How is miliaria treated?
Disease description:
My daughter is six years old. Recently, she developed pimples on her body and complained of itching, but her condition has not improved. When we took her to the hospital for evaluation, she was diagnosed with miliaria (heat rash). I would like to know how miliaria should be treated.
Doctor's answer (1)
Dr. Liu Wan
Miliaria (prickly heat) primarily occurs in hot, humid environments where excessive sweating fails to evaporate efficiently, leading to obstruction of the sweat duct openings and subsequent leakage of sweat into surrounding tissues, thereby triggering an inflammatory response. Patients may gently wipe their skin with lukewarm water or plain water–moistened wipes to maintain skin cleanliness and dryness. Topical treatments should aim to provide cooling, astringent, and antipruritic effects. Calamine with menthol lotion may be applied externally—either by gentle rubbing or light splashing—to promote cooling, heat dissipation, and resolution of miliaria. For pronounced pruritus, antihistamines such as ebastine or chlorpheniramine may be used for symptomatic relief. Patients are advised to improve indoor ventilation and wear loose-fitting, breathable clothing to facilitate recovery.
