Symptoms: raised, red welts; itching; welts change appearance rapidly.

Home care:     

Use cold water compresses, calamine lotion, and corn flour baths to help relieve itching.

If hives are caused by an allergy, medication prescribed by the doctor can be given to the child when the hives appear.

Precautions:

-    See the doctor if hives appear on the child’s tongue.

-    See the doctor immediately if the child is coughing or has difficulty breathing or swallowing.

-    If the child has hives accompanied by fever, the doctor will order a culture to check for strep throat

-    If an allergic child’s medication doesn’t relieve the hives, call the doctor.

Hives (urticaria) are an allergic reaction of the skin, and about 20 percent of children develop hives once or repeatedly. Hives can involve any area of the skin, and 95 percent of cases are caused by foods, beverages, or medications to which the child is allergic. Among the substances most likely to trigger a reaction are citrus fruits, chocolate, nuts (including peanut butter), tomatoes, berries, spices, sweets, tropical fruits and fruit juices, and artificial food flavorings.

The small proportion of cases of hives not caused by a food or medication allergy’ is caused by one of the following: a substance that the child has touched, such as a plant, ointment, or cosmetic, or the saliva of a dog or cat; an insect bite or sting; overexposure to sunlight or cold temperatures; or something the child has inhaled, for instance, pollen, mold, an insecticide, animal dander, or feathers. One rarely seen form of hives is caused by respiratory or other viruses, by the streptococcus bacterium, or by certain medications. This form of hives is known as erythema multiforme.

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