Long-term Struggle with Hives and Swelling - #50722

Based on: Daily hives for 14 years No clear trigger Lip/eye swelling (angioedema) Severe itching No relief from Panchakarma This strongly suggests: 👉 Chronic Spontaneous Urticaria (CSU) (not simple “allergy”) In most long-term cases: ✔ It is autoimmune in nature ✔ Mast cells release histamine continuously ✔ Not food allergy ✔ Not simple pitta problem 🌿 Ayurvedic View Often considered as: Sheetapitta Udarda Kotha But when 14 years chronic: It usually involves: Rakta dushti Pitta aggravation Vata involvement Immune dysregulation Just doing Panchakarma repeatedly without correcting immune mechanism won’t cure it. ❗ Important Reality Chronic urticaria > 6 weeks is rarely cured permanently. Goal is: ✔ Control ✔ Reduce frequency ✔ Reduce severity ✔ Achieve remission Many patients go into remission after years. 🚨 Very Important Question Have you ever done: Thyroid profile? Anti-TPO antibodies? ANA? Vitamin D level? IgE level? Many chronic urticaria patients have: Autoimmune thyroid Low vitamin D Stress-related triggers 💊 About Prescription Medicines If antihistamines were given: Modern protocol says: High dose non-sedating antihistamines If resistant → Omalizumab injection Severe cases → Immunomodulators If you only took low dose occasionally, it won’t control chronic urticaria. 🌿 What Ayurveda Can Do (Realistic Plan) Not extreme detox again. Instead: 1️⃣ Gentle Pitta-Rakta balancing Guduchi Haridra (but careful) Mahamanjisthadi Neem (mild, not aggressive) 2️⃣ Gut healing Chronic urticaria often linked to gut permeability. Buttermilk with roasted jeera Avoid fermented + processed food 3️⃣ Strict Avoid ❌ Fermented foods ❌ Leftover food ❌ Vinegar ❌ Bakery ❌ Packaged snacks ❌ Excess spicy ❌ Alcohol Even if no “trigger” seen. 🧘 Stress is a Huge Factor Chronic urticaria flares with stress. Daily: Deep breathing Meditation Sleep before 11 pm ⚠ Lip/Eye Swelling Warning If swelling ever involves: Throat tightness Difficulty breathing That is emergency. 🧠 Why Panchakarma Failed? Because: This is immune-driven condition. Not just “ama” or “pitta”. Over-detox may even aggravate. Repeated virechana without stabilizing immunity can worsen Vata.