Sunburn
Topic OverviewSunlight can help our mental outlook and help us feel
healthier. For people who have arthritis, the sun's warmth can help relieve some of
their physical pain. Many people also think that a
suntan makes a person look young and healthy. But
sunlight can be harmful to the skin, causing immediate problems as well as
problems that may develop years later. A
sunburn is skin damage from the sun's
ultraviolet (UV) rays. Most sunburns cause mild pain
and redness but affect only the outer layer of skin (first-degree burn). The red skin might hurt when you touch it. These sunburns are
mild and can usually be treated at home. Skin that is red and
painful and that swells up and blisters may mean that deep skin layers and
nerve endings have been damaged (second-degree burn). This type of sunburn is usually more painful and takes longer to
heal. Other problems that can be present along with sunburn
include: - Heatstroke or other heat-related
illnesses from too much sun exposure.
- Allergic reactions
to sun exposure, sunscreen products, or medicines.
- Vision problems, such as
burning pain, decreased vision, or partial or complete vision loss.
Long-term problems include: - An increased chance of having
skin cancer.
- An increase in the number of
cold sores.
- An increase in problems
related to a health condition, such as
lupus.
- Cataracts, from
not protecting your eyes from direct or indirect sunlight over many years.
Cataracts are one of the leading causes of blindness.
- Skin changes, such as premature wrinkling or brown spots.
Your
skin type affects how easily you become sunburned.
People with fair or freckled skin, blond or red hair, and blue eyes usually
sunburn easily. Although people with darker skin don't sunburn as easily, they can still get skin cancer. So it's important to use sun protection, no matter what your skin color is. Your age also affects how your skin reacts to the sun. The skin
of children younger than 6 and adults older than 60 is more sensitive to
sunlight. You may get a more severe sunburn depending on: - The time of day. You are more likely to get a
sunburn between 10 in the morning and 4 in the afternoon, when the sun's rays
are the strongest. You might think the chance of getting a sunburn on cloudy
days is less, but the sun's damaging UV light can pass through
clouds.
- Whether you are near reflective surfaces, such as water,
white sand, concrete, snow, and ice. All of these reflect the sun's rays and
can cause sunburns.
- The season of the year. The position of the sun
on summer days can cause a more severe sunburn.
- Altitude. It is
easy to get sunburned at higher altitudes, because there is less of the earth's
atmosphere to block the sunlight. UV exposure increases about 4% for every
1000 ft (305 m) gain in
elevation.
- How close you are
to the equator (latitude). The closer you are to the equator, the more direct
sunlight passes through the atmosphere. For example, the southern United States
gets 1.5 times more sunlight than the northern United States.
- The
UV index of the day, which shows the risk of
getting a sunburn that day.
Preventive measures and home treatment are usually all that is
needed to prevent or treat a sunburn. - Protect your skin from the sun.
- Do
not stay in the sun too long.
- Use sunscreens, and wear clothing
that covers your skin.
If you have any
health risks that may increase the seriousness of sun
exposure, you should avoid being in the sun from 10 in the morning to 4 in the
afternoon. Check your symptoms to decide if and
when you should see a doctor. Check Your SymptomsHow old are you? Less than 3 months Less than 3 months 3 months to 11 years 3 months to 11 years 12 years or older 12 years or older Do you think you may have a heat-related illness, like heat exhaustion or heat cramps? Yes Possible heat-related illness No Possible heat-related illness Yes Symptoms of allergic reaction No Symptoms of allergic reaction Are the symptoms severe, moderate, or mild? Moderate Moderate dehydration Are you having trouble drinking enough to replace the fluids you've lost? Little sips of fluid usually are not enough. You need to be able to take in and keep down plenty of fluids. Yes Unable to maintain fluid intake No Able to maintain fluid intake How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine? 8 to 10: Severe pain Severe pain 5 to 7: Moderate pain Moderate pain 1 to 4: Mild pain Mild pain Are you having eye or vision problems? Yes Eye or vision problems Has blurred vision or vision loss lasted for more than 30 minutes? Yes Vision loss or blurred vision for more than 30 minutes No Vision loss or blurred vision for more than 30 minutes Do you have any eye pain? How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine? 8 to 10: Severe pain Severe eye pain 5 to 7: Moderate pain Moderate eye pain 1 to 4: Mild pain Mild eye pain Has the pain lasted for more than 1 full day (24 hours)? Yes Mild eye pain for more than 24 hours No Mild eye pain for more than 24 hours Does light make your eyes hurt? Do you have more than a mild fever? A mild fever is common with sunburn. Home treatment usually is all that's needed for a mild fever. Do you have a severe headache or extreme fatigue? Yes Severe headache or fatigue No Severe headache or fatigue Does your baby have a sunburn with blisters? Yes Baby has sunburn with blisters No Baby has sunburn with blisters Are there any blisters, bleeding under the skin, or bruising in the sunburned area? Yes Blisters, bleeding under the skin, or bruising in sunburned area No Blisters, bleeding under the skin, or bruising in sunburned area Are you worried about scarring from large blisters? Yes Concerns about scarring No Concerns about scarring Do you think you may have a fever? Are there red streaks leading away from the area or pus draining from it? Do you have diabetes, a weakened immune system, peripheral arterial disease, or any surgical hardware in the area? "Hardware" includes things like artificial joints, plates or screws, catheters, and medicine pumps. Yes Diabetes, immune problems, peripheral arterial disease, or surgical hardware in affected area No Diabetes, immune problems, peripheral arterial disease, or surgical hardware in affected area Are you taking a medicine that may cause you to sunburn easily? Yes Taking medicine that may increase risk of sunburn No Taking medicine that may increase risk of sunburn Many things can affect how your body responds to a symptom and what kind
of care you may need. These include: - Your age. Babies and older
adults tend to get sicker quicker.
- Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart
disease, you may need to pay closer attention to certain symptoms and seek care
sooner.
- Medicines you take. Certain
medicines, herbal remedies, and supplements can cause symptoms or make them
worse.
- Recent health events, such as surgery
or injury. These kinds of events can cause symptoms afterwards or make them
more serious.
- Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug
use, sexual history, and travel.
Try Home TreatmentYou have answered all the questions. Based on your answers, you may be
able to take care of this problem at home. - Try home treatment to relieve the
symptoms.
- Call your doctor if symptoms get worse or you have any
concerns (for example, if symptoms are not getting better as you would expect).
You may need care sooner.
Symptoms of infection may
include: - Increased pain, swelling, warmth, or redness in or
around the area.
- Red streaks leading from the area.
- Pus draining from the area.
- A fever.
You can get dehydrated when
you lose a lot of fluids because of problems like vomiting or fever. Symptoms of dehydration can range from mild to severe. For
example: - You may feel tired and edgy (mild dehydration), or
you may feel weak, not alert, and not able to think clearly (severe
dehydration).
- You may pass less urine than usual (mild
dehydration), or you may not be passing urine at all (severe
dehydration).
Severe dehydration means: - Your mouth and eyes may be extremely
dry.
- You may pass little or no urine for 12 or more
hours.
- You may not feel alert or be able to think
clearly.
- You may be too weak or dizzy to stand.
- You may
pass out.
Moderate dehydration means: - You may be a lot more thirsty than
usual.
- Your mouth and eyes may be drier than usual.
- You may
pass little or no urine for 8 or more hours.
- You may feel dizzy
when you stand or sit up.
Mild dehydration means: - You may be more thirsty than usual.
- You may pass less urine than usual.
Severe dehydration means: - The baby may be very sleepy and hard to wake
up.
- The baby may have a very dry mouth and very dry eyes (no
tears).
- The baby may have no wet diapers in 12 or more hours.
Moderate dehydration means: - The baby may have no wet diapers in 6 hours.
- The
baby may have a dry mouth and dry eyes (fewer tears than usual).
Mild dehydration means: - The baby may pass a little less urine than usual.
If you're not sure if a fever is high, moderate, or mild,
think about these issues: With a high fever: - You feel very hot.
- It is likely one of
the highest fevers you've ever had. High fevers are not that common, especially
in adults.
With a moderate fever: - You feel warm or hot.
- You know you have
a fever.
With a mild fever: - You may feel a little warm.
- You think
you might have a fever, but you're not sure.
Pain in adults and older children - Severe pain (8 to 10): The pain
is so bad that you can't stand it for more than a few hours, can't sleep, and
can't do anything else except focus on the pain.
- Moderate pain (5 to 7): The pain is bad enough to disrupt your
normal activities and your sleep, but you can tolerate it for hours or days.
Moderate can also mean pain that comes and goes even if it's severe when it's
there.
- Mild pain (1 to 4): You notice the pain,
but it is not bad enough to disrupt your sleep or activities.
Pain in children under 3 years It can be hard to tell how much pain a baby or toddler is in. - Severe pain (8 to 10): The
pain is so bad that the baby cannot sleep, cannot get comfortable, and cries
constantly no matter what you do. The baby may kick, make fists, or
grimace.
- Moderate pain (5 to 7): The baby is
very fussy, clings to you a lot, and may have trouble sleeping but responds
when you try to comfort him or her.
- Mild pain (1 to 4): The baby is a little fussy and clings to you a little but responds
when you try to comfort him or her.
Certain health conditions and medicines weaken the immune system's ability to fight off infection and
illness. Some examples in adults are: - Diseases such as diabetes, cancer, heart disease,
and HIV/AIDS.
- Long-term alcohol and drug
problems.
- Steroid medicines, which may be used to treat a variety
of conditions.
- Chemotherapy and radiation therapy for
cancer.
- Other medicines used to treat autoimmune
disease.
- Medicines taken after organ transplant.
- Not
having a spleen.
Many prescription and nonprescription medicines can cause the
skin to sunburn more easily. A few common examples are: - Some antibiotics.
- Aspirin, ibuprofen
(such as Advil or Motrin), and naproxen (such as Aleve).
- Skin
products that contain vitamin A or alpha hydroxy acids (AHA).
- Some
acne medicines.
- Some diabetes medicines that you take by mouth.
Symptoms of an allergic reaction may
include: - A rash, or raised, red areas called
hives.
- Itching.
- Swelling.
- Trouble
breathing.
Symptoms of heatstroke may
include: - Feeling or acting very confused, restless, or
anxious.
- Trouble breathing.
- Sweating heavily, or not
sweating at all (sweating may have stopped).
- Skin that is red,
hot, and dry, even in the armpits.
- Passing
out.
- Seizure.
- Nausea and vomiting.
Heatstroke occurs when the body can't control its own
temperature and body temperature continues to rise. Seek Care NowBased on your answers, you may need care right away. The problem is likely to get worse without medical care. - Call your doctor now to discuss the symptoms and
arrange for care.
- If you cannot reach your doctor or you don't have
one, seek care in the next hour.
- You do not need to call an
ambulance unless:
- You cannot travel safely either by driving
yourself or by having someone else drive you.
- You are in an area
where heavy traffic or other problems may slow you down.
Seek Care TodayBased on your answers, you may need care soon. The
problem probably will not get better without medical care. - Call your doctor today to discuss the symptoms
and arrange for care.
- If you cannot reach your doctor or you don't
have one, seek care today.
- If it is evening, watch the symptoms and
seek care in the morning.
- If the symptoms get worse, seek care
sooner.
Call 911 NowBased on your answers, you need
emergency care. Call911or other emergency services now. Heat-Related Illnesses Allergic Reaction Home TreatmentHome treatment measures may provide
some relief from a mild sunburn. - Use cool cloths on sunburned
areas.
- Take frequent cool showers or baths.
- Apply
soothing lotions that contain aloe vera to sunburned areas. Topical steroids
(such as
1% hydrocortisone cream) may also help with sunburn pain and swelling.
Note: Do not use the cream on children younger than age
2 unless your doctor tells you to. Do not use in the rectal or vaginal area in
children younger than age 12 unless your doctor tells you to.
A sunburn can cause a mild fever and a headache. Lie down in a
cool, quiet room to relieve the headache. A headache may be caused by
dehydration, so drinking fluids may help. For more
information, see the topic
Dehydration. There is little you can do to
stop skin from peeling after a sunburn-it is part of the healing process.
Lotion may help relieve the itching. Other home treatment measures, such as chamomile, may help relieve your sunburn
symptoms. Medicine you can buy without a prescription Try a nonprescription
medicine to help treat your fever or pain: |
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Talk to your child's doctor before switching back and
forth between doses of acetaminophen and ibuprofen. When you switch between two
medicines, there is a chance your child will get too much medicine. | Safety tips Be sure to follow these
safety tips when you use a nonprescription medicine: |
---|
- Carefully read and follow all directions
on the medicine bottle and box.
- Do not take more than the
recommended dose.
- Do not take a medicine if you have had an
allergic reaction to it in the past.
- If
you have been told to avoid a medicine, call your doctor before you take
it.
- If you are or could be pregnant, do not take any medicine other
than acetaminophen unless your doctor has told you to.
- Do not give aspirin to anyone younger than age 20 unless your doctor tells you to.
| Care of blistersHome treatment may help decrease
pain, prevent infection, and help the skin heal. - A small, unbroken blister about the size of a pea, even a blood blister, will usually heal on its own. Use a loose bandage to protect it. Avoid the activity that caused the blister.
- If a small blister is on a weight-bearing area like the bottom of the foot, protect it with a doughnut-shaped moleskin pad. Leave the area over the blister open.
- If a blister is large and painful, it may be best to drain it. Here is a safe method:
- Wipe a needle with rubbing alcohol.
- Gently puncture the edge of the blister.
- Press the fluid in the blister toward the hole so it can drain out.
- If you have a condition such as diabetes, HIV, cancer, or heart disease, you do not want to drain a blister because of the risk of infection.
- After you have opened a blister, or if it has torn open:
- Gently wash the area with clean water. Do not use alcohol, iodine, or any other cleanser.
- Don't remove the flap of skin over a blister unless it's very dirty or torn or there is pus under it. Gently smooth the flap over the tender skin.
- You may cover the blister with a thin layer of petroleum jelly, such as Vaseline, and a nonstick bandage.
- Apply more petroleum jelly and replace the bandage as needed.
Watch for a skin infection while your
blister is healing. Signs of infection include: - Increased pain, swelling, redness, or warmth
around the blister.
- Red streaks extending away from the
blister.
- Drainage of pus from the blister.
- Fever.
Symptoms to watch for during home treatmentCall your doctor if any of the following occur during home
treatment: - Vision problems continue after you get out of
the sun.
- Fever develops.
- Dehydration develops and you are unable to drink enough to replace lost
fluids.
- Signs of
skin infection in blisters develop.
- Symptoms become
more severe or more frequent.
PreventionProtecting your skinUse the following tips to
protect your skin from the sun. You may decrease your chances of developing
skin cancer and help prevent wrinkles. Avoid sun exposureThe best way to prevent a
sunburn is to avoid sun exposure. Stay out of the midday sun (from
10 in the morning to 4 in the afternoon), which is the strongest sunlight. Find
shade if you need to be outdoors. You can also calculate how much
ultraviolet (UV) exposure you are getting by using the
shadow rule: A shadow that is longer than you are means UV exposure is low; a
shadow that is shorter than you are means the UV exposure is high. Other ways to protect yourself from the sun include wearing protective
clothing, such as: - Hats with wide
4 in. (10 cm) brims that cover
your neck, ears, eyes, and scalp.
- Sunglasses with
UV ray protection, to prevent eye damage.
- Loose-fitting, tightly woven clothing that
covers your arms and legs.
- Clothing made with sun protective fabric. These clothes have a special label that tells you how effective they are in protecting your skin from ultraviolet rays.
Preventing sun exposure in childrenYou should
start protecting your child from the sun when he or she is a baby. - It's safest to keep babies younger than 6 months out of the sun.
- Teach
children the ABCs of how to protect their skin from getting sunburned.
- A = Away. Stay away from the sun as much as possible from 10 in the morning until 4 in the afternoon. Find shade if you need to be outdoors.
- B = Block. Use a sunscreen with a
sun protection factor (SPF) of 30
or higher to protect babies' and children's very sensitive skin.
- C = Cover up. Wear clothing that covers the
skin, hats with wide brims, and sunglasses with UV protection. Even children 1
year old should wear sunglasses with UV protection.
Sunscreen protectionIf you can't avoid being in
the sun, use a sunscreen to help protect your skin while you are in the
sun. Be sure to read the information on the sunscreen label about the SPF factor listed on the label and how much protection it gives your skin. Follow the directions on the label for applying the sunscreen so it is most effective in protecting your skin from the sun's ultraviolet rays. Choosing a sunscreen- Sunscreens come in lotions, gels,
creams, ointments, and sprays. Use a sunscreen that:
- Use lip balm or cream that has
SPF of 30 or higher to protect your lips from getting sunburned.
- Take extra care to protect your skin when you're near water, at higher elevations, or in tropical climates.
Sunscreens labeled "water-resistant" are made to protect people while they are swimming or sweating. The label will say if the sunscreen will protect you for 40 minutes or 80 minutes. Applying a sunscreen- Apply the sunscreen at least 15 to 30 minutes
before going in the sun.
- Apply sunscreen to all the skin that will
be exposed to the sun, including the nose, ears, neck, scalp, and lips.
Sunscreen needs to be applied evenly over the skin and in the amount
recommended on the label. Most sunscreens are not completely effective because
they are not applied correctly. It usually takes about
1 fl oz (30 mL) to cover an
adult's body.
- Apply sunscreen every 2 to 3 hours while in the sun
and after swimming or sweating a lot. The SPF value decreases if a person
sweats heavily or is in water, because water on the skin reduces the amount of
protection the sunscreen provides.
Other sunscreen tipsRemember that skin that is healing from a sunburn is sensitive to more damage from the sun, so be sure to prevent more sunburn in those areas. The following tips about sunscreen will help you use it
more effectively: - If your skin is sensitive to skin products or you have had a skin
reaction (allergic reaction) to a sunscreen, use a sunscreen
that is free of chemicals, para-aminobenzoic acid (PABA), preservatives, perfumes, and alcohol.
- If you are going to have high
exposure to the sun, consider using a
physical sunscreen, such as zinc oxide,
which will stop most of the sunlight from reaching the skin.
- If you need to
use sunscreen and insect repellent with DEET, do not use a product that
combines the two. You can apply sunscreen first and then apply the insect
repellent with DEET, but the sunscreen needs to be reapplied every 2
hours.
Do not use tanning booths to get a tan. Artificial
tanning devices can cause skin damage and increase the risk of skin
cancer. If you want your skin to look tan, try a sunless tanning cream or spray that makes your skin look tan. And keep using sunscreen when you are in the sun. For information on sun exposure and vitamin D, see Getting Enough Vitamin D. Preparing For Your AppointmentTo prepare for your appointment, see the topic Making the Most of Your Appointment. You can help your
doctor diagnose and treat your condition by being prepared to answer the
following questions: - What are your main symptoms?
- How long
have you had your symptoms?
- Do you have blisters?
- What
amount of time did you spend in the sun? Were you at a high
altitude?
- Did you use sunscreen or sunblock, and what SPF was
used?
- Have you had this problem before? If so, do you know what
caused the problem at that time? How was it treated?
- What
activities make your symptoms better or worse?
- What prescription or
nonprescription medicines do you take?
- What home treatment measures
have you tried? Did they help?
- What nonprescription medicines have
you tried? Did they help?
- Do you have any
health risks?
Other Places To Get HelpOrganizationEnvironmental Protection Agency: SunWise (U.S.) Environmental Protection Agency: SunWise (U.S.) www.epa.gov/sunwise CreditsByHealthwise Staff Primary Medical ReviewerPatrice Burgess, MD - Family Medicine Adam Husney, MD - Family Medicine Kathleen Romito, MD - Family Medicine E. Gregory Thompson, MD - Internal Medicine Specialist Medical ReviewerWilliam H. Blahd, Jr., MD, FACEP - Emergency Medicine Current as ofMarch 20, 2017 Current as of:
March 20, 2017 Last modified on: 8 September 2017
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