Sunlight can help our mental outlook and help us feel
healthier. For people with 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.
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. 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 indicates 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.
Review the Emergencies and Check Your Symptoms sections
to determine if and when you need to see a doctor.
After calling
911 or other emergency services, begin
emergency first aid treatment if emergency medical
personnel are not going to arrive soon.
Check Your Symptoms
If you answer yes to any of the following questions, click on the "Yes" in front of the question for information about how soon to see a health professional.
Review
health risks that may increase the seriousness of your
symptoms.
Note: If you have
any of the following symptoms, evaluate those symptoms first.
Are you taking a
medicine that may cause you to sunburn easily?
Note:
If your answer is Yes:
Call the doctor who prescribed the
medicine before taking your next dose to determine whether you should stop
taking the medicine or take a different one. An appointment may not be
necessary.
If you are taking a medicine that was not prescribed by
a doctor (nonprescription), stop taking the medicine. If you feel that you need
to continue taking the medicine, call your doctor to discuss it.
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
After calling
911 or other emergency services, begin
emergency first aid treatment if emergency medical
personnel are not going to arrive soon.
Check Your Symptoms
If you answer yes to any of the following questions, click on the "Yes" in front of the question for information about how soon to see a health professional.
Review
health risks that may increase the seriousness of your
symptoms.
Note: If you have
any of the following symptoms, evaluate those symptoms first.
Are you taking a
medicine that may cause you to sunburn easily?
Note:
If your answer is Yes:
Call the doctor who prescribed the
medicine before taking your next dose to determine whether you should stop
taking the medicine or take a different one. An appointment may not be
necessary.
If you are taking a medicine that was not prescribed by
a doctor (nonprescription), stop taking the medicine. If you feel that you need
to continue taking the medicine, call your doctor to discuss it.
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.
Other Symptoms to Watch For
Do you have the following symptom?
Skin changes and a history of sunburns: Go to
the topic
Skin Changes.
If a visit to a health professional is not needed immediately, see the Home Treatment section for self-care information.
Home Treatment
Home 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.
Aspirin (also a nonsteroidal
anti-inflammatory drug), such as Bayer or Bufferin
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.
Home treatment may help decrease
pain, prevent infection, and help the skin heal.
Small, unbroken blisters [less than
1 in. (2.5 cm) across] usually
heal on their own.
Do not try to break the blisters. Just leave
them alone.
Do not cover the blisters unless something such as
clothing is rubbing against them. If you do cover them, apply a loose bandage.
Secure the bandage so the tape does not touch the blisters. Do not wrap tape
completely around a hand, arm, foot, or leg, because it could cut off the blood
supply if the limb swells. If the tape is too tight, you may develop symptoms
below the level of the tape, such as numbness, tingling, pain, or cool and pale
or swollen skin.
Avoid wearing clothes or shoes or doing activities
that rub or irritate the blisters until they have healed.
Large or broken blisters usually
heal without problems. Most large blisters will break on their own and then
heal.
Wash your hands with soap and water before
touching blisters. Blisters can easily become infected.
If you have
a large blister, you may want to drain it, depending on where it is. If you
decide to drain it:
Clean a needle with rubbing alcohol or
soap and water, then use it to gently puncture the edge of the
blister.
Press the fluid in the blister toward the hole you
made.
Wash the blister after you have drained it, and pat it dry
with clean gauze.
Do not remove the flap of skin covering the
blister unless it tears or gets dirty or pus forms under it. If the blister has
just a small puncture or break, leave the flap of skin on, and gently smooth it
flat over the tender skin underneath.
Apply an antibiotic ointment,
such as polymixin B or bacitracin, if you are not allergic to it. The ointment
will prevent the bandage from sticking to the blister and may help prevent
infection. Do not use alcohol or iodine on the blister, because these may delay
healing. Do not use an ointment if you know you are allergic to
it.
Loosely apply a bandage or gauze. Secure the bandage so the
tape does not touch the blister. Do not wrap tape completely around a hand,
arm, foot, or leg, because it could cut off the blood supply if the limb
swells. If the tape is too tight, you may develop numbness, tingling, pain, or
cool and pale or swollen skin below the level of the tape.
If the
skin under the bandage begins to itch or develops a rash, stop using the
antibiotic ointment.
Change the bandage every day and anytime it
gets wet or dirty. You can soak the bandage in cool water just before removing
it to make it less painful to take off.
Avoid wearing clothes or
shoes or doing activities that rub or irritate the blisters until they have
healed.
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.
Swollen
lymph nodes in your neck, armpit, or groin.
Fever.
Symptoms to Watch For During Home Treatment
Use the Check Your Symptoms section to
evaluate your symptoms if any of the following occur during home
treatment.
Vision problems continue after you get out of
the sun.
Fever develops.
Nausea or vomiting starts or
increases, and you are unable to drink enough to replace lost
fluids.
The 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
protection.
Loose-fitting, tightly woven clothing that covers your
arms and legs. Some outdoor stores may sell clothing treated with sun
protection factor.
Do not use tanning booths to get a tan. Artificial
tanning devices can cause skin damage and increase the risk of skin
cancer.
Preventing sun exposure in children
You should
start protecting your child from the sun when he or she is a baby. Because
children spend a lot of time outdoors playing, they get most of their lifetime
sun exposure in their first 18 years.
Keep babies younger than 6 months of age
out of the sun. If sunscreen is needed, a small amount on the face or the back
of the hands is not harmful.
Teach children the ABCs of how to
protect their skin from getting sunburned.
A = Away. Stay away from the sun in the
middle of the day (from 10 in the morning to 4 in the afternoon).
B = Block. Use a sunscreen with a
sun protection factor (SPF) of 15 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.
S = Speak out. Teach others to protect
their skin from sun damage.
Sunscreen protection
If you can't avoid being in
the sun, use a sunscreen to help protect your skin while you are in the
sun.
Use a sunscreen that has a
sun protection factor (SPF) of at least 30 or higher.
Sunscreens that say "broad-spectrum" can protect the skin from ultraviolet A
and B (UVA and UVB) rays. Sunscreens come in lotions, gels,
creams, and ointments.
Apply the sunscreen at least 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. Sunscreen
effectiveness is also affected by the wind, humidity, and altitude.
Use lip balm or cream that has sun protection factor (SPF) of 30
or higher to protect your lips from getting sunburned or developing cold
sores.
Some sunscreens say they are water-resistant or
waterproof and can protect for about 40 minutes in the sun if a person is doing
a water activity. Apply sunscreen more often if you are in water. Wet skin can
burn easily, so it is important to protect your skin even if you do not feel
that you are getting sunburned. Wearing a T-shirt while swimming does not
protect your skin unless sunscreen has also been applied to your skin under the
T-shirt.
The following tips about sunscreen will help you use it
more effectively:
Older adults should always use a
sunscreen with an SPF of at least 30 to protect their very sensitive
skin.
If you have sensitive skin that burns easily, use a sunscreen
with an SPF of at least 30.
If you have dry skin, use a cream or
lotion sunscreen.
If you have oily skin or you work in dusty or
sandy conditions, use a gel, which dries on the skin without leaving a
film.
If your skin is sensitive to skin products, use a sunscreen
that is free of chemicals and alcohol.
If you have had a skin
reaction (allergic reaction) to a sunscreen, look for one that
is free of para-aminobenzoic acid (PABA), preservatives, and perfumes. These
ingredients may cause skin reactions.
If you are going to be in
very intense sunlight for a long period of time, consider using a
physical sunscreen (sunblock), such as zinc oxide,
which will stop all 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.
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