Understanding Hives
What is it? Hives (Urticaria) are raised, itchy red or skin-colored bumps (called wheals) that can appear suddenly and vary in size and shape. They often move around the body and may come and go. Most hives are not dangerous, but they can be uncomfortable.
Common Types
- Acute Urticaria: Lasts less than 6 weeks. Often triggered by allergens (foods, medications, insect bites), infections, or physical stimuli (cold, heat, sun, pressure).
- Chronic Urticaria: Lasts more than 6 weeks and often has no identifiable cause. Can be associated with autoimmune conditions or triggered by stress, infections, or medications.
When to Manage at Home
✅ You can manage your child's Hives at home when:
- The hives are mild and not affecting breathing or causing facial swelling
- Your child seems otherwise well and is acting normally
- The hives move around or fade and reappear in different spots
How to Treat at Home
🏠 Home remedies for Hives:
- Cool Compress: Apply to itchy areas
- Non-sedating antihistamine: Give daily (cetirizine or loratadine)
- Topical Steroid: hydrocortisone 1% cream on small, itchy areas
- Clothing: Keep clothing loose and breathable
- Triggers: Avoid known or suspected triggers (foods, medications, insect bites, tight clothing)
Safe Medications
- Daily antihistamines like cetirizine (Zyrtec) or loratadine (Claritin) can help reduce itch and hives
- Diphenhydramine (Benadryl) may be recommended for breakthrough symptoms (can cause drowsiness)
- Hydrocortisone 1% cream can be used on small itchy spots
- Short course of steroids may be prescribed if symptoms are widespread or uncomfortable
When to Contact Poppins
📱 Contact us again when:
- Hives worsen or don’t improve after 3 days
- You notice any new symptoms like vomiting, fatigue, or joint pain
When to Visit Your Pediatrician
🩺 Go to an in-person appointment when:
- Hives last more than 6 weeks (possible chronic urticaria)
- Your child has frequent or recurring episodes without a clear cause
- An allergist or dermatologist evaluation is recommended
When to Go to the ER
🚨 Seek immediate emergency care if your child is:
- Having trouble breathing or swallowing
- Showing swelling of the lips, tongue, or throat
- Very drowsy, dizzy, or acting “off”
If your gut tells you something is wrong, don't hesitate to reach out. Need help? Reconnect with our on-demand team of medical staff available 24/7.
