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hives following bowel movement
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hives following bowel movement

Dear doctor,
I have experienced hives (intensely ithcy, bumpy skin) after somes bowel movements for about two years.  This has slowly increased in frequency but always has been a very intense response.  It nows is causing me a lot of concern.  My skin all over my back and legs and sometimes neck becomes very itchy and red shortly after a bowel movement.  This urticaria lasts for about 15 minutes and slowly subsides.  This does not happen every time I use the bathroon but when it does it is a very painful experience.  I am otherwise in very good health, 39 years old with no other problems except exercise induced asthma and itchy skin when I exercise.  This itching with exercise improves after I have exercised consistently for a number of days.  Also, I never sweat very much.  I do get pretty severe gas occasionally.  
Any advice or direction on who to see would be most appreciated.


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Hello - thanks for asking your question.

What you are describing is known as urticaria (hives) - it affects up to 25 percent of the population.  I an unaware of a disease that causes hives in the setting of bowel movements specifically.  The following are among the potential triggers for urticaria:

Drugs
Physical contacts
Stinging insects
Latex
Aeroallergens
Foods and additives
Infections
Mastocytosis
Thyroid disorders
Two rare genetic disorders, familial cold autoinflammatory syndrome, also called familial cold urticaria, and the Muckle-Wells syndrome can also cause urticaria

Basic laboratory tests includes a CBC with differential and erythrocyte sedimentation rate (ESR).  Biopsy of the urticarial lesions would also be considered.

As for a specialist, I would suggest an allergy/immunology referral which would help in the evaluation.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.
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you might check into carcinoid syndrome in the lower bowel.
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