Hives (Holistic)

About This Condition

A rash that suddenly appears on your face or body may be your skin’s reaction to an allergen. How can you soothe the itching and heal your hives? According to research or other evidence, the following self-care steps may be helpful.
  • Uncover your sensitivities

    Work with a knowledgeable health professional to find out what foods or additives may trigger episodes of hives

  • Address your stress

    With help from a health professional, learn stress-reduction techniques that may lower your risk for developing hives

  • Get a checkup

    Visit your doctor to find out if your hives are the result of a treatable medical problem, or a reaction to medication

About

About This Condition

Hives (urticaria) is an allergic reaction in the skin characterized by white or pink welts or large bumps surrounded by redness.

These welts are known as wheal and flare lesions and are caused primarily by the release of histamine (an allergy mediator) in the skin. About 50% of people with chronic hives develop angioedema—a deeper, more serious form of hives involving the tissue below the surface of the skin.

While the basic cause of hives involves the release of histamine from white blood cells, what actually triggers this release can be a variety of factors, such as physical contact or pressure, heat (prickly heat rash), cold, water, autoimmune reactions, infectious organisms (e.g., hepatitis B virus, Candida albicans, and streptococcal bacteria), and allergies or sensitivities to drugs (especially antibiotics and aspirin), foods, and food additives.

Symptoms

Symptoms include an itchy skin rash with red bumps that can appear on the face, trunk of the body, and, sometimes, on the scalp, hands, or feet. Individual lesions usually last less than 24 hours and can change shape, fade, and then rapidly reappear. People with hives may also have wheezing, or swelling of the eyelids, lips, tongue, or throat.

Holistic Options

Psychological stress is often reported as a triggering factor in people with chronic hives.1 Stress may play an important role by decreasing the effectiveness of immune system mechanisms that would otherwise block allergic reactions. In a small preliminary trial of people with chronic hives, relaxation therapy and hypnosis were shown to provide significant benefit.2 People were given an audio tape and asked to use the relaxation techniques described on the tape at home. At a follow-up examination 5 to 14 months after the initial session, six people were free of hives and an additional seven reported improvement.

Eating Right

The right diet is the key to managing many diseases and to improving general quality of life. For this condition, scientific research has found benefit in the following healthy eating tips.

RecommendationWhy
Uncover your sensitivities
Work with a knowledgeable health professional to find out what foods or additives may trigger an outbreak.

Allergy to foods and food additives is a common cause of hives, especially in chronic cases. The foods most often reported to trigger hives are dairy products, eggs, chicken, cured meat, alcoholic beverages, chocolate, citrus fruits, shellfish, and nuts. Food additives that have been shown to trigger hives include colorants (azo dyes), flavorings (salicylates), artificial sweeteners (aspartame), preservatives (benzoates, nitrites, sorbic acid), antioxidants (hydroxytoluene, sulfite, gallate), and emulsifiers/stabilizers (polysorbates, vegetable gums). Numerous clinical studies demonstrate that diets that are free of foods or food additives that commonly trigger allergic reactions typically produce significant reductions in symptoms in 50–75% of people with chronic hives. People with hives not clearly linked to a known cause should discuss the possibility of food allergies with a doctor.

Supplements

What Are Star Ratings?
SupplementWhy
2 Stars
Iron
If blood iron levels are low; take only under medical supervision.
Among those with chronic hives and low iron levels, supplementation with iron resulted in improvement in the hives in most cases.
Approximately two-thirds of people with chronic hives (hives present for more than 6 weeks) have low blood levels of iron. Among those with low iron levels, supplementation with iron for 1 to 2 months resulted in marked improvement in the hives in most cases. Iron supplementation has the potential to cause side effects, which in some case can be severe. For that reason, iron should not be taken without supervision by a healthcare professional.
1 Star
Betaine Hydrochloride
Refer to label instructions
Lack of hydrochloric acid (HCl) secretion by the stomach may contribute to chronic hives related to food allergies. Supplementing with betaine HCI, which contains hydrochloric acid, may help.

According to preliminary studies from many years ago, lack of hydrochloric acid (HCl) secretion by the stomach was associated with chronic hives, presumably as a result of increasing the likelihood of developing food allergies. In one such study, 31% were diagnosed as having achlorhydria (no gastric acid output), and 53% were shown to be hypochlorhydric (having low gastric acid output). In a related study, treatment with an HCl supplement and a vitamin B-complex supplement helped to treat people with hives.Betaine HCl is the most common hydrochloric acid-containing supplement; it comes in tablets or capsules measured in grains or milligrams. One or more tablets or capsules, each containing 5–10 grains (325–650 mg) are typically taken with a meal that contains protein. Diagnosis of a deficiency of HCl and supplementation with HCl should be supervised by a doctor.

1 Star
Green Tea
Refer to label instructions
Two components of green tea, the polyphenols epigallocatechin (EGC) and epicatechin gallate (ECG), are reported to have an antihistamine effect.

Two components of green tea, the polyphenols epigallocatechin (EGC) and epicatechin gallate (ECG), are reported to have an antihistamine effect. Some doctors recommend approximately 3 cups of green tea per day or about 3 grams of soluble components providing roughly 240 to 320 mg of polyphenols, although no human trials have studied the effects of green tea in people with hives.

1 Star
Vitamin B12
Refer to label instructions
Vitamin B12 injections have been reported to reduce the severity of acute hives and the frequency and severity of outbreaks in chronic cases.

Vitamin B12 has been reported to reduce the severity of acute hives as well as to reduce the frequency and severity of outbreaks in chronic cases. The amount used in these reported case studies was 1,000 mcg by injection per week. Whether taking B12 supplements orally would have these effects remains unknown. On rare occasions, vitamin B12 injections cause hives in susceptible people. Whether such reactions are actually triggered by exposure to large amounts of vitamin B12 or to preservatives and other substances found in most vitamin B12 injections remains unclear.

1 Star
Vitamin B-Complex
Refer to label instructions
In one study, treatment with a hydrochloric acid supplement and a vitamin B-complex supplement helped to treat people with hives.

According to preliminary studies from many years ago, lack of hydrochloric acid (HCl) secretion by the stomach was associated with chronic hives, presumably as a result of increasing the likelihood of developing food allergies. In one such study, 31% were diagnosed as having achlorhydria (no gastric acid output), and 53% were shown to be hypochlorhydric (having low gastric acid output). In a related study, treatment with an HCl supplement and a vitamin B-complex supplement helped to treat people with hives.Betaine HCl is the most common hydrochloric acid-containing supplement; it comes in tablets or capsules measured in grains or milligrams. One or more tablets or capsules, each containing 5–10 grains (325–650 mg) are typically taken with a meal that contains protein. Diagnosis of a deficiency of HCl and supplementation with HCl should be supervised by a doctor.

1 Star
Vitamin C
Refer to label instructions
High amounts of vitamin C might help people with hives by lowering histamine levels.

In theory, high amounts of vitamin C might help people with hives by lowering histamine levels. Amounts of at least 2,000 mg daily appear necessary to produce these effects. No research trials have yet explored the clinical effects of vitamin C supplementation in people with hives.

References

1. Green G, Koelsche G, Kierland R. Etiology and pathogenesis of chronic urticaria. Ann Allergy 1065;23:30-6. [review].

2. Shertzer CL, Lookingbill DP. Effects of relaxation therapy and hypnotizability in chronic urticaria. Arch Dermatol 1987;123:913-6.

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