Talk to Dermatologist on Cholinergic Urticaria

I experience small, itchy, needle-like bumps on my skin whenever I suddenly start running, exercise intensely, or experience sudden emotional shock. These bumps do not appear when I am simply walking or sitting in cold weather. The reaction begins within minutes of exertion and fades after some time. I have read about cholinergic urticaria and believe my symptoms match this condition. I would like to confirm the diagnosis and discuss possible treatment options, such as daily antihistamines (e.g., cetirizine) or other management strategies