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Persistent Foot Itch and Swelling: Causes & Relief


Question
On and off now for about 6 months I will have an outbreak where my feet will start itching uncontrollably (bottom and around the ankles only) - after about 15 minutes of itching they turn red, swell, and welts appear.  Then for about 2 days after when I walk it feels like I have rocks in the bottom of my feet - especially on my heels - the only thing that appears different on the bottom after the redness and swelling subsides is where it is most painful (on the heels) the spot is slightly discolored and upon pressure of that spot painful.  I have been to my doctor regarding hives that I was having on lower extremeties only and mentioned the foot and at that time hands also - blood work was done but nothing came of it.  I am on NO medication - however, when I do have an outbreak I take claritin.  Please help !

Answer
Becky,

I have no idea what type of blood tests your doctor's performed or what they were testing for.

This sounds like it may be an immune  releated disorder possibly- the clairtin may help due to the antihistamine quality of the medication.

If it persists you may want to consult with a rheumatologist
(first choice) or dermatologist.  

I found this regarding hives:
, also known as hives, is an outbreak of swollen, pale red bumps or plaques (wheals) on the skin that appear suddenly -- either as a result of the body's adverse reaction to certain allergens, or for unknown reasons.

Hives usually cause itching, but may also burn or sting. They can appear anywhere on the body, including the face, lips, tongue, throat, or ears. Hives vary in size (from a pencil eraser to a dinner plate), and may join together to form larger areas known as plaques. They can last for hours, or up to one day before fading.

Angioedema is similar to urticaria, but the swelling occurs beneath the skin instead of on the surface. Angioedema is characterized by deep swelling around the eyes and lips and sometimes of the genitals, hands, and feet. It generally lasts longer than urticaria, but the swelling usually goes away in less than 24 hours.

Rarely, angioedema of the throat, tongue, or lungs can block the airways, causing difficulty breathing. This may become life threatening.

What Causes Hives and Angioedema?
Hives and angioedema form when, in response to histamine, blood plasma leaks out of small blood vessels in the skin. Histamine is a chemical released from specialized cells along the skin's blood vessels.

Allergic reactions, chemicals in foods, insect stings, sunlight exposure, or medicines can all cause histamine release. Sometimes it's impossible to find out exactly why hives have formed.

There are several different types of hives, including:

Acute urticaria: Hives lasting less than six weeks. The most common causes are foods, medicines,  or infections. Insect bites and internal disease may also be responsible.

The most common foods that cause hives are nuts, chocolate, fish, tomatoes, eggs, fresh berries, and milk. Fresh foods cause hives more often than cooked foods. Certain food additives and preservatives may also be to blame.

Medicines that can cause hives and angioedema include aspirin and other nonsteroidal anti-inflammatory medications such as ibuprofen, high blood pressure medications (ACE inhibitors), or painkillers such as codeine.

Chronic urticaria and angioedema: Hives lasting more than six weeks. The cause of this type of hives is usually more difficult to identify than those causing acute urticaria. For more than 87% of people with chronic urticaria, the cause is unknown.

Chronic urticaria and angioedema can affect other internal organs such as the lungs, muscles and gastrointestinal tract. Symptoms include muscle soreness, shortness of breath, vomiting, and diarrhea.

Physical urticaria: Hives caused by direct physical stimulation of the skin -- for example, cold, heat, sun exposure, vibration, pressure, sweating, and exercise. The hives usually occur right where the skin was stimulated and rarely appear elsewhere. Most of the hives appear within one hour after exposure.

Dermatographism: Hives that form after firmly stroking or scratching the skin. These hives can also occur along with other forms of urticaria.

Hope this helps ......

Diane