Hives in Children: Care Instructions
Hives are raised, red, itchy patches of skin. They usually have red borders and pale centres. Hives range in size from ½ centimetre to 8 centimetres (¼ inch to 3 inches) or more across. They may seem to move from place to place on the skin. Several hives may form a large area of raised, red skin.
Hives are an allergic reaction of the skin. Your child can get hives because of a reaction to food, medicine, or infection. Other things can also cause hives. But sometimes the cause is unknown.
Your child cannot spread hives to other people.
Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.
How can you care for your child at home?
- Many times children's hives are caused by something they can't avoid, like a virus or bacteria, or the cause may be unknown. But if you think your child's hives were caused by a certain food or medicine, avoid it.
- Keep your child away from strong soaps, detergents, and chemicals. These can make itching worse.
- Put a cool, wet towel on the area to relieve itching.
- Ask the doctor about giving your child a non-drowsy antihistamine, such as loratadine (Claritin), to help stop the hives and calm the itching. Be safe with medicines. Read and follow all instructions on the label.
When should you call for help?
Call 911 anytime you think your child may need emergency care. For example, call if:
- Your child has symptoms of a severe allergic reaction. These may include:
- Sudden raised, red areas (hives) all over their body.
- Swelling of the throat, mouth, lips, or tongue.
- Trouble breathing.
- Passing out (losing consciousness). Or your child may feel very light-headed or suddenly feel weak, confused, or restless.
Call your doctor or nurse advice line now or seek immediate medical care if:
- Your child has symptoms of an allergic reaction, such as:
- A rash or hives (raised, red areas on the skin).
- Belly pain, nausea, or vomiting.
- Your child gets hives after starting a new medicine.
- Hives have not gone away after 24 hours.
Watch closely for changes in your child's health, and be sure to contact your doctor or nurse advice line if:
- Your child does not get better as expected.
Where can you learn more?
Go to https://www.healthwise.net/patientEd
Enter S451 in the search box to learn more about "Hives in Children: Care Instructions".
Current as of: March 9, 2022
Author: Healthwise Staff
Medical Review:Adam Husney MD - Family Medicine & Kathleen Romito MD - Family Medicine & E. Gregory Thompson MD - Internal Medicine & William H. Blahd Jr. MD, FACEP - Emergency Medicine