At first glance, it can be difficult to tell if itchy skin bumps are from bug bites or caused by an allergic reaction. Both can cause welts or hives, redness and itchiness, but close inspection of the skin changes can usually help determine the culprit. In addition, allergies can also cause an array of symptoms, sometimes severe ones, that might also impact your lungs, nasal passages, mouth, ears and stomach. Minor cases of hives often resolve without medical intervention, but be sure to see a doctor for ongoing or severe symptoms.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Allergies and Bites
Allergens such as:
- which cause the classic symptoms of sneezing
- runny nose
- wheezing --
Also called urticaria, hives caused by allergies are red or skin-colored, raised and often itchy bumps which may occur in clusters, similar to insect bites.
Tart Cherry Juice Allergies
Potential for Severe Reactions
Sometimes distinguishing between bug bites and allergy-related welts can be a bit more challenging. For example, if you are allergic to the venom of the insect that bites you, the bug bite itself can trigger urticaria -- or sometimes a more severe, life-threatening allergic response called anaphylaxis, which require immediate medical attention. Rarely, an allergic response that starts with skin symptoms, regardless of the trigger, can also be an early sign of a more severe allergic reaction.
Herbal Remedies for Hives
Minor, short-lived urticaria generally does not need medical evaluation. See a doctor if you have hives that last more than 2 days, if your hives have become open sores, if the hives recur without an obvious cause, or if you have other symptoms such as joint pain, unexplained weight loss, fever, night sweats or swollen lymph nodes. Also, if you experience hives after a bee sting, alert your doctor and seek advice on managing future stings, as the next time your symptoms could be more severe. Alert your doctor to any rashes that are red and target-shaped, or any rashes that are accompanied by a fever. Seek immediate medical attention if you have any symptoms of anaphylaxis, such as difficulty breathing or swallowing, feeling lightheaded or dizzy, or swelling of the lips, throat, face or tongue.
Reviewed by Kay Peck, MPH RD
- Minor, short-lived urticaria generally does not need medical evaluation.
- See a doctor if you have hives that last more than 2 days, if your hives have become open sores, if the hives recur without an obvious cause, or if you have other symptoms such as joint pain, unexplained weight loss, fever, night sweats or swollen lymph nodes.
Tart Cherry Juice Allergies
Herbal Remedies for Hives
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Hives From Diet Soda
- Merck Manual: Hives
- American Academy of Allergy, Asthma and Immunology: Stinging Bug Bites
- Siegfried EC, Hebert AA. Diagnosis of Atopic Dermatitis: Mimics, Overlaps, and Complications. J Clin Med. 2015;4(5):884-917. doi: 10.3390%2Fjcm4050884
- Deacock SJ. An approach to the patient with urticaria. Clin Exp Immunol. 2008;153(2):151-61. doi: 10.1111%2Fj.1365-2249.2008.03693.x
- Sachdeva S, Gupta V, Amin SS, Tahseen M. Chronic urticaria. Indian J Dermatol. 2011;56(6):622-8. doi: 10.4103%2F0019-5154.91817
- Fine LM, Bernstein JA. Guideline of Chronic Urticaria Beyond. Allergy Asthma Immunol Res. 2016;8(5):396-403. doi: 10.4168%2Faair.2016.8.5.396
- Tang N, Mao MY, Zhai R, et al. [Clinical characteristics of urticaria in children versus adults]. Zhongguo Dang Dai Er Ke Za Zhi. 2017;19(7):790-795.
- Schaefer P. Urticaria: evaluation and treatment. Am Fam Physician. 2011;83(9):1078-84.
- Stepaniuk P, Vostretsova K, Kanani A. Review of cold-induced urticaria characteristics, diagnosis and management in a Western Canadian allergy practice. Allergy Asthma Clin Immunol. 2018;14:85. doi: 10.1186%2Fs13223-018-0310-5
- Kim JE, Eun YS, Park YM, et al. Clinical characteristics of cholinergic urticaria in Korea. Ann Dermatol. 2014;26(2):189-94. doi: 10.5021%2Fad.2014.26.2.189
- Adachi J, Aoki T, Yamatodani A. Demonstration of sweat allergy in cholinergic urticaria. Journal of Dermatological Science. 1994;7(2):142-149. doi: 10.1016/0923-1811(94)90088-4.
- Nobles T. Dermatographism. StatPearls [Internet]. Published October 27, 2018.
- Cassano N, Mastrandrea V, Vestita M, Vena GA. An overview of delayed pressure urticaria with special emphasis on pathogenesis and treatment. Dermatol Ther. 2009;22 Suppl 1:S22-6. doi: 10.1111/j.1529-8019.2009.01268.x
- Goetze S, Elsner P. Solar urticaria. J Dtsch Dermatol Ges. 2015;13(12):1250-3. doi: 10.1111/ddg.12809
- Badri T. Solar Urticaria. StatPearls [Internet]. Published April 11, 2019
- Boyden SE, Desai A, Cruse G, et al. Vibratory Urticaria Associated with a Missense Variant in ADGRE2. N Engl J Med. 2016;374(7):656-63. doi:10.1056/NEJMoa1500611
- Seol JE, Kim DH, Park SH, Kang JN, Sung HS, Kim H. Aquagenic Urticaria Diagnosed by the Water Provocation Test and the Results of Histopathologic Examination. Ann Dermatol. 2017;29(3):341-345. doi: 10.5021%2Fad.2017.29.3.341
- Park H, Kim HS, Yoo DS, et al. Aquagenic urticaria: a report of two cases. Ann Dermatol. 2011;23(Suppl 3):S371-4. doi: 10.5021%2Fad.2011.23.S3.S371
- Spickett GP, Stroud C. Does this patient with urticaria/angioedema have anaphylaxis?. Clin Med (Lond). 2011;11(4):390-6.
- Lipozencić J, Wolf R. Life-threatening severe allergic reactions: urticaria, angioedema, and anaphylaxis. Clin Dermatol. 2005;23(2):193-205.
- Ring J, Beyer K, Biedermann T, et al. Guideline for acute therapy and management of anaphylaxis: S2. Allergo J Int. 2014;23(3):96-112. doi:10.1007%2Fs40629-014-0009-1
- Ferrer, M.; Bastra, J.; Gimenez-Arnau, A. et al. Management of urticaria: not too complicated, not to simple. Clin Experimental Allergy. 2014; 45(4):731-43. DOI: 10.1111/cea.12465.
- Schaefer, P. Acute and Chronic Urticaria: Evaluation and Treatment. Am Fam Physician. 2017; 95(11):717-724.
Kristeen Cherney began writing healthy lifestyle and education articles in 2008. Since then, her work has appeared in various online publications, including Healthline.com, Ideallhealth.com and FindCollegeInfo.com. Cherney holds a Bachelor of Arts in communication from Florida Gulf Coast University and is currently pursuing a Master of Arts in English.