Doctor's Notes on Heat Rash
Heat rash is a rash that breaks out when a person is overheated in warm conditions. The cause of heat rash is blockage of the sweat glands within the skin, which means that sweat cannot get to the skin surface to evaporate. Inflammation occurs, which leads to a characteristic skin rash. Blockage of the sweat glands can occur due to heavy or tight clothing, areas of skin that rub against adjacent skin (such as the armpits or groin), heavy creams or lotions, or adhesive bandages.
The typical symptoms of heat rash are a bumpy, red, itchy skin rash, as well as a burning sensation or prickly feeling. Areas of the body commonly exposed to the sun like the hands, face, and neck are common locations for heat rash. Associated symptoms may include bumps on the skin that look like tiny blisters.
What Is the Treatment for Heat Rash?
Heat rash can be treated at home with the following measures:
- Cool the skin by using cooling cloths or taking a cool bath or shower.
- Avoid repeated exposure to the heat source.
- Avoid using lotions, creams, cosmetics, or baby powder in the affected area as they can worsen the situation by clogging the pores.
- Treat itching with a 1% hydrocortisone cream or calamine lotion.
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Diaper Rash
Diaper rash appears on the skin under a diaper. Symptoms and signs include red, irritated skin on the baby's bottom or genital area. Treatment involves frequent diaper changes, cleaning the affected area with a mild soap, and using a barrier cream. -
Heat Cramps
Heat cramps are brief, painful muscle cramps that occur can occur when a person is working or exercising in a hot environment. Heat cramp signs and symptoms include involuntary muscle spasms of the large muscles of the body with profuse sweating, the cramping muscles are those that usually have been stressed. The cause of heat cramps is not well known, however, those at risk are infants and children, the elderly, those without proper air conditioning in hot environments, alcohol use, and certain medications. Heat cramps generally do not require medical attention, however, if heat exhaustion or heat stroke is suspected, seek medical care immediately. -
Heat Exhaustion
Heat exhaustion is a condition in which a person's body overheats due to fatigue, exercising or working in a hot environment, or dehydration. They elderly and young children under the age of 5 are at a greater risk for developing heat exhaustion. Symptoms of heat exhaustion in an adults and children include clammy skin, thirst, weak and rapid pulse, vomiting or nausea, headache, sweating heavily, muscle cramps, and weakness. Treatment is to place the affected person in a cool place, try to hydrate the individual, and cool their body with a cool mist of water, or cool (not cold) bath. Heat exhaustion can be prevented if precautions are taken. All cases of heat exhaustion should be evaluated by a medical professional. -
Heat Exhaustion vs. Heatstroke
Heat exhaustion and heatstroke are heat-related illnesses. Other heat-related illnesses include heat cramps, heat syncope (fainting), and heat rash. Heatstroke is the most severe form of these conditions and requires immediate medical treatment by calling 911. Heat exhaustion usually occurs when you play or work in a hot, humid environment and you lose fluids through sweat. This causes the body to overheat and become dehydrated. In heat exhaustion, the body temperature may be high, but not above 104 F (40 C), and medical treatment may be necessary. In contrast, heat stroke (also called heatstroke, sunstroke, or sun stroke) is a life-threatening medical emergency. It usually develops from heat exhaustion, and the internal body temperature rises to the point at which brain damage or damage to other internal organs may result (internal body temperature may reach 105 F or greater [40.5 C or greater). Common symptoms and warning signs of these two heat-related illnesses are nausea, skin flushing, headache, dizziness, weakness, thirst, muscle cramps, and rapid heart rate. Heat exhaustion can be treated with treating dehydration at home or through IV at the doctor's office, Urgent Care, or Emergency Department. Heatstroke is a condition that needs to be treated right away. If you think someone you know is suffering from heatstroke call 911 immediately and get medical help. If medical treatment isn't started urgently, the person may die. -
Heat Stroke
Heat stroke is a medical emergency. Heat stroke is caused by prolonged exposure to high temperatures while working, exercising, doing strenuous or non-strenuous activity, and certain medications. Symptoms of heat stroke include muscle cramps, profuse sweating, rapid pulse and breathing, dizziness, and headache. If heat stroke is not treated emergently, the prognosis is poor. -
Rash
A rash is a visible skin outbreak. Examples of noninfectious rashes include eczema, psoriasis, contact dermatitis, seborrheic dermatitis, rosacea, hives, and allergic dermatitis. Types of infectious rashes include ringworm, impetigo, scabies, herpes, chickenpox, and shingles. Rashes may be caused by fungi, viruses, bacteria, and parasites. Treatment depends upon the type of rash. -
Skin Rashes in Children
Skin rashes in children may be categorized as bacterial, viral, life-threatening, fungal, and parasitic rashes. Oftentimes, the associated symptoms help establish the diagnosis. Treatment depends upon the type of rash and the severity of the signs and symptoms. -
Sunburn (Sun Poisoning)
Sunburn is a burn on the skin caused by UV radiation. Mild sunburn symptoms include skin redness and pain. Severe cases of sunburn (sun poisoning) are complicated by skin burning and blistering, dehydration, electrolyte imbalances, and possibly infection. A sun rash is caused by a condition referred to as polymorphous light eruption (PMLE). Home remedies for sunburn include over-the-counter pain medicine, aloe vera gels and lotions, and cool tepid baths. Severe sunburn may need medical treatment. Prevention of sunburn include staying out of the sun during the peak hours of the day, wearing sunscreen often and reapply often, and wear protective clothing shielding the exposed body from the sun. -
Why Do I Get Heat Rash?
Heat rash (also called sweat rash, prickly heat, or miliaria) is a type of heat-related illness that describes red bumps that form when sweat ducts become blocked. Heat rash is more likely to occur in humid weather or tropical climates, being overdressed, intense physical activity that causes excessive sweating, overheating, and underdeveloped sweat ducts.
REFERENCE:
Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.