WellSpan Home

Health Library

Urticaria (Hives) in Children

What is urticaria in children?

Urticaria, or hives, is a problem in which red, itchy, and swollen areas show up on the skin. It usually happens as an allergic reaction from eating certain foods or taking certain medicines. Though, sometimes the cause may be unknown. Hives can vary in size from one-half inch to several inches in size. Hives can show up all over the body or just on one part of the body.

What causes urticaria?

Causes of urticaria in children include food, medicines, and other triggers. Common causes include:   

  • Peanuts
  • Eggs
  • Shellfish
  • Penicillin
  • Sulfa
  • Anticonvulsant drugs
  • Phenobarbital
  • Aspirin

Other types of hives include:

  • Dermatographism. These hives are caused by scratching the skin, continual stroking of the skin, or wearing tight-fitting clothes that rub the skin.
  • Cold-induced hives. These hives are caused by exposure to cold air or water.
  • Exercise-induced urticaria. These allergic hives are brought on by physical activity. 
  • Solar hives. These hives are caused by exposure to sunlight or light bulb light.
  • Chronic urticaria. These are hives that come back with no known cause.

Who is at risk for urticaria?

Anyone can get hives. But children with allergies are at a greater risk.

What are the symptoms of urticaria in children?

These are the most common signs of hives in children:

  • Itchy, pink or red swollen areas on the skin
  • Hives can appear alone, in a group, or over a large area of the body
  • Hives can go away within 24 hours in one spot but may come back in another spot

How is urticaria in children diagnosed?

Hives can be diagnosed by your child’s healthcare provider. He or she will first complete a full medical history and physical exam.

How is urticaria in children treated?

Your child’s healthcare provider will figure out the best treatment for your child based on:

  • How old your child is
  • His or her overall health and medical history
  • How sick he or she is
  • How well your child can handle specific medicines, procedures, or therapies
  • How long the condition is expected to last
  • Your opinion or preference

The best treatment is for your child to avoid known triggers. If the hives were caused by a medicine, your child should strictly avoid that medicine.

Your child’s healthcare provider may also prescribe:

  • Antihistamines, such as diphenhydramine or hydroxyzine.
  • Other antihistamines that won’t make your child drowsy, such as cetirizine or loratadine.

If your child is having trouble breathing, your child’s healthcare provider might use a shot of epinephrine to help decrease the swelling and the itching. Your child’s provider may show you how to use an emergency kit that has epinephrine to keep near your child in case of future episodes. Discuss this with your child’s provider.

When should I call my child’s healthcare provider?

If your child’s symptoms get worse or he or she has new symptoms, talk with your child’s healthcare provider.

Key points about urticaria in children

  • Urticaria, or hives, is a problem in which red, itchy, and swollen areas show up on the skin.
  • Causes of urticaria include food, medicines, and other triggers.
  • Treatment of urticaria includes antihistamines and a shot of epinephrine, if breathing is difficult.
  • Avoiding known triggers of urticaria is important.

Next steps

Tips to help you get the most from a visit to your child’s healthcare provider:
  • Before your visit, write down questions you want answered.
  • At the visit, write down the names of new medicines, treatments, or tests, and any new instructions your provider gives you for your child.
  • If your child has a follow-up appointment, write down the date, time, and purpose for that visit.
  • Know how you can contact your child’s provider after office hours. This is important if your child becomes ill and you have questions or need advice.
Urticaria (Hives) in Children - WellSpan Health

Online Medical Reviewer: Foster, Sara, RN, MPH
Online Medical Reviewer: Freeborn, Donna, PhD, CNM, FNP
Last Review Date: 2014-04-10T00:00:00
Last Modified Date: 2016-07-28T00:00:00
Published Date: 2016-07-28T00:00:00
Last Review Date: 2007-03-30T00:00:00
© 2016 WellSpan Health. All Rights Reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.

Are you sure you would like to cancel?

All information will be lost.

Yes No ×

About the provider search

This search will provide you with WellSpan Medical Group and Northern Lancaster County (Ephrata) Medical Group primary care physicians and specialists. If we don’t have a WellSpan Medical Group physician to meet your criteria, the search will expand to include community physicians who partner with WellSpan Medical Group physicians through the WellSpan Provider Network or provide care to patients on the Medical Staffs of WellSpan’s Hospitals.


Schedule Your Next Appointment Online with MyWellSpan

Use your MyWellSpan patient portal any time to view available appointments, and pick the date and time that best suits your schedule.

Go to MyWellSpan

New to this practice?

If you don't have a WellSpan primary care provider and would like to schedule a new patient appointment with a provider who is accepting patients, just log into your MyWellSpan account, and go to the Appointment Center section. As you progress through the scheduling process, you will be able to see the offices that are accepting new patients in relation to your zip code. If you are not enrolled in MyWellSpan, go to https://my.wellspan.org, call 1-866-638-1842 or speak with a member of the staff at a participating facility to sign up. New patient scheduling not available at all practices/programs.

Already a patient at this practice?

If you already have a relationship with a WellSpan practice, simply log into your account, and go to the Appointment Center section. As you progress through the scheduling process, you will be able to schedule an appointment with any provider or practice that already counts you as a patient. Online scheduling varies by practice/program.