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These can be the possible precipitating factor for an outbreak of hives
IV radiocontrast media
New perfumes, hair dyes, detergents, lotions, creams, or clothes
Exposure to new pets (dander), dust, mold, chemicals, or plants
Pregnancy (usually occurs in last trimester and typically resolves spontaneously soon after delivery)
Contact with nickel, rubber, latex, industrial chemicals, and nail polish
Sun or cold exposure
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I think you can use a mast cell stabilizer once the current episode settle
That can help in prevention of the further attacks
It is basically medicine which prevent activation of mast cells and it prevent attacks of hay fever and asthma along with hives
You can take anti-histamine for current flare up and afterward you should see the doctor for the mast cell stabilizer
At the moment you need anti-histamine and if that does not work then a steroid
Once the current outbreak settle then you will need a mast cell stabilizer like Montelukast to prevent future attacks
That actually can help
If you can arrange a test privately
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