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Treatment for CHRONIC URTICARIA with shoulder swelling.

Resolved Question:

I have chronic urticaria. I am suffering from it since the last 8 years. Since last year I have been taking Zyrtec after every couple of days. But still it has failed to control it. About six days ago I had a severe pain in my left shoulder with swelling. The swelling and pain then spread to my elbow and both hands with particular points as joints. While there was accompanying itching all over the body with low grade fever and fatigue. The places where the rashes were hot to touch. I also had purple or blue colored bruises under the palm skin on my hands.
Zyrtec did not work for the first three days. Whenever I took it I felt very cold although it is summer. I stopped taking Zyrtec and am now using Zantac. Although the swelling and pain has gone (little bit still left in the shoulder) but itching still sprouts in small areas. Also my appetite has increased multifold since the last six days and if I don't  eat food every two or three hours I have stomach cramps. 
I also have continuous heartburn and it feels like churning in my esophageal area( this has been persistent since one year)
I have had blood CP and Urine RE tests conducted.
I would like to consult an experienced doctor to resolve this issue. Can you help?
Thanks


Category: Dermatologist

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Category: Cosmetic and Plastic Surgeon
Dr. Kruti Jobanputra Banodkar is online now

Expert:  Dr. Kruti Jobanputra Banodkar replied 4 Days.

Hello,

Thanks for posting your query at DoctorSpring.com
I can understand your concern.

I reviewed your history carefully. You mentioned about getting pain and swelling on the shoulder and then following rash n itching. Also about bruises on the palms. Bruising on the palms could suggest a condition called urticarial vasculitis.
Also you have a history of heartburn. All this could point to an internal condition which is causing the urticaria.
I would recommend that you need to consult a physician to correlate the symptoms and come to a diagnosis. And then accordingly treat it.

Coming to the urticaria, it can occur due to various causes. Sometimes an external cause or sometimes internal. Its important to resolve the causative factor to make sure the urticaria doesn't keep recurring.

But it's also important to control the rash and the itching so it doesn't cause discomfort.

I recommend taking anti histamines like tab. Allegra 180 mg once in the morning and tab. Claritin 10 mg at night, along with tab. Ranitidine (zantac) for 2 weeks. Regular follow up with your dermatologist to monitor the improvement of the rash and updosing or tapering of medicines as required.

Please let me know if you have any queries. Take care


Patient replied :

Dear Doctor,
Thank you for your reply. My question was also accompanied by blood report and urine report. Do you see any anamolies I these that I need to be concerned about?
do you suggest any other tests?
thanks


Expert:  Dr. Kruti Jobanputra Banodkar replied 3 Days.

Hello

Thanks for your reply.

I checked the reports but nothing abnormal in that. I don't recommend any other tests right now but in case your physician does it would be best to get them done.

Take care


Dr. Kruti Jobanputra Banodkar
Category: Cosmetic and Plastic Surgeon
Experience: 
Diploma in Dermatology - Royal College Of Physicians & Surgeons Of Glasgow, UK , 2010
Residency - DNB, Dermatology -  K.J Somaiya Hospital, Mumbai, 2009
Medical School & Internship - MBBS - Dr. D . Y . Patil Medical College, Mumbai, 2004
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