When the days warm up, pediatric offices see a lot of summer skin problems. Kids aren’t often ill during the summer, but they do get sunburns, bites, jellyfish stings, and rashes.
Sunburn
No one thinks about sunscreen on that first glorious sunshiny day, so sunburns are usually our first evidence that summer is here. Remember to use sunscreen, of course, and don’t forget to reapply it every hour.
If your child does burn, give ibuprofen immediately – it helps with the inflammation and can actually reduce the depth of injury. Use aloe generously: it lessens the pain, moisturizes the skin, and helps heal the damage. If the burn is bad, call your doctor. Prescription steroids and burn creams will help.
Bug Bites
Bug bites are also very popular in the summer, from mosquitos, fire ants, yellow flies, and fleas. Insects inject toxins into children’s skin when they bite; how much a particular child reacts depends on how sensitive he or she is.
Cover up little arms and legs when you can, especially if you are going to be outdoors around twilight. There are excellent clothing treatments available that will keep bugs away and last through several washings, protecting your child indirectly.
If your child is older than 2 months, use insect repellant with DEET on exposed skin, even though it’s nasty. It works and it’s a whole lot better than getting insect borne encephalitis. 10% DEET lasts about 2 hours; 30% lasts about 5 hours. Don’t use anything stronger than 30% on a child. Don’t reapply in the same day, and do wash it off when you go back inside.
Creams with pramoxine or calamine will help with itchiness. Cortisone creams help itch and also swelling and redness, but can only be used a couple of times a day. If there are lots of bites, an antihistamine by mouth will also help with swelling and itch.
Never use antihistamine creams (benadryl is the most common), because children can react to the topical antihistamine and actually get worse instead of better.
Bee stings
Bee and wasp stings are treated much the same way, after making sure to remove the stinger and apply a cool compress (and yes, Grandma’s idea about the wet mud does help).
Poison ivy, oak, and sumac
If your child is a forest dweller, he or she will at some point get poison ivy, oak or sumac. These plants produce a poison called urushiol in their sap and leaves, causing redness, itch and blistering.
The severity of this reaction also varies depending on your munchkin’s sensitivity. My brother’s eyes would swell shut if someone burnt it a block away; I could pull it up and throw it away with no reaction.
Wash both the child and his or her clothes as soon as possible. No lounging on the furniture! The toxin can stay on surfaces for months. Once the toxin is either absorbed into the skin or washed off, the rash is no longer contagious. Blister fluid does not contain urushiol.
The rash will develop first where the most toxin was deposited, in streaks and patches. It can spread for a week or so to the areas where less toxin landed, then take another two weeks to clear.
If the rash is mild, you can treat it at home with cool compresses, baking soda or oatmeal baths, the same creams you used for those pesky bug bites, and that antihistamine by mouth. See? Grandma was right again.
If the rash is not mild, or your child has it on their face, around their eyes, or on their genitals (and how did that plant get there?) call your doc. We can put them on steroids, which help enormously.
Jellyfish stings
If you harbor a small mermaid or man in your home, she or he may get stung by a jellyfish. There are some extremely dangerous jellyfish, so if your child has any trouble breathing, is weak or nauseated, has pain away from the sting, or has sweating, cramping, or diarrhea, call your doctor immediately.
If it is a simple sting, first remove the barbs by scraping it with a towel or a credit card. Don’t rub. Put suntan oil or salt water and hot sand on the sting; heat will deactivate the poison.
Do NOT wash the sting with fresh water – it will make the nematocysts (poison sacks) explode and release more poison into the skin. Your child will scream and not love you anymore. Put only fluids with lots of particles in them on the sting: sting-away, vinegar or steak sauce, for example. Ibuprofen will also help the pain and inflammation.
Allergic rashes
Last, we see allergic reactions to everything from sunscreen to henna tattoos to jewelry to pool chemicals from fun in the sun. Kids with sensitive skin or eczema will rash out in the summer from the heat, humidity and sweat.
By now you can probably sense a common theme (or you could just ask Grandma): give your itchy red bumpy child a cool bath with mild soap. Moisturize and apply topical steroids or give antihistamines by mouth.
If any of this doesn’t work, call me! It gets lonely in a pediatric office during the summer when all the kids are healthy.
normally if we get a wasp sting we remove the sting if there is any and use vinegar. an if its a bee sting, remove the sting and use bicarb soda on it. Seems to help with the stinyness.
Great post thought. Lots of info I didn’t know about 🙂
Lx
http://workingmumy.blogspot.com
#momsterslink
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Both of those remedies work well because the density of particles draws fluid out. They help with jelly fish stings as well.
Thanks for reading!
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This was the first year we’ve had an issue with an allergy rash – to organic sunscreen, of all things! I love your advice to ask grandma – they do know everything, don’t they?! 🙂
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Some of the “organic” stuff has crazy ingredients added to appeal to the grownup with the money. Keeping things simple, with as few ingredients as possible, is always a good idea. I actually like the No Ad sunscreen because it is so simple, but there are many good ones. Avoid the ones that have dyes and fragrances in them.
Thanks for reading!
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This is such a useful post to help with all these painful and sometimes distressing problems. So good to have simple and good advice.
Kathleen
Bloggers Pit Stop
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Thanks so much! Not exciting, but useful.
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My littles get a rash from almost every sunscreen we use – and we buy organic, healthy, paraben free, 8 million dollar an ounce sunscreens to protect their beautiful bods. Oy! WHat to do. A rash is better than a burn in the big picture. #momsterlink
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Buy a sun shirt (you probably already did) and stick with the simple sunscreens without any “natural, organic” additions. People are natural and organic so we react to natural organic things. Neutrogena, eucerine, no-ad -simple cheap stuff with no perfumes or dyes.
Thanks for all your endless work hosting!
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Love the sun shirts! Waiting for sun pants! 😊☺️
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I always look forward to reading your tips! Thanks Dr. Lovlie! xo #Momsterslink
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Great tips. I always wondered what to do in case of a poison ivy or oak contact. We have been tromping through the woods a lot this year and I tell my kids not to touch any plants with red and to remember that leaves of three just let them be. I am allergic to bees. The only child so far to have been stung by one is my 5 year old daughter. She was 2 at the time and didn’t have a reaction but I still tell them just to leave the bees be. Thanks for linking up with #momsterslink. Hope to see you tomorrow.
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Kids can develop an allergy later, after an exposure. Their body sees the poison the first time, develops antibodies, then reacts thereafter. Sorry to be not reassuring! I agree, always pe polite to bees.
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Thank you for the heads up :))
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