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Hives Treatment: What You're Curious About
Blog January 19, 2025

Hives Treatment: What You're Curious About

Dr. Yeonseung Choe
Dr. Yeonseung Choe
Chief Director

Hello, I am Yeonseung Choi, the Head Director of Baekrokdam Korean Medicine Clinic.

Today, I will address common questions that patients with urticaria (hives) frequently ask. If you have any other questions, please leave a comment.

#SongdoUrticaria

Cholinergic urticaria is a skin condition characterized by the sudden appearance of small, itchy, raised hives on the skin. These hives typically occur in response to activities or conditions that induce sweating or raise body temperature.

1. Understanding Cholinergic Urticaria

"What is cholinergic urticaria, and what causes it?"

Cholinergic urticaria is a skin condition where itchy hives develop in response to an increase in body temperature, sweating, or emotional stress. It is often triggered by the release of the neurotransmitter acetylcholine and can be associated with factors such as exercise, heat, or spicy foods.

2. Recognizing Triggers and Symptoms

"What are the common triggers for cholinergic urticaria, and what symptoms should I look out for?"

Triggers include activities that cause sweating or an increase in body temperature, such as exercise, hot showers, or emotional stress. Symptoms typically involve the sudden appearance of itchiness and hives on the skin.

3. Diagnosing Cholinergic Urticaria

"How is cholinergic urticaria diagnosed, and what can I expect during the diagnostic process?"

Healthcare professionals can diagnose cholinergic urticaria based on your medical history, symptoms, and a physical examination. In some cases, a sweat test may be performed to confirm the diagnosis.

4. Managing and Treating Cholinergic Urticaria

"What are the treatment options for cholinergic urticaria, and how can I effectively manage it?"

Management involves avoiding triggers, staying in cool environments, using antihistamines as prescribed by a healthcare professional, and practicing stress reduction techniques. Consult your healthcare provider for personalized treatment.

5. Coping with Cholinergic Urticaria

"How can I cope with cholinergic urticaria in daily life and minimize its impact?"

To cope with cholinergic urticaria, it's important to stay cool, wear loose clothing, and take recommended antihistamines. Avoiding activities that cause excessive heat and sweating can help minimize symptoms.

While cholinergic urticaria can be a challenging condition to manage, adopting the right strategies can reduce its impact on daily life. Always consult with a healthcare professional for personalized advice and treatment options.

Well, that's all for today's content. If you wish to receive treatment, please refer to the information below.

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Dr. Yeonseung Choe

Dr. Yeonseung Choe Chief Director

I have met many patients who came after visiting multiple medical institutions and departments for persistent or recurrent conditions. Symptoms normally handled by different specialties—such as abdominal pain, headaches, palpitations, dizziness, and insomnia—may overlap in one person. Sometimes there is no clear improvement despite taking medication for each symptom, and being unwell gradually becomes part of daily life. In these cases, I look beyond individual diagnoses and examine how the symptoms connect and change together. Asking only about the most uncomfortable symptom today does not reveal the full course. I look at when the body first began to change and what happened after illness, surgery, childbirth, or starting and stopping medication. I also review changes in weight, diet, and sleep, then trace which symptoms improved with previous treatment and which remained. Test results, diagnoses, and the course of previous treatment are important for understanding the current condition. Clinical research in modern Korean medicine, physiological and pathological research in modern medicine, and observations recorded in classical Korean medicine texts offer different perspectives on the same body. Rather than fitting a patient into one perspective, I consider what each can and cannot explain and look for clues that connect symptoms and treatment histories that were previously considered separately.

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