HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Had An Allergic Reaction To Hydrocodone. Getting Hives During Exercise. Cause And Cure?

default
Posted on Sat, 4 May 2013
Question: why do break out in hives during exercise?i am a 20 year old female. last year i developed hives everytime i work out ordo any strenuous activity. it is still going on. i had surgery in the beginning of april and had an allergic reaction to hydrocodone. other than that this is the only allergy i have.
doctor
Answered by Dr. Michelle Gibson James (1 hour later)
Hi, thanks for using healthcare magic

It may be related to a condition called cholinergic urticaria ( urticaria is the medical term for hives). It is called one of the physical urticarias because it is brought on by a physical stimulus.
The precipitating cause is sweating.

When an area of the brain detects the increase in temperature it sends a message to the sweat glands which results in the release of a chemical. This chemical then causes the release of histamine from cells called mast cells. Histamine then results in urticaria.

Normally to diagnose this condition, a doctor will inject a particular chemical which is similar to the chemical that causes the release of the histamine to see if a response occurs.

In terms of treatment there are different aspects and it is important to remember that in some persons the attacks stop on their own:
(1) in some persons dietary changes can help. Hot foods or drinks, spicy foods and alcohol can provoke an attack
(2)medications such as antihistamines such as cetirizine which has been found to be helpful , leukotriene inhibitors (leukitrienes form part of the body's allergic response) , mast cell inhibitors such as ketotifen
(3) avoid situations that may result in sweating such as saunas, hot tubs, exercise, emotional stress, hot food


You may want to consider visiting your doctor for an assessment to determine whether this is the cause of your symptoms

I hope this helps, feel free to ask any other questions

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Michelle Gibson James (7 minutes later)
sometimes it happens when im not sweaty though. why could this be?
doctor
Answered by Dr. Michelle Gibson James (14 minutes later)
Hi

It is related to the increase in your body's temperature that occurs with the onset of the exercise.


Please feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Michelle Gibson James (38 minutes later)
when i went to the doctor he said it was triggered by a virus that i had. even though i i havent had a virus. could this be? should i try a detox? could that get rid of it?
doctor
Answered by Dr. Michelle Gibson James (14 hours later)
HI

it may resolve on its own, it can in some persons but there is no way to predict who will have this response.

Detox is not likely to help since this is to get rid of toxins and infectious agents but this is not related to this.

You can consider having the test done to see if it is cholinergic urticaria, if the diagnosis is confirmed then you would be able to work from there. It may be best to visit an allergist rather than your GP
Note: For further information on diet changes to reduce allergy symptoms or to boost your immunity, Ask here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Had An Allergic Reaction To Hydrocodone. Getting Hives During Exercise. Cause And Cure?

Hi, thanks for using healthcare magic

It may be related to a condition called cholinergic urticaria ( urticaria is the medical term for hives). It is called one of the physical urticarias because it is brought on by a physical stimulus.
The precipitating cause is sweating.

When an area of the brain detects the increase in temperature it sends a message to the sweat glands which results in the release of a chemical. This chemical then causes the release of histamine from cells called mast cells. Histamine then results in urticaria.

Normally to diagnose this condition, a doctor will inject a particular chemical which is similar to the chemical that causes the release of the histamine to see if a response occurs.

In terms of treatment there are different aspects and it is important to remember that in some persons the attacks stop on their own:
(1) in some persons dietary changes can help. Hot foods or drinks, spicy foods and alcohol can provoke an attack
(2)medications such as antihistamines such as cetirizine which has been found to be helpful , leukotriene inhibitors (leukitrienes form part of the body's allergic response) , mast cell inhibitors such as ketotifen
(3) avoid situations that may result in sweating such as saunas, hot tubs, exercise, emotional stress, hot food


You may want to consider visiting your doctor for an assessment to determine whether this is the cause of your symptoms

I hope this helps, feel free to ask any other questions