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Top Treatment Options for Hives in Children

Hives are a problem in which red, itchy welts show up on the skin. In children, hives can happen as an allergic reaction to certain foods, medications, or environmental triggers. In some cases, the cause of hives is unknown. Any child can get hives, but children with allergies are most at risk.

At Allergy Relief Clinics, allergy specialist Dr. Rafiquddin Rahimi treats adults and children with chronic hives. Dr. Rahimi will work with you to determine the best treatment for your child. Factors that play a role in determining the best treatment include your child’s age, overall health, medical history, and symptoms.

What causes hives in children?

Certain foods and medications commonly cause hives in children, including:

Mention it to Dr. Rafiquddin if you suspect that your child is allergic to medication.

Non-allergic hives

Not all hives are caused by an allergic reaction. Other types of hives are:

Solar hives

Hives that are caused by exposure to sunlight are referred to as solar hives. They can also occur with artificial light sources that fall within specific wavelengths. Solar hives typically resolve within minutes or hours of moving away from sunlight.

Cold-induced hives

Sometimes hives in children are caused by exposure to cold air or cold water. Limiting your child’s exposure to sudden cold temperatures can help manage this type of hives.

Exercise-induced hives

Physical activity can cause some children to develop hives. Though the exact cause is unknown, the symptoms tend to go away minutes after following exercise.


The skin contains mast cells meant to protect it against pathogens. In some children, these cells are weak, resulting in a release of histamine when the skin is rubbed or scratched. Symptoms usually go away on their own, and treatment is rarely necessary. Dr. Rafiquddin may recommend medications if symptoms become severe.

Avoid triggers

The best treatment is for your child to avoid triggers. Dr. Rahimi can perform a simple and painless skin prick test to check for reactions to various common allergens. If you suspect that your child is reacting to a particular substance, discuss it with Dr. Rahimi to have your child checked for an allergy to that substance.

Dr. Rahimi uses other information to diagnose allergies, including medical history and sometimes blood tests. Keeping a journal of your child’s daily activities is a helpful way to discover triggers.


In addition to taking steps to avoid triggers, antihistamines are a top treatment for hives in children. Depending on your child’s symptoms, severity, and frequency, treatment with antihistamines may be needed prolonged periods to control symptoms.

Antihistamines work by blocking H1 receptors to stop histamine from reaching its target. This decreases the body’s reaction and reduces bothersome symptoms. Histamine is a chemical the body releases when the body detects something harmful. It causes blood vessels to expand and the skin to swell, resulting in the characteristic raised red welts for which hives are known. Antihistamines are a mainstay that can help keep your child’s hives in check.

Managing hives

In many cases, mild hives in children won’t need treatment. If Dr. Rafiquddin finds a definite trigger, avoiding the trigger is a crucial part of treatment. If a non-drowsy antihistamine doesn't work, the doctor may suggest a stronger antihistamine, another medicine, or a combination of medicines. In rare cases, Dr. Rafiquddin may prescribe a steroid medication to treat chronic hives. 

When you find your child has hives, you may worry about the cause and what you can do to help your child feel better. For more information on hives treatment and to schedule an appointment with Dr. Rafiquddin, call our Richardson, Texas clinic at 972-947-2290, or book here using our online scheduling tool.


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