Part of the series: Allergy, Asthma & Immunology Innovations Podcast

This podcast was made in partnership with Allergy & Asthma Network.

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Chronic hives that come and go without warning are exhausting physically and emotionally. But here is something many patients don't realize: feeling "okay" is not the same as being well controlled.

Kortney and Dr. Gupta are joined by Dr. Tom Chacko, a board-certified allergist and immunologist based in Atlanta, to discuss what good hives control actually looks like and what to do when you are not there yet. From "just living with" your condition to managing a bad flare, tracking your symptoms, and preparing for your follow-up appointment, this episode gives you the tools to stop just coping and start getting better care.

What we cover in our episode about what chronic hives control looks like:

  • Chronic spontaneous urticaria. The plain-language definition of CSU, including why hives appear without a clear trigger and what angioedema is.

  • The trap of normalizing symptoms. Why patients adjust their lives around hives without realizing it, and how to spot the signs that your condition is not actually controlled.

  • How to track your hives. Why symptom tracking helps with diagnosis and better care, and how to use tools like the UAS7 score.

  • What to bring to your follow-up appointment. The concrete information your doctor needs to work with you to find the best treatment plan. This includes information about sleep, daily activity, and medication side effects.

  • How to ask for more help. What to say when antihistamines are not enough, and what newer treatment options exist for CSU patients today.

About our guest

Dr. Tom Chacko is a board-certified adult and pediatric allergist and immunologist based in Atlanta, Georgia, where he leads a practice of [8–10 or 14?] locations across the area. A former president of the Georgia Allergy, Asthma and Immunology Society and repeatedly named one of Atlanta's Top Doctors, Dr. Chacko sees patients of all ages across all areas of allergy and immunology, with a particular focus on hives, asthma, and food allergy.

Follow Dr. Chacko on Instagram

 
 
 

More resources about chronic hives

 

Timestamps‍ ‍

Our episode shares tips on how to track your hives and how to get the most out of your follow-up appointment

01:46 What is chronic spontaneous urticaria

02:37 What does normalizing a chronic condition mean

05:00 How chronic hives affect quality of life

08:08 What does good hives control actually look like

10:47 Why follow-up appointments matter

15:11 When to schedule your next follow-up

17:11 How to measure if your hives are under control

23:26 How to get the most out of your doctor's appointment

27:06 What your doctor needs to hear from you

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Ep. 147: The REMIX Trial: Remibrutinib for Chronic Hives