Hives
Raised, itchy welts that come and go. Often settle, sometimes need treatment.
In short
Hives are common and usually settle, with antihistamines controlling the itch. Most cases aren't a true allergy. Severe swelling or breathing difficulty is an emergency; chronic cases are very manageable.
Overview
What is hives?
Hives (urticaria) are raised, itchy welts that appear when the skin releases histamine. Individual welts come and go within hours, often moving around the body. They can be acute (short-lived, sometimes after an infection or trigger) or chronic (lasting over 6 weeks). Sometimes deeper swelling of the lips or eyelids (angioedema) occurs alongside.
Symptoms
Common symptoms
- Raised, itchy welts (wheals) on the skin
- Patches that can be pink, red, or skin-coloured
- Welts that move around and fade within hours, often reappearing elsewhere
- Sometimes swelling of the lips or eyelids (angioedema)
- Itching that can be intense
When to act
When to see a doctor
Book a GP if hives are widespread, very itchy, keep coming back, or last more than a few days. Call 999 for any swelling of the tongue or throat, or difficulty breathing or swallowing.
When to seek urgent help
Seek urgent help if
- Swelling of the tongue, throat, or difficulty breathing or swallowing (anaphylaxis, call 999)
- Hives with feeling faint, a racing heart, or widespread swelling (call 999)
- Hives with a fever and feeling very unwell
Call 999 for life-threatening emergencies or NHS 111 for urgent non-emergency advice.
Treatment
How a private GP can help
- Assessment to confirm hives and look for triggers
- Non-sedating antihistamines, often at higher-than-standard doses for control
- A short course of steroids for a severe flare where appropriate
- Advice on avoiding identified triggers
- A management plan for chronic hives (lasting over 6 weeks)
- Referral to dermatology or immunology for persistent or severe cases
What we don't do
- Emergency treatment of anaphylaxis (call 999)
- Specialist allergy testing and immunology (referred on)
Pricing
What it costs
An online consultation about hives starts at £79 for a 20-minute video appointment. In-pharmacy consultations are £129 and home visits are £189. Your consultation includes one private prescription if appropriate, and a sick note for work if needed. You pay the pharmacy separately for any medication.
FAQ
Common questions about hives
What causes hives?
How are hives treated?
When are hives an emergency?
What if they won't go away?
Ready to talk to a GP about hives?
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