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Common ones include: Alcohol Cold Exercise Heat Hot showers Humidity Nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin and ibuprofen Rubbing or scratching your skin Spicy foods Tight clothing Stress can also trigger CSU, Gupta says

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It is important to follow the doctors recommendations, such as not bending over, not lying down and avoiding massaging the treated area for several hours after the application, so that the substance is absorbed evenly

Still groggy, he lumbered out of bed, put on some pants, and started a pot of coffee when he suddenly felt a stinging sensation all up and down his legs

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He is also a known drug user, using them to stimulate himself during a mission