How to treat cholinergic urticaria


The cause of cholinergic urticaria is the increased sensitivity of the body's immune system to acetylcholine. Allergic reactions can occur as a result of constant stress, emotional and physical exertion, as well as due to frequent exposure to high temperatures (sauna, steam bath, hot bath, etc.). In addition to exposure to stress factors, a person must have a genetic predisposition. It is genetics that plays a big role in the appearance of allergies.
Cholinergic urticaria can occur on the background of diseases of the gastrointestinal tract, disorders of the thyroid gland and the presence of neurocirculatory or vascular dystonia.


Symptoms of urticaria appear 5-50 minutes after exposure to a stress factor (for example, taking a hot shower or emotional overload).
Allergy is characterized by the appearance on the skin of small bubbles in diameter from 1 to 3 mm, which have a pink color and a bright red tint along the edges.Rashes can occur on the neck, forearms, breasts and decollete. Urticaria causes burning and itching. In some cases, diarrhea, drooling, vomiting, or nausea appear on the background of the above symptoms. Also the body temperature rises.


Unlike other types of allergies, antihistamines are not prescribed in the treatment of cholinergic urticaria, since the disease occurs as a result of the autoimmune reaction of the body to an external stimulus. The main means used in therapy are ointments and gels. Their action is aimed at reducing the intensity of symptoms. In its composition of drugs have an extract of belladonna and a substance atropine, which can reduce itching and remove redness. Medications are applied 1-2 times a day and are applied on top of inflammations.Diagnosis of the urticaria is carried out during the examination of the patient by an allergist or dermatologist.
As an adjuvant therapy, vitamin-mineral complexes with a high content of vitamins B and C are prescribed. This allows you to improve the immunity of the patient.
If the disease becomes severe, corticosteroid ointments and fixed-dose sedatives are prescribed. The use of these drugs is possible only with the permission of the doctor after the necessary tests. To prevent recurrence of the urticaria, alcohol, hot drinks, spicy dishes, and spices are excluded from food.Antihistamines can be prescribed only if other allergic reactions appear in the urticaria (for example, rhinitis).
It is also recommended to avoid emotional stress and exercise that can cause excessive sweating. During the shower is recommended that the water temperature was not higher than 36-38 degrees.

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