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.
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:
Foods and additives
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.
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