Dias GA, Pires GV, Valle SO, et al.Impact of chronic urticaria on the quality of life of patients followed up at a university hospital.An Bras Dermatol. 2016;91(6):754-759. doi:10.1590/abd1806-4841.20165071
Hon KL, Leung AKC, Ng WGG, Loo SK.Chronic urticaria: An overview of treatment and recent patents.Recent Pat Inflamm Allergy Drug Discov. 2019;13(1):27-37. doi:10.2174/1872213X13666190328164931
Equal Employment Opportunity Commission.Enforcement guidance on reasonable accommodation and undue hardship under the ADA.
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