Heat Rash

Is this your child's symptom?

  • A fine pink rash caused by overheating
  • Mainly on the neck, chest, and upper back

Symptoms of Heat Rash

  • Tiny, pink bumps
  • Mainly on the neck, chest and upper back
  • Occurs during hot, humid weather or after lots of sun
  • Heat rash can be itchy
  • Older children may have a "prickly" pins and needles feeling
  • In babies, the rash can have some tiny water blisters
  • No fever or illness
  • Also called "prickly heat"


Causes of Heat Rash

  • Heat rash is caused by blocked-off sweat glands.
  • Hot Weather. Hot, humid weather can cause the sweat glands to be overworked.
  • Ointment. Babies can also get it in the wintertime from ointments put on the skin. Reason: ointments can block off sweat glands.
  • Location. Heat rash of the forehead can be caused by oil or ointment on the hair. Heat rash of the face of a breastfed baby can be caused by lanolin put on the nipples. Heat rash of the chest can be caused by menthol ointments put on for coughs.
  • Exercise. Older children can get heat rash with hard exercise.

When to Call for Heat Rash

When to Call for Heat Rash

Call Doctor or Seek Care Now

  • Fever and looks infected (spreading redness or pus)
  • Your child looks or acts very sick
  • You think your child needs to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

  • Looks infected (spreading redness, pus), but no fever
  • You think your child needs to be seen, but the problem is not urgent

Contact Doctor During Office Hours

  • Rash is not gone after 3 days of treatment
  • You have other questions or concerns

Self Care at Home

  • Heat Rash

Call Doctor or Seek Care Now

  • Fever and looks infected (spreading redness or pus)
  • Your child looks or acts very sick
  • You think your child needs to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

  • Looks infected (spreading redness, pus), but no fever
  • You think your child needs to be seen, but the problem is not urgent

Contact Doctor During Office Hours

  • Rash is not gone after 3 days of treatment
  • You have other questions or concerns

Self Care at Home

  • Heat Rash

Care Advice for Heat Rash

What You Should Know About Heat Rash:

  • Heat rash is caused by blocked-off sweat glands.
  • It's common in hot, humid weather.
  • Here is some care advice that should help.

Cooling the Skin:

  • Cool off the skin to treat and prevent heat rash.
  • For large rashes, give your child a cool bath without soap. Do this for 10 minutes. Caution: avoid any chill. Let the skin air-dry. Do this 3 or more times a day.
  • For small rashes, put a cool, wet washcloth on the area. Do this for 5 to 10 minutes. Then let the skin air-dry.
  • Dress in as few layers of clothing as you can.
  • Lower the temperature in your home if you can.

Sleeping Cooler:

  • When your child is asleep, run a fan in the bedroom.
  • During sleep, have your child lie on a cotton towel to absorb sweat. Note: only for older children age over 1 year.

Steroid Cream for Itching:

  • Use 1% hydrocortisone cream (such as Cortaid). No prescription is needed.
  • Put it on itchy spots 3 times per day.
  • Avoid hydrocortisone ointment.
  • Calamine lotion can also work.

Do Not Use Ointments:

  • Avoid all ointments or oils on the skin. Reason: They can block off sweat glands.
  • Be sure the rash isn't caused by a menthol ointment being used for a cough.

What to Expect:

  • With treatment, heat rash will clear up in 2 to 3 days.

Call Your Doctor If:

  • Rash lasts more than 3 days on this treatment
  • Rash starts to look infected
  • You think your child needs to be seen
  • Your child becomes worse

Copyright 2000-2025 Schmitt Pediatric Guidelines LLC. Date Updated: Mar 31 2025 13:37 Version 0.1

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February 12, 2026
There have been cases of measles in NC, with exposures in Chapel Hill, Durham, and Wake County. We can give the MMR dose early to families who want it. This applies to infants 6-12 months who have not gotten a dose yet or kids under 4-5 years who have not gotten their second MMR dose. At this time, the NC DHHS and health departments are not recommending this unless traveling or living in an area with sustained transmission. Two doses of the MMR vaccine are highly effective (97%) at preventing measles infections. At CHCAC, children receive their first dose at 12 months of age and a second dose at 4 years of age, ensuring they are fully protected as soon as possible, in accordance with the most up-to-date AAP recommendations. Some infants aged 6 months to 11 months who travel internationally or in high-prevalence areas may need a dose to protect them; however, they still require the 1-year and 4-year-old doses as well. If you are ever concerned about a possible exposure to measles, please CALL before entering our office. DO NOT ENTER the office. NC DHHS keeps a list of areas with measles exposures here . This is a highly contagious illness, and special precautions must be taken to prevent spread. The virus can be present in the air for 2 hours after an infected person is in the room, and 90% of susceptible patients can be infected. As always, if you have questions, we are here to help make sense of it all!
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