Hives

Hives: Causes, Symptoms, and Treatment Options

Hives, also known as urticaria, are red, itchy welts that appear on the skin due to an allergic reaction, stress, or other triggers. While hives are usually harmless, they can be uncomfortable and, in some cases, require medical attention. At Biltmore Dermatology, we help patients develop an effective treatment plan and reduce itching right away.

Symptoms of Hives

Hives can vary in size and shape but are typically:

• Red, pink, or skin-colored raised welts
• Intensely itchy or burning
• Small or large, sometimes merging into larger patches
• Temporary, lasting a few hours to several weeks

Some cases of hives affect deeper layers of the skin, leading to swelling in areas like the lips, eyes, or throat, which requires immediate medical attention.

What Causes Hives?

Hives can appear suddenly and may last anywhere from a few minutes to several weeks. Common triggers include:

• Allergic reactions (foods, medications, insect stings)
• Environmental factors (pollen, mold, sun exposure)
• Stress or anxiety
• Infections or illness
• Autoimmune conditions
• Exercise or heat

In some cases, the cause is unknown. If hives are persistent or recurring, testing may be needed to identify potential triggers.

Treatment Options for Hives

Most cases of hives respond well to treatment, which may include:

• Antihistamines – Reduces itching and swelling
• Corticosteroids – Helps control severe reactions
• Omalizumab (Xolair) – Used for chronic cases that do not respond to other treatments

An EpiPen may be necessary as part of an emergency response plan for severe allergic reactions involving swelling of the throat or difficulty breathing.

Managing Hives at Home

In addition to medical treatment, at-home care can help minimize discomfort:

• Apply a cool compress or take a cold shower
• Wear loose, breathable clothing to avoid irritation
• Avoid scratching, which can worsen symptoms
• Identify and avoid triggers if possible

If hives persist, worsen, or occur frequently, it’s important to seek medical evaluation to determine the cause and prevent future outbreaks.

Schedule an Appointment & Find Relief

Hives can be frustrating, uncomfortable, and sometimes unpredictable. Whether you're dealing with a one-time reaction or chronic, recurring hives, it’s important to identify potential triggers and find the right treatment to prevent future outbreaks.

At Biltmore Dermatology, we provide expert care to help you manage symptoms, uncover the cause, and develop a personalized treatment plan. Our board-certified dermatology provider will assess your condition and recommend the most effective solutions, whether that includes antihistamines, prescription treatments, or advanced therapies for chronic cases.

Don’t let hives disrupt your life. Schedule a consultation at our Terre Haute or Vincennes office today. Contact us to book your appointment, or walk in for immediate care.