[48F] Experiencing hives and stiff neck

Patient Description

A 48-year-old female presents with hives and a stiff neck. The hives began as itchy hands and spread to the face, neck, scalp, and trunk, described as raised, red, and itchy. The stiff neck has been present for 12 hours, is localized to the top of the back and lower neck, with a pain severity rated at 5 out of 10. Pain is exacerbated by movement and is constant throughout the day. There is no associated fever, headache, sensitivity to light, nausea, vomiting, difficulty breathing, or facial swelling. The patient has no known allergies, no current medications, and no significant past medical history.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Cervical Spondylosis: This is a general term for age-related wear and tear affecting the spinal disks in your neck. This can lead to neck stiffness and pain. It's a common condition and the risk increases with age.

    • Treatment typically involves a combination of medications to relieve pain and inflammation, physical therapy, and in some cases, surgery.
  • Tension-type headache: This is the most common type of headache, and can cause pain in the back of your neck or in your forehead. It's usually not severe and doesn't affect your balance or strength.

    • Treatment typically involves over-the-counter pain relievers and lifestyle modifications to reduce stress and improve posture.
  • Hives (Urticaria): These are red, itchy welts that result from a skin reaction. The welts may appear anywhere on the body and can last for hours, or up to one day before fading.

    • Treatment typically involves antihistamines to control the itching.

What you can do

  1. For your neck stiffness, try gentle neck stretches and over-the-counter pain relievers. Applying a heating pad to your neck might also help.
  2. For your hives, over-the-counter antihistamines can help control the itching. Avoid scratching the hives, as this can worsen the itchiness and make the hives last longer.
  3. If your symptoms persist or worsen, seek medical attention.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe neck pain without apparent cause
  • Shooting pain in your shoulder or down your arm
  • Trouble with coordination, trouble walking, or an inability to move your arms or hands
  • Loss of bladder or bowel control
  • High fever, severe headache, stiff neck, nausea, vomiting, difficulty breathing, or swelling of the face or mouth. These could be signs of a more serious condition.

Please note that while I strive to provide accurate information, I am not a doctor. Always seek the advice of your healthcare provider with any questions you may have regarding your medical condition.

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10 mo ago

People Also Ask


What are the common causes of hives and how can they be treated?

Hives, or urticaria, are often caused by allergic reactions, stress, infections, or certain medications. They can be treated with antihistamines to reduce itching and swelling. Avoiding known triggers and using soothing lotions can also help.


What could be causing my neck stiffness and how can I alleviate the pain?

Neck stiffness can be caused by muscle strain, poor posture, or conditions like cervical spondylosis. To alleviate pain, try gentle neck stretches, over-the-counter pain relievers, and applying heat to the affected area.


When should I seek medical attention for neck pain or stiffness?

Seek medical attention for neck pain if you experience severe pain without an apparent cause, shooting pain in your shoulder or arm, difficulty with coordination, or loss of bladder or bowel control. These could indicate a more serious condition.


Are there any lifestyle changes that can help prevent tension-type headaches?

To prevent tension-type headaches, consider lifestyle changes such as maintaining good posture, managing stress through relaxation techniques, ensuring adequate sleep, and staying hydrated. Regular exercise and ergonomic adjustments at work can also be beneficial.


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