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Wellness Wednesday for November 15, 2023

The Wednesday Wellness threads are meant to encourage users to ask for and provide advice and motivation to improve their lives. It isn't intended as a 'containment thread' and any content which could go here could instead be posted in its own thread. You could post:

  • Requests for advice and / or encouragement. On basically any topic and for any scale of problem.

  • Updates to let us know how you are doing. This provides valuable feedback on past advice / encouragement and will hopefully make people feel a little more motivated to follow through. If you want to be reminded to post your update, see the post titled 'update reminders', below.

  • Advice. This can be in response to a request for advice or just something that you think could be generally useful for many people here.

  • Encouragement. Probably best directed at specific users, but if you feel like just encouraging people in general I don't think anyone is going to object. I don't think I really need to say this, but just to be clear; encouragement should have a generally positive tone and not shame people (if people feel that shame might be an effective tool for motivating people, please discuss this so we can form a group consensus on how to use it rather than just trying it).

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Looking at other Urticaria, once you get past antihistimines and phototherapy, I've seen some suggested treatments as biologic omalizumab, steroid medications, or selective serotonin reuptake inhibitors (!?).

I'm not a medical practitioner at all, but the allergy to warm water seems like something that's pretty pertinent in figuring this out. Your skin is hypersensitive and the root cause of that hypersensitivity is possibly linked to your acne.

I had stress related psoriasis once that went away after dealing with the underlying cause. Is there a possibility that the sensitivity is psychosomatic (in other words linked to stress or other mental health issues)?

I told my allergist about my hot shower response and she diagnosed me with cholinergic urticaria, but didn't say much else except recommending Claritin when I shower. On its own, it's annoying, but not a huge deal. Hell, hot water is generally considered bad for facial skin anyway, so it served as a little extra incentive to embrace cooler showers.

However, on the off chance this allergic response is connected to something bigger, I'm going to press my allergist during my next appointment. Maybe it's worth getting one of those mega antihistamine injections just to see what happens to my face. Honestly, HOPE my facial skin problems are related to my allergies, because that's so much easier to solve. Wouldn't it be amazing if the root of my problems was an allergy to some random fucking environmental thing that I can avoid or crush with antihistamines? But that's probably wishful thinking beyond the rosacea.

I had stress related psoriasis once that went away after dealing with the underlying cause. Is there a possibility that the sensitivity is psychosomatic (in other words linked to stress or other mental health issues)?

I won't say a psychosomatic role is impossible, but I tend to be skeptical. Besides, I beat my psoriasis with cortisone (that stuff kicks ass).