Prescription Medications For A Stress Rash
For severe cases, there are a variety of prescription medications available to manage symptoms.
Prescription antihistamines may be helpful.
Certain drugs can help with an overactive immune system, including oral corticosteroid drugs, such as prednisone, which can reduce swelling, inflammation and itching, but need to be used with caution and as prescribed.
You may also discuss the option of certain anxiety medications, which can help manage stress and triggers for such flare ups.
Stress Hives In Older Adults
Stress hives are a skin disorder that manifests itself as red, itchy welts and patches that swell up over the entire body. Some researchers believe that stress hives may be a side effect of another disease or ailment.
When severe, chronic stress can cause an imbalance in chemicals in the body, leading to mast cell activation syndrome and anaphylaxis. Severe stress has been known to trigger flare-ups of hives, usually when people are feeling despondent or depressed. Research has shown a close link between stress and the severity of allergic reactions in individuals suffering from stress hives.
The severity can range from being relatively mild hives, like a heat rash, to severe cholinergic hives, that can lead to life-threatening anaphylactic shock. Research has also shown that stress hives are more common in older adults, which may be due to increased stress, viral infection and ageing health issues.
Can Being Stressed Out Eventually Cause Hives
ByHarold Baldwin | Submitted On April 05, 2010
Hives are something that about 1 and every 5 adults will experience sometime in life. Most of the time you will get hives because of an external cause like a pet allergy, hay, or other allergen that comes in contact with the body. The hives are formed as a reaction to one of these.
For some people, though, hives can be caused by having extra stress. When you can’t deal with stress in your life, there are hormones that are released in the skin. These extra hormones caused by stress can lead to have either a mild cause of hives all the way to a very severe form of them.
If you do get hives, generally the best thing to do is get to the doctor and get a cortizone shot. If they are not too severe, your doctor will give you a cream instead that will help the hives go away quite a bit faster.
You need to go over with your doctor and attempt to determine the cause. He or she will most likely ask you about some of your activities over the last week trying to determine a cause. If you have been stressed out, this is something that can be mentioned. Many times you won’t get an exact cause because the doctor will not be able to professionally rule out one reason versus another.
If you have been experiencing additional stress in your life, you will need to learn how to deal with it to prevent another case of hives. If there are things that are too stressful, solve these issues or learn how to relax.
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How To Manage Stress To Avoid Hives
If feeling stressed out wreaks havoc on your body, it stands to reason that keeping stress in check will automatically prevent hives, right? Not necessarily.
Sometimes hives worsen stress.
“For some individuals, stress may exacerbate hives,” Dr. Fromowitz says. “For example, being itchy and having a rash may further exacerbate the stress one is feeling and perpetuate scratching, and more hives will form.”
However, because hives happen for a variety of reasons and can be triggered by causes like sunlight, friction, cold, or autoimmune disorders, it’s possible to feel relaxed, calm, and stress free yet still experience an outbreak.
Still, stress reduction is always a good idea. It benefits both your mind and body.
“Stress is detrimental on your skin, and it is well known that skin problems improve with stress reduction,” says Dr. Del Priore.
“I recommend stress-reducing activities, like increasing exercise, giving yourself time to think alone, meditating quietly, and reducing phone or work-related activities when outside the office,” he adds.
It’s not guaranteed that keeping stress in check will prevent hives, but it doesn’t hurt to try.
Understanding What Causes Stress Rash And How To Treat It

Americans are among the most stressed people in the world, according to a 2018 Gallup poll. While stress may be something we feel emotionally, it can have a significant impact on our physical health. In addition to high blood pressure, headaches and fatigue, skin rashes are common stress symptoms.
What causes stress rash?
Stress rash often affects people who have underlying skin conditions, such as eczema, rosacea or allergies caused by environmental triggers, such as pollen, animal dander or certain foods. Some people even develop rashes from sunlight or weather changes. Still, even without an underlying condition, you can still develop stress rash.
When youre feeling stress, your body releases chemicals that can cause inflammation and make your skin even more sensitive, says Erin Lester, MD, a family medicine physician at Scripps Coastal Medical Center in Solana Beach. This can trigger a flare-up.
What do stress rashes look like?
Stress rashes often appear as raised red bumps called hives. They can affect any part of the body, but often a stress rash is on the face, neck, chest or arms. Hives may range from tiny dots to large welts and may form in clusters. They may be itchy or cause a burning or tingling sensation.
Stress rash treatment
Fortunately, most stress-induced rashes go away on their own within a few days however, they can come back. Some may persist for as long as six weeks.
Preventing stress rash
Try these tips to help manage stress:
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What Happens If I Scratch My Hives
Scratching hives can make them worse. With the skin already inflamed, it is more prone to bacteria and irritation, so do what you can to avoid scratching even if your hives are itchy. Instead, you can try to use something to soothe the hives, such as hydrocortisone cream or even an alcohol-free aloe vera gel.
Is There Treatment For Hives
Most hives will go away on their own, especially with lifestyle management. However, if youre suffering from chronic hives, known as chronic urticaria, youll probably want to find treatment. The two mainstays of treatment involve identifying and removing the offending agent and the use of antihistamines such as Allegra, Zyrtec, and Claritin, to name a few, says Dr. Pierre.
If those dont help, your doctor may turn to newer biologic therapies, such as omalizumab, says Dr. Maguiness.
Dr. Sarkar carefully emphasizes that the treatment for hives depends on the individual cause. If its an allergic reaction, usually antihistamines and avoiding the allergen help. If its due to stress, taking a medication that helps to mediate the stress response can help. If its an autoimmune disease, we usually treat the root cause, she explains. She stresses the importance of getting to the bottom of your chronic hives. Without understanding the cause, its hard to settle on a good solution. There are so many causes of hives that its almost impossible to give one treatment regimen for all of them, she says.
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How To Treat A Stress Rash
The brain has powerful effects on the body, and prolonged stress, anxiety, and other factors can manifest in an unpleasant stress reaction. Add to that preexisting skin conditions, and you have the recipe for a potentially severe and uncomfortable skin flare-up.
Everyone is different, so the impact, level of irritation, and treatment routines can vary depending on life and personal circumstances. The COVID-19 pandemic, in particular, has put the entire world on edge. Some of that stress is undoubtedly making its way into your daily life in some unpleasant ways.
While stress-related skin disorders may seem severe, there are multiple ways to deal with them. Let’s learn more about stress rashes, then see which is the best treatment for them.
How To Tell The Difference Between A Rash Caused By Anxiety And Something Else
Unfortunately, skin reactions tend to all look the same, and even doctors can struggle to tell the difference between anxiety induced rashes and something else. That is why doctors cannot know for certain that your rash is caused by anxiety without using the process of elimination and taking into account other symptoms.
For example, a person with a rash may be experiencing an allergic reaction to a lotion. Or they may have a sweat rash . Or they may have a reaction to a medication. All of these rashes tend to look similar or the same.
Anxiety rashes are no different. Some rashes have telltale signs, but other rashes may appear identical to dozens of other different types of causes. The only way to know if your rash is caused by anxiety is to:
- Eliminate other potential causes of rash.
- Manage your stress and anxiety and see if the rash goes away.
One may never entirely know if a rash was anxiety related or not, but this approach can at least help you rule out other concerns while also addressing your anxiousness.
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Can Your Gut Health Play A Role In Stress Rash
When it comes to stress rash, Felton believes the gut plays a part. ‘We know that stress can disrupt the connection between the brain and the skin, but the gut also plays an important role. The skin, mind, and gut work in synergy… so if one of them is unbalanced it will show and it is very likely to show in the form of inflammation,’ she tells WH.
‘Our gut microbiome is composed of bacteria, viruses, and fungi which all play a key role in the body. ‘They protect us against foreign invasions such as toxins, but most importantly boost and support our immune system. An unbalanced gut flora will not have the ability to fight against the development of autoimmune disorders and inflammation.’
When To See Your Doctor
If youre experiencing bumps that are itchy, inflamed, and swollen, you probably have hives. Hives can often be treated at home or go away on their own without treatment.
If the bumps are hard or filled with pus or something other than clear fluid, they may be a sign of an underlying medical condition. Hives that occur along with peeling of the skin or blisters can be a sign of a serious allergic reaction.
If you develop a rash or hives after taking a medication, you should consult your doctor immediately.
You should also consult your doctor if you have:
- a rash over your whole body
- a fever
- pain
- blisters that leak yellow or green fluid
If you suspect your rash is the result of a preexisting condition that youre currently seeking treatment for, you may benefit from a consultation. Your doctor can confirm your suspicions and take appropriate next steps.
Contact your doctor if you suspect the rash is caused by an allergen. Severe allergic reactions may result in anaphylaxis, which requires immediate medical treatment.
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What Might Be Causing Your Unexpected Hives
Hives are a very common skin reaction that can come from some unexpected sources. Some causes you might not have thought of include:
- Colds and other viral infections. Sometimes hives can be caused by your immune system fighting colds and other viral infections. These hives often appear near the end of your cold or virus as youre starting to feel better. Theyre most common in children but can happen to anyone.
- Bacterial infections. Bacterial infections such as strep throat or urinary tract infections can also sometimes trigger hives as your body reacts to the bacteria. These hives will fade as the antibiotics help your body fight the infection. They might peel before healing completely.
- Chronic conditions such as lupus. Hives that last for longer than 6 weeks might be a sign of an autoimmune condition such as lupus, type 1 diabetes, thyroid disease, or rheumatoid arthritis. These hives wont go away on their own. Its a good idea to make a medical appointment to get this type of hive checked out and see if a chronic condition is the cause.
- Stress. Stress can raise your internal body temperature and release adrenalin and other chemicals that might trigger hives. Stress hives tend to be located on the face, neck, chest, and arms. Theyre common in people with eczema, allergies, or sensitive skin.
- lightheadedness
If you are experiencing any of these symptoms, call 911.
Ways To Ease The Effects Of Stress On Your Skin

You probably cant avoid stress completely, but you can try ways to handle it better. Try these approaches:
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Medical Treatment And Options
Though hives can be itchy, painful, uncomfortable, frustrating, and may cause increased anxiety in some people, there is hope. Many cases of hives can be successfully managed through the use of antihistamines or a combination of drugs, depending on the cause/trigger and severity of symptoms. If antihistamines alone do not fully provide relief, your physician may add oral corticosteroids to your medication regimen. For more moderate to severe cases of urticaria, epinephrine may be prescribed to extinguish a very severe uncontrollable flare. A biologic drug called omalizumab may also be prescribed as a long term treatment to control severe hives.
How Can I Treat A Stress Rash Or Hives Caused By Stress
Luckily, Dr. Nazarian says stress rashes are completely transient, meaning, that they can go away on their own, usually within 24 hours .
But if your stress rash or hives are really stressing you out, Dr. Nazarian and Dr. Jaliman both recommend over-the-counter treatments such as antihistamines like Benadryl or Zyrtec, or a cortisone cream to decrease the inflammation that results in itching. Dr. Nazarian also suggests removing any irritating factors like increased heat or tight-fitting clothes around the area of your stress rash. “Heat is known to be an aggravant, as well as pressure,” Dr. Nazarian says.
If you don’t see any improvements after trying over-the-counter remedies, Dr. Nazarian and Dr. Jaliman recommend taking the time to see a dermatologist, since it could be a sign that something else is going on. “The average person can totally misdiagnose, so don’t be afraid to seek out a dermatologist,” says Dr. Jaliman.
Also worth nothing: You can work to prevent a stress rash, too, by reducing stress altogether through limiting screen time and social media use, practicing mindfulness, or even taking a walk outside. Your skin will thank you.
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What Causes A Stress Rash
Hives are common, affecting 20% of people at some point during their lives, according to the American College of Allergy, Asthma, and Immunology.
Hives often are caused by a reaction to food, medicine, an infection, insect sting, or things we breathe in or touch.
Stress is an environmental trigger for hives. Other environmental triggers include exercise, sunlight, water, vibration, and hot and cold temperatures.
Stress causes your body to release adrenalin, which may trigger hives, according to the American Academy of Dermatology (AAD. Stress hives usually come on quickly and last from 30 to 60 minutes.
How To Deal With Stress Hives On Legs
The first step in treating stress hives on legs is to determine its root cause. To know this, you will have to understand the various stress-related factors responsible for causing it.
These factors can include high levels of anxiety, long hours of work, long drives, insufficient sleep, and several other factors. Also, it can be due to an insect bite. Once you have determined its cause, you can then identify the way to relieve it.
The body needs to be given ample rest so it can heal itself. Also, sleeping helps a lot in healing stress on legs.
You can do this by reducing stress through relaxation techniques like yoga or meditation.
Another way to go about reducing stress is to avoid caffeine, tobacco, and alcohol. If you still have to consume them, make sure it is in regulated amounts. When in the body, many of these substances function as a stress hormone. Too much of anything will cause damage not only on your health but on your legs as well.
As soon as your stress level has been reduced, the next step is to identify the triggers of stress hives. One of the most common stress-hives symptoms is difficulty breathing. It can come in many manifestations: problems taking deep breaths, chest pain, tightness in your chest, headaches, nausea, dizziness, sweating, and even diarrhea. In most cases, stress hives come from prolonged tension and stress. Aside from this, your body also undergoes specific negative changes when under pressure.
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Learn What To Do When Anxiety Makes You Feel Itchy
- Anxiety doesnt directly cause itchiness, but can contribute to conditions that lead to itchiness.
- Stress hives and sweat rashes are two common reasons that people have itchy skin from anxiety.
- Hyperawareness is also common in certain types of anxiety.
- Temporary treatment and relief for feeling itchy from anxiety depends on the cause.
- In the long term, prevention through anxiety reduction is the best treatment strategy.