Red Rash After Beach Visits: Causes and Solutions - Dermatology

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Red rashes on the skin?


Hello Doctor: Yesterday I went to the beach, and after returning home, I started developing red rashes on my body in the evening.
They appeared on my hands, feet, and back.
In some areas, there is only one spot, while in others, there are several.
Sometimes they are very itchy, and touching them makes the itchiness worse; however, if I leave them alone, the itchiness is less noticeable.
The sensation of the rashes feels like they are about to form blisters, and if I accidentally break them, there is a slight release of clear fluid.
While at the beach, I drank some beer, was exposed to the sun for most of the day, and also swam in the ocean.
I'm not sure if this is a reaction to too much sun exposure or drinking beer, causing my body to become overheated, or if it’s due to the ocean water being unclean.
However, I have never experienced this condition before when going to the beach.
Since last year, every time I return from the beach, I always develop these red rashes, which is quite bothersome.
Thank you, Doctor, for taking the time to respond.

Xiao Ma, 30~39 year old female. Ask Date: 2010/07/05

Dr. Huang Ruiyun reply Dermatology


Hello: I apologize, but according to regulations, I cannot diagnose a disease without having seen the patient in person.
If you are truly troubled, please seek medical attention in person.
Wishing you peace of mind.

Reply Date: 2010/07/05

More Info


The symptoms you are experiencing after your beach visit, including the appearance of red rashes on your skin, itching, and the sensation of developing blisters, can be attributed to several potential causes. Understanding these causes is crucial for effective management and prevention in the future.

1. Sunburn: One of the most common causes of red rashes after sun exposure is sunburn. When your skin is exposed to ultraviolet (UV) rays from the sun for an extended period, it can become inflamed, leading to redness, pain, and sometimes blistering. The fact that you spent a significant amount of time in the sun without adequate sun protection (like sunscreen) could explain your symptoms. Sunburn can also cause a burning sensation and itching as the skin heals.

2. Heat Rash: Given that you were outside in the heat for a long time, you might also be experiencing heat rash (miliaria). This condition occurs when sweat ducts become blocked, leading to small, itchy red bumps or blisters. Heat rash is more common in hot, humid conditions and can occur after prolonged exposure to heat, especially if you were sweating a lot.

3. Allergic Reaction: Another possibility is an allergic reaction to something you encountered at the beach. This could include allergens such as sand, certain plants (like poison ivy), or even substances in the water (like certain bacteria or chemicals). If you have developed sensitivities over time, it’s possible that your body is reacting to these allergens, which could explain why you’ve experienced this issue more frequently since last year.

4. Contact Dermatitis: This condition occurs when your skin comes into contact with an irritant or allergen. If you used any new products (like sunscreen, lotions, or even soaps) before or after your beach visit, these could be potential culprits. The symptoms of contact dermatitis can include redness, itching, and the formation of blisters.

5. Infection: If the blisters you described are filled with clear fluid and you notice any signs of infection (such as increased redness, warmth, or pus), it’s essential to seek medical attention. Sometimes, swimming in contaminated water can lead to skin infections.


Recommendations for Management:
- Cool Compresses: Applying cool compresses to the affected areas can help reduce inflammation and soothe itching.

- Over-the-Counter Treatments: Consider using over-the-counter hydrocortisone cream or antihistamines to alleviate itching and inflammation. If you suspect sunburn, aloe vera gel can also be soothing.

- Avoid Scratching: Try to avoid scratching the affected areas, as this can lead to further irritation or infection.

- Hydration: Ensure you stay hydrated, especially after sun exposure, as dehydration can exacerbate skin issues.

- Sun Protection: In the future, apply a broad-spectrum sunscreen with an SPF of at least 30 before sun exposure, and reapply every two hours, especially after swimming or sweating. Wearing protective clothing and seeking shade can also help prevent sunburn.

- Consult a Dermatologist: If your symptoms persist or worsen, it’s advisable to consult a dermatologist. They can provide a more accurate diagnosis and recommend appropriate treatments based on your specific condition.

In summary, your symptoms could be due to sunburn, heat rash, an allergic reaction, contact dermatitis, or even an infection. Taking preventive measures and seeking medical advice if necessary will help you manage and alleviate these uncomfortable symptoms effectively.

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