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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Cosmetic surgeon
Category: Dermatology
Satisfied Customers: 35721
Experience:  MBBS MS
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I have hitching on my thies,hips,and some time on pannie,its

Customer Question

hey
JA: Hi. How can I help?
Customer: i have hitching on my thies,hips,and some time on pannie,its increase after ejeculation
JA: Can you tell me about all the symptoms you've noticed (e.g. itching, rash, new birthmarks or moles)?
Customer: itching ,rash
JA: Anything else in your medical history you think the doctor should know?
Customer: 5 years before same was appear ,i was stopped to take rice,tea and meat for a month ,then it was become ok ,now id id same ,take many meidcine but same
Submitted: 2 months ago.
Category: Dermatology
Expert:  Dr. Arun Phophalia replied 2 months ago.

Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

Expert:  Dr. Arun Phophalia replied 2 months ago.

What is your age?

Since when is itching and rash?

Are you diabetic?

Please post a picture of rash?

Customer: replied 2 months ago.
i am 37, from last 4 months,i am not diabetic,,
Expert:  Dr. Arun Phophalia replied 2 months ago.

Thanks for the additional information. I am writing the answer for you and will get back to you in 4-5 minutes. If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you.

Expert:  Dr. Arun Phophalia replied 2 months ago.

This is very likely to be chronic hives or urticaria. The major causes of urticaria are;

1) Foods or food additives

2) Inhalation, ingestion of, or contact with antigens

3) Drug reactions

4) Infections: bacterial, fungal, viral, and helminthic/parasites

5) Insects (papular urticaria)

6) Cold urticaria

7) Aquagenic (water) urticaria

8) Solar (Sun) urticaria

9) Chronic autoimmune (problems of immunity) urticaria

10) Chronic idiopathic (unknown reason) urticaria

So it is a sort of detective work to find the cause.

Oral anti-histaminics are effective and you may try Benadryl.

Please read the resource;

http://www.mayoclinic.com/health/chronic-hives/DS00980

A chronic urticaria is treated as following (some have been done for you);

1) A consultation with an allergist, if not yet done.
2) Avoid foods with known food allergies.
3) Avoidance of mental stress over tiredness, alcohol, nonsteroidal anti-inflammatory drugs, and tight-fitting garments.
4) Psychologic stress can trigger or increase itching, so taking care of those factors.
5) Night time symptoms are helped by lukewarm bathing and keeping the temperature of the bedroom slightly low.
6) Itching is significantly helped by menthol and phenol cream.
7) Non sedating antihistamines. The dose may need to be doubled or quadrupled.
8) Hydroxyzine or doxepin in night time.
9) Colchicine or dapsone is given who do not respond to above.
10) Autoimmune urticaria should be investigated and one may benefit from methotrexate or cyclosporine.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

Expert:  Dr. Arun Phophalia replied 2 months ago.

Was this information helpful to you? I would be glad to answer any further questions.

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Wishing you all the very best in life.