Skin Itching: Causes and Remedies for Discomfort - Dermatology

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Skin itching


Hello Dr.
Lee: Recently, I have been experiencing itching (dry itching) on my skin, but there are no visible abnormalities on the surface.
The itchy areas include my neck, nape, chest (under the breasts), and scrotum (with slight peeling).
I would like to ask: 1.
Is this caused by winter dryness? The weather has been warmer lately, unlike winter; can there still be winter dryness? 2.
Symptoms of prediabetes can also include skin itching.
Recently, my blood sugar level was slightly elevated (126 mg/dL); could this be the cause? 3.
I frequently use baby powder on my body; could this be causing the itching? (I use it very often—after bathing, before bed, upon waking, and before going out.) 4.
Is it safe to use baby powder in the genital area? Could it cause any adverse effects? (I apply it to areas such as the groin, scrotum, and penis.) I am 173 cm tall, weigh 104 kg, and tend to sweat a lot.

Xiao Yu, 30~39 year old female. Ask Date: 2015/11/18

Dr. Li Yufen reply Dermatology


Hello: There are many causes of skin itching, which can be due to internal factors or external stimuli.
For instance, hot weather, sweating, high blood sugar levels, and having an allergic constitution can all contribute to skin itching.
Frequent use of talcum powder may lead to skin dryness.
It is generally recommended to wear moisture-wicking and breathable clothing, shower or wipe with clean water as soon as possible after sweating, and change into clean clothes.
If you are 173 cm tall and weigh 104 kg, you might consider gradually losing weight, as this can help with blood sugar control and reduce the discomfort of itching in areas prone to friction.
Thank you!

Reply Date: 2015/11/18

More Info


It sounds like you're experiencing significant discomfort due to skin itching, and I appreciate your detailed description of your symptoms. Let's break down your concerns and address them one by one.

1. Seasonal Dryness and Itching: While winter is typically associated with dry skin and itching due to lower humidity levels, it is entirely possible to experience similar symptoms during warmer months, especially if you are in an environment with air conditioning or if your skin is exposed to irritants. The skin can become dry due to various factors, including hot showers, harsh soaps, and environmental conditions. Even in warmer weather, if your skin is not adequately moisturized, it can lead to dryness and itching.

2. Diabetes and Skin Itching: You mentioned that your blood sugar levels were slightly elevated (126 mg/dL). Elevated blood sugar can indeed lead to skin issues, including dryness and itching. Diabetes can cause changes in the skin, such as poor circulation and nerve damage, which may contribute to itching sensations. It’s essential to monitor your blood sugar levels and consult with a healthcare provider about your risk for diabetes and any necessary lifestyle changes.

3. Use of Baby Powder: Frequent use of baby powder can sometimes lead to skin irritation, especially if the powder contains talc or fragrances. While baby powder is designed to absorb moisture, overuse can lead to a build-up that may irritate the skin, particularly in areas prone to sweating. If you notice that the itching worsens after applying the powder, it may be worth reducing its use or switching to a cornstarch-based powder, which is often gentler on the skin.

4. Application in Sensitive Areas: Using baby powder in sensitive areas like the groin and underarms is common, but it should be done cautiously. While it can help absorb moisture and reduce friction, excessive use can lead to irritation or even infections if the powder clogs pores. It’s crucial to ensure that the area is clean and dry before application and to use the powder sparingly.


Additional Recommendations:
- Moisturizing: Regardless of the season, keeping your skin well-moisturized is vital. Look for fragrance-free moisturizers that contain ingredients like ceramides, glycerin, or hyaluronic acid, which can help retain moisture in the skin.

- Hydration: Drink plenty of water to keep your skin hydrated from the inside out.

- Gentle Cleansing: Use mild, fragrance-free cleansers and avoid hot water when bathing, as it can strip the skin of its natural oils.

- Avoid Irritants: Be mindful of any products that may irritate your skin, including soaps, detergents, and skincare products. Opt for hypoallergenic options when possible.

- Consult a Dermatologist: If your symptoms persist 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 to alleviate itching.

In conclusion, while your symptoms may be related to environmental factors, diabetes, or product use, it’s essential to take a holistic approach to your skin health. Monitoring your blood sugar levels, maintaining proper skin hydration, and being cautious with product use will be beneficial. If the itching continues, seeking professional advice will help you find the most effective treatment.

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