Long Logo

Main Line Pediatrics

Are You Sick?

Sunburn

Is this your symptom?

  • Red, hot or painful skin from too much sun
  • The skin may become blistered after a few hours

Severity of Sunburn

  • Most sunburn is a first-degree burn that turns the skin pink or red.
  • Prolonged sun exposure can cause blistering and a second-degree burn.
  • Rarely, severe sunburn can cause a third-degree burn or scarring.

Causes of Sunburn

  • Direct sun exposure. Warning: clouds don't help. 70% of UV light still gets through on cloudy days.
  • Reflected sun rays. From snow 80% is reflected, from sand 20%, from water only 5%.
  • Tanning lamp or sun lamp.
  • Tanning bed. A common cause.

Ibuprofen to Reduce Pain and Other Symptoms

  • Sunburn is an inflammatory reaction of the skin.
  • Ibuprofen is a drug that can block this reaction. It can reduce the redness and swelling. But, it needs to be started early.
  • Sunburns are sneaky. Many people are surprised when they get sunburned. Reason: there are no warning signs while the burn is occurring.
  • Redness (sunburn) often is not seen until 4 hours after being in the sun. The pain and redness keep getting worse. They don't peak for 24 to 36 hours.
  • Lesson: if you think you got too much sun, start ibuprofen. Don't wait for redness.
  • Take it 3 times per day for 2 days.

When to Call for Sunburn

When to Call for Sunburn

Call 911 Now

  • Passed out (fainted) or too weak to stand
  • You think you have a life-threatening emergency

Call Doctor or Seek Care Now

  • Headache and muscle cramps
  • Can't look at lights because of eye pain
  • Fever and burned area looks infected (spreading redness more than 48 hours after the sunburn)
  • You feel tired, dizzy or sick
  • Blisters and No past tetanus shots
  • You think you need to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

  • Severe sunburn pain and not better after using care advice
  • Large blisters greater than ½ inch (or 12 mm)
  • Many small blisters at the burn site
  • Blisters on the face
  • Swollen feet make it hard to walk
  • Last tetanus shot was more than 10 years ago
  • You think you need to be seen, but the problem is not urgent

Contact Doctor During Office Hours

  • Itchy rashes in sun-exposed skin occur many times
  • You have other questions or concerns

Self Care at Home

  • Mild sunburn

Call 911 Now

  • Passed out (fainted) or too weak to stand
  • You think you have a life-threatening emergency

Call Doctor or Seek Care Now

  • Headache and muscle cramps
  • Can't look at lights because of eye pain
  • Fever and burned area looks infected (spreading redness more than 48 hours after the sunburn)
  • You feel tired, dizzy or sick
  • Blisters and No past tetanus shots
  • You think you need to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

  • Severe sunburn pain and not better after using care advice
  • Large blisters greater than ½ inch (or 12 mm)
  • Many small blisters at the burn site
  • Blisters on the face
  • Swollen feet make it hard to walk
  • Last tetanus shot was more than 10 years ago
  • You think you need to be seen, but the problem is not urgent

Contact Doctor During Office Hours

  • Itchy rashes in sun-exposed skin occur many times
  • You have other questions or concerns

Self Care at Home

  • Mild sunburn

Care Advice

Treating Mild Sunburn

  1. What You Should Know About Sunburns:
    • Most sunburns do not blister.
    • Most blisters can be treated without needing to see a doctor.
    • Here is some care advice that should help.
  2. Get Out of the Sun:
    • Get out of the sun as soon as possible and keep the area covered with loose fitting clothing to protect from direct sun until healed.
  3. Cool Baths for Pain:
    • Use cool wet washcloths on the burned area. Do this several times a day to reduce pain and burning.
    • For larger sunburns, take cool baths for 10 minutes. Caution: avoid any chill. You can add 2 ounces (60 mL) baking soda per tub.
    • Do not use soap on the sunburn.
  4. Pain Medicine:
    • To help with the pain, take an ibuprofen product (such as Advil). Ibuprofen works well for this type of pain.
    • Use as needed but do not take more than the maximum recommended dosage as stated on the package.
    • If you are not sure what to take, ask a pharmacist.
  5. Steroid Cream for Pain:
    • Use 1% hydrocortisone cream (such as Cortaid) as soon as possible. No prescription is needed.
    • Put it on 3 times per day.
    • If used early and continued for 2 days, it may reduce swelling and pain.
    • Use a moisturizing cream or aloe vera cream until you can get some.
    • Use creams only. Avoid putting ointments on red skin. Reason: they can block the sweat glands.
    • Burned skin can be very painful. Covering it with a cream can give great relief.
  6. Fluids - Drink More:
    • Drink plenty of fluids
    • This helps to replace the fluids lost into the sunburn.
    • This will also help to prevent dehydration and dizziness.
  7. Blisters - Don't Open:
    • Caution: leave closed blisters alone. Reason: to prevent infection.
    • For broken blisters, trim off the dead skin. Use a fine scissors cleaned with rubbing alcohol.
    • Do not use petroleum jelly or ice packs on sunburn.
    • Do not scratch or try to remove peeling skin as the blisters heal.
  8. Antibiotic Ointment for Open Blisters:
    • For any large open blisters, use an antibiotic ointment (such as Polysporin). No prescription is needed.
    • Remove it with warm water. Then, reapply it 2 times a day for 3 days.
  9. What to Expect:
    • Pain stops after 2 or 3 days.
    • Peeling occurs day 5-7.
  10. Call Your Doctor If:
    • Pain becomes severe
    • Sunburn looks infected
    • You think you need to be seen
    • Your symptoms get worse

Preventing Sunburn

  1. Sunscreens:
    • Use a sunscreen with an SPF of 15 or higher. Fair-skinned people need a sunscreen with an SPF of 30. This is especially true if you have red or blond hair.
    • Put sunscreen on 30 minutes before exposure to the sun. This gives it time to get down into the skin. Give special attention to the areas most likely to become sunburned. Examples are the nose, ears, cheeks, and shoulders.
    • Put sunscreen back on every 3 to 4 hours. Apply often while swimming or if sweating a lot. A "waterproof" sunscreen stays on for about 30 minutes in water.
    • Most people use too little sunscreen. The average adult requires 1 ounce (30 mL) of sunscreen at a time.
    • Remember, getting sunburned can increase your risk of getting skin cancer. The best way to prevent skin cancer is to prevent sunburns.
  2. Protect Lips, Nose and Eyes:
    • To prevent sunburned lips, apply a lip coating that contains sunscreen.
    • If the nose or some other area has been burned often, protect it completely. Use zinc oxide or titanium oxide ointment.
    • Protect you eyes from the sun's rays and cataracts with good sunglasses.
  3. High-Risk Time of Day:
    • Avoid exposure to the sun during the hours of 11:00 AM to 3:00 PM. This is when the sun's rays are most intense.
    • Caution: When overcast, over 70% of the sun's rays still get through the clouds.

And remember, contact your doctor if you develop any of the 'Call Your Doctor' symptoms.

Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.

Copyright 2023 Schmitt Decisions Logic LLC.

Share by: