How to relieve itching from prickly heat in children

Written by Zeng Hai Jiang
Pediatrics
Updated on January 02, 2025
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Heat rash in children is primarily caused by blockages in the sweat ducts, due to the poor development of neonatal sweat ducts, a humid and hot external environment, and prolonged bed rest. Based on the appearance of the heat rash, it can be categorized into white heat rash, red heat rash, pustular heat rash, and deep heat rash. Red heat rash can feel itchy and burning; pustular heat rash can cause burning, itching, and pain; white and deep heat rash do not typically present noticeable symptoms. When a child's heat rash feels itchy, topical medications can be applied for relief. Local cold compresses or ice packs can also be used to alleviate itchiness and pain. Naturally, providing a cooler environment for the child is beneficial, including frequent baths to help clear the sweat ducts.

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Written by Zeng Hai Jiang
Pediatrics
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Is prickly heat powder effective for children's prickly heat?

When children develop heat rash, using prickly heat powder is useful. Heat rash in children is caused by the blockage of sweat ducts in the skin, leading to a type of skin disease. Conditions such as poor development of sweat ducts in newborns, overly hot external environments, and prolonged bed rest can make children more prone to heat rash. Once a child develops heat rash, measures to cool and dry the skin are usually effective in improving the condition. Topical medications can also be applied locally, including ingredients like calamine, prickly heat powder, etc. The principles of using topical medications are cooling, itching relief, and astringency. The components of prickly heat powder include talcum, borneol, zinc oxide, and menthol, which can help remove dampness, disperse wind, cool the skin, and relieve itching. Therefore, using prickly heat powder is useful when children develop heat rash. (The use of medications should be carried out under the guidance of a physician)

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Written by Qu Jing
Dermatology
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Are heat rash and prickly heat the same?

Heat rash, also known as miliaria, is actually what is referred to in medicine as herpes simplex. It is different from prickly heat. Herpes simplex is caused by a viral infection, specifically the herpes simplex virus. It is characterized by clusters of small blisters and often occurs at the junctions of skin and mucous membranes. It is self-limiting but tends to recur, especially when the immune system is weakened. On the other hand, prickly heat occurs in the hot summer months when high temperatures and humidity make sweat evacuation difficult, leading to narrow and blocked sweat ducts, which results in prickly heat. It is usually intensely itchy. Thus, it is advisable to avoid rapid changes in skin temperature, such as moving from sweating heavily to suddenly entering an air-conditioned environment. This can cause sweat glands to close while sweat is still being produced heavily, leading to prickly heat. Treatment for herpes simplex involves antiviral therapy, whereas treatment for prickly heat primarily involves cooling, inducing sweat, and astringent measures.

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Written by Zhu Zhu
Dermatology
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What medicine is used for prickly heat?

Prickly heat is a common skin disease that often occurs in summer. For the treatment of prickly heat, we divide it into systemic treatment and topical treatment. Systemic treatment mainly involves taking antihistamines orally, such as loratadine tablets, when itching is severe. If there is a pus infection, it is recommended to use antibiotics for treatment. Another method is the topical treatment of prickly heat, which involves the use of cooling powders locally, such as prickly heat powder or cooling and itching-relieving washes, such as calamine lotion or menthol tincture. In cases of pustular prickly heat, calamine or berberine powder can be used topically.

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Written by Zhu Zhu
Dermatology
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The fastest way to get rid of prickly heat

Prickly heat is a common dermatological condition caused mainly by excessively hot weather and high temperatures, which lead to excessive sweat production that cannot be properly released from the body. It often appears in individuals who are bedridden for long periods or in infants and young children. The quickest methods to eliminate prickly heat include: First, keep the skin dry and clean. It is best to ventilate the room well and avoid overheating the indoor environment. Second, wear comfortable and loose-fitting clothing to reduce the occurrence of prickly heat. Third, use talcum powder or some astringent medications, applying them to the affected areas to treat the prickly heat.

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Written by Zhu Zhu
Dermatology
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How to use prickly heat powder?

Use of prickly heat powder, with the following recommended methods: First, if it is used on babies, be careful not to let the baby get the prickly heat powder into their mouth or eyes. When applying the prickly heat powder, try to apply it to the buttocks, armpits, or the neck and back area. Second, when applying it to skin folds, try to spread it out evenly and not let it accumulate in one spot. Use only a small amount each time, just enough to cover with a thin layer. Third, after using the prickly heat powder, cover it properly to avoid getting it wet.