However, experiencing a low-grade fever of 99.4?F every evening for a month is something we should look into. While a mild evening temperature can sometimes be a normal body variation or a lingering response to a virus, a month-long trend warrants a professional check-up. I highly recommend scheduling a visit with your doctor. They can run simple tests to rule out any underlying mild infection or inflammation. In the meantime, rest well, stay hydrated, and keep tracking your temperature.

Allegra-M 120 mg/10 mg Tablet contains fexofenadine (120 mg), an antihistamine that relieves allergy symptoms, and montelukast (10 mg), a leukotriene receptor antagonist that reduces inflammation and helps control asthma and allergic rhinitis.

While fexofenadine (Allegra) and hydroxyzine (Atarax) are excellent antihistamines, chronic hives can sometimes be stubborn and require a personalized approach. Since you recently married, if you are planning a pregnancy, it is very important to discuss this with your doctor, as hydroxyzine (Atarax) may not be safe during pregnancy. Please schedule an appointment with your doctor or an allergist. They can safely adjust your dosage, explore other treatments, and help find the root cause of your hives to finally bring you some relief.

Because fexofenadine (Allegra) has not helped, this swelling and pain might be due to something other than a simple allergic reaction, such as a localized skin infection or contact dermatitis. I highly recommend having a doctor examine your ear and neck. They can determine if you need prescription treatments, like antibiotics or targeted anti-inflammatory creams, which antihistamines alone cannot address. In the meantime, keep the area clean and dry, avoid scratching, and apply a cool compress to help soothe the discomfort.

Since your current antihistamines, cetirizine and fexofenadine (Allegra-M), aren't fully controlling the flare-up, the most important next step is to be evaluated by a doctor. They can prescribe stronger, short-term treatments to help soothe your skin. Please seek immediate medical care if you experience any swelling of your lips, tongue, or throat, difficulty breathing, or dizziness. In the meantime, try to avoid hot showers and known triggers to keep your skin as comfortable as possible.

To help find the root cause, a doctor may recommend several standard blood tests. These typically include a Complete Blood Count (CBC) to check for inflammation, liver and kidney function tests, thyroid panels (as thyroid imbalances can cause itchy skin), and an IgE test to check for allergies. These routine tests are a great first step toward finding you lasting comfort. Please consult your physician or a dermatologist to safely guide your next steps.