Dr. Steven Gundry explains: Delayed Pressure Urticaria

What is Delayed Pressure Urticaria?

Delayed pressure urticaria is a rare type of allergic reaction that occurs when the skin is subjected to prolonged pressure or rubbing. It is characterized by the appearance of red, itchy bumps or hives on the skin that can last for several hours after the pressure has been removed.

Delayed pressure urticaria can affect people of any age, but it is more common in people between the ages of 20 and 40. It is more common in women than in men.

The cause of delayed pressure urticaria is related to an abnormal immune response to certain stimuli.

Symptoms of Delayed Pressure Urticaria

The symptoms of delayed pressure urticaria can vary widely and may be mild or severe. Some common symptoms of delayed pressure urticaria include:

  • Red, itchy bumps or hives on the skin
  • Swelling of the skin
  • Warmth or burning sensation on the affected skin
  • Itching or tingling sensation on the affected skin

Diagnosis of Delayed Pressure Urticaria

Delayed pressure urticaria is typically diagnosed based on the presence of characteristic symptoms and a history of prolonged pressure or rubbing on the skin. A healthcare provider may also order a variety of tests to confirm the diagnosis, including:

  • Skin prick test: This test involves exposing a small area of skin to a variety of allergens to see if a reaction occurs.
  • Patch test: This test involves applying a patch containing a small amount of a suspected allergen to the skin to see if a reaction occurs.
  • Blood test: This test can help detect the presence of certain proteins or antibodies that are associated with an allergic reaction.

Treatment of Delayed Pressure Urticaria

Treatment for delayed pressure urticaria is focused on reducing symptoms and preventing future reactions. Eating a diet that includes plenty of these types of foods can help to support the growth of healthy gut bacteria and promote a healthy gut environment.

Follow a balanced and varied diet that includes a wide range of nutrients and fiber-rich foods, as this can help to support overall health. Please work with a healthcare provider to determine the most appropriate diet and treatment plan for ankylosing spondylitis, as every individual’s needs are unique.

  1. No packaged and processed foods — these foods, which now make up most Americans’ diets, are loaded with sugar, artificial ingredients, and other inflammatory ingredients. The more you eat them, the more you increase your risk of autoimmune disease and worsen your problem.
  2. Eat more whole foods — natural whole foods (particularly high-fiber vegetables like onions, asparagus, and artichoke) provide your gut with healthy starches and fiber that will keep you full and improve the health of your microbiome (the beneficial bacteria living in your gut).
  3. Get your sweetness naturally — sugar is one of the worst foods you can consume. It’s a key driver of inflammation and obesity in nearly all packaged and processed foods. But if you have a sweet tooth, Dr. Gundry recommends eating low-fructose fruits in season (and in moderation). His favorite fruits include wild berries, kiwifruit (with the skin on), pomegranate, passion fruit, and grapefruit.
  4. Cut out the lectins — these pesky plant proteins can lead to a leaky gut. Common lectin-containing foods include vegetables from the nightshade family (including tomatoes, potatoes, and eggplant), nuts and seeds like cashews and peanuts, and beans and legumes. (You can find a complete list of lectin-containing foods HERE.) Dr. Gundry’s lectin hack: you can completely neutralize the lectins in most foods by pressure-cooking them.
  5. Don’t forget fiber — perhaps the best food you can eat for a healthier gut is a type of fiber called a prebiotic. Eating more prebiotic fiber is the easiest (and fastest) way to a healthier, happier gut. And one of the best prebiotics is inulin, which you can find abundantly in foods like chicory, asparagus, onions, leeks, and artichokes. Dr. Gundry’s “refrigerator trick” to get more prebiotic fiber from starchy foods like yams, sorghum, millet, and pressure-cooked rice: cook them, chill them, reheat before eating.
  6. Avoidance of triggers: Identifying and avoiding triggers that may cause a reaction can be an important part of treatment.

It is important to work closely with a healthcare provider to develop a treatment plan that is appropriate for the individual’s needs. In some cases, treatment may involve a combination of medications and lifestyle changes, such as quitting smoking, maintaining a healthy weight, and engaging in regular physical activity.

Outlook for Delayed Pressure Urticaria

Delayed pressure urticaria is a chronic condition that requires ongoing management to prevent reactions. With proper treatment and avoidance of triggers, most people with delayed pressure urticaria are able to lead normal lives and have a good prognosis. However, it is important to follow the treatment plan recommended by a healthcare provider and be vigilant about any potential symptoms or reactions to adjust the plan as needed.

In some cases, delayed pressure urticaria can cause severe symptoms that may require emergency medical treatment. It is essential to seek medical attention immediately if any severe symptoms occur, such as difficulty breathing or swallowing.

It is also important to note that delayed pressure urticaria can be difficult to manage, as the symptoms and treatment can vary widely from one person to another. Some people may experience frequent flare-ups, while others may have long periods of remission.

In summary, treatment for delayed pressure urticaria is focused on reducing symptoms and preventing future reactions, and may include antihistamines, corticosteroids, immunosuppressive medications, and avoidance of triggers.


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