What Is Prickly Heat Rash? Causes and Home Remedies for Bungang Araw

Prickly heat or miliaria is a type of rash that develops when sweat is trapped under the skin. In the Philippines, it is also commonly referred to as bungang araw.

Causes & Triggers

Normally, perspiration travels through tiny sweat ducts that bring it to the surface of the skin. According to experts, the ducts may narrow or clog up when you sweat profusely. When this happens, the sweat stays under the skin’s surface, causing itchy red bumps to appear.

The triggers below can cause excessive sweating and prickly heat or bungang araw:

• Hot and humid weather (especially during summer)
• Lots of physical activity
• Warm or tight clothing
• Health conditions with fever
• Wearing bandages
• Wearing medicine patches
• Medical conditions that cause sweating, such as hyperhidrosis
• Ointments and other skincare products that can block sweat ducts

Signs & Symptoms

When you have prickly heat or bungang araw, you may experience the following signs and symptoms:

• Tiny pink or red bumps or spots
• A prickly, itchy feeling on the skin
• Mild swelling and redness in the affected area
• Rashes or small water blisters

The prickly heat rash can appear anywhere in the body, but they are more common in places where sweat collects, such as the armpits, under the breast, chest, back, crooks of elbow, knees, and waist. In babies, bungang araw is common in the skin folds, nappy area, and face.

When To See a Doctor

People do not usually go to the doctor for a prickly heat rash since home remedies are often enough to manage the condition. However, if you experience excessive itching, consult your doctor for the appropriate treatment.

Additionally, seek medical help if you notice the following symptoms:

• The blisters have pus (nana) inside
• You have swollen lymph nodes
• You feel sick or unwell
• The rashes last for more than three days, even after home remedies
• The rashes appear to be redder, more swollen, and warmer
• You develop a fever

Treatment & Home Remedies

The best way to address a prickly heat rash is to avoid sweating. The home remedies for bungang araw include:

Keeping the Skin Cool

To cool down your skin, you can:

• Wear loose cotton clothing
• Drink plenty of fluids
• Use lightweight beddings
• Take cool showers or baths
• Spend as much time as possible in an air-conditioned or adequately ventilated room 

Calming the Prickly Heat Rash

To calm the itch, you can:

• Wrap a cold compress in a towel and place it on the skin for no more than 20 minutes
• Put a cool, damp towel over the irritated skin for 5 to 10 minutes (allow the skin to air-dry after)
• As much as possible, do not scratch
• Refrain from using strong skin products

Applying Products

If your bungang araw causes too much discomfort, you can always talk to your doctor about products that can ease the itchiness and swelling. Some of the skin products that can they can recommend are:

• Calamine lotion
• Antihistamine medications
• Low-strength hydrocortisone cream
• Prickly heat powder

Complications & Prevention

Complications

Although rare, clogged or narrowed sweat ducts can damage the sweat glands. When that happens, the glands might stop working and lead to a condition wherein you will no longer produce sweat (anhidrosis).

This causes problems with the body’s natural ability to cool itself through sweating. With anhidrosis, a person becomes more prone to overheating or hyperthermia.

Prevention

To protect yourself from bungang araw, you need to avoid sweating and try to stay dry.

Wear loose cotton clothes that let your skin breathe. If it’s warm, avoid heavy, thick, and tight-fitting clothes. Wear cotton fabrics since they are light and let the skin breathe.

Limit exposure to the sun. Stay indoors, especially when it’s hot. If you’re outside, stay in the shade and use a fan to reduce sweating.

Sleep in a cool area. If you find yourself waking up because it’s too hot, your bedroom may not be well-ventilated. Consider adjusting your fan speed and using lighter bed sheets.

Take cool showers frequently.  You may need to shower or bathe more than once a day, especially during the summer. However, avoid excessive showering or bathing as it can strip the skin off of its protective moisture.

There are no hard-and-fast rules about excessive showering or bathing. Generally, if you notice that your skin is dry or flaky, taking frequent showers is not advisable.

Learn more about Skin Health here.