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Hives, Heat and Exercise

by jifnif, Jul 09, 2007 10:10AM
I have been getting a red rash for about 2 years upon exertion or w/ a temperature change.  The rash appears on my arms (inside only), on my chest and neck.  it doesnt always itch.  it goes away after i cool off.  this also happens w/ emotional changes, as when i get upset or frustrated or nervous.  i also get itching sometimes w/ no rash that travels from my feet up to the top of my head and i become so itchy i have to stop running (it happens when i am running) and itch myself.  i do not have a rash, i just itch.  i have been to an allergist and immunologist.  i have had liver tests and allergy tests and i have been tested for rheumatoid arthritis.  i take zyrtec which keeps it under control most of the time.  and by under control i mean i still get the rash just not as bad.  i do have seasonal allergies and asthma that are under control.  this did happen after stopping singulair and becoming pregnant, miscarrying, pregnant again and delivering, and now it is getting bad again.  i dont want to just control it, i want to know why it is happening.  all drs tell me to live w/ it.  i cannot.  i believe it is 2ndary to something else, but what????  anyone else have this.  could it be liver trouble??  mastocytosis??  sarcoidosis???  the dr called it exercise induced anaphylaxis??  it isnt just exercise though.  i could use some answers.  
Member Comments (16)

by hyon, Jul 09, 2007 01:42PM
To: jitnif
i have exactly what you have except it's not as itchy. but on top of that I have chronic hives..which is whole another story. i think the heat rash it some sort of hives actually....i've had the form you have all my life. it's just how your body is built. i have pretty sensitive skin and just driving in the heat brings out red blotchy on my chest. when i take really hot showers i get them where my skin is thin. if your itchiness is really bad try putting really thick lotion on. i know it's frustrating to hear that you have to live with it...but it's the truth. i've had chronic hives on top of the heat rash for about 1.5yrs now. and that's something very frustrating to accept. i usually just exercise when i know i'm not going anywhere. i know someone who was "allergic" to sunlight. she would blister like crazy..but hers disappeared in three years. so give it some time. if you weren't born with this...there's a good chance it will disappear.

by jifnif, Jul 09, 2007 02:28PM
wow, thanks.  i guess i am kind of fortunate that it hasnt been life long.  i keep looking for answers and come up w/ nothing.  i have read a lot about some new age procedures but they are all too pricey for my pocket.  i really was hoping that it had to do w/ hormones and maybe i am pregnant again??!!  that's when this all started anyhow.  i just want to get to the bottom of it.  thanks for the reply.  best wishes to you.  

by ohallergies, Jul 21, 2007 12:00AM
I have the same thing for about two years now.. i get hives and even little bumps on the skin with temperature change.. it was so hard for me to find out that doctors could not understand that i was allergic to "heat" or sunlight.. i have found ways to make sure the temperature changes are not so sudden (i would roll the car windows down on a warm day and turn the ac on in advance) but it seems to be getting worse .. i have researched a lot about this "disease" and found nothing except that it does happen to others and not just me .. i really think it has something to do with hormones..something triggers it inside your body and than it's hard for your body to tolerate sudden temperature change..
living with these allergies is hard.. i cant walk fast, run, get emotional, work out, or even dance a little without getting hives all over my body!!
I will be taking birth control pills to regulate some of my hormones and to regulate my period.. hopefully that will help the allergies also ..
watch what you eat.. eat healthy! and working out a little helps too!

by sha_77, Jul 23, 2007 10:32AM
To: jifnif
I also have this.  It got much worst after I had my son last year.  I am currently taking Zyrtec.  I thought that I imagining some crazy allergy at first but it is the real deal.  It acts up especially after working out.  I get red hives on the inside on my arms and all over my legs.  I am curious to hear some success stories for treating this strange allergy.

by jifnif, Jul 25, 2007 02:29PM
wow, i am really beginning to think it is hormone related.  at least for me.  i had this w/ my first pregnancy and actually it got really bad last week and i found out i am prego again.  i am thinking that it might be a surge in a specific hormone..maybe progesterone????

by Sara_Whit, Jul 31, 2007 06:53PM
I am writting in on everyones coments about the "heat-rash." I have had the alergic (allergic) reation since I was 4 years old, and was told it would go away before I was a teenager by every doctor on the gulf coast. Now at 22 I am sitting here typing with these hives. They are emotionally and temperature related and do not go away as easily as other times. The bumps are raised up and I can tell a good 5-10 minutes before I get them. It can take 10 minutes or several hours for them to go away. I always get them everywhere and over the years they are getting worse. This weekend I vommited several times with a bad episode, and even today I have had them about 50% of the day. I was surprised to hear that so many other people have the same thing as I do. And after about 10 years of living with them I am getting fed-up, I am due to see a new doctor next week and try and see what I can find out. The response I normally get is to go on steriods, so I will hopfully learn something other than that. If anyone has any advice to offer about my stubborn rash let me know. Heres hoping....
                                                                                                                             Sara

by jnguy030, Jan 15, 2008 05:54PM
I've had this exact same problem for 6 years.  I get them under any stress, heat, and emotion distress.  I tried everything from claratin, anti-depressants, etc.  I gave up taking medication after 2 years.  I still get hives, but i'm not taking any more medication because nothing seems to help.  It is making life difficult for me.  Any suggestions on what to do?

by Ali334, Mar 26, 2008 05:56AM
im an 18 year old from lebanon,i have the same problem,it happened to me like 4 times or 5,and i got hospitalised twice,it started at 15,i went to a doctor and he told me to do a couple of tests,sgpt and ige were above normal,and in recent studies i found out that sgpt does go up after working out,which led me to think that mayb im allergic to sgpt,but it didnt exist in the allergens list mayb bcoz it only list external allergens.right now im under the influence of this disease or allergy or whatever,so i took a pic to show the difference between the arm i just slaped and my other arm, here is a link http://i284.photobucket.com/albums/ll37/ali334/Picture015.jpg as u can see the arm that i slaped reacted in an extreme way although it was a small slap,now how this happens with me,usually there is a change of weather,its hot and moist,i work out usually start by running and then work out my arms shoulders,i start seein a red rash like  a thin red line on the joint of my arm,and small very red hives half a cm in diameter at that point id know that im developing an allergic reaction,bcoz im sweatting im feelin hot(not in a good way) so i do the slap test,and i slap my arm with a finger,nd then i get a big hive in that spot,so i know its time to go home,when im home im drinkin alooot of water,bcoz im not sure of what this is,could be fatty liver,and  water is very good when treating liver,the research done by dr.albert l. sheffer that exercise induced anaphylaxis last from half an hour to 4 hours nd it doesnt happen everytime u exercise,but for me i had yesterday the symptoms went then today i did 10 push ups to test myself,and i got em back but with less intensity i guess it depends on how hard you work out.

by BhumikaMD, Mar 26, 2008 08:07AM
Hi,

What you describe seems like sweat dermatitis or heat rash.

You should try to keep the area dry and clean. Try some powder to absorb the sweat.

If the symptoms are still persistent, consult your dermatologist and get a proper clinical evaluation done.

Let us know if you have any doubts and keep us posted on how you are doing.

Hope this helps.

Good luck.

by Ali334, Mar 27, 2008 01:28PM
To: bhumikaMD
uhm  the hives dont happen each time i swet,not even when i practice  sport,just when i work out and when i have swolen muscles,the 3rd or 4th day it happens

by BhumikaMD, Mar 28, 2008 12:10AM
Hi,

Do antihistamine medications help with your symptoms?

Does it help if you do your workouts in an air conditioned environment?

Have you consulted a skin specialist as yet?

Keep us posted.

Regards.

by Ali334, Mar 31, 2008 12:51PM
To: BhumikaMD
well i only used antihistamine once,when i had a very bad anaphylaxis,and my skin was all covered with big red spots,like a mix of leopard and tigers skin.so i poped a pill of antihistamine,but i didnt really wait to see the effect,i went to the hospital bcoz it was an anaphyalxis duhh,so they gave me a couple of shots 1 in the arm and another in the ***,and i got all sleepy,the spots got dicreased and i wasnt itching anymore,and it knocked me out til the next day.

by Bor4e, Mar 31, 2008 02:38PM
To: all
I am getting a red rash when my body  temperature change.  The rash appears on my arms (inside only), on my chest and neck.  it doesnt always itch.  it goes away after i cool off.  this also happens w/ emotional changes, as when i get upset or frustrated or nervous.  i also get itching sometimes w/ no rash that travels from my feet up to the top of my head and i become so itchy i have to stop running (it happens when i am running)or if i walk fast .Every times it happen it start: I fell itching then after that comes the rashes. I have this problem 5 month. 1st when it start to happen was everytime when I was trying to do some activites like sport or something like that but I only felt week itching and time after time itching were stronger and stronger so now I have itching + rashes. Everytime this happen i never sweat..actually since this start to happen i never get sweat. I get sweat only on my forehead. I try to see what will happen to run no matter the itching or rashes are coming so i run and run rashes come and itching was stronger and stronger but after 10-15 min itching were gone and rashes too. That happen everytime i try this. And after that no matter how much I run I dont get sweat. I use to wear earings for 1.5years and one of my friend have told me that the earings might contain nikel and maybe that is the reason of the problem so I took of my earings 1month ago but I still got this problem. What can be the reason of this and what can I do to this go away? Please help

by BhumikaMD, Apr 01, 2008 05:44AM
To: Bor4e
Hi,

What you describe seems like sweat dermatitis or heat rash.

You should try to keep the area dry and clean. Try some powder to absorb the sweat. Use a medicated sunscreen lotion - preferably one prescribed by your skin specialist.

If the symptoms are still persistent, consult your dermatologist and get a proper clinical evaluation done.

Let us know if you have any doubts and keep us posted on how you are doing.

Hope this helps.

Good luck.

by BhumikaMD, Apr 01, 2008 05:46AM
To: Ali334
Hi,

How are you doing now? Have you taken a course of steroids for your symptoms?

Does it help if you do your workouts in an air conditioned environment?

Have you consulted a skin specialist as yet? What has the doctor advised? Have any investigations been done?

Keep us posted and let us know if you have any other doubts..

Regards.

by Bor4e, Apr 01, 2008 08:08AM
To: BhumikaMD
Dude I dont get sweat at all. LIke my pores are block or something like that.

by BhumikaMD, Apr 06, 2008 07:00AM
Hi,

This may be a immune reaction to heat.

What is the ambient temperature where you live?

Have you changed locations recently?

Has this started recently or has this been present earlier?

Anhydriosis is a condition, which comes to my mind immediately, this is a condition whereby the sweat glands do not react to the body s nervous system. However, this may be confirmed after a doctor's examination.

You should avoid heat and warm environments because this may lead to excessive heating of the body due to no release of the heat.

Hope this helps.

Best regards

by JAY_22, Jan 13, 2009 10:50PM
I am a 18 year old male who is experianceing all of the things in this forum. through out highschool I was a sub five minute miler and was in great shape then my junior year I started geting sicker, allergic to more things and other problems. I have allergies to most foods and everything in the enviroment, and I might have celiac but they refuse to biopsy b/c I am allergic to it anyway. I have been to our regional hopistial as well as Mayo yet they always seem to be a year behind.

My food allergies fluctuate from being able to eat it with no problem to having to go to the ER. Then some of my worst become my staple foods That I eat every other day.  

Mayo made me sit in a hot box for a hour plus covered in a yellow powder thats turns purple if you sweat, the pain was immense, but they figured out I don't sweat on my chest and arms

Within the last year and a half a new problem has arisen what happens with me is that if I do really any physical excerise, walk into a warm enviroment, take a hot shower, get mad or nervous I break out with bumps on the tops of my hands, wrist and the underside of forearms and chest, along with this my whole body starts to itch (starts in by lower back then explodes to the rest of my body) a long with turning a deep red. And it is very hard to cool down when this decides to act up. I have even walked around outside for 30min in -5 degree weather to get relief, most of the time I use extremly cold water on my skin for about 10-15 min, or i use ice, or go jump ina snow bank, somtimes all the above

Creams make it worse (feels like I have molten plastic on my skin), antihistimes don't touch it, epi used to work ( when first started i thought I was in contact with somthing I was allergic to).

Recently I used the epi for it b/c my legs and arms were getting stiff (lymph nodes swelling, typical allergy) but I was out of luck it didn't work, so I had to go jump in a snow bank fro about a hour.

I just wanted to share my story hopefully it helps in some way.

by mhead82, Jan 15, 2009 02:14PM
sounds like heat hives (Cholinergic Urticaria) the samr thing happens to me...there is an excellent website that has more info about causes, treating, and most important living with it
http://www.heathives.com/

by LalaLexi, May 23, 2009 12:17PM
I have the same exact problem and yes i also have celiacs disease.  I figured when my Celiacs gene activated that is when my hives started happening because that is when i started to have all my problems.. I have had the hive problem for 7 years now. It was very bad in the beggining now it isnt as bad. I also think it does have somthing to do with hormones because i have found that when i take the pill it becomes much worse when it happens.
I am 19 years old and was diagnosed with celiacs when i was 17, my hives started when i was 13.  I have also found that aderax works but i will make you very sleepy when you first take it and i also bulit a tollerance to it.

by tccky1, Aug 14, 2009 03:34PM
To: jifnif
You don't have to live with this. I was experiencing heat allergy and was fortunate enough to find a brilliant allergy specialist who recognized what it was. He prescribed the antihistamine Atarax (hydroxyzine). I took Atarax for about 2 years and I have been symptom free for about 4 years now. Of course, everyone is different so you may not have the same success that I did, but I wanted to share this information so others may be able to at least try it. One thing, though, Atarax is sedating so make sure you talk about this with your doctor before taking it. Cheers.

by rkn85, Aug 18, 2009 05:58AM
To: hi all
i think oranges r the cure.. from the time i hv started consuming oranges my intensity of the hives n rashes has come down drastically.. these days i eat arnd 3-4 oranges per day n i am 90% cured.. jus occasional iches thtz all.. rashes has totally stopped... it might oir  might not work for u but its worth tryin... cheers Raj

by Rodion, Aug 27, 2009 01:33PM
hi. my name is Rodion. i am 18. and i have problem with allergy!!! I get a red rash for about 11 months. The rash appears on my arms (inside only), on my chest and neck. When I was under the sun, in heat, angry. Please answer me. I need some help!!! ***@**** - my e-mail. SOS)))

by thepuppeteer, Sep 05, 2009 10:48PM
To: all
hi. I have the same problem. It appeared for the first time last week, so immediatly I went to see my doctor. she looked me over, asked a few questions and told me I'm allergic to heat.
it is possible.
turns out, my grandmother also had the same problem. her heat allergys (allergies) began when she started taking birth control after her fifth child. my hives appeard the day before my period, so i do agree that is is hormone related.  

out of curiosity, does anyone here have lupus? i'm also being tested for lupus which is disease more common in women and is more agressive with hormone changes. i'm wondering if there may be a connection between the two?

by shawry, Sep 13, 2009 10:22PM
All your comments are so interesting to me!  I am a 40 year female from Australia.  
I have celiac disease (diagnosed 5 yrs ago), have had thyroid disease (after my 2 children were born - 9 and 5 yrs ago), and have just last week been diagnosed with lupus .... all auto-immune disorders.
And I too have the 'rash' you are all talking about.  
2 months ago I started getting hives - on my inner arms, forehead, chest, stomach, legs and feet.  They first appeared on the day I got my period, went away about a week later, then appeared the next month on that day too.  Hormone related?  Must be I say.
I now take a claratyne (anti-histamine) every day and find I don't get the hives, just the rash - in the same places as the hives, but it doesn't seem to 'blow up' to hives, just a red rash (very small red dots).  The red rash is always symmetrical on my body - on both inner arms, both feet, etc at the same time.
When I go out in the sun the rash comes out.  When I run or surf (I live near the beach) the rash comes out.  It does seem that when I get hot the rash appears.  
It also seems to appear sometimes when I feel anxious about something.  
I think the rash is to do with hormones / heat / stress.  It comes and goes so often I'm finding it hard to determine what is causing it.  Some days it comes up and down a few times. It's so frustrating!
I am on a special diet my doctor thought might help - a low chemical diet.  I already eat gluten free, but now am also trialling eating only 'low chemical' foods to see if that helps - eg: no tomatoes, avocado, mushrooms, bacon, wine, etc.  The list is endless, but I'm willing to try it.  You never know - may just work and I can be rash free!!
Next month I am booked to see an allergist who specializes in allergys (allergies) and immunology about the rash and hives.  I'm hoping to learn alot more from this appt, so I'll keep you posted if I get any info that may help anyone else.
Best wishes!
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