Prickly heat 

Introduction 

Prickly heat is an itchy rash made up of small, raised red spots 

Summer health

Be healthy and safe this summer, throughout heatwaves, barbecues, hay fever, stings and in the swimming pool

Prickly heat, also known as miliaria, is an itchy rash of small, raised red spots that causes a stinging or prickling sensation on the skin.

The rash can develop anywhere on the body, but it most commonly occurs on your face, neck, back, chest and thighs.

The rash is made up of tiny spots or bumps that are surrounded by an area of red skin. The spots sometimes look like tiny blisters. They can cause mild swelling, itching and a stinging or intense prickling sensation.

Read more about the symptoms of prickly heat.

What causes prickly heat?

Prickly heat usually develops when a person sweats more than usual, such as during hot or humid weather. However, it is also possible to get prickly heat in the winter.

The condition is caused when the body's sweat glands become blocked. Excessive sweating can result in sweat becoming trapped beneath your skin. The trapped sweat causes skin irritation and the characteristic heat rash.

Read more about the causes of prickly heat.

Treating prickly heat

Prickly heat does not require any specific treatment and the rash usually disappears after a few days.

Avoiding the heat by staying in the shade and wearing loose cotton clothing will help ease your symptoms.

Applying calamine lotion will soothe the affected area of skin. You can also use hydrocortisone cream if your skin is particularly sore and itchy.

Read more about treating prickly heat.

Who gets prickly heat?

Anyone can get prickly heat but people who are overweight or obese are more likely to be affected. This is because they tend to sweat more than people who are slimmer.

Babies and children are also more at risk of getting prickly heat because their sweat glands are not fully developed.

Last reviewed: 10/02/2012

Next review due: 10/02/2014

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Comments are personal views. Any information they give has not been checked and may not be accurate.

LulaP said on 28 May 2012

Hi, I've been getting heat rash on my knuckles, knees and toes on and off for about a year. it is always centred on the joints. It can come up on my hands from just doing the washing up! I went to the doctors and saw a nurse, who told me anti histamine will help reduce it, but to go back if it gets much worse. I bought a 14 pack of sainburys own brand non-drousy hayfever tablets and it still comes up but not as bad! She also told me that being on the contraceptive pill makes it more likely to come up because of the hormone levels in the body!

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tracey1611 said on 28 May 2012

i suffer with heat rash every year and the itching is just awful. usally it is my arms and hands that get it but this year it the shoulder and feet. i have used after sun with aloe vera which helps take the sting and itchyness away for short periods but the tablet i find the best is zirtek. you only take 1 pill a day but and takes a couple of days to kick in.

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happyascanbe said on 22 February 2012

Even mild sweating at home or the office causes me to get prickly heat. I don't even have to be on holiday to get it. I use 'proskin' which is a mix of olive oil and coconut oil and it takes away the itch and the rash. Well tidy!

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PRICKLYHEAT said on 22 July 2011

lloydy i no how you feel that exact thing happens to me i dont get a rash its just when i get sunburnt then it will be with me for a few days then go ive tried piriton and even aloe vera gel and that doesnt do anything!! pure pain and it gets me angry also lol

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Lloydy01 said on 10 June 2011

Can my condition be described as prickly heat as my symptoms are different to those in the topic? I've had prickly heat since the age of 14-15, i only get it when i've caught the sun a little too much and its usually around 2 days after being sun burnt. I don't sweat and i don't have a red rash apart from the obvious sun burn. the itching is unbearable and recently lasted 7 days. I can't put cream on the skin as the itching is antagonised just by touching the skin. I've taken piriteze but this has no effect. Apart from staying out of the sun and putting more sun cream on, is there any medication which can help, preferably orally?

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worriedDavid22 said on 06 September 2009

I get a sharp stinging on the top of my right shoulder blade when I sweat too much. It has been with me for over 4 years now (I am 16)

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