The itch is driving your crazy! You need help now!
Rashes due to poison ivy, poison oak, and poison sumac all look about the same - raised, reddened, blistering bumps in areas of exposure. All are caused by hypersensitivity to plants containing urushiol. The rash and itching begin 24 to 48 hours after exposure, worsening over the next several days. Assuming you've had a shower by the time the rash has appeared, poison ivy is not contagious. The only way to share it is if the plant oil is still on your skin and you touch another person. Blister fluid is not contagious.
Though in some cases people worry about their appearance, for most the itch is what drives them to seek medical care.
Here are 5 tips for quick relief.
1. Use an OTC antihistamine. Over-the-counter antihistamines are every bit as good as prescription antihistamines. The primary benefit of using these is decrease in itching, though they may decrease swelling a little. The main side-effect is drowsiness with certain antihistamines, though this can be a benefit if https://dankvape.org/product/durban-poison/ the itch is keeping you awake. The non-sedating antihistamines are Claritin (loratadine) and Zyrtec (cetirizine). The sedating antihistamines are Benadryl (diphenhydramine), chlorpheniramine, and doxylamine (found in sleep aids and Nyquil). If these are effective in decreasing your symptoms and the appearance of the rash is not a concern, an antihistamine may be all you require. The rash will go away on its own if you can wait it out - which usually takes 2 to 4 weeks.
2. Use an OTC topical preparation. Calamine lotion and oatmeal baths help relieve the itch but do not actually decrease the rash. 1% hydrocortisone cream is effective at reducing the itch and healing the rash in mild cases. For a more severe reaction, prescription medication may be needed. Hydrocortisone decreases the body's reaction to the offending oil, making the rash appear less red and irritated. Any of these may be used in addition to an antihistamine.
3. Call your doctor for a prescription. Your doctor may be willing to prescribe you medication over the phone, or may require you to come in for an appointment to make sure your self-diagnosis is correct. Prescription options include stronger steroid creams, steroid shots, and steroid pills. For small areas of rash, the creams are most appropriate. However, for larger areas or rash on the face (especially if the eyes are swollen shut) steroid injections or oral medications are appropriate. Usually the rash begins to improve by 24 to 48 hours after initiating treatment. Don't make the mistake of stopping the medicine as soon as the rash appears better - it will likely return if you quit too soon. A five day treatment plan is the minimum, but often 10 to 14 days of medication is advisable.
4. Watch for secondary infection. Any open area of skin can become infected. If the area of redness is increasing, or especially if you see pus (not just clear blister fluid), see your doctor to learn if you need an antibiotic.
5. Do not use triple antibiotic ointment or Benadryl cream. When applied to the skin, both the neomycin in triple antibiotic ointment and the active ingredient in Benadryl cream (diphenhydramine) can cause a rash that looks just like poison ivy. Many a patient has made the problem worse or confused the diagnosis by using these over-the-counter preparations. (Diphenhydramine (Benadryl) taken orally does not cause this problem.)
Lastly, an ounce of prevention is worth a pound of cure. Avoid contact with the leaves, stems, and roots of the plants, all of which contain urushiol. If you pull the plants out, use disposable gloves and throw both the plants and gloves away. Burning the plant can put the chemical in the air and cause a serious rash to anyone exposed to the smoke.
Copyright 2010 Cynthia J. Koelker, M.D.
Exposure to poison ivy usually results in an allergic reaction, which occurs when your skin comes in contact with the plant and or its oil. Some people are not allergic to poison ivy, but most people break out with rashes, blisters and develop an itching sensation after coming in contact with the plant. This usually occurs after coming in contact with the plant or any thing else that may contain the plants oils such as clothing, tools, ash and smoke from burning plants. You would usually see signs of poison ivy between the first twenty four to forty eight hours after coming in contact with the plant.
Most contact with poison ivy occurs during the summer months, this is because poison ivy is found mostly in the woods or forests and during the summer a lot more people participate in outdoor activities. The rash would usually occur on the face first and then spread through out the rest of the body. The severity of the rash would be determined by the thickness of your skin, and how much actual contact you had with the plant. Sometimes the rash is centralized on the site of contact and develops on only one area of the skin or is more severe in one area than in others. The rash can not be spread by scratching but scratching can lead to infection and could leave scars.
Swelling of the throat and eyes, or the entire body can also be caused by poison ivy's rash as the symptoms spread. Other symptoms can include stomach cramps, fever, a general feeling of discomfort, nausea, diarrhea, headaches, vomiting, blisters and red blotches that may be raised or flat. Itching is the most common symptom and would likely be the first sign you would notice. The blisters will eventually break open, ooze out and then crust over. Of course you don't want to experience any of these symptoms in the open woods, itching is annoying on its own but diarrhea, nausea or headaches can be disastrous in the wild.
If poison ivy is consumed it can result in fatality. People may mistakenly ingest poison ivy fruits simply because they look like all other berries to the untrained eye. Poison ivy poisoning is a very unpleasant experience and one which can leave you ill for a long while. So the next time you're in the woods, looking for a bush or tree to do your business behind, be careful where you lean or squat. Contact with poison ivy should be avoided at all costs.