Treatment continued These medications de- crease inflammation in the Wellness Series body. • Epinephrine –a medicine Keeping students healthy, called epinephrine may be fit and eager to learn given as a injection to pro- vide rapid relief of acute, se- vere hives or when the child is having problems breath- ing. For hives possibly caused by pollens, animal contact or play- Hives ing in grass or weeds, give your child a shower or bath. Wash all (Urticaria) clothing that was worn at con- tact time. Very itchy areas can be rubbed with an ice cube for 10 minutes. Writing down everything that was eaten in the For additional information contact your past 24-48 hours may school nurse at 609-978-5700 help identify a cause if Primary Learning Center x1276 Ocean Acres x1113 the hives should come Oxycocus x1073 back at another time. McKinley Avenue x1140 Intermediate x1074 District Nurse Coordinator x 1205 Hives Hives are usually not serious and go away with minimal treatment. Some- dren have chronic hives, which means the hives have lasted for (Urticaria) times, the reaction may be more se- more than six weeks. Chronic vere. If there is swelling in the upper hives may occur on and off from respiratory tract, there may be difficulty several months to several years. Hives, or Urticaria, are raised breathing or wheezing. This is a life- Hives caused by viral illnesses swellings of the skin or mucous threatening reaction and requires normally come and go for 3-4 membranes. The raised swelling is emergency medical attention. days, then disappear. called a wheal, and is nicknamed a “welt.” A red ring surrounds the What causes Hives? What is the treatment wheal. This is called the flair. The The most common cause for hives is an allergic reaction to foods or medica- for Hives? size of each hive may vary greatly, from a tiny spot to a swollen, red tion. Other causes are reactions to in- Treatment is more effective if the area several inches in diameter. fections, immunizations, insect bites or cause of the hives is identified and The hives may cover just one inhaled allergens. Heat, cold or stress then eliminated. Treatment may small area. Sometimes the hives may cause hives. In some children, include: bunch together making large ar- pressure on the skin, • Antihistamines - antihista- eas of the body appear red. In in- sunlight or sweating dur- mines such as Benadryl® re- fants and young children, hives ing exercise can cause lieve the hives and itching for may cause swelling of the arms hives. The exact cause most children. To prevent the and legs. Hives may come, go, of hives cannot be identified in most return of hives, antihistamines and then come back again on an- children. Writing down everything that are often continued for 1-2 other area of the body. Hives can was eaten (food, liquids, medicines, weeks after the hives are gone. be very itchy. Most hives occur candy, etc.) in the past 24-48 hours Be aware however, that many suddenly and then go away com- may help identify a cause if the hives children feel sleepy when they pletely. should come back at another time. take antihistamines. How long do Hives last? • Corticosteroids –For patients A single hive rarely lasts more than 12- who do not respond to antihis- 48 hours. Hives that occur due to a tamine treatments, the doctor food or drug reaction generally last a may prescribe a type of medi- few days to several weeks. Some chil- cine called a corticosteroid.