What is Urticaria or Hives?

Urticaria, also known as hives, is a common allergic disorder in which a red, itchy, lumpy skin rash appears out of the blue. These skin lumps, which are known as weals, can develop anywhere on the body, including the palms and soles. The weals, which have pale centers and red margins, can spread out and join up to form large irregular patches. They are usually about 1cm to 5cm across. These weals can rapidly change shape and come and go over a period of minutes or hours. Urticarial rash can be acute onset (in which the cause is often known and the disorder settles within 6 weeks) or chronic (where it lasts longer).

WHAT CAUSES URTICARIA OR HIVES?

Urticaria is a type of allergy resulting from a release of a chemical called histamine. The cause of this histamine release is often unknown, but common causes are foods, drugs and infestations. Sometimes the cause is very obvious, such as when urticarial rash appears minutes after eating.

CHECKLIST OF POSSIBLE HIVE CAUSES:

  • Foods: eggs, nuts, shellfish, other fish, cheese, oranges, chocolate, caffeine, strawberries and others
  • Food colourings
  • Drugs: penicillin, sulpha antibiotics, aspirin, codeine, vaccines and others
  • Insect bites: bees, wasps, sandflies, fleas, mosquitoes and others
  • Azo dyes
  • Plants: nettles, poison ivy and others
  • Animals: cats, horses and others
  • Infection: viral, bacterial or fungal
  • Infestation: parasites
  • Exposure to heat and cold
  • Exposure to sunlight
  • Underlying chronic disease (e.g. lupus, lymphoma)
  • Last trimester of pregnancy

NOTE THAT TENSION AND STRESS USUALLY MAKE URTICARIA / HIVES WORSE.

WHAT IS ANGIO-OEDEMA?

This is a serious form of urticaria in which the face, especially the lips and skin around the eyes, suddenly swells. It can be serious if the throat swells up. You should contact your doctor immediately if this develops.

HOW IS THE CAUSE OF URTICARIA FOUND?

You may be asked to keep a food diary and note any associations. You may have to undergo patch testing of your skin to find out what you may be allergic to.

WHAT IS THE TREATMENT FOR URTICARIA / HIVES?

  • Antihistamines, usually take by mouth, are used to relieve rash and itching. Avoid taking aspirin or other drugs not prescribed for you
  • Itching can be relieved by daubing with calamine lotion
  • Cold water compresses such as soaking a towel in cold water can also relieve itching. Avoid hot baths or showers during the acute phase - keep it cool!
  • Decrease your activity during the acute phase. It is better not to get hot and sweaty
  • Avoid alcohol and caffeine-containing drinks, especially is there is a possibility of these being a trigger factor

Skin Problems - Treatment for Allergies, Dermatitis, Eczema & Urticaria/Hives

Contact Dermatitis Common Allergens

Please seek Medical attention as soon as possible if you are unsure of you or your family's health condition.

Learn about the Diagnosis, Treatment and/or Removal of the following skin problems :

A Comprehensive Allergy Test can be done at our medical clinic. Please make an appointment for a consultation with Dr Don Lau at Tel: 6694 1661.

Comprehensive Allergies Test for up to 101 allergens:
* Food Allergy eg Seafood, Nuts, Eggs, Fish, Meat, Fruits, Seeds or Vegetables.
* Dust/Mold Allergy
* Insect Sting Allergy.
* Pet/Cockroach Allergy.
* Eye or Skin Allergy
* Sinus Infection/Allergic Rhinitis
* Drug/Latex Allergy

Dermatology Problems - Acne, Dry Skin, Warts, Corns & Calluses on Feet

The Proven and Unexpected Way to Fix Allergies

In this video, Dr. Mike VanDerschelden explains the true cause of allergies and how to easily fix over 80% of the cases for allergies that the doctors are not telling you.

Health Assessment & Screening Packages

Sinopharm COVID-19 & Latest Influenza Vaccines (Protects against Flu and H1N1 Viruses) / Pre-Departure COVID-19 PCR  Swab & Serology Tests for Travellers, Supervised Antigen Rapid Test (ART) done from your home, Pre-Event COVID Testing and Serology Testing to Certify Vaccination status. Make your Appointment at Tel: 6694 1661

Flu Subsidy Scheme eligible for Singaporeans & PRs (Pay subsidized rate of $10 for Consultation and Treatment) & Merdeka Generation /Pioneer Generation seniors (Pay subsidized $5) for patients with Acute Respiratory Infections (ARIs).

Sinopharm COVID-19 Vaccine in Singapore

Sinopharm COVID-19 Vaccine is now available @ MD International Medical Centre. Make a Vaccination or Booster Appointment at Tel: 6694 1661. Learn more about Sinopharm here.

Sinopharm BBIBP-CorV vaccine has now been approved for use by private clinics in Singapore against the COVID-19 virus under the Special Access Route. It is the first China-made vaccine to be approved by the World Health Organisation (WHO).

To date, more than a billion doses of the Sinopharm BBIBP-CorV have been administered. The vaccine has also been approved for use in over 50 countries around the world.

Inactivated vaccines are a tried-and-tested form of vaccine technology which is used in other well-established vaccines, such as the Flu and Hepatitis B vaccines.

If you would like to receive the Sinopharm vaccine or booster, please make your appointment at MD Int'l Medical Centre at Tel: 6694 1661.

Effects of COVID-19 on the Brain

COVID Symptoms to watch out for:

SARS-CoV-2 Virus Infection of Human Organ  Tissues through Cell ACE-2 Receptors:

Ministry of Health Recommendation :

  • For persons who have already completed their Primary series with mRNA vaccines and are recommended to get a booster, but are unable to take another dose of mRNA vaccines for medical reasons, they may boost using one dose of Sinopharm vaccine. The booster should be taken six months after mRNA dose 2 (M-M-S).
  • For persons who are unable to take the the 2nd dose of mRNA vaccines for medical reasons, they may complete their vaccination with the Sinopharm vaccine. 2 doses of the Sinopharm vaccine is recommended to complete the Primary series. The 2nd Sinopharm dose  should be taken 28 days after the 1st Sinopharm dose (M-S-S).

For recovered persons who had not completed a primary series before infection:

  • For persons who have recovered from a COVID-19 infection but received 1 dose or none of COVID-19 vaccination prior, they may receive 2 doses of the Sinopharm vaccine (28 days interval between doses), 3 months after the date of infection to complete a primary vaccination series (Recovered-S-S or S-Recovered-S-S or M-Recovered-S-S).
  • For persons who have recovered from a COVID-19 infection and had received 2 doses of Sinovac or Sinopharm vaccines prior, they may receive 1 dose of Sinopharm after 3 months from the date of infection to complete a primary vaccination series (S-S-Recovered-S).

Up to $400 per Medisave Account per year can be used for Vaccinations under the National Adult & Childhood Immunisation Schedule - Influenza, Pneumococcal (PCV13/PPSV), Human Papillomavirus (HPV2/HPV4), Hepatitis B, Tetanus, Diphtheria & Pertussis (Tdap), Measles, Mumps & Rubella (MMR) and Chickenpox (Varicella).

Part of MOH's Swab & Go Home programme. Our clinic can carry out the COVID-19 Swab test for anyone who meets the MOH medical criteria. All individuals aged 13 and above, diagnosed with ARI will be COVID Swab-tested. Cost of Swab test to be borne by Ministry of Health Singapore.

Part of the National Influenza Sentinel Surveillance programme with MOH. If you have a fever of > 38 degrees with a cough, our clinic is able to test for COVID-19. For children below 12 years old with clinical diagnosis of HFMD (eg fever, oral ulcers, rash), our clinic can test for Hand Foot & Mouth Disease (The tests are for surveillance purposes only).

Risk Factors of COVID-19 Complications

Source : Observer Research Foundation

Lung, Neurological, Liver & Kidney Diseases

Asymptomatic patients may not display no symptoms of illness. Vulnerable people should get vaccinated against Influenza as the stop gap until the COVID vaccine is found. The Flu vaccine would protect susceptible people from, as well as exclude the Flu and H1N1 viruses should they start to show URTI or ARI symptoms.

- Latest Influenza Vaccine

The latest Influenza Vaccine is now available. It protects against the Flu and H1N1 Viruses. In the event that a person displays flu-like symptoms after the Flu vaccination, both Flu and H1N1 may be excluded in his diagnosis, and treatment can be sought quickly should the patient have contracted COVID-19.

Ministry of Health Safety protocols are adhered to at all times for the safe vaccination of you and your family.

* Latest COVID-19 Updates & Health Tips

* Importance of Keeping your Vaccinations Up-to-date

MD International Medical Centre

Medical Services available :

Public Health Preparedness Clinic

National University Health System Primary Care Network

Singapore Ministry of Health Chronic Disease Management Programme (CDMP)

The information provided in this website is for knowledge purposes only. It does not constitute medical advice.

Should you encounter any medical problem that you are unsure of, always consult your doctor or health care provider for assistance and medical advice.

MD International (Singapore) Pte Ltd

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9 Taman Serasi #01-11, Botanic Gardens View

Tel : 65-6694-1661  Fax : 65-6694 1771

Email : contact@mdimc.sg

Clinic hours:

Monday to Friday: 9am-12.30pm / 2pm-6.30pm    Saturday: 9.30am-1pm

*Last registration is 30mins before the closing time

Closed on Sundays & Public Holidays

- Cashless service with most International Insurance companies and Insurance Medical cards are accepted

- Japanese & Mandarin-speaking Doctors and Medical staff

Please contact us at Tel: 6694 1661 to make an appointment.

Please make an appointment for the following at Tel: 6694 1661:

* Minor Surgical Procedure

* Health Screening / Blood Test

* Dermatology Treatment

* Allergy Testing

* Pain Management & Treatment

* Vaccination

* Supervised COVID ART Test / Pre-Event Test

* Pre-Departure PCR Swab Test / Serology Testing

OUR MEDICAL TEAM

Dr Don Lau – Medical Director

MBBS (Monash), B Med Sc (Hons) (Monash), Dip Pract Derm (Wales, UK)

Fujiwara Takanori

The Chiropractic Association Singapore, Japan Chiropractic Register, American Chiropractic Association, California Chiropractic Association

Physiotherapy-trained NBCE The National Board of Chiropractic Examiners

YAMAGATA Chihiro 山懸千尋

Registered Psychologist

MD International Medical Centre

Medical Services

Minor Surgical Procedures :

·       Injection for Supraspinatus or Bicipital Tendonitis / Epicondylitis / Trigger finger / Plantar Fasciitis

·       Tendon Sheath Injection

·       Excision of small Skin tumours / Lipomas / Nail bed / Ear lobe cysts / Meibomian cyst

·       Removal of Skin sutures / Skin tags / Sebaceous cysts / Various foreign bodies / Corneal foreign body

·       Liquid Nitrogen Therapy

·       Treatment of Plantar Warts / Calluses / Corns / Ganglions

·       Splinters under nails

·       Olecranon and Pre-patellar Bursitis

·       Ear syringing

·       Embedded earring stud

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