His severe leg itching could be caused by dry skin (xerosis), which is common in diabetes and can be worsened by infrequent bathing. Since Allegra is not providing relief, the itching may also stem from diabetic neuropathy (nerve irritation) or poor circulation in his lower legs. I gently recommend keeping his legs clean and applying a thick, fragrance-free moisturizing cream daily. Please consult his doctor to examine his legs and check his blood sugar levels to rule out any underlying infections or nerve issues, ensuring he stays comfortable.

To reassure you, a 10-day delay can definitely be caused by the physical stress of fighting a urinary tract infection (UTI). While your medications?Laveta M (levocetirizine and montelukast), Allegra (fexofenadine), and Ivermectol (ivermectin)?are not typically known to delay menstruation directly, the overall illness and stress on your body can temporarily disrupt your cycle. This is a very common and temporary response. If the delay continues, or if there is any chance of pregnancy, please take a home test or consult your gynecologist for peace of mind.

Allegra is currently keeping your symptoms under control. While there is no immediate 'permanent cure' for chronic hives, the good news is that they often resolve on their own over time. For a long-term solution, I highly recommend consulting an allergist or dermatologist. They can help identify underlying triggers and discuss advanced, targeted treatments to help you achieve lasting remission.

Since your widespread symptoms haven't improved after two weeks of topical cortisone and antihistamines, a systemic corticosteroid?such as a cortisone injection or a short course of oral steroid tablets?is indeed a very reasonable and common next step. This helps treat the inflammation from the inside out. I highly recommend scheduling a visit with your doctor or a dermatologist. They can safely evaluate your skin, confirm the diagnosis, and prescribe the most appropriate treatment to finally bring you some well-deserved relief.

Since topical treatments and corticosteroid creams haven't worked?and steroids can sometimes actually worsen fungal infections?the standard clinical approach is to transition to prescription oral antifungal tablets, such as terbinafine or itraconazole. These medications work from the inside out to effectively eliminate the fungus from your face, stomach, and thighs. I highly recommend visiting a healthcare provider or dermatologist so they can safely prescribe the correct oral medication and monitor your progress.

Often, when allergies (treated with fexofenadine) or infections (treated with azithromycin) aren't the cause, chronic irritation from silent acid reflux is the culprit. An Ear, Nose, and Throat (ENT) specialist can perform a simple test called a flexible laryngoscopy to look closely at your throat. They might suggest managing possible reflux with lifestyle adjustments or generic acid-reducers like omeprazole. With the right treatment to stop the underlying irritation, these tissues can absolutely shrink and disappear completely over time.