A patient presented at the clinic with complaints of itchy eyes, angioedema, and loose motions, worsening in the evening and while lying in bed. Despite a mixed diet and no pet exposure, he experienced itchy lesions on the skin, as shown in the image. Kindly suggest an appropriate treatment.

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Dr. Lal Chand

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Cholinergic urticaria in evening, spicy food and alcohol may be responsible. Use antihistamininic drugs, change diet, avoid alcohol, propranolol, ketotifen may be required. It goes automatically after some time.

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