<human>: my 28 month old toddler has been breaking out into hives for the last 3 weeks, these hives actually look like welts. We have now noticed for the last 3 days she also has ice cold hands? Any ideas as to what could be going on? She has complained of back pain yesterday when she woke up but hasn t brought it up since
<bot>: Welcome to the ChatDoctorIn my opinion your child is suffering from an allergic episode. Hive occurs when the body releases histamines in response to some allergens in the surroundings of the kid. It can be airborne, food products or insect bites. I would recommend you the following measures to help her out of the illness:1. Identify the allergens if possible and avoid them in the future.2. Start her on antihistamine such as Spy Ben Chat Doctor. 3. Apply calamine lotion over lesions for relief of itching.4. You can also apply ice on lesions. It will be soothing.5. Measure temperature and heart rates. If she has more than 100 degrees Fahrenheit temperature give her acetaminophen syrup. If it is persistent or heart rate is persistently over 150/min, then consult your pediatrician immediately for proper clinical examination and laboratory work up if required. For further questions, do contact us.