A dermatologist weighs in
Photo: Getty Images/iStockphoto Most people associate hives — the raised, puffy welts on your skin that spread when scratched — with an allergic reaction, but there are a number of factors that can cause them. One of these factors is stress, and if you find yourself breaking out in hives without another likely cause, it’s possible stress is to blame.
If none of the above apply, and you’re feeling more pressure than usual, it’s very possible stress is responsible for your hives. Most at-risk for stress hives are women in their 30s and 40s who have previously experienced hives for another reason. When our sympathetic nervous system is “revved up,” says Stevenson, it causes histamine release, which causes hives. Histamine is a compound released by cells in response to injury, and in allergic and inflammatory reactions.Don’t do that.
If you’re breaking out in hives, it’s a good idea to take an anti-histamine, like Claritin or Allegra, to help block the histamine pathway from forming new hives. Stevenson says you want to do this as long as your symptoms last, and for a couple of days after the hives are gone, too. You can also treat hives topically, to help minimize the itching. Applying a cold compress can help reduce itching as well as swelling, as can topical steroids like Hydrocortisone. Some people find milk compresses helpful, says Stevenson, because the fat in whole milk can soothe irritated skin. And again, if those things aren’t helping after a few days, call your dermatologist. “We can use different medications and different doses to help get things under control,” says Stevenson.
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