HomeAnswersDermatologyacute urticariaI have itching on my body after travel. Please assist.

I have itching all over my body since I got home. How to stop this immediately?

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I have itching all over my body since I got home. How to stop this immediately?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At August 16, 2018
Reviewed AtFebruary 11, 2024

Patient's Query

Hello doctor,

I was away on travel for the entire last week, and I just returned today. Since I arrived home, I have been experiencing itching on my body. I tried taking Fexofenadine, but it did not provide any relief. The itching occurs every 15 seconds in various parts of my body, such as the legs, arms, face, and back. It disappears temporarily when I scratch the affected area. What can I do to alleviate the itching immediately? There is no visible rash present. Kindly provide your insight.

Hello,

Welcome to icliniq.com.

I read your query and understood your concern. However, to provide appropriate suggestions, I would need to gather the following information:

  1. Did you consume nuts, fish, or sour food before the itching started?
  2. How many doses of Fexofenadine tablets have you taken so far?
  3. Is the itching accompanied by wheals or hives that appear for a few minutes to hours?
  4. When you scratch, does a swelling appear along the line of scratching?
  5. Are there any signs of swelling in the lips or eyes?

Kindly follow up with the above requested information.

Thank you.

Patient's Query

Thank you doctor,

I consumed pistachios during the flight and had a small tuna sandwich before boarding. Currently, there are no signs of swelling, rash, or any visible abnormalities. The itching resembles hives, as it appears in one area and then moves to another. I took one Fexofenadine tablet four hours ago. A similar episode of itching occurred once two months ago but resolved on its own. Additionally, sometimes after taking a shower, I experience a similar itching sensation, but it subsides after a while. Kindly provide your insight.

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. Based on your medical history, it appears to be acute urticaria, which is an allergic reaction. Since you have already taken the tablet Fexofenadine in the morning, I suggest you follow the below mentioned instructions:

  1. Take one tablet of Levocetirizine 10 mg after lunch and another after dinner.
  2. I also suggest taking one tablet of Ranitidine 150 mg twice a day before meals.
  3. Apply moisturizing lotion to the areas of your body where you are experiencing itching sensations.

If there is no improvement after 24 hours, I suggest you take sedating antihistamines at bedtime that is a tablet of Cetirizine or Hydroxyzine as an alternative to Levocetirizine as it is a non-sedating antihistamine. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Patient's Query

Thank you doctor,

I appreciate your prompt reply, but there are no hives, instead, the skin appears completely normal. Could it be related to a food allergy or dry skin?

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. Based on the information you provided, considering the brief history of your condition, the most likely cause could be a food allergy. I suggest you avoid consuming nuts and seafood for a few days. I suggest you take a tablet of Levocetirizine 10 mg for three to five days. Additionally, applying moisturizer immediately after bathing can facilitate better absorption and help prevent dry skin. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Patient's Query

Thank you doctor,

I hope it is not due to a liver or kidney problem, as I have read about on the internet. Kindly provide your opinion.

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. With such a short history of the condition, it is unlikely for it to be malignant. Most probable cause is an allergy. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Patient's Query

Thank you doctor,

I took a single dose of Levocetirizine, and my itching subsided for two days. However, today when I woke up, I am experiencing the itching again in various areas of my body, similar to before. I did not consume any nuts or fish last night, only a chicken roll. Kindly help.

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. Taking just one dose of medication would not be sufficient. As previously mentioned, I suggest you complete a full course of treatment for at least seven days. However, the duration may vary for individuals, and it could range from 15 days to several months to effectively control the allergic reaction. One dose alone is not adequate. I suggest you follow the below mentioned treatment plan:

  1. Take a tablet of Levocetirizine 10 mg twice a day after meals.
  2. Take a tablet of Ranitidine 150 mg twice a day before meals.
  3. Apply keratolytic, humectant and emollient cream to the body.
  4. Avoid consuming non-vegetarian food.

I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Patient's Query

Thank you doctor for the reply,

I took one Levocetirizine 5 mg tablet in the morning and another in the evening yesterday, and the itching subsided by this morning. However, the itching has started again. How long should I continue taking this medication?

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. I suggest you continue taking the medication without missing any doses for a minimum of ten days. In your age group, you can take Levocetirizine 10 mg twice a day. Additionally, take Tablet Ranitidine150 mg twice daily before meals. If the itching persists after 15 days, I suggest you undergo a blood test for CBC (complete blood count) with ESR (erythrocyte sedimentation rate). I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Patient's Query

Thank you doctor for the reply,

Can I get a blood test tomorrow since I am already planning to have one? Are there any allergy tests that I can undergo?

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. There is no need to undergo an allergy test at this time. In the case of acute urticaria, it is common to observe raised levels of serum IgE (immunoglubulin E) and ESR (erythrocyte sedimentation rate). To rule out any infectious causes, it is advisable to perform a complete blood count (CBC) and urine routine microscopy. As mentioned earlier, acute urticaria can persist for up to six weeks, and in chronic cases, it may last even longer. Since this is your first episode, I suggest you continue taking the prescribed medications consistently. If there is no improvement, then I suggest you undergo a CBC with ESR, urine routine microscopy, and serum IgE tests. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Patient's Query

Hello doctor,

My itching had subsided a few months ago, but it has started again for the past three days. Could it be due to the change in weather, transitioning from winter to summer? Is it possible that something I consumed triggered the itching? My liver function tests and kidney function tests are normal, and my erythrocyte sedimentation rate is also normal. Currently, I am taking Fexofenadine 180 mg in the morning and Levocetirizine at night. Is it safe to take two Fexofenadine 180 mg tablets per day? Kindly suggest.

Hello,

Welcome to icliniq.com.

I read your query and understood your concern. If your wheals and hives diminish with a single dose of the generic medication Fexofenadine 180 mg, there is no need to take a second dose. I suggest you continue taking a tablet of Levocetirizine 10 mg once daily as you have been doing. However, if you notice the rash subsides with Fexofenadine, you may take it twice a day and discontinue Levocetirizine. Also, I suggest you continue taking a tablet of Ranitidine as prescribed. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Patient's Query

Thank you for the reply doctor,

I do not have any visible rash or skin abnormalities. There are no hives present, it is just generalized itching, and it improves with the use of Fexofenadine. I am concerned about the underlying cause. I plan to undergo the ESR test again. However, could the itching simply be due to dryness? Kindly provide your insight.

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. If you are not using moisturizer, I would advise you to start using an intense moisturizing lotion after bathing daily. Dryness can lead to generalized itching as well. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Patient's Query

Thanks for the reply doctor,

Can there be any other cause of generalized itching besides dryness if liver function tests, kidney function tests, and erythrocyte sedimentation rate are normal? Is it safe to take two tablets of Fexofenadine 180 mg, or would it lead to excessive side effects?

Hello,

Welcome to icliniq.com.

I read your query and understood your concern. If you are experiencing dryness on your skin, it can cause generalized itching known as xerosis. I suggest you take a single dose of the medication since you do not have any severe symptoms. I also suggest you apply moisturizer daily and applying moisturizer immediately after bathing helps with better absorption. I suggest you avoid excessive use of soap while bathing. In the case of urticaria, liver function tests (LFT) and renal function tests (RFT) usually remain normal. Only the erythrocyte sedimentation rate (ESR) may be elevated. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Thakare Sampada Avinash
Dr. Thakare Sampada Avinash

Dermatology

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