Red and White Spots After Hot Spring Baths: Causes and Treatments - Dermatology

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What are the symptoms of having red and white spots all over the body after soaking in a hot spring?


Hello Dr.
Huang! My father develops red and white spots all over his body after soaking in hot springs.
People in the hot spring area say it's due to "poor blood circulation." What could this symptom be? How can it be improved or treated?

Lun, 50~59 year old female. Ask Date: 2006/02/27

Dr. Huang Ruiyun reply Dermatology


I'm sorry, but online diagnoses are not permitted.
It may be related to blood flow distribution issues.
Concerns of this nature in elderly patients should be monitored by a cardiologist.

Reply Date: 2006/02/27

More Info


Hello! Thank you for your question regarding the appearance of red and white spots on your father's skin after bathing in hot springs. This phenomenon can be concerning, and it's essential to understand the potential causes and appropriate treatments.

The symptoms you describe—red and white spots appearing after exposure to hot springs—could be attributed to several factors. One common cause is a condition known as heat rash or prickly heat, which occurs when sweat ducts become blocked and sweat is trapped beneath the skin. This can lead to red bumps or spots, often accompanied by itching or discomfort. Hot water can exacerbate this condition, especially if the skin is sensitive or if the individual has been sweating profusely.

Another possibility is that your father may be experiencing an allergic reaction or irritation from the minerals in the hot spring water. Many hot springs contain various minerals, such as sulfur, which can irritate the skin of some individuals, leading to rashes or discoloration. Additionally, if the water is particularly hot, it can cause the blood vessels to dilate, resulting in redness and the appearance of spots.

The term "blood circulation issues" mentioned by others may refer to the body's response to heat. When exposed to high temperatures, blood vessels expand to help cool the body, which can sometimes lead to temporary changes in skin coloration. However, this is typically not a cause for concern unless accompanied by other symptoms like pain, swelling, or persistent irritation.

To address these symptoms, here are some recommendations:
1. Cool Down: After bathing in hot springs, it may be beneficial for your father to cool down gradually. This can help reduce any redness and allow the skin to return to its normal state.

2. Moisturize: Applying a gentle, fragrance-free moisturizer after bathing can help soothe the skin and prevent dryness, which may exacerbate irritation.

3. Avoid Hot Water: If the symptoms persist, consider reducing the temperature of the water during baths or limiting the duration of exposure to hot springs.

4. Hydration: Ensure that your father stays well-hydrated, as this can help maintain skin health and prevent dryness.

5. Consult a Dermatologist: If the red and white spots continue to appear or worsen, it would be wise to consult a dermatologist. They can provide a thorough examination and may recommend treatments such as topical corticosteroids or antihistamines if an allergic reaction is suspected.

6. Patch Test: If your father has sensitive skin, he might consider performing a patch test with any new products or soaps used during bathing to rule out allergic reactions.

In summary, while the appearance of red and white spots after hot spring baths can be attributed to various factors, including heat rash or irritation from minerals, it is generally manageable with proper care. Monitoring the symptoms and seeking professional advice if they persist will ensure that your father maintains healthy skin while enjoying his time in hot springs. Thank you for your inquiry, and I hope this information helps!

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