Uppermill Pharmacist IAN STRACHAN examines: Chilblains
THESE ARE small itchy swellings of the skin which occur as a reaction to cold temperatures and they effect extremities such as the fingers and heels but also your ears and nose.
Most cases develop several hours after exposure to the cold and it is common for people to have several at the same time.
SYMPTOMS
When cold, susceptible individuals will experience a burning itch-like sensation on their hands and feet. When entering a warm room the itching and burning characteristically becomes more intense.
Affected skin may also swell and change colour to red or dark blue. In extreme cases I have seen the surface of the skin break with sores and even blisters. Chilblains usually take one to two weeks to resolve if you keep them warm.
Some cases may even last for months, flaring up when the weather becomes cold. I would recommend referral to your doctor if chilblains become broken cracked or sore. Furthermore I would avoid scratching as this can lead to infection.
TREATMENT
Chilblains will often improve on their own if you keep them warm. Several creams and lotions are available from your pharmacy although I must stress there is little evidence to support their effectiveness.
If you suspect you have chilblains I would as always advise you speak to your pharmacist for confirmation and to discuss the various treatment options.
If you are unfortunate to suffer from repeated bouts of chilblains then discuss with your doctor as there are specific treatments which may help the condition.
As treatments may not always be effective I would advise prevention over treatment.
PREVENTION
- Stop smoking: Nicotine can actually constrict blood vessels so exacerbate chilblains.
- Medication containing caffeine or decongestants may also constrict blood vessels and so contribute to chilblains.
- Keep Active
- Eat at least one hot meal each day
- Wear warm clothes and insulate your hands feet and legs.
- Moisturise your feet regularly
- Avoid tight fitting shoes and boots as they may constrict blood flow.
- Diabetics should check their feet regularly.
- Warm your hands before going outside.
- Warm your shoes, on a radiator for example, before putting them on.
Next month: after all that Turkey with stuffing I’ll examine dieting for 2014.
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