For many seniors, persistent itchy welts—known as urticaria or hives—can disrupt sleep, comfort, and daily life. These red, raised patches may appear suddenly, itch intensely, and vanish just as fast, only to return unexpectedly. Though often harmless, urticaria can become chronic, affecting emotional and physical well-being.

Urticaria results from the body releasing histamine, causing fluid to leak from small blood vessels and form swollen welts. Symptoms include red bumps with pale centers, severe itching, and swelling that shifts across the body. In some cases, deeper swelling called angioedema may affect lips, eyelids, or even the throat, which requires urgent medical attention.

There are two main types: acute urticaria, which lasts less than six weeks and often stems from a specific trigger like food or medication, and chronic urticaria, which persists for months or years with no clear cause. Some people also experience physical urticaria, where hives are triggered by cold, pressure, heat, or sunlight.

Common triggers in seniors include allergies (to foods or medications), infections, environmental conditions, stress, or autoimmune reactions. If you’re experiencing recurring hives, your doctor may diagnose based on symptoms alone, or run allergy or blood tests to rule out other conditions.

Treatment usually starts with antihistamines like loratadine or cetirizine to block the histamine response. In more stubborn cases, short-term corticosteroids may be used. Managing stress, wearing loose clothes, using gentle skincare, and keeping a symptom diary can also help reduce flare-ups.

Although urticaria can be unpredictable, effective treatments exist. If symptoms are severe or affect breathing, seek emergency care. For chronic cases, consulting a dermatologist who understands senior skin may provide relief. With the right care, it’s possible to manage hives and regain comfort and peace of mind.