### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have hives on my chest, upper thighs, back, shoulders, arms and neck that appear to have started out with just a couple of small itchy boils on my elbows (which I believed to be bug bites). I live in Wisconsin and it has been crazy cold the last month. My doctor initially believed my rash to be directly attributed to the lack of moisture in my house. He recommended I shorten my showers, take zyrtec (because I had previously taken both benadryll and loradadine with no result), and the temperature of my showers, only shower every other day, use a dove moisturizing soap and apply Eucerin lotion generously. It has been over a week now and the symptoms haven t gotten any better. My intensely itchy spells seem to come and go, but the rash still remains present. I shave my chest and my arms, but I don t believe this to be a factor as I ve been doing it for over 14 years. I track all of my food intake meticulously and haven t changed anything with my medications, laundry detergent, fabric softener, or any body cleansers prior to the onset of this rash. Any assistance you could provide would be GREATLY appreciated as I have been up since 1:30 in the morning trying to troubleshoot.

### output:

Hello, I can understand your concern for hives and boils on body. Urticaria is a common condition caused by bursting of allergy producing cells known as "mast cells" due to certain aggravating factors present in the environment. As the chemical inside them is released it produces a rash which you have mentioned. There can be multiple factors producing this condition which are included in day to day life and sometimes it is really difficult to find one exact cause. In your case you are correlating it with exercises, hot climate, spicy food. So it is better to stay away from the offending factors. The long term effective treatment for this is by oral anti histamine like loratadine under medical advice. It is one of the Chat Doctor.  Do not scratch or rub the skin as it can lead to further aggravation. All the best.