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Sunburn- Complete Dermatologist Guide

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Sunburn- Complete Dermatologist Guide

Sunburn, as the name suggests, refers to the burning of skin due to exposure to harmful ultraviolet (UV) rays from the sun. Our skin has an inbuilt mechanism to protect us from these harmful rays; however, if the exposure is severe, this protective mechanism can fail, leading to the burning of skin cells and inducing DNA damage. Consequently, repeated sunburn increases the chances of developing skin cancer. But how does the skin react to the sun? Let us find out!

What Are the Various Stages of Sunburn?

One unique aspect of sunburn is that it doesn’t show up immediately. Your skin initially tans, then enters an inflammatory stage, which can sometimes lead to blisters, followed by a healing process.

Immediate Tanning:

Your skin attempts to protect itself at the microscopic level by secreting melanin, which helps absorb harmful UVB rays. This is why individuals with wheatish to dark skin often notice their skin darkening upon sun exposure. Unfortunately, fair skin lacks a natural reserve of melanin, making it more vulnerable to UVB rays, which can damage the DNA of skin cells. Fair-skinned individuals might not realize they are getting burnt while in the sun because no evident changes occur until this stage. If sun exposure ceases at this point, you might notice only mild redness and discomfort that may heal in 3-5 days with little intervention.

Redness and Swelling:

If you continue to bask in the sun, redness, swelling, and pain may develop within the next few hours. This indicates that your skin has suffered enough damage for your body to launch a defense mechanism in the form of inflammation. At this stage, you can ease your sunburn with anti-inflammatory interventions such as steroids and paracetamol, as detailed in my article, How To Heal Sunburn – 10 Steps Guide From Dermatologist.

Blisters:

If you persist in sun exposure despite redness and pain, blisters may appear, accompanied by severe pain and a burning sensation. Do you deserve to end up in such a painful and uncomfortable state? Be aware that prolonged sun exposure can lead to symptoms of heat exhaustion, including vomiting, dizziness, and fatigue. Your skin sends warning signals: first, it darkens, then turns red, and finally develops blisters; it’s up to you to decide when to terminate sun exposure!

Healing:

A minor sunburn usually resolves within 3-7 days, often followed by skin peeling. However, moderate to severe sunburn can take much longer to subside. Sunburn leads to the death of many skin cells, which are shed from your skin in the form of flaking or peeling. At this stage, steroids or anti-inflammatory medications are no longer effective. Instead, you can apply a generous amount of coconut oil or a moisturizer with skin-identical moisturizing factors, such as Cetaphil Restoraderm Lotion, to accelerate the shedding process.

Delayed Tanning:

Once healed, sunburn may leave pigmentation, especially in individuals with darker skin tones, or freckles in those with lighter skin tones.

Skin Cancer:

Yes! Repeated sunburn increases the risk of developing skin cancer, particularly if you experience it during childhood or adolescence.

By understanding these stages and taking preventive measures, you can protect your skin from the damaging effects of sunburn and its long-term risks.

How to Prevent Sunburn?

Sunburn not only leads to discomfort but also increases the risk of skin cancer and pigmentation. Therefore, it is crucial to follow these prevention tips before stepping out with confidence on the hottest days:

Slather on a Generous Amount of Sunscreen:

No matter how much sunscreen you apply, it will not protect you immediately once you’re in the sun. Always remember to apply sunscreen at least 30 minutes before stepping outside. Reapply every hour or sooner if you get wet. Don’t forget to cover your lips, nose, and ears!

Cover Yourself:

Sunscreen has its limitations; it can be unevenly absorbed, wiped off, or removed by sweating or water. The best approach is to wear loose-fitting clothing that covers most of your body. You can either risk skin cancer or flaunt your curves. The choice is yours!

Protect Your Face:

While your face—especially your lips—might not be prone to sunburn, it is susceptible to skin cancer. Thus, wear sunglasses and a broad-brimmed hat to enhance the protection provided by sunscreen.

Stay Hydrated:

Drink water, juices, coconut water, and smoothies, but avoid beer or alcohol. This will help reduce your chances of heat exhaustion.

Seek Shade:

Don’t underestimate the importance of sitting in the shade at the beach. Ensure that most of your body is under the shade of a roof, umbrella, or tree while basking in the sun.

Step Back:

If your skin starts to turn red or feels a burning sensation, cover up and head indoors immediately. Can’t leave the beach fun? Then be prepared to endure the discomfort of sunburn now and the potential risk of skin cancer later!

Are You More Prone to Sunburn?

Having mentioned the prevention tips, let’s discuss who is more likely to get sunburned. If you fall into any of these categories, take extra care to follow the prevention tips above to protect yourself from the discomfort of sunburn:

Fair Skin: The fairer your skin, the higher your chances of sunburn. You might wonder what you can do about your fair skin. Start loving your fair complexion and forget about getting tanned; instead, take precautions as highlighted in this article, Skin & Sun.

Age Factor: Individuals over 60 years of age or under six years old should avoid unnecessary sun exposure and take protective measures.

Medications: Certain medications, such as those for diabetes, fungal infections, contraception, antibiotics, and diuretics, can increase your risk of sunburn. Check with your doctor about possible substitutes or additional precautions you can take.

Going on Holiday: Do you think only beach holidays increase the risk of sunburn? A holiday in destinations near the equator, in the mountains, or even in deserts can also heighten your chances of getting burnt.

Once in a While Sun Exposure: If you’re heading to the beach to escape the cold winters of your hometown, be aware that your skin might burn more easily.

How to heal Sunburn?

Before you begin treating your sunburn, it’s important to identify how severe it is. This will help you choose the right treatment plan:

  • Mild Sunburn: Slight redness, minimal to no pain.
  • Moderate Sunburn: More intense redness, noticeable discomfort, and moderate pain.
  • Severe Sunburn: Bright red skin, blisters, and severe pain.

Once you know the severity of your sunburn, follow the corresponding treatment steps below.

Mild Sunburn

In cases of mild sunburn, inflammation has just begun. Relief can be found with natural anti-inflammatory and soothing aloe vera-based sunburn relief cream several times a day.

If redness persists beyond 48 hours, apply 1% hydrocortisone cream as discussed in this article, How to Heal Mild Sunburn

Moderate Sunburn

At this stage, stronger anti-inflammatory medications like steroids and paracetamol are necessary for pain relief and to halt the inflammatory process. You can also use 0.5% lidocaine for localized pain relief, which numbs the skin for about an hour but does not stop the inflammation. as discussed in this article, How to heal Moderate Sunburn

Severe Sunburn

For severe sunburn, seek medical help immediately. Stronger anti-inflammatory medications are required to halt the inflammation. Use topical steroids and oral paracetamol for pain relief and to stop the inflammatory process as discussed in this article, How to heal severe sunburn.

Final Thoughts

Taking care of sunburn is essential to avoid further skin damage and complications. By following this step-by-step guide and using the recommended products, you can soothe your skin and speed up the healing process. Always pay attention to the severity of your sunburn and seek medical help if your condition worsens.

Stay safe in the sun and remember: prevention is your best defense against sunburn!

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