Can You Swim with Folliculitis? Tips for Managing Symptoms - Dermatology

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Folliculitis?!


Hello Doctor: Recently, I have been gradually developing an exercise habit to lose weight, mainly running and swimming.
However, I have developed two large red spots on my back (similar to folliculitis), which are extremely itchy.
I would like to ask you two questions: 1.
Can I swim with folliculitis? (The pool water is usually chlorinated.) Will it worsen or recur my symptoms? 2.
What should I do if I continue to sweat while running and my skin becomes red and itchy? Thank you~~

A Bai, 20~29 year old female. Ask Date: 2014/08/06

Dr. Wu Yuxin reply Dermatology


Severe itching from folliculitis, combined with your habits of running and swimming, is most likely caused by Malassezia folliculitis or Pseudomonas aeruginosa folliculitis.
It is not likely to resolve on its own, so active treatment is recommended.

Reply Date: 2014/08/06

More Info


When it comes to exercising with folliculitis, particularly in swimming pools, there are several factors to consider. Folliculitis is an inflammation of the hair follicles, often caused by bacterial or fungal infections. It can manifest as red, itchy bumps on the skin, which can be uncomfortable and concerning, especially when engaging in physical activities like swimming or running.


1. Can You Swim with Folliculitis?
Swimming with folliculitis is generally not recommended, especially in public pools. Chlorinated water can be harsh on irritated skin and may exacerbate the symptoms of folliculitis. While chlorine is intended to kill bacteria and keep pool water clean, it can also irritate already inflamed skin, potentially leading to increased itching and discomfort. If the folliculitis is mild and localized, some individuals may find swimming tolerable, but it is crucial to monitor the condition closely.
If you decide to swim, here are some tips to manage your symptoms:
- Avoid Hot Tubs and Saunas: These can worsen inflammation and promote bacterial growth.

- Shower Before and After Swimming: This helps remove any potential irritants from your skin and keeps the pool cleaner.

- Use a Waterproof Bandage: If the folliculitis is localized and not too severe, covering the area with a waterproof bandage can help protect it from pool water.

- Limit Swimming Time: Shorter swims may reduce irritation compared to prolonged exposure.

If your symptoms worsen after swimming, it would be wise to refrain from this activity until the folliculitis has resolved.


2. Managing Symptoms While Running
Running can also aggravate folliculitis, especially if you are sweating profusely. Sweat can mix with bacteria on the skin, leading to further irritation and potential infection. Here are some strategies to manage your symptoms while running:
- Wear Moisture-Wicking Fabrics: Choose clothing made from synthetic fibers that wick moisture away from the skin. This can help keep your skin dry and reduce friction.

- Shower Immediately After Running: Rinse off sweat and bacteria as soon as possible after your run to prevent irritation.

- Apply Antibacterial Cream: If you notice redness and itching, applying an over-the-counter antibacterial cream may help. However, consult with a healthcare provider before starting any new treatment.

- Stay Hydrated: Proper hydration can help your skin maintain its barrier function and may reduce irritation.

- Consider Your Running Environment: If you are running in hot, humid conditions, try to find cooler times of the day or shaded areas to minimize sweating.


When to Seek Medical Attention
If your folliculitis does not improve with home care, or if you develop fever, increased pain, or spreading redness, it is essential to consult a healthcare provider. They may prescribe topical or oral antibiotics if a bacterial infection is suspected. Additionally, if you frequently experience folliculitis, a dermatologist can help identify underlying causes and recommend preventive measures.

In summary, while swimming with folliculitis is not ideal, it may be manageable with precautions. Running can also exacerbate symptoms, so wearing appropriate clothing and maintaining good hygiene practices is crucial. Always listen to your body, and if symptoms persist or worsen, seek professional medical advice.

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