Avoid the trigger
The treatment of a hives illness occurs in different steps. The first step should be to try to avoid the trigger of hives. However, this is only possible if the cause of hives is known: If this is caused for example by certain foods such as nuts or spices, these foods should no longer be eaten. For other triggers such as heat or cold, a complete avoidance of the stimuli is hardly possible.
Antihistamines relieve the symptoms
The second step in the treatment of hives is the use of antihistamines. They inhibit the release of histamine in the body and thereby alleviate the symptoms that appear. Because histamine ensures the water retention in the skin and the unpleasant itching. However, the cause of hives is not treated by the intake of antihistamines.
The exact dosage of antihistamines - which is usually much higher than with hay fever - should always be clarified with your doctor. In chronic hives, the tablets must often be taken over several months to achieve success.
Take cortisone preparations only for a short time
In order to achieve a quick relief of the symptoms, glucocorticoids such as cortisone can be taken instead of the antihistamines after consultation with a doctor in the third step. Cortisone, like the antihistamines, contributes to the suppression of hives symptoms. However, cortisone preparations should be taken only in case of severe disease and even then only for a short time, as these can have serious side effects.
Find the cause of hives
In addition to the treatment of symptoms, the hives therapy should primarily aim to find the trigger and the cause of the disease. A first step here is a detailed discussion with the attending physician, in which the patient describes exactly in which situations the typical hives symptoms occur.
Depending on the suspicion, the attending physician will then perform some tests - for example, an allergy test or a provocation test. If a disease is the cause of hives, the treatment must aim to cure the underlying condition or improve the patient's health.
If a physical stimulus is the trigger of hives, it can often not be completely avoided in daily life. Therefore, it is important for the person concerned to get to know the trigger as accurately as possible. For example, if hives are triggered by pressure, it must be determined if and which body parts are particularly sensitive and how strong the pressure must be for typical symptoms to appear.
Hives: avoid stress
Due to the many different causes of hives, it is not uncommon that doctor and patient can not find the trigger of the complaints. Then it can be helpful to keep a hives diary over a longer period of time by noting in which situations the disease occurs. In addition, attempts should be made to avoid possible triggers such as stress or mental pressure.