After washing hands, spray alcohol twice?
Hello, doctor.
I would like to ask if washing my hands with soap and then spraying alcohol on them twice shortly afterward could lead to over-cleaning and have any negative effects on my skin.
I noticed that my hands feel a bit stingy and sweat quickly afterward; is this normal? Should I just let my hands recover naturally? Thank you, doctor.
Wu Xiaodi, 20~29 year old female. Ask Date: 2022/12/19
Dr. Wu Yuxin reply Dermatology
After washing your hands with soap, there is no need to apply alcohol.
Over-cleaning can indeed damage the skin and disrupt its protective barrier, making it more prone to dryness and cracking.
Reply Date: 2022/12/19
More Info
Over-cleaning your hands, especially with alcohol-based sanitizers, can indeed have adverse effects on your skin. While maintaining hand hygiene is crucial, especially in the context of preventing the spread of infections, excessive use of alcohol can lead to skin irritation and other dermatological issues.
Firstly, let's discuss the composition of alcohol-based hand sanitizers. Most of these products contain around 60-70% alcohol, which is effective in killing a wide range of pathogens, including bacteria and viruses. However, alcohol is also a potent solvent that can strip away the natural oils from your skin. These oils are essential for maintaining the skin's barrier function, which protects against moisture loss and external irritants. When you wash your hands with soap and water, followed by applying alcohol-based sanitizer, you may be inadvertently removing these oils multiple times a day, leading to dryness and irritation.
The symptoms you are experiencing—such as a tingling or stinging sensation and increased sweating—can be attributed to the skin barrier being compromised. When the skin becomes dry and irritated, it can react in various ways, including inflammation, redness, and even a burning sensation. Additionally, if your hands are frequently wet from washing or sanitizing, this can lead to a condition known as "dishpan hands," characterized by cracked, dry skin that can become painful and susceptible to infections.
To mitigate these effects, it is essential to adopt a balanced approach to hand hygiene. Here are some recommendations:
1. Limit Alcohol Use: While it is important to use alcohol-based sanitizers when soap and water are not available, try to limit the frequency of use. If you have just washed your hands with soap and water, it may not be necessary to apply alcohol immediately afterward unless you have been in contact with potentially contaminated surfaces.
2. Moisturize Regularly: After washing your hands or using hand sanitizer, apply a good quality moisturizer. Look for products that contain ingredients like glycerin, hyaluronic acid, or ceramides, which help to restore moisture and repair the skin barrier. Applying moisturizer while your hands are still slightly damp can help lock in moisture.
3. Choose Gentle Cleansers: When washing your hands, opt for mild, fragrance-free soaps that are less likely to irritate your skin. Avoid antibacterial soaps that contain harsh chemicals.
4. Observe Your Skin: If you notice persistent irritation, redness, or cracking, it may be wise to consult a dermatologist. They can provide tailored advice and may recommend specific treatments, such as topical corticosteroids or prescription moisturizers, to help manage your symptoms.
5. Practice Good Hygiene: Continue to practice good hand hygiene, especially during cold and flu season or in healthcare settings. However, be mindful of how often you are washing or sanitizing your hands and adjust your routine as needed.
In conclusion, while hand hygiene is essential for preventing the spread of infections, over-cleaning with alcohol can lead to skin issues. By being mindful of your hand care routine and incorporating moisturizing practices, you can maintain both cleanliness and skin health. If symptoms persist, seeking professional advice is always a good idea.
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