Is my symptoms urticaria?

I just want to share my symptoms and see if it aligns with urticaria diagnosis. Yes I have gotten bloodwork, seen my pcp, allergist and dermatologist.

I take Zyzal 10mg once a day in the morning. Once the Zyzal wears off after 24 hours I start to feel burning sensation in my body especially my back. I feel pins and needles sensation in my ankles, back of the neck and hip. If its cold out or wash my hands in cold water my hands get the itchy pins and needles sensation.

If I go more 48 hours without an antihistamine my internal body temp feels hot. If I touch cold water, feel cold wind like the ceiling fan or AC vent on my skin or break a sweat I break out in itchy hives all over.

If I step out of cold water like at a lake or the shower. There's red itchy dots all over especially my thighs.