[37M] With severe itching upon sweating or getting wet
Patient Description
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Arora's Assessment
What might be happening
Based on the information you have provided, here are some possible explanations for your symptoms:
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Cholinergic Urticaria: This is a type of hives that occurs in response to sweating, heat, or stress. It can cause severe itching without a visible rash. The itching usually starts a few minutes after sweating begins and can last for an hour or more.
- Treatment: This condition is typically managed with antihistamines to reduce itching and prevent hives. Avoiding known triggers, such as hot showers or intense exercise, can also help.
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Aquagenic Pruritus: This condition causes intense itching after contact with water, without any visible skin changes. It can be triggered by sweating, bathing, or swimming.
- Treatment: Antihistamines and topical treatments may help alleviate symptoms. Moisturizing the skin and using lukewarm water instead of hot water can also be beneficial.
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Eczema (Atopic Dermatitis): Although you mentioned no visible rash, eczema can sometimes present as severe itching without an obvious rash, especially in its early stages.
- Treatment: Moisturizers, topical corticosteroids, and avoiding known irritants can help manage symptoms.
What you can do
While you should consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms in the meantime:
- Avoid Triggers: Try to avoid activities that cause you to sweat excessively or get wet. If you need to exercise, consider doing so in a cool environment.
- Use Cold Air: Since cold air helps relieve your itching, consider using a fan or air conditioning to cool down quickly after sweating.
- Moisturize: Apply a good quality moisturizer to your skin to help maintain its barrier function.
- Lukewarm Water: Use lukewarm water instead of hot water when bathing or showering to minimize itching.
- Over-the-Counter Antihistamines: You may find relief from over-the-counter antihistamines like cetirizine (Zyrtec) or loratadine (Claritin).
What you should look out for
Seek medical attention if you experience any of the following:
- Severe or Worsening Symptoms: If your itching becomes unbearable or starts to interfere significantly with your daily life.
- New Symptoms: Development of a rash, hives, or any other new symptoms.
- Signs of Infection: Redness, swelling, or warmth in the affected areas, which could indicate an infection.
Remember, while this information can help guide you, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.
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6 mo ago