Urticaria

Understanding
Biduran or urticaria is a reaction to the skin that causes the appearance of red wound. Initially wounds appear on one part of the body, then spread. The shape and size of the lips are different.

The rash on the biduran usually feels very itchy, and sometimes it can also feel sore. The symptoms of heresy may last for hours and fade away within a few days.

Acute bleeding will heal for less than six weeks. Acute bleeding is a common condition, especially in children and women aged 30-60 years and those with a history of allergies.

While chronic lethargy lasts more than six weeks or is recurrent for several months -even years. Chronic bumps may be a symptom of another illness, such as lupus or thyroid disease.

Patients biduran, both acute and chronic, can experience angioderma. Angioderma is a deeper layer of skin swelling. Generally, angioedema occurs in the eyelid, lips, hands, genitals, and legs. Angioderma can be treated with antihistamines and the use of short-term corticosteroid tablets.

Diagnosis
The cause of heresy can be ascertained after the physician performs a physical examination and collects information about the symptoms experienced. This is important so that the patient can avoid the cause in the future. 

Questions to be asked by the doctor such as when and how biduan occur and if something new happens. For example eating foods that have never eaten before. 

If the doctor suspects biduran as an allergen reaction, then he will perform blood tests and skin hook tests. Both are necessary to know the allergen. However, more than half of the biduran cases are unknown. 

Because chronic heresy is rarely caused by an allergic reaction, allergy testing is rare. However, you may have to undergo the following checks to determine the conditions underlying the chronic attractiveness: 

• A complete blood test, to see if you have anemia or not.
• Fecal sampling to determine if there is infection in the intestine.
• Liver function tests and thyroid function tests
• Calculation of antibody levels in the blood.
• Blood-End Rate Test (LED) to recognize problems with the immune system.

Symptoms
Bilur and rash that appears usually feels very itchy. Size and location vary. The blur can disappear in one part of the body and reappear in other body parts.

Usually the biduran will improve without any treatment within two days. However, the bidurans can get worse due to the following factors:

• Eating liquor
• Eating caffeine
• Stress
• Hot temperatures
• Cool temperatures

If the symptoms of hereditary experience worsen and not disappear within two days, consult a physician immediately. Could be required special handling to ease it.

• Urticaria Vasculitis. One type of biduran is urticaria vasculitis, ie when the blood vessels in the skin experience inflammation. The blur of this type lasts longer and feels more pain. The bilur can also leave a bruise.
• Anaphylaxis. Bumps can also be part of anaphylactic symptoms. Anaphylaxis is a severe allergic reaction that occurs suddenly until it can be fatal. However, most people who have allergies do not reach the level of anaphylaxis if exposed to allergy triggers.

In addition to biduran, anaphylactic symptoms include:

• Swelling of the eyelids, lips, hands and feet
• Shortness of breath caused by airway constriction
• Abdominal pain and vomiting

The risk of anaphylaxis is high in people with asthma or eczema. Although expressed as a serious condition, anaphylactic sufferers can fully recover if the origin is handled quickly and appropriately.

Treatment
Most biduran cases do not require treatment, as they are usually mild and will heal within a few days. If treatment is required, it will be done according to the underlying cause and the level of symptoms experienced.
Acute
The symptoms of this type of bid lasted no more than six weeks. Typically, medications given to address acute aneurysms include:

• Antihistamines. This drug will stop itching and reduce the wound by inhibiting histamine. An example of this drug is cetirizine. Pregnant women should not take this drug because the effect is unknown.
• Corticosteroids. This drug is given to inhibit the performance of the immune system, which can reduce the severe biduran. An example of this drug is prednisolone. Not recommended to take this drug in the long term because it can cause side effects of hypertension, cataracts, and diabetes. 

Chronic
Handling of this type of charm aims to control the symptoms that arise and avoid triggers that can aggravate the condition. Treatments include:

• Antihistamine H1 and H2

As the symptoms progress, you should take regular H1 antihistamines. The dose of the medicine is adjusted to the symptoms. If the drug does not relieve symptoms, before giving H2 antihistamine, the doctor will give rupatidine. These drugs still include H1 antihistamines, but are more effective in overcoming chronic attrition.
Antihistamine H2 can be consumed when the onset of the wound increases. This drug will narrow the blood vessels that can reduce redness of the skin. Side effects of H2 antihistamines include diarrhea, headache, and dizziness.

• Corticosteroids

Chronic bloated can be treated with corticosteroids. However, this drug can not be used in the long term because it has side effects, such as increased appetite, mood swings, and difficulty sleeping.

• Leukotriene receptor antagonists

This medicine can help relieve wet and reddish color on the skin. Can be used as a substitute for corticosteroids because of lighter side effects, namely headache and nausea. 

• Cyclosporine

How it works This drug is similar to corticosteroids. Can be given in capsule or syrup form. Cyclosporine suppresses the adverse effects of autoimmunity. Side effects include high blood pressure, kidney problems, elevated cholesterol levels, and headaches.

• Omaluzimab

For a charm that does not respond to antihistamine treatment, omaluzimab may be an alternative medicine. Given in injection form. Omaluzimab serves to reduce the types of antibodies that play a role in raising. 

You can do the following to relieve the symptoms experienced: 

• Do not scratch the wounds or rashes.
• Avoid using soaps that contain harsh chemicals.
• Avoid trigger factors such as caffeinated beverages or painkillers.
• Apply a moisturizing cream or conditioning on the affected area of the skin. 

If you already know the cause or factor that may aggravate the biduran experienced, avoid the trigger. Food or drink triggers can easily be avoided sufferers. If you are suspicious of the biduran because you are taking certain medications, contact the doctor who gives you the need for a replacement drug immediately.

The trigger factor that is difficult to avoid is stress, especially if the symptoms you experience are bad for the quality of life. If your bid includes chronic, try relaxation techniques to reduce stress levels and relieve symptoms.

Cause
Bumps appear to be triggered by high levels of histamine and other chemical elements released into the skin. Then, histamine and other chemical elements are making blood vessels dilate so that blood flow increases. This causes the skin to look flushed.
There are two types of biduran divided by the duration and severity of symptoms, namely:
Urticaria Acute or short-term
This is a kind of urticaria whose symptoms will disappear no more than six weeks. Some causes of acute heresy are unknown. However, there are some things that are identified as acute acute triggers: 

• Food allergies, such as seafood 
• Environmental factors, such as too hot or too cold 
• Infections, both mild like colds to serious infections such as HIV 
• Insect bites 
• Side effects of certain drugs, such as nonsteroidal anti-inflammatory drugs or antibiotics Stress

Urticaria Acute caused by food, drink, or drugs is easier to avoid. Different if acute biduran caused by stress, because this factor is difficult to avoid.
Chronic Urticaria
Chronic Urticaria can arise as a reaction of autoimmune. Autoimmune occurs when a person's immune system attacks a healthy cell or tissue of its own body. The antibodies produced by the immune system trigger the release of histamine and this results in chronic lethargy.

Chronic Urticaria can also occur as a result of infection of the liver, disorders of the thyroid gland, and the presence of parasites in the digestive tract. Not fully known cause of autoimmune. This condition can occur in patients with autoimmune diseases, such as lupus and rheumatoid arthritis.

Chronic bouts are recurrent. The bilur will appear and disappear within a certain period of time. Several factors trigger chronic biduran, including:

• Hot temperatures
• Consume certain drugs, such as nonsteroidal anti-inflammatory and painkillers
• Eating beverages containing alcohol or caffeine
• Experiencing stress
• Wearing clothes that are too tight for a long time
• Consume additives present in food or beverages
• Bites or insect stings 

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