Itchy Skin Symptoms After Bathing in Public Pools - Dermatology

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What are the symptoms of pruritus?


Last week, I visited a public bathhouse in mainland China, and after returning to Taiwan, I started experiencing sudden itching symptoms in various parts of my body, including my hands, feet, and groin.
The itchy areas sometimes appear swollen like a mosquito bite but subside quickly; at other times, there is just a prickly itching sensation without redness or swelling.
The itching is particularly noticeable on the back of my hands, the back of my thighs, the soles of my feet, and around my groin area.
I would like to ask the doctor what disease this might be.

Bǐdé Pān, 20~29 year old female. Ask Date: 2020/01/14

Dr. Wu Yuxin reply Dermatology


It is likely urticaria; without seeing the lesions, it is difficult to determine the exact issue.
If it is very bothersome, please seek medical attention promptly.

Reply Date: 2020/01/14

More Info


Itchy skin after bathing in public pools can be a common concern, especially when you've recently visited a facility that may have different hygiene standards or water treatments. Based on the symptoms you've described—sudden itching in various areas of the body, sometimes resembling mosquito bites, and localized sensations without significant redness—there are several potential explanations.

One of the most likely causes is urticaria, commonly known as hives. Urticaria can occur due to various triggers, including allergens, irritants, or even physical stimuli such as temperature changes or pressure. In your case, exposure to chemicals in the water, such as chlorine or other disinfectants, could be a contributing factor. Chlorine is widely used in public swimming pools to kill bacteria and other pathogens, but it can also irritate the skin, leading to allergic reactions in some individuals.
Another possibility is contact dermatitis, which is a skin reaction that occurs when the skin comes into contact with an irritant or allergen. This could be due to substances in the water, such as soaps, shampoos, or even residues from other swimmers. If the public bath you visited used strong cleaning agents or if you have sensitive skin, this could explain the itching and localized swelling.

Additionally, dry skin can exacerbate itching, especially after exposure to chlorinated water, which tends to strip the skin of its natural oils. If you have a history of dry skin or eczema, this could be a significant factor. The areas you mentioned, such as the backs of your hands, thighs, and groin, are common sites for dry skin irritation.

To manage these symptoms, consider the following steps:
1. Moisturize Regularly: After bathing, apply a good quality moisturizer to help restore the skin's barrier and prevent dryness. Look for products that are fragrance-free and designed for sensitive skin.

2. Avoid Hot Water: Hot water can further dry out the skin and exacerbate itching. Opt for lukewarm water when bathing.

3. Limit Exposure to Chlorine: If you swim frequently, consider using a barrier cream before swimming or taking a shower immediately after swimming to rinse off chlorine.

4. Wear Protective Clothing: If you know you will be in a chlorinated environment, wearing a rash guard or swim shirt can help protect your skin.

5. Consult a Dermatologist: If the itching persists or worsens, it is advisable to see a dermatologist. They can provide a proper diagnosis and may recommend treatments such as antihistamines for allergic reactions or topical corticosteroids for inflammation.

6. Document Symptoms: Keep a record of when the symptoms occur, their duration, and any other associated factors (like diet or stress) to help your healthcare provider understand your condition better.

In conclusion, while your symptoms could be indicative of urticaria or contact dermatitis, it is essential to consult a healthcare professional for an accurate diagnosis and tailored treatment plan. Taking preventive measures and being mindful of your skin's needs can significantly improve your comfort and skin health after bathing in public pools.

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