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if yours isn't related to scratching, are you feeling particularly anxious at the time? my psych was telling me to take a xanax when i would feel the need to scratch (didn't help, of course), doc was telling me to take an antihistamine (didn't help either). if you actually feel anxious, it is probably an anxiety attack. of course, if the blotches make you anxious, they are probably causing a secondary anxiety attack, which doesn't help things.
talk to your psych and your primary care about it. tell them both exactly what you feel when the blotches occur. don't leave out any information or you will wind up like i was, wrongly medicated. otherwise, try a simple change of body wash to something without artificial dyes, fragrances, or sodium laureth/lauryl sulfate. your neck is one of the most sensitive areas of the body, and your chest is where you would break out if you were sensitive to your laundry detergent, or at least that is what my mother told me. (i changed that to a free and clear formula as well.)
good luck!
i trust my mom on most things, and i dont know why i didnt call her sooner; i went to my primary care first, and he prescribed antihistamine, which, of course made me all floaty and did nothing. i was still itchy and blotchy. and my scalp would be scabby and bleeding. then i asked my psych if my meds had any side effects of itchyness and he said it was anxiety and take my xanax; so i tried that, and it didn't work, so i was all dopey from that. then i decided to call mom, and she said to change my body wash and shampoo to something hypoallergenic or just organic. so i bought Burt's Bees shampoo and body wash and it stopped. went ahead and changed to free and clear laundry detergent to be safe, and stopped using bleach on all my whites (i love the smell of bleach). no more itching, and much less blotchiness. i still get some if i get really anxious or angry. i have noticed that i blush a lot, if i am embarrassed.Im 23 and i also have the same problem as you with the red blotches on neck and chest, out of the blue when any sort of emotions come up. It has only become a more usual occurance in the last couple of years.I have always attributed it to social anxiety because in the past i suffered anxiety. But i dont suffer anxiety anymore, i just get this reaction to the same emotions you noted > embarrassment, excitement, anger or situations where i have to be assertive. I also dont have a problem speaking to people, or being social. Im happily assertive with my opinions as well. The red blotchy reaction is out of my control, and will occur even when im feeling quite calm. I think its all related to the nervous system, as most skin reactions will be connected to the nervous system and the respiratory system. Maybe trying some sort of herbal relaxant for nerves would help. And exercise for the respiratory system. Mega B vitamin, and st john wort are a good combination, i found it has made a difference.
I have never taken prescribed medications for this, even when i suffered anxiety i didnt take any medication. I just moved past it. But this recent thing with the red blotches is really very annoying, im sick of it too, its a social burden! I would love to find a cure as well. I dont know about surgery though, there has to be another way! Also, the thyroid glands control your hormonal balances, relating to emotions, energy, all that, and can bring about uncontrollable flushes (although usually to menopausal women). I have a large nodule in my thyroid, and it is due to hypothyroidism. This influences the red blotches, by making me hyper sensitive.. might be a good thing for you to check out! Im in process of having mine looked at and i believe having it fixed will alter the occurance of out of control red blotchy syndrome..Low or high blood pressure can also affect your nervous system.
Have you ever had social anxiety, or emotional problems? Do you think some sort of emotional thing brought it about in your case? It would be interesting to see if this is all related to emotions, or problems with bodily function!

Oh and yes I am hypothyroid as well. Have been for the last several years but the blotchies started well before the diagnosis. I am seeing a specialist next month about it instead of just my family doctor, mainly because I have to keep upping my dose of medication and I don't get that so just want to see if there is something more going on! I've tried to think of some emotional reason I started getting this but I cant think of anything. I do, however, remember the day it started. I was at lunch with some coworkers and one girl asked if I was ok b/c my neck was all red. I went in the bathroom and was like wow maybe I'm allergic to something. It went away within 15 minutes or so and I never thought about it again. It happened after that as well and I just couldn't pinpoint it until I finally realized it seemed to do with emotions and nerves but never once did I attritubte it to social anxiety disorder, if anything I feel I'm the opposite. And since then it happens mainly at interviews and such. I wonder if I'll ever grow out of it or if I'll be 80 and still blotchy? LOL
On a side note, it's good to know there are other fellow blotchers out there lol!
I've had the same issues!! conquerthis, I just ordered the hot flash medication you were talking about, what dosage did you take it in, did you take it everyday? Please let me know.
Thank you!
~If this works, I'll report back;)
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