| 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 months3 months to 11 years 3 months to 11 years12 years or older 12 years or olderDo you think you may have a heat-related illness, like heat exhaustion or heat cramps? Yes Possible heat-related illnessNo Possible heat-related illnessYes Symptoms of allergic reactionNo Symptoms of allergic reactionAre the symptoms severe, moderate, or mild? Moderate Moderate dehydrationAre 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 intakeNo Able to maintain fluid intakeHow 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 pain5 to 7: Moderate pain Moderate pain1 to 4: Mild pain Mild painAre you having eye or vision problems? Yes Eye or vision problemsHas blurred vision or vision loss lasted for more than 30 minutes?  Yes Vision loss or blurred vision for more than 30 minutesNo Vision loss or blurred vision for more than 30 minutesDo 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 pain5 to 7: Moderate pain Moderate eye pain1 to 4: Mild pain Mild eye painHas the pain lasted for more than 1 full day (24 hours)? Yes Mild eye pain for more than 24 hoursNo Mild eye pain for more than 24 hoursDoes 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 fatigueNo Severe headache or fatigueDoes your baby have a sunburn with blisters? Yes Baby has sunburn with blistersNo Baby has sunburn with blistersAre there any blisters, bleeding under the skin, or bruising in the sunburned area? Yes Blisters, bleeding under the skin, or bruising in sunburned areaNo Blisters, bleeding under the skin, or bruising in sunburned areaAre you worried about scarring from large blisters?  Yes Concerns about scarringNo Concerns about scarringDo 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 areaNo Diabetes, immune problems, peripheral arterial disease, or surgical hardware in affected areaAre you taking a medicine  that may cause you to sunburn easily?Yes Taking medicine that may increase risk of sunburnNo Taking medicine that may increase risk of sunburnMany 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 ReactionHome 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: | 
|---|
 | 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 sunscreenSunscreens 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 sunscreenApply 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/sunwiseCreditsByHealthwise StaffPrimary 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, 2017Current as of:
                March 20, 2017 Last modified on: 8 September 2017  |  |