In my career, I have come across countless head-scratching cases, one of which is particularly common but often overlooked. Whenever the weather changes, especially after a cold wind or rain, some patients will suddenly develop red bumps on the skin, accompanied by unbearable itching. Many people often downplay the effects of this disease when they first see it, thinking that it is just a "skin discomfort" that will heal after a while, but they do not know that it may be a sign of hives.
I remember one time, a young mother came to my clinic in a hurry with her daughter, who was about eight years old. The little girl had a rash all over her body and appeared to be in pain. My mother anxiously told me that her daughter's skin would look like this when it was winter or when it rained. Through detailed questioning and a series of examinations, I found that this little girl not only reacted in cold and wet weather, but certain food and environmental factors also caused similar symptoms. With proper medication and lifestyle modifications, her symptoms have improved significantly.
Common triggers
environmental factors
First, climate change is a common trigger for hives. Cold winds and rain are particularly typical triggers. Cold air can cause rapid changes in skin temperature, irritating nerve endings on the skin's surface, causing symptoms. Rain, on the other hand, may exacerbate skin discomfort due to its cooler or humid environment.
Other potential triggers
In addition to the weather, there are a few other common triggers to be aware of:
Foods: Certain foods such as nuts, seafood, and certain additives can trigger hives.
Stress: Psychological and emotional stress has also been reported as a possible trigger for urticaria.
Physical stimuli, such as friction against tight clothing and prolonged sitting, can lead to local skin hives.
Understanding these triggers, and trying to avoid or manage them, can significantly reduce the onset of hives. At each visit, I carefully ask patients about their lifestyle habits and recent changes in their living environment, which helps to identify specific triggers and develop effective preventive measures. Such conversations and education are an important part of helping them manage their symptoms.
Treatment
drug therapy
Antihistamines: This is the most commonly used type of medication to treat hives. For example, second-generation antihistamines, such as cetirizine and loratadine, are effective in reducing itching and rashes and are less likely to cause drowsiness.
Application: Take as directed by a physician, usually once daily.
Precautions: Although it is less likely to cause drowsiness, pay attention to the body's reaction when using it for the first time, and avoid using it while driving or operating machinery.
Corticosteroids: for urticaria with a more severe reaction, short-term oral or topical corticosteroids may be required.
How to use: Use as prescribed by a doctor for a short period of time and avoid long-term use to avoid side effects.
Precautions: Regular follow-up visits, the doctor will adjust the medication according to the improvement of symptoms.
Non-pharmacological treatments
Avoid triggers: Be aware of and try to avoid environmental triggers that cause hives, such as wearing warm clothing that protects against wind and avoiding direct exposure to cold wind or rain.
Soothing creams: Using skincare products that contain calming ingredients, such as creams containing oatmeal, peppermint, or calendula, can help soothe the skin and reduce itching.
How to use: When you feel itchy or irritated skin, take an appropriate amount of cream and gently apply it to the affected area.
Precautions: Choose fragrance-free, additive-free products to reduce skin irritation.
Psychological support: Because hives can recur, people often feel anxious or upset. Participating in a support group or consulting with a psychologist can help you deal with these emotions.
The key to treating hives is a combination of pharmacological and non-pharmacological therapies, while paying close attention to the individual's response and triggers. Patients are advised to undergo treatment under the guidance of a medical professional to manage symptoms safely and effectively.
Daily management and prevention
Personal care advice
Keep warm and moisturized: When temperatures drop or get wet, it's important to wear appropriate clothing. It is advisable to choose lightweight, yet warm, multi-layered clothing that can be increased or decreased at any time depending on the weather. Use a moisturizer to keep your skin moisturized and avoid itching and pimples caused by dryness.
Avoid direct exposure to cold wind and rain: Remember to bring an umbrella when you go out, and wear a hat and scarf to protect your head and neck from cold winds if possible.
Diet and lifestyle modifications
Boost your body: Eat a balanced diet rich in vitamins C and E, such as fresh fruits, vegetables and nuts, which can help strengthen the immune system and reduce hives flare-ups.
Regular life: Getting enough sleep and moderate physical activity can help keep your body and skin in tip-top shape.
Reduce stress: Try to avoid excessive stress in your daily life. Try yoga, meditation, or simple deep breathing exercises to help relax your body and mind.
Environmental adjustments
Home environment: Keep your home at the right temperature and humidity, and using an air humidifier can help regulate the indoor climate and reduce dry skin.
Avoid harsh chemicals: Choose fragrance-free, colorant-free products for cleaning and personal care products to reduce skin irritation.
Employing these strategies can not only help you reduce hives flare-ups caused by changing weather, but also improve your overall health. Remember to consult a doctor and seek professional diagnosis and treatment when symptoms occur frequently. It's not just about managing symptoms, it's about improving quality of life.