Finding the Right Treatment for Hives

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How to Get the Most Out of a Virtual Doctor Visit for Hives

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African American woman in her 30s looks at mobile phone at home
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There are several things you can do to get the most out of a telehealth visit for hives (urticaria), and most of them involve “arriving” prepared, much like you would for an in-person appointment. Whether your telehealth appointment is conducted over phone call or video chat, keeping track of your symptoms and treatments can help you communicate clearly with your doctor and receive better care.

Using Telehealth for Hives: Acute or Chronic?

A big part of treating hives revolves around identifying the cause or trigger, and tracking this information can help you and your doctor determine next steps. It’s also key to know what type of hives you’re experiencing. The two main types of hives are acute and chronic, distinguished by how long they last. Most acute cases of hives clear up in 24 hours, but  can come and go for up to six weeks. Chronic hives last more than six weeks.

Acute hives are most often caused by:

  • Infection, typically a cold or virus
  • Certain foods such as nuts or shellfish
  • Medicines, particularly antibiotics or aspirin

If the cause can be identified and avoided, hives will likely go away on their own. Come to your virtual doctor visit ready to tell your online allergist about recent illnesses, suspected food reactions, and the medicines you’ve taken. Take photos of your hives to share.

Chronic hives are usually caused by:

  • Dermographism, in which scratching your skin is followed a few minutes later by the appearance of hives where you scratched
  • Misfires in the immune system, especially if you have an underlying autoimmune condition
  • Increases in body temperature from exercise, sweating, or hot showers
  • Time in the sun
  • Pressure from tight clothing such as belts or socks

Be aware of these triggers and jot down any connections to your hives before your virtual doctor visit. It’s especially important for your doctor to know about autoimmune conditions such as thyroid disease. As with acute hives, taking photos of your chronic hives can help your doctor make an assessment.

It’s good to keep in mind that it can take time to determine the cause of chronic hives. You may need to have follow-up visits every month or two to monitor the situation. Sometimes, the cause of chronic hives is never pinpointed, but they can still be treated effectively.  

Preparing for Your Telehealth Appointment

No one knows what your hives are like better than you. In addition to self-identified triggers, the number of hives and the severity of your resulting itchiness is invaluable information for your allergist to have. Try keeping a daily calendar of suspected triggers, affected areas and the size of your hives outbreaks, and your level of itch—mild, moderate, or severe.

This may seem like a lot of work, but when you have hives, that’s all you can think about anyway, right? All the information you can collect before and between appointments will absolutely pay off in helping your allergist help you get effective relief faster and for the long haul. Keep in mind that more digital tools are becoming available, like smartphone apps that send info directly to your doctor, to make tracking symptoms easier.

Before your virtual doctor visit, it’s also a good idea to make sure the device, applications, and Internet connectivity you’ll be relying on are in working order. Download any special programs and create your account in advance so you’re ready to go for your appointment. Keep a pen and paper handy to take notes during the call, and have any medications and symptom-tracking information easily accessible. You’ll also want to set up in a quiet, secluded area of your home so your appointment is private and uninterrupted.

Good luck with your virtual doctor’s visit—and congratulations on embracing the latest way to take good care of yourself.

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Medical Reviewer: William C. Lloyd III, MD, FACS
Last Review Date: 2020 May 27
THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on the site. If you think you may have a medical emergency, immediately call your doctor or dial 911.
Hives (Urticaria). American College of Allergy Asthma & Immunology. https://acaai.org/allergies/types-allergies/hives-urticaria
  1. Hives/Urticaria. Columbia University Irving Medical Center. https://www.columbiadoctors.org/condition/hives-urticaria
  2. Hives That Won’t Go Away: The Basics of CIU. Asthma and Allergy Foundation of America. https://community.aafa.org/blog/chronic-idiopathic-urticaria-hives-that-won-t-go-away-ciu
  3. Hives Conversation Starter with Symptom Tracker. Asthma and Allergy Foundation of America. https://www.ciuandyou.com/pdf/Hives-Conversation-Starter-with-Symptom-Tracker.pdf