Chronic Urticaria

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Hi I hoping I might get some information on this condition as my GP knows very little on the subject.

I'm a 30 year old mother of 2, I live in Derry, N.Ireland. This is not my first time having chronic urticaria, 7 years ago i had it for 5 months and then it just went away. At the time i was told by dermatologists that it was more than likely the pollen, which i found very odd!!! I've never had hay fever or been allergic to any thing before in my life. I have now had chronic urticaria and angioedema for the last 11 months and it's showing no signs of improvement. I'm having very little luck with antihistamines and am put on steroids every 4/6 weeks, starting at 40mg and working down over a 3 week period. No allergy can be found, my bloods have all come back normal. My skin is covered there is not one piece of my body not affected and it is sever at all times day and night. I have had to go to A+E with sever swelling of the lips, eyes and mouth. I actually have hives on my eye balls!!!! My joints are now starting to swell and in the last week I have been unable to drive due to swelling of the back and neck. Stairs are becoming a real problem because my skin around my knee joints swell so bad i look like an elephant, the skin is very red, warm and painful. I desperately need help I'm finding this very difficult to cope with and family and friends are tired listening. Every time i go to my GP he shrugs and says \"it's awful but there's nothing i can do\". When i can appreciate that this is difficult for him to know what to do i feel like I've been put on the back burner. Dermatology in Derry refused to see me this time saying \" we don't deal with chronic urticaria\", with that my referral was sent back to my GP.

Any help or advise please.

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  • Posted

    I am a uk sufferer of Chronic ideopathic Urticaria and have had this for more than 30 years.  This latest episode has currently lasted 2.5 years (10 years in remission before this) and is classed as Treatment unresponsive, it was caused by routine surgery, the trauma to the body caused a reaction.  Within 24 hours i was covered from scalp to toes and have been that way ever since.  I see a clinical immunologist  who has tried everything he can.  I would recommend to anyone who hasnt already seen an immunologist to insist on a  referral.  The immunology department have been wonderful with me.  The firs tthing they did was a blood screening and a full allergy screening to see if anything was triggering my urticaria.  They found in a matter of hours that i was allergic to all animal hair/fur, feathers, both types of latex and grass. They have tried everything they can and still continue to try more.  I have had 20 different medication changes, i have been on multiple medication combinations that have all not worked.  As someone who has this and is also vitamin D defficient due to not being able to leave my house very much, i can confirm that high dose vitamin D and calcium have not helped my urticaria at all.  They are given to me only to maintain a good vitamin D level as i am vitamin D Deficient,  calcium deficient and sometimes recurringly iron defficient (but not very often).  Temperature changes make mine worse. I have to ensure my body temperature doesnt raise too high or low because this makes the on average 20 breakouts a day worse.

    I would advise anyone to get with your immunologist and ask about multiple drug therapies such as montelukast, tranexemic acid, ranitidine (yes i know this is for digestive issues but it also has properties that can reduce the production of histamine in the blood - it works on the H1 and H2 receptors).  There are so many drugs they can try that might help you.  In the 2.5 years that i have suffered they have also tried Azothipprine, cyclosporine, dapsone, danazol, hydroxychloroquine (yes its a malaria drug, but it is clinically proven to help urticaria as well ). and this list goes on.  There are many other drugs they have tried me on, high dose antihistamines was the first thing they tried.  They have even tried Full Body UV therapy through a dermatologist and although this didnt help me, it does usually help Urticaria as well. For those of you who have unhelpful GP's  please demand to be sent to an immunologist, there is so much they can do for you.

    My next treatment will be a drug i can never spell or even say, but its given once a month by injection.  If this doesnt work then they will then be considering extremes like Intravenus Immunoglobin and plasmapheresis as all drug therapies will have been tried. 

    All i can say to you fellow sufferers and your family who suffer is don't give up!! be insistant, dont let your gp fob you off or think you are just making a mountain out of a molehill. You dont have munchausens, you are not a hypochondriac and you most definitely are not making it up!!

    Educate yourself on treatments that havent been tried. And above all, find a good immunologist, they are the best source of good treatments for this condition as it is an immunological condition, not a skin condition.  Good luck to you all, i hope they can help you!!

    • Posted

      So sorry to hear about your extended suffering.  I hope that Xolair will help you.  (That's the easier, trade, version of "omalizumab.")  I haven't needed that yet, but I've heard that it takes care of many of the most difficult cases.  Its use is spreading here in the US.

      Just to note, though, that CIU can have multiple causes, and the thought is that about 50% are autoimmune.  Clearly, it involves some immunological factors generally, but that may not be the full explanation for all cases. For example, about 70% of people with CIU in a recent study had it disappear with vitamin D supplementation, but that still leaves 30% who didn't.  You're certainly right to emphasize persistence and seeking out a specialist. For me, the vitamin D supplementation, and a combination of fexofenadine (allegra), ranitidine, and quercetin has much diminished my problem.  Started with major angioedema and now down to a few pressure hives, and not even daily.  Hoping it goes away entirely!  Also wish that for you and other sufferers out there.  People have no idea how much torture is involved in constant itching.

      (By the way, some people have had success with the very strong antihistamine hydroxycine, but it put me to sleep, so I went with two Allegra for a while, and now down to one daily.)

    • Posted

      Hi UC

      The injection you mention is called Omalizumab. It's a shot of anitbodies which can be very effective for CU. I just wanted to share my experience with Chronic Urticaria. I have never written a blog before but I know how depressing this conidtion can be and I want to help as many people as possible. I have had CU 3 times in my life, I am now 30. 6 weeks ago, it came back after 4 years prior to the last episode. My longest period with it was 2 years, my shortest 5 months.

      The first time i had it, i was 11 and treatment then was not exsistant. Any way long story short, this is what i am taking now which keeps it at bay. oh also worth mentoning, I am not alergic to anything, it is my immune system over working and there is no known reason for it. this is common for the majority of Chronic urticaria cases. Anyways, I went private and paid for it coz the waiting list is over a year on the NHS.

      I am taking Rupatadine 10mg x 4 a day. 2 at night and two in the morning. This covers the H1 histamines. I then take Ranitadine 300mg x2. (this covers H2 Histamines) one in the morn and one in the evening. i also take one 10mg Montelukast in the evening. This keeps my completely clear for the day. i only seem to get slightly faded ones every morning when i wake. It's like sleep brings it on. but they are faint and dissapear by 11am.

      I have tried all sorts of combinations over the years. Fexofendadine and Doxepin included. As you can see my does is high on anti histamines but i dont get any side effects and its much safer than steroids and cyclosporin. I am due to have a shot of anti bodies in 2 weeks because i am going to thailand and dont know what the heat will do to me and my skin. However my Immunilogist specialist assures me it will get rid of my rash temporarily for 4-6 weeks. it's not a cure, it just holds the hives off until your immune system sorts itself out. there not cheap though. 400 bucks a go.

      i really hope people gain hope from my long experience with Urticaria.

      let me know how you get on.

      Andrew

    • Posted

      EVERYONE READ....THIS WORKS!!!! Hello all, I am new to the site as far as contributing but have been reading posts for a few months now. I have had hives for almost 6 months now and as all of you know, it is worse than horrible. I have been to my GP, Dermatologist, Urgent care twice and 1 trip to ER in search of answers or at least some relief. I have been unable to sleep during this entire thing except for an hour or 2 here and there. Until last night. A few days ago I read a post from "hives and thyroid" about her cocktail which she swears works. Yesterday I go to the Allergist still looking for answers and my main concern I will be off my 5th round of steroids since January, and I know it will come back very strong. After talking a while she changed my antihistamine to Doxepin. Hmmm, that sounds familiar...I went home and read the post again and yes, it is one of the drugs that worked for her. Singular I am already on. Thats 2 of the 3!!! The other is Zantac..over the counter. I picked up a box and went home and made my cocktail....Singulair 10 mg. Doxepin 25mg. and Zantac 150 mg. I KID YOU NOT GUYS...MY ITCHING STOPPED WITHIN AN HOUR. TODAY ALMOST 24 HOURS LATER, STILL NO ITCH!!!! The hives are slowly fading as well but they dont itch!! It seems that the combination of these drugs hits all the H1/H2 receptor sites to stop the histamine from being released into the body. The Zantac hits the receptor site H2 which it seems the other antihistamines do not. Zantac, who knew??? I feel like a new person. What a relief. Talk to your doctors and get these 3 meds!!!!! I will keep you posted on my progress...Now to find the cause of it   .btw...Zantac (ranitidine) was first developed to be a histamine antagonist, hence it's use, along with other antihistamines, for hives. Good luck everyone, I know you are all as desperate as I am
    • Posted

      EVERYONE READ....THIS WORKS!!!! Hello all, I am new to the site as far as contributing but have been reading posts for a few months now. I have had hives for almost 6 months now and as all of you know, it is worse than horrible. I have been to my GP, Dermatologist, Urgent care twice and 1 trip to ER in search of answers or at least some relief. I have been unable to sleep during this entire thing except for an hour or 2 here and there. Until last night. A few days ago I read a post from "hives and thyroid" about her cocktail which she swears works. Yesterday I go to the Allergist still looking for answers and my main concern I will be off my 5th round of steroids since January, and I know it will come back very strong. After talking a while she changed my antihistamine to Doxepin. Hmmm, that sounds familiar...I went home and read the post again and yes, it is one of the drugs that worked for her. Singular I am already on. Thats 2 of the 3!!! The other is Zantac..over the counter. I picked up a box and went home and made my cocktail....Singulair 10 mg. Doxepin 25mg. and Zantac 150 mg. I KID YOU NOT GUYS...MY ITCHING STOPPED WITHIN AN HOUR. TODAY ALMOST 24 HOURS LATER, STILL NO ITCH!!!! The hives are slowly fading as well but they dont itch!! It seems that the combination of these drugs hits all the H1/H2 receptor sites to stop the histamine from being released into the body. The Zantac hits the receptor site H2 which it seems the other antihistamines do not. Zantac, who knew??? I feel like a new person. What a relief. Talk to your doctors and get these 3 meds!!!!! I will keep you posted on my progress...Now to find the cause of it   .btw...Zantac (ranitidine) was first developed to be a histamine antagonist, hence it's use, along with other antihistamines, for hives. Good luck everyone, I know you are all as desperate as I am
  • Posted

    Hello Little Flower,

    I have to tell you I can truly identify with your symptoms.  I've had exactly what you had but truly not as severe as you.  I was diagnosed last October and nothing helped me.  Then I watched Fat Sick and Nearly Dead.  He had the very same thing.  He was on a whole slew of meds and they weren't helping him.  He went on a juice fast and all of his symptoms went away. After trying everything else I started juicing and I didn't suffer from anymore symptoms.  I tried eating very healthy, lost weight and was taking immune boosters and supplements but truly nothing worked until I started drinking the vegetable and fruit juice every day.  When I quit drinking it and eat unhealthy my lips swell up and it doesn't go away for 2 days.  Please, if you want relief, trying doing the juicing.  You will see drastic improvement.  There are certain foods that I reacted to also and everyone is different so you have to be careful what you eat and pay attention so that you will discover what you're sensitive to. 

    The thing that I remember that kicked off the symptoms were, I went hiking and got bit by an insect of some sort and the next day my lips started swelling up until the bottom of my whole face was a swollen mess.  They gave me steroids and antihistimine injections but they didn't work.  Then I started breaking out in the red, angry rashes all over my body and they made me miserable. 

    Watch the video and learn how to take care of yourself because you aren't going to get any answers from your doctors.

    Hope to hear from you.

  • Posted

    Have any of you tried a low salicylate diet?  I had a desperate 3 years of this and didnt know which way to turn but read online that 75% of sufferers can be intolerant of salicylate.  I have since (sadly) removed the majority of fruit form my diet, avoid aspirin, use 'simple' products, avoid wine and curry (boo hoo) and lots of other things to keep my levels lower and can honestly say its made a massive difference.  I now only take anti-histamines about once or twice a week instead of a plethora of them daily at extremely (and slightly illegal)  high doses, which I hated as I felt like a zombie. I dont know if it is working but something has changed and I have alitlle of my life back :-)
  • Posted

    Hi folks,

    Well, there's also the low histamine diet to consider.  That helped me for a while. The problem with all anecdotal reports is that one can't be sure the condition improved due to the implementation of the diet in question or whether it improved spontaneously.  Seems to me best to carefully monitor one's own food intake and see if there are any correlations.  There have been few scientific studies on diet in relation to urticaria.  The only general recommendations seem to be to avoid Nsaids (not only aspirin, but also ibuprofen and naproxen--note that only aspirin of these has salicylates), alcohol and probably highly fermented foods, as well as excessive heat, exercise, or pressure, if they provoke hives.  

    In my own case, it was remedying my vitamin D deficiency that pretty much has cured me.  I also found the supplement Quercetin helpful (in moderation--up to 500 mg daily) or a combination of quercetin and bromelain (but the latter not for too long).  Quercetin apparently stabilizes mast cells.  Anyway, I learned of this from my US based allergist.  Not sure it's the whole story, but it sure has helped me.  Almost completely better, thank goodness!

    Of course, besides vitamin D deficiency, there can be other causes that can be tested for and treated.  For the rest, they use the term idiopathic--i.e., they have no idea!

  • Posted

    Hiello,

    good news here. I had chronic ideopathic urticeria, like you my GP had no clue so I was referred to an allergy expert. I had a range of tests, the conclusion by the expert was that I was allergic to nothing in particular so my urticeria was ideopathic or unexplained. He said I would probably have it for the rset of my life. This is absolute rubbish. I began to research this issue tirlessly untill I became more knowledable on this than the experts.

    To the point now, urticeria is caused by a massive immune system failure, the immune system is a reflection of the health of your intestines and the level of stress hormones in your system. Most people are attacking their gut wall with gluten and other grains, but they can just about cope into old age or untill they have an emotional hormonal serge. Do not underestimate the link between your emotional condition and your phyical health, this is the key to your recovery. In my case it was an unexpected berevement. The moment I realised the connection and began to practice meditation and just generally focus on happiness (positive hormonal state), my condition improved. I haven't had urticeria for years and almost forgot that episode. I am in the best shape of my life in fact. I randomly came across this article when researching something completely different, but felt I had to say this is completely reversable.      

  • Posted

    Hello there,

    My mother-in-low has Angeoedema and Urticaria.  Angeoedema (face, lip and throut wore swolen) came sudenly later . She was told in the hospital , it is side effects from Blood presure pills. Now is 10 month she is off untihistamines and other pills.The itching spots are gone. We visited a chinese Naturopath who gave blood purification pills  3 X 3 a day for 3 month, then 1 month break and repeat the same. After first month the symptoms improved , she is still taking time to time. The name is "Shi Du Quing" green lable (30 capsules) ~ $6.00 . Even if it does not not cure you, the cose could be different. It will clean your blood. Hope our expirience will help someone. I feel for you after seeing my mom suffering.

  • Posted

    Dan 209 - After 6 months of itching and after extensive research, I found that a drastic change of diet was needed. Indeed it is the leaky gut syndrome, stuff goes through the intestanal walls that shouldn't and the immune cells go to work. I gave up all grains, dairy and sugar and am much better after 2 months. Am taking, among other things, colostrum. There is a lot of information on this and autoimmune diseases on the internet if people would choose to do the research.

     

  • Posted

    I too have found this amazingly, surprisingly helpful. 

    I have had my symptoms for about 18 months, on the background of lifelong eczema. Horrible uncontrollable itching worse after alcohol and some foods, worse at night. Worse on any bit that's touching anything-eg the side of my face on a pillow.It was giving me terrible sleep , night sweats for a few months .(hormones were normal and hrt didn't make any difference). Sometimes there were hives but mostly deep scratch marks.i was treated empirically for scabies even though it didn't look like that and used the stuff six times in my paranoia! It made no difference. It was put down to eczema but I knew it wasn't the same itch,it felt and feels as though something had gone wrong with my immune system somehow ant that my body was trying to fight something but couldn't. It was making me totally miserable. Bad sleep, self conscious about short sleeves or scratching in public.

    So...

    what has helped me?

    steroid skin cream And emollient. Iwas already on this intermittently for eczema but use more of it now. 

    Oral steroids occasionally when I have been at the end of my tether or ,eg,to get through christmas.

    hydroxyzine-an old fashioned antihistamine was helpful for its knock out value at night and could give me a 3 hr stretch. Strangely I didn't find the modern antihistamines helped much , and at high doses made me feel worse.

    getting rid of the foam mattress topper helped.

    I too did lots of research on the Internet and did a six week trial of keeping a food diary and eating only low histamine foods. This did NOT help

    Then one month ago I tried the 'anti inflammatory ' dietary approach which is no grains no dairy low sugar. Basically  v high on veg with some fruit , seeds and meat in there too. And no alcohol- which is a shame!It has transformed how I feel. I am not taking any supplements or tablets , but still using the creams. My skin is clear and I am having six hours plus of unbroken sleep which feels so good.I don't know if the leaky gut theory is correct. I can only say what worked for me.

    i feel a bit overwhelmed that this is how it's going to be for ever diet wise as I am now having to try and explain it to people which feels awkward . However I know that there's no way I am going back to how things were so will just take one week at a time.

    • Posted

      Hi yosal,

      I'm glad you found some sort of relief. It definitely is not easy. I'm on week 8 of this and was almost ready to give up. I was starting to feel hopeless until I found this blog. I kept reading more, thinking, changing things in my life like detergent, shampoo, etc. None of this worked...however, it dawned on me to leave my house a few days to experiment. Voila! 4 days out of my house and my hives went from very many and painful to almost nonexistent. The moment I got to my aunt's house I washed all my clothes and showered. It was not until day 3 that I saw a difference. I was scared because my medication was lower each day. Anyway, in day 4 I felt great...so I went home. I was there 30 minutes and began to get hives again. I don't know what the factor is but I know it's in my house. Alkaline water has helped me control it a bit even at home. I have also been eating clean and all homemade. Medications don't always work...we have to be detectives and take note of our days so we can help eliminate what is not the cause. It takes time, but it's worth it and if we do this, we might solve our own misteries. I don't know for sure what it is, but I know it's in my house. My next step, I'm moving out! I can't live like this. Good luck to all!

  • Posted

    I had it and now also figured out that it must have been on my eyes also because the eye doctor could not figure out what those light red little blotches where on the inside of my eyes s. I suggested some "kind of rash" and he said no it could be "I'm straining my eyes from reading" but I knew that was not what it was. My symptoms lasted about6 to 8 months ... The first thing I did is get back to clean eating ... Mostly vegetables ( I don't drink or smoke and healthy and active ) cut the ice cream and dairy and white flour. Also wheat and any glutin. Then I kicked up my nutrition supplements.. Vitamin d-3 5,000 II in the evening and 5,000 in the morning ( also made sure I had direct vitamin d from sunlight every day for at least 30 minutes. Trying to always expose as much of the rash's to direct sunlight as much as possible. I also took vitamin c 3,000 per day and turmeric twice a day. Omega 3 PLANT BASED , NOT FROM FISH OIL ... And a mega vitamin b complex twice a day evening and morning. I Also drank 5 oz of 100% natural aloe plant plant juice every night before bed.

    No coffee no milk. But did drink green tea every day with lemons.

    I used 2 methods to calm the symptoms down

    1- I would squeeze 2 organic lemons in a cup and drink it down. Then I would ....

    2- to calm down the severe attacks during it by squeezing

    • Posted

      2. - (sorry hit the send by mistake ) then I would also use natural Almond oil or sweat almond oil directly on my entire body after a shower and it was the only thing that would help me sleep and calm it down. Some mornings I would put it on directly after the shower and apply it on while my body was still wet.

      My symptoms SLOWLY BUT SURELY...where all gone ! After about 2 years and I got a little lazy with my regiment I felt a little one coming back near my hip so I had to start the refinance back just to make sure it did not all come back. IT WORKS ! I wish I knew what this crazy illness is but doesn't look like any doctors have any idea of what this is or HOW TO TREAT IT. GOD BLESS AND Godspeed smile

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