Swimming pool chlorine or chemicals can irritate sensitive skin, causing a widespread reaction. Another possibility is an 'id reaction,' where your body's immune response to the original hand rash triggers a wider outbreak. Rest assured, this is common and very treatable. Please continue your oral antihistamines, but since the rash has spread to new areas, it is best to avoid pool water for now and have a doctor examine you. They can safely adjust your topical steroids or suggest a gentler care plan to help you heal quickly.

Allegra-M (fexofenadine and montelukast) is excellent for controlling your allergy symptoms, though it does not directly lower the IgE number in your blood. To help lower your IgE levels naturally, the best precaution is to identify and strictly avoid your allergy triggers, such as dust, pollen, or certain foods. I highly recommend consulting an allergist for a simple allergy test and to discuss long-term options like immunotherapy, which can safely help desensitize your immune system.

Since you have a cough and a slight loss of taste, please wear a well-fitting mask when holding your baby, wash your hands thoroughly before any contact, and avoid close face-to-face contact or kissing. Continue taking your amoxicillin/clavulanate (Augmentic 625), levocetirizine (LCz), and fexofenadine (Allegra) as directed. Because loss of taste can point to viral infections like COVID-19, taking a quick home test or consulting your doctor is a safe and reassuring next step.

While a lack of sleep can certainly worsen hives by increasing stress and inflammation in your body, it is rarely the sole cause. Chronic hives, which you are currently managing with Allegra (fexofenadine), can also be triggered by emotional stress, physical factors like heat or pressure, certain foods, or underlying immune responses. Since they occur daily, keeping a symptom diary to track your sleep, diet, and stress can be very helpful. I highly recommend consulting an allergist or dermatologist to help identify any other underlying triggers.

Since you've been advised to avoid steroids, please note that Nasonex (mometasone) is still a corticosteroid, much like the fluticasone in Furamist AZ. While nasal steroids have very low absorption, they can occasionally affect eye pressure. On the other hand, Allegra M (fexofenadine and montelukast) is entirely steroid-free and safe for your eyes. I highly recommend discussing with your eye doctor or allergist to find a completely non-steroidal nasal spray, like azelastine alone, to safely manage your symptoms.

I highly recommend consulting a dermatologist or an allergist for your symptoms. Regarding Allegra (fexofenadine), 180 mg twice daily is a higher-than-standard dose. While hair loss is an extremely rare side effect of fexofenadine, the underlying chronic rash or bodily stress itself can trigger hair shedding. You can safely stop taking it, but stopping abruptly may cause your itchy rash to flare up. It is best to consult your doctor to safely adjust your dose and find the right relief.