Hives Treatment

Our medical professionals are experienced in diagnosing hives and creating personalized treatment plans to help you experience relief.

What Are Hives?

Hives, or urticaria, are raised, itchy red welts on the skin that appear suddenly. Hives can be short lived (acute) or long lasting (chronic). There are multiple possible causes of hives including allergies, infections, autoimmune conditions, thyroid disease, and blood disorders.

What Are Symptoms of Hives?

Hives are characterized by the sudden appearance of itchy, raised welts on the skin. These welts can vary in size, shape, and location on the body and are typically accompanied by several key symptoms:

Red or Pink Bumps

Development of raised, red or pink bumps on the skin that are often round or oval shaped and can range from small to several inches in diameter


When you press the center of a hive, it tends to blanch or turn white, distinguishing it from other skin rashes

Clustered Appearance

Cluster together, forming larger welts or patches on the skin, merging and covering more extensive areas


Itching is a hallmark symptom of hives and can be mild to severe and cause significant discomfort

Transient Nature

Typically appear suddenly, and individual welts tend to come and go within hours, often relocating to different areas of the body


Hives may be accompanied by angioedema, which is a deeper swelling beneath the skin’s surface and cause a sense of tightness or tingling on the eyelids, lips, tongue, hands, and feet

Diagnosing & Treating Hives

Medical History

 If you experience hives, we will take a comprehensive medical history to identify the underlying cause to direct the evaluation and testing.

Diagnostic Testing

If there is a suspicion of an allergic trigger, then allergy skin testing will be performed once the hives are resolved. 

If the hives are lingering and there is still a suspicion for an underlying allergic trigger, then a laboratory test called ImmunoCAP testing will be ordered to evaluate for an underlying allergy.


Treatment of hives includes eliminating or treating any underlying cause. For patients who have persistent hives and itchiness despite avoidance of the underlying trigger (if detected), then there are several different medications which can be used. 

Hives Testing

For most cases of acute hives, when there is a suspicion for an underlying infectious cause (virus or bacteria), no testing is required. In certain cases, in which a patient experiences hives that is believed to be the result of an allergy, the patient can undergo allergy skin testing or ImmunoCAP testing. If a patient suffers from chronic hives, a laboratory analysis for an underlying medical condition will be ordered.
ImmunoCAP Testing
ImmunoCAP laboratory testing measures specific antibodies in the blood to identify specific causes for hives.
Allergy Skin Testing
Prick-puncture and Intradermal testing are allergy skin tests that are performed for the most common indoor and outdoor allergens which can be underlying causes of hives.

How to Treat Hives

The most effective treatment for hives is eliminating or treating the underlying cause, but in some cases, medications may be necessary.
Medication Treatments
Medications used to treat acute and chronic urticaria include antihistamines, H2-Blockers, leukotriene antagonists, and steroids.
Biologic Therapies
Biologic therapies target specific immune responses to alleviate severe hives symptoms. Omalizumab (Xolair) is the primary biologic used to treat hives

Hives FAQs

The majority of cases of hives are unexplained. Allergies should be considered a cause, with paying specific attention to foods, medications and skin products. However, if there are no obvious triggers then other causes such as infections and autoimmune inflammatory reactions need to be considered.

Not necessarily. Hives can definitely be a sign of an allergic reaction, but they can also be a sign of something else, such as an infection or autoimmune condition.

Take a step towards comfort from hives today.