Stop Suffering ~ See an Allergist


(605) 716-6010

101 E. Minnesota St #240, Rapid City SD 57701

Stop Suffering With Hives - See An Allergist!

Are Hives Driving You Crazy!

Hives Can Be Terrifying!

Hives can erupt rapidly covering your entire body & itch like crazy!

"What the heck is going on?" -- you think to yourself, in a state of panic, as you look at your skin.

Surprisingly, hives are actually very common, and usually fairly benign.

An estimated 20% of us will experience hives at some point in our lifetimes.

An estimated 1 in 1000 (0.1% of the population) have ongoing hives at this current time.

Acute Hives are short lived and often due allergies (foods, antibiotics, pain meds, latex, bee stings, etc) or erupt during infections.

Chronic Hives (lasting >6 weeks) are rarely due to allergens, but rather often result from an abnormal immune response (perhaps triggered by a recent virus or mild autoimmune state).

Dr Stelzle & the AABH Staff specialize in evaluating & managing both Acute & Chronic Types of Hives.   Let us Help You!

Please Call Us Today!

Managing Hives

Distinguishing The Type

Acute Urticaria

Acute Urticaria is can be due to a hidden allergen.  It is often intense & brief, lasting only one day, then fully resolving until the hidden allergen triggers it again.

Dr Stelzle will consider new or hidden food allergen triggers, nsaids/other medications, antibiotics, insect stings, latex and sometimes aeroallergen exposures.   He will also explore non-allergic causes (ie: recent/acute infections, exercise, cold, heat, and other "physical triggers") with you.   

Allergen Skin Testing to suspected allergens, and sometimes "in-office oral challenges" (ie: a suspected food or medicine) may be suggested to help identify an alleren trigger.

If an allergen or other trigger is discovered, then together we will discuss avoidance recommendations & action plan (should it occur again) to abort any future attacks.

Spirometry may be rechecked again, during certain follow up visits, to help determine how well your asthma treatment is working.

Chronic Urticaria

Chronic Urticaria often is more difficult to manage than Acute Urticaria because usually no trigger is found -- therefore it is often called "CIU" (Chronic Idiopathic Urticaria).

Sometimes lab screens or other tests may be helpful, especially if other medical signs or symptoms (besides just the hives) are also noted.  However, an extensive hunt for an unusual secondary cause is often unrevealing.

Many patients with CIU find relief with the newer, non-drowsy/long-acting OTC antihistamines.  However, there are a subset of patient who require additional "add-on" medications (including the newly approved biologic agent - Xolair) for good hive control.  

Dr Stelzle is an ABAI Board Certified Allergist with more than two decades of experience in caring for those Acute & Chronic Urticaria.  He will use his expertise to help you to find the best treatment plan for your specific type of hives.

Our Hives (Urticaria) Handout

Don't Let Your Hives Control Your Life!

Let's Get To Work!


(605) 716-6010

* Update / Please Note:
Since this handout/video was created, we now have an additional new medication option for severe chronic hives called Xolair - which we can also discuss at your visit.

Urticaria/Angioedema Handout Video