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

### input:
Hi Doctor,I am suffering from Urticaria since last Dec. Food allergic test conducted in your clinic on 24th Feb and in Marry Queens hospital on 30th March shows no allergic to any food except a doubtful reaction on white egg and mutton. How ever I was under full control of these items. Still the itching and hives appears always and even lead to angio edema some times with swelling of lips and difficulty in brething. I changed my BP/Cholestrol tabs which were using for the last few years. Can you please advise whether I need to undergo one more food allergy test or any other remedies.Your advice is most appreciated.ThanksSalim Shah, Trivandrum46Y, 170cm, 80Kg

### output:

Hi, Thank you for your query. I can understand your concerns. You are having Urticaria and angioedema. Causative allergens can be food as well as non-food protein. You can undergo serum IGE level & absolute eosinophil count. You can take H₁ antihistamines non-sedating agents such as loratadine, loratadine, and fexofenadine, or low-sedating agents such as cetirizine or levocetirizine. The addition of an H₂ antagonist such as sanitizing in conventional dosages may add benefit. A CysLT1 receptor antagonist such as montelukast, 10 mg/day also can be added. You have to continue for a longer period, as it may be seasonal. A short course of oral steroid (e.g. Deflazacort 6 mg daily orally for 7-10 days) helps in urticaria with eosinophil prominence, idiopathic angioedema with or without urticaria, or chronic urticaria that responds poorly to conventional treatment.