--- title: Hives (Urticaria) Symptoms, Causes & Treatment | Push Doctor description: Hives are an itchy, raised, red rash that can be linked to other medical conditions. Talk to a doctor online to get a diagnosis and same-day prescription today. image: https://www.pushdoctor.co.uk/hubfs/PDR_Global_6_logo_images/PD%20Logo.png --- ![Providing NHS services logo](https://www.pushdoctor.co.uk/hubfs/Providing-NHS-Services.png) ** A1 /what-we-treat/skin-conditions/hives PP /what-we-treat/skin-conditions/hives PP /what-we-treat/skin-conditions/hives PP /what-we-treat/skin-conditions/hives PP /what-we-treat/skin-conditions/hives PP /what-we-treat/skin-conditions/hives PP /what-we-treat/skin-conditions/hives PP /what-we-treat/skin-conditions/hives PP /what-we-treat/skin-conditions/hives PP /what-we-treat/skin-conditions/hives PP /what-we-treat/skin-conditions/hives PP /what-we-treat/skin-conditions/hives PP /what-we-treat/skin-conditions/hives PP /what-we-treat/skin-conditions/hives PP /what-we-treat/skin-conditions/hives PP /what-we-treat/skin-conditions/hives PP /what-we-treat/skin-conditions/hives PP /what-we-treat/skin-conditions/hives PP 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/what-we-treat/skin-conditions/hives CCC what-we-treat CCC skin-conditions CCC hives BBB /what-we-treat/skin-conditions/hives CCC what-we-treat CCC skin-conditions CCC hives ![Dr Sarah Marshall](https://www.pushdoctor.co.uk/hubfs/Dr-Sarah-Big.jpg) Medically reviewed by: ### Dr Sarah Marshall - Medical Officer ** Updated: **Aug 18, 2021** ** Next review: **Aug 18, 2022** BBB /what-we-treat/skin-conditions/hives CCC what-we-treat CCC skin-conditions CCC hives BBB /what-we-treat/skin-conditions/hives CCC what-we-treat CCC skin-conditions CCC hives BBB /what-we-treat/skin-conditions/hives CCC what-we-treat CCC skin-conditions CCC hives BBB /what-we-treat/skin-conditions/hives CCC what-we-treat CCC skin-conditions CCC hives BBB /what-we-treat/skin-conditions/hives CCC what-we-treat CCC skin-conditions CCC hives BBB /what-we-treat/skin-conditions/hives CCC what-we-treat CCC skin-conditions CCC hives BBB /what-we-treat/skin-conditions/hives CCC what-we-treat CCC skin-conditions CCC hives BBB 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/what-we-treat/skin-conditions/hives CCC what-we-treat CCC skin-conditions CCC hives BBB /what-we-treat/skin-conditions/hives CCC what-we-treat CCC skin-conditions CCC hives BBB /what-we-treat/skin-conditions/hives CCC what-we-treat CCC skin-conditions CCC hives BBB /what-we-treat/skin-conditions/hives CCC what-we-treat CCC skin-conditions CCC hives BBB /what-we-treat/skin-conditions/hives CCC what-we-treat CCC skin-conditions CCC hives BBB /what-we-treat/skin-conditions/hives CCC what-we-treat CCC skin-conditions CCC hives BBB /what-we-treat/skin-conditions/hives CCC what-we-treat CCC skin-conditions CCC hives BBB /what-we-treat/skin-conditions/hives CCC what-we-treat CCC skin-conditions CCC hives BBB /what-we-treat/skin-conditions/hives CCC what-we-treat CCC skin-conditions CCC hives ** ** ## What are hives? Hives are a raised, itchy, red rash caused by tiny amounts of fluid that leaks from the blood vessels just under the skin’s surface. It may appear on one part of the body and be just a few millimetres in size, or be spread across larger areas.   There’s two main categories of hives:  - **Acute urticaria**: Where the rash clears completely, usually within a six-week window. - **Chronic urticaria**: In some rare cases, a rash may continue over a longer period of time. This can last anywhere from over six weeks to multiple years. It’s estimated that one in five people will be affected by acute urticaria at some point in their lives, whereas chronic urticaria will only affect about one in 100. ** ** ## Hives causes Acute urticaria can be triggered by allergens, irritants, infections, medicines or physical factors like heat or exercise. High levels of histamine and other chemical messengers released in the skin cause the blood vessels in the affected area to open up and leak. This extra fluid causes itching, swelling and a red/pink colour. Chronic urticaria, however, is linked to other conditions, such as autoimmune problems. With chronic urticaria, the immune system is mistakenly attacking healthy tissue. Sometimes no obvious cause can be located, however, there are certain triggers that make symptoms worse that include: - **Drinking alcohol or caffeine** - **Emotional stress** - **Increasing body temperature** ** ** ## Hives symptoms The condition consists of spots or patches of raised red or white skin, which usually clear away in a few hours and are then replaced by fresh patches. It typically occurs with swelling in other areas of the body (usually the hands and feet) and will be itchy, painful or cause a burning sensation. ** ** ## How long do hives last? Most cases will involve symptoms being present for around eight to 12 hours and these will rarely continue for more than 24 hours. In rarer cases, problems will continue for quite a few days, and even several months. Urticaria has a tendency to flare up because of triggers, such as heat, exercise and stress. Symptoms may also reoccur frequently, unpredictably, and will sometimes last for months or years. You should seek emergency care if you have any of the following symptoms, since these can indicate the presence of a more serious condition: - Feeling of dizziness - Severe chest tightness or trouble breathing - Feeling your tongue or throat swelling ** ** ## Treating hives **Acute urticaria:** This won’t usually require treatment due to the condition being mild and relatively short-lived. If the condition persists or slightly worsens, antihistamines/corticosteroids may be prescribed to manage symptoms. **Chronic urticaria:** For those suffering from long-term bouts of hives, medication may be prescribed such as antihistamines, menthol cream (to reduce itching) and corticosteroids. There are, however, other types of treatment available that can help with managing the condition:  - Avoiding triggers that worsen the condition and cause a flare up. - Relaxation techniques, such as meditation or hypnosis, may help reduce symptoms and stress levels. - Managing diet has also been reported to impact urticaria symptoms - particularly eating plenty of foods like spinach, fish, tomato, yoghurt, chocolate, strawberry and meats. However, this is a hotly-debated topic and what works in one case may not help everyone suffering from hives. If you’re experiencing what you think may be repeated attacks of hives, or aren’t sure - speak to a doctor today. Our GPs can diagnose the cause of the rash and if needed, provide advice and prescription medication to help tackle the condition. ## Related articles ### [![Hay Fever tips](https://www.pushdoctor.co.uk/hubfs/hay-fever-featured.jpg) How To Get Rid Of Hay Fever – 25 Tips](https://www.pushdoctor.co.uk/what-we-treat/allergies/articles/how-to-get-rid-of-hay-fever-25-tips) ### [![](https://www.pushdoctor.co.uk/hubfs/pollen-season.png) 7 hay fever hacks to protect against pollen this summer](https://www.pushdoctor.co.uk/what-we-treat/allergies/articles/7-hay-fever-hacks-to-protect-against-pollen-this-summer) ### **NHS - trained and registered doctors Every one of our doctors is registered with the General Medical Council and can be found on the NHS National Performers List, so you know you are only ever receiving the best possible care and advice. They are experienced in treating a wide range of conditions, and can help with almost everything your regular GP could in a physical surgery. You can meet some of our doctors [here](https://www.pushdoctor.co.uk/meet-our-doctors). Push Doctor also has an in-house Medical team, who support our doctors day in, day out, and enable our doctors to do what they do best. They are also responsible for the ongoing training and development of doctors on our platform. ![close button](https://www.pushdoctor.co.uk/hubfs/SVGs/close-black.svg) ### **CQC regulated The [Care Quality Commission (CQC)](https://www.cqc.org.uk/) is the independent regulator of health and social care in England. They are the foremost authority in our industry, assessing health providers' ability to provide people with safe, effective, compassionate and high-quality care – be they offline or online doctors. Push Doctor is registered with the CQC under the name 'Push Dr Limited', with the registration number [1-5345986073](https://www.cqc.org.uk/location/1-5345986073). Our most recent inspection took place in May 2019, concluding that the service we provide is safe, effective, caring, responsive and well-led – gaining a 'Good' rating overall. You can read the report in full on [our CQC profile](https://www.cqc.org.uk/location/1-5345986073). ![close button](https://www.pushdoctor.co.uk/hubfs/SVGs/close-black.svg) ### **Same day prescriptions Our NHS-trained GPs can, if appropriate, issue prescriptions online following a consultation. Once your consultation is complete, our team will search for the closest pharmacy to you which has your medication available. We'll then send you a text when your prescription is ready to collect. To collect your medication, simply hear to the nominated pharmacy to collect and pay for your prescription. You will need to take a valid form of ID to show the pharmacist when you arrive. This process is almost always done within the same day of your consultation. ![close button](https://www.pushdoctor.co.uk/hubfs/SVGs/close-black.svg) ### **Instant fit (sick) notes Our GPs can send a sick/fit note directly to you if necessary following an online consultation. These can be sent directly by email or first-class post. Fit notes include recommendations about how and when you'll be able to return to work or education, or whether you're able to return to work with amended duties (e.g no heavy lifting or reduced hours). They can also contain detailed advice about managing your medical issue in the workplace. ![close button](https://www.pushdoctor.co.uk/hubfs/SVGs/close-black.svg) ```json { "@context" : "http://schema.org", "@type" : "MedicalCondition", "alternateName" : "HIVES", "code" : { "@type" : "MedicalCode", "code" : "L50.9", "codingSystem" : "ICD-10" }, "differentialDiagnosis" : { "@type" : "DDxElement", "diagnosis" : { "@type" : "MedicalCondition", "name" : "HIVES" }, "distinguishingSign" : [ { "@type" : "MedicalSymptom", "name" : "Hives are a raised, itchy, red rash caused by tiny amounts of fluid that leaks from the blood vessels just under the skin’s surface. It may appear on one part of the body and be just a few millimetres in size, or be spread across larger areas. " } ] }, "name" : "HIVES", "possibleTreatment" : [ { "@type" : "MedicalTherapy", "name" : "Avoiding triggers that worsen the condition" }, { "@type" : "MedicalTherapy", "name" : "Relaxation techniques" }, { "@type" : "MedicalTherapy", "name" : "Managing diet" } ], "signOrSymptom" : [ { "@type" : "MedicalSymptom", "name" : "spots or patches of raised red or white skin" }, { "@type" : "MedicalSymptom", "name" : "swelling in other areas" } ] } ``` ```json { "@context" : "http://schema.org", "@type" : "WebPage", "description" : "Hives are an itchy, raised, red rash that can be linked to other medical conditions. Talk to a doctor online to get a diagnosis and same-day prescription today.", "name" : "Hives (Urticaria) Symptoms, Causes & Treatment | Push Doctor", "publisher" : { "@type" : "Corporation", "name" : "Push Doctor" } } ```