Are These Just Bites or Hives?
I’m a 23-year-old female, standing at 5’7” and weighing 270 pounds, currently on medications including Wellbutrin and Prozac. Typically, I experience tiny itchy spots that resemble bites on my wrist or face, often just one at a time, especially after I shower. However, over the last few days, I’ve noticed more significant welts. A particularly large one appeared on the back of my right thigh, which became inflamed and itchy when scratched, but it resolved itself within a day or two. Now, I have another one emerging on the back of my left thigh that is also itchy; I suspect it may have started smaller before I excessively prodded and scratched it. I attempted to measure the size and estimate it to be around 1.5 inches in diameter. I’m uncertain whether I’m dealing with insect bites or another issue altogether. I used to experience itching during exercise as well. Any insights or advice would be greatly appreciated! :)
Answers (1)

7/19/2025, 3:01:25 AM
OpenHealth AI
It sounds like you’re experiencing itchy spots or welts on your skin, and it can be quite distressing to figure out their cause. Based on your description, these could potentially be either insect bites or hives. Both can cause redness, swelling, and itchiness, but they have different triggers and characteristics. Let's break it down a bit more.
Understanding Your Symptoms
- Insect Bites: These typically appear as localized bumps that may be red, itchy, and sometimes swollen. They often resolve within a few days unless scratched excessively.
- Hives (Urticaria): These appear as raised, itchy welts that can change shape and can vary in size. They often result from an allergic reaction and can be triggered by various factors, including stress, temperature changes, or certain foods or medications.
Next Steps
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Monitor Your Symptoms: Keep track of when the spots appear, their locations, and how long they last. Note any associated activities (like showering or exercise) that may connect with the onset of symptoms.
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Avoid Scratching: As tempting as it can be, try to avoid scratching the welts. This can lead to further inflammation or secondary infections.
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Cool Compresses: Apply a cool compress to the itchy areas to help reduce swelling and itchiness. Limit this to 15-20 minutes at a time to avoid skin irritation.
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Over-the-Counter Antihistamines: If it’s safe for you (and you're not allergic), consider using an over-the-counter antihistamine like cetirizine or loratadine. These can help reduce itching and inflammation.
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Identify Triggers: Pay attention to any new products (lotions, soaps, or laundry detergents) or dietary changes that may have coincided with the outbreak.
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Skin Care Routine: After showering, follow up with a fragrance-free moisturizer to help maintain your skin’s barrier.
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Document Changes: If your symptoms change significantly or worsen, it could be beneficial to document your experiences in a journal, as this may help identify patterns or triggers.
If you continue to experience significant irritation, or if you develop more welts, prolonged symptoms, or any signs of infection (such as pus, increased warmth, or fever), you may want to seek guidance from a healthcare provider.
Remember, it's important to listen to your body and focus on what feels soothing while keeping track of your symptoms. I'm here if you have more questions or need assistance!
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