Parents should know that given the high incidence of hives in kids, it’s likely they’ll see hives on their child at least once. But don’t panic. “Acute urticaria [the type that lasts less than six weeks and may even just be a one-time deal] is more common in the young [than chronic urticaria],” says Meghan Feely, MD, a board-certified dermatologist in private practice in New York City and New Jersey and a clinical instructor in the Mount Sinai Department of Dermatology in New York City.
Numerous triggers and allergens can cause hives in kids, but food in particular is a common one for kids, especially if they’re allergic to milk, eggs, peanuts, wheat, or soy. You may not even know they’re allergic to something until their first hive appears, especially if it’s accompanied by an allergic reaction called anaphylaxis, which requires emergency care.
Fortunately, most hives in kids can be treated at home with over-the-counter medication, and most hives in kids go away without much need to do anything. But if the hives continue, you’ll want to schedule an appointment with your pediatrician, who may request food allergy testing. Just make sure you’re taking good notes about the hive incidents, which will help the doctor treat and manage the issue.
Hives can be prevented to some degree, but only if you know what’s triggering them for you. “If you can identify your trigger, the best prevention strategy is to avoid that particular trigger (or, in some cases, triggers),” Friedman says
Not sure what your trigger is? After your first hive, write down everything you did, including what you ate and what activities you participated in over the previous 24 hours. If you get another hive, repeat the process and see if you spot any similarities.
Once you’ve identified your trigger, you’ll want to take every precaution to avoid it. But in cases where there is no trigger or a trigger hasn’t been identified, your doctor will work with you to determine how to keep hives from continuing to appear. For some people, taking antihistamines or other medications regularly may be the best course of action. (7)
Hives can be an extremely frustrating condition to deal with, and the longer you have them, the more frustrated you may get. Fortunately, though, with the right treatment, you can get those hives under control.
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