Oral Hives: Identifying Symptoms, Causes, and Remedies
Hives, or urticaria, can develop not only on the skin but also around or inside the mouth. This article aims to shed light on the potential causes of hives inside the mouth, the differences between hives and angioedema, and what to do if you experience such symptoms.
Causes of Hives Inside the Mouth
Hives inside the mouth can be caused by various factors. Allergic reactions to foods such as nuts, shellfish, soy, or wheat, medications like antibiotics or NSAIDs, dental materials, infections, environmental factors, anxiety, or stress could potentially trigger hives. Viral infections like hand-foot-and-mouth disease and less common factors like irritation from dental work or contact dermatitis may also induce rash-like symptoms inside or around the mouth.
Hives vs. Angioedema
While hives are superficial, raised, itchy welts on the surface of the skin or mucous membranes, including inside the mouth, angioedema involves deeper swelling under the skin or mucous membranes. Hives tend to be red or pale and transient, typically lasting less than 24 hours in a given spot, whereas angioedema swelling usually develops rapidly and can last longer—hours to days. Angioedema poses a greater risk of airway obstruction if it affects the tongue or throat.
Cold Hives and Oral Allergy Syndrome
Cold hives develop when the skin comes into contact with something cold, and people with this condition may have to avoid iced drinks, ice cream, and other cold foods, as these could cause hives inside the mouth. On the other hand, Oral Allergy Syndrome (OAS) affects people with hay fever when they eat certain foods containing proteins similar to proteins in pollens, such as cherries, apples, kiwis, tomatoes, and celery.
Diagnosis and Treatment
Doctors can usually diagnose hives in the mouth by performing a physical examination and asking about symptoms, past medical history, and any potential allergies. For recurring or chronic hives, additional tests such as allergy testing or blood tests may be required to rule out underlying conditions.
Most cases of hives are mild and resolve on their own, but each hive typically lasts less than 24 hours. Mild cases can often be treated with antihistamines. However, chronic hives may require higher doses of antihistamines, medications to lower inflammation, immune modulators, or immunosuppressants.
Recognising Anaphylaxis
It is crucial to note that while hives are usually not serious, they can be a symptom of anaphylaxis in rare cases. Symptoms of anaphylaxis include swelling of the lips, tongue, or throat, difficulty breathing, wheezing, nausea or vomiting, dizziness or feeling faint, and loss of consciousness. People who have serious allergic reactions must carry an epinephrine auto-injector with them at all times.
In conclusion, understanding the causes, symptoms, and differences between hives and angioedema can help individuals manage and treat these conditions effectively. If you experience hives inside your mouth or notice any new or persistent rash around your lips and mouth, it is advisable to speak with a doctor for a diagnosis.
- Mental health conditions like depression or bipolar disorder can also potentially trigger hives in some individuals, as anxiety and stress are known factors.
- In the realm of science and medical-conditions, hives inside the mouth can be a manifestation of cancer, albeit rare, particularly lymphoma or leukemia, and should be taken seriously.
- For individuals dealing with skin-care issues and allergies, it's essential to be mindful of products containing AQ, a common chemical preserved used in skin care products, which can sometimes cause hives.
- It is vital to be aware that health-and-wellness routines may include health professionals who specialize in mental health, such as psychologists or psychiatrists, for those suffering from hives caused by anxiety or stress.
- Severe and persistent reactions such as anaphylaxis, which could involve swelling, difficulty breathing, or loss of consciousness, require immediate medical attention, including the administration of epinephrine if an auto-injector is available.
- Regular self-care and appropriate management of medical-conditions, including mental health and skin allergies, contribute significantly to ensuring overall health-and-wellness.
