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That itchy, bumpy rash on your neck and back in Baishakh has a name and a simple treatment. Scrubbing it is not on the list.
By Baishakh, half of Kathmandu is scratching the back of their neck. Ghamori, or prickly heat, is common enough that everyone has advice for it, and a good share of that advice makes it worse.
When it is hot and humid, you sweat more than your skin can evaporate. If sweat ducts get blocked, sweat leaks into the surrounding skin and produces small, itchy bumps. It is not an infection and it is not dirt, which is why harsh scrubbing irritates it further.
Cool first. A cool shower or a damp cloth brings relief and reduces the itch. Calamine-type lotions are soothing. Once the skin is calm and dry, a light moisturiser is enough. Keep the area uncovered when you can, and change out of sweaty clothes instead of letting them dry on your back.
People who get ghamori every summer usually have one thing in common: they stay in damp clothes after commuting. Changing your t-shirt when you get home, keeping bedding light, and washing and drying skin folds properly does more than any single product.
Children get prickly heat more easily because their sweat ducts are smaller. Dress them in one light layer rather than two, keep them out of direct sun during the hottest hours, and avoid thick creams. If the rash is spreading, weeping, or the child is unwell, see a doctor.
It can feel drying, but caked powder in folds traps sweat. If you use it, keep it light and stop if it irritates.
With cooling and breathable clothing, most cases settle in a few days. Persistent or worsening rash needs medical advice.
Acne treatments can sting broken, inflamed skin. Keep them away from a heat rash unless a doctor advises otherwise.
No. Use a light lotion rather than a heavy cream, and let the skin dry fully before dressing.
Cool the skin first, with a cool shower or a damp cloth. Once it is dry, a light soothing lotion is enough. If it is very itchy, a calamine-type product helps most people. Do not layer on a thick cream to stop the itch, because it traps exactly the heat and sweat the rash is reacting to.
For children, keep it even simpler. Light clothing, a cool room, and a clean, dry skin fold takes care of most cases. If the rash is spreading, looks infected, or the child is uncomfortable or feverish, go to a clinic rather than trying another home remedy.
The people who escape ghamori every summer are not using special products. They change out of sweaty clothes after a commute, sleep on cotton sheets, keep the room aired, and dry properly between their toes and under their arms. It is unglamorous and it works.
One warning about summer scrubbing: it is common to see people scrub harder at the first sign of bumps. Exfoliation on inflamed skin makes the rash angrier and can leave marks that take months to fade. If you want to exfoliate, wait until the skin is completely calm.
It can feel drying, but caked powder in folds traps sweat. If you use it, keep it light and stop if it irritates.
With cooling and breathable clothing, most cases settle in a few days. Persistent or worsening rash needs medical advice.
Acne treatments can sting broken, inflamed skin. Keep them away from a heat rash unless a doctor advises otherwise.
No. Use a light lotion rather than a heavy cream, and let the skin dry fully before dressing.
Written by the GLAMO Nepal editorial team. General information only — for a medical concern, please see a dermatologist or your doctor.
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