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Why do I get hives while breastfeeding?

Understanding Hives While Breastfeeding
Experiencing hives during breastfeeding can be a perplexing and uncomfortable situation for new mothers. Hives, medically known as urticaria, are characterized by raised, itchy bumps on the skin that can vary in size and shape. While they can be alarming, especially for those who have never had allergic reactions before, it’s important to understand the potential causes and implications of this condition during the postpartum period.
Causes of Hives in Breastfeeding Mothers
Hives can occur for a variety of reasons, and their appearance during breastfeeding may be linked to several factors. One common cause is hormonal changes that occur after childbirth. The body undergoes significant hormonal fluctuations, and these changes can trigger allergic reactions or sensitivities that may not have been present before. For instance, some women report developing hives during or after nursing sessions, particularly on areas like the neck, chest, or abdomen. This reaction may be related to the release of histamine, a chemical involved in allergic responses, which plays a role in milk production.
Additionally, postpartum hives can arise from environmental factors, such as exposure to allergens in the home or changes in diet. New mothers may also experience stress, which can exacerbate skin conditions, including hives. Interestingly, some women find that they develop hives even if they have no prior history of allergies, indicating that the postpartum period can bring about new sensitivities.
Symptoms and Diagnosis
The symptoms of hives are typically easy to identify. They manifest as itchy, red bumps that can appear suddenly and may vary in size. While hives can be uncomfortable, they are generally harmless to both the mother and the baby. If a breastfeeding mother notices these symptoms, it is advisable to consult a healthcare provider to rule out any serious underlying conditions and to discuss appropriate treatment options.
Treatment Options
For mothers experiencing hives while breastfeeding, there are several treatment options available. Many cases can be managed at home with simple remedies, such as applying cool compresses to the affected areas or taking antihistamines that are safe for breastfeeding. It’s crucial to consult with a healthcare professional before starting any medication to ensure it is safe for both the mother and the infant.
In some instances, identifying and avoiding triggers can significantly reduce the occurrence of hives. This might involve keeping a diary of food intake, environmental exposures, and stress levels to pinpoint potential allergens or irritants.
Conclusion
While hives can be an unsettling experience for breastfeeding mothers, understanding their causes and treatment options can help alleviate concerns. It’s essential for mothers to monitor their symptoms and seek medical advice if necessary. With proper care and attention, most women can manage hives effectively while continuing to enjoy the breastfeeding journey.

What do milk allergy hives look like?

Symptoms that can appear within minutes of having a small amount of milk include: raised red bumps of skin – hives (urticaria) itchy, red, weeping or crusty rash of the skin – dermatitis or eczema.

Can you be allergic to breastfeeding?

However, in very rare cases, breastfeeding may be detrimental to the mother’s health. Only five case reports have been published on severe allergic reactions associated with breastfeeding that resulted in anaphylaxis within 72 hours after birth.

Why am I breaking out in hives postpartum?

In individuals who have never experienced urticaria, postpartum hives may result from the sudden hormonal changes involving estrogen and progesterone occurring during the postpartum period and their influence on the immune system.

How do you stop hormonal hives?

Treatment Options for Hives Linked to Progesterone Sensitivity. There are various treatment options available. In mild cases, anti-itch creams such as topical steroids or antihistamines can help. Other woman may require hormone therapy to inhibit ovulation and the production of progesterone.

How long do postpartum hives last?

How long do postpartum hives last? Hives may resolve on their own within a few days or weeks. People may have chronic hives if they last for 6 weeks or more. If people have hives for 6 weeks or longer, they can contact a doctor to rule out underlying medical conditions that may be causing the hives.

How to tell if hives are autoimmune?

Specific tests for autoimmune hives include:

  1. Basophil histamine release assay: A blood test that measures the release of histamine from basophils, a type of white blood cell, after exposure to stimuli.
  2. Autologous serum skin test: This test detects circulating autoantibodies released in response to histamine production.

What do autoimmune hives look like?

Red, raised welts or bumps on your skin that may hurt or sting. Blanching (the center of the hive turns white when you press it). Itchy skin (pruritus).

Can breastfeeding cause hives?

Development of hives due to lactation is a rare phenomenon seen in the postpartum period. Lactation is influenced by oxytocin and prolactin release, which stimulates lactogenesis, and initiates milk secretion. We describe a rare case of postpartum hives that improved with the use of bromocriptine.

Can breast milk cause hives in babies?

In this case, the infant may show signs of severe colic, abdominal discomfort, or a skin rash such as eczema or hives, or may react with vomiting, severe diarrhea (often with blood in the stool), or difficulty breathing that lasts up to several hours after breastfeeding.

How long do hormonal hives last?

“Your hives can peak during the menstruation, and then, it typically gets a lot better once the menstrual cycle is done,” outlines Dr. Ishak. “There are some reports of chronic hives also occurring during ovulation. Your hives should get better within a week of menses or your period.”

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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