As Liz Lemon would say, burning pee is the worst. That’s why we asked Alyssa Dweck, M.D., ob-gyn, co-author of The Complete A-Z Guide for Your V, and Keith Baar, Ph.D., to break down some of the nitty-gritty reasons behind this annoying feeling, and gave us some tips to help you chill out when you’re feeling all hot and bothered (but not in the good way).
“Think about how sensitive and delicate the skin and tissue around and inside the vagina and urethra are, and you can imagine how any vigorous attention can result in inflammation which may cause that painful burning sensation,” Dweck says. Microabrasions also often occur during sex. These are teeny, tiny cuts that are microscopic, and are likely to hurt because you basically have salty urine touching multiple little open wounds, which is going to cause the same ouch! reaction as any salt touching any open wound. “That can be pretty typical, especially if there wasn’t a lot of lubrication or if it was a long or repeated session,” she says.
Spermicide, lube, and condoms can also cause irritation if you have a sensitivity or allergy. So, if you think you might be having a reaction to spermicide, for example, you can buy the condoms without spermicide. Switch out latex condoms for polyurethane, if you think you might be allergic to latex. Or try a natural lube instead of a synthetic one to see if you notice a difference, Dweck says. (We recommend NaturaLove organic lubricant, available from the Women’s Health Boutique.)
“Urinary tract infections are much more common in women than men because the distance from the urethra to the vaginal and anal area where there is a lot of bacteria is much shorter, making it easier for bacteria to travel to the urethra and then up to the bladder,” says Dweck. The telltale signs of a UTI are burning with urination but also an urgency and a frequency of feeling like you have to pee.
UTIs are straightforward to treat with antibiotics, once your doctor does a urine culture to confirm what it is, Dweck says. Drinking plenty of water to flush out and dilute the urine can also help to lessen the pain and slow the progression of the infection.
- Related: 7 Common Reasons Your Vagina Is Itchy Beyond Belief
- Related: Usher Reportedly Paid A Woman $1.1 Million After Allegedly Infecting Her With Herpes
- Related: 5 Types of Bug Bites You Should Never Ignore
- Urinary incontinence self-care
- General Information
- See Your Pharmacist or Medical Professional
- Treatment Tips
- Treatment Options
- More Information
- Incontinence and Your Intimate Skin Health
- Protecting Sensitive Perineal Skin
- DIAPER RASH CAUSES
- DIAPER RASH TREATMENT
- Skin Rashes Due to Bed-wetting
- Irritant contact dermatitis
- What is irritant contact dermatitis?
- Why does irritant contact dermatitis occur?
- What are the most common irritants?
- Who gets irritant contact dermatitis?
- What is the differential diagnosis of irritant contact dermatitis?
- Clinical features of contact irritant dermatitis
- Testing for irritant contact dermatitis
- What is the treatment of contact irritant dermatitis?
- Erythema multiforme
- Symptoms of erythema multiforme
Related: 7 Common Reasons Your Vagina Is Itchy Beyond Belief
“You know, sometimes we look for the most obvious thing, such as a UTI, when it’s another obvious thing that’s actually staring us in the face,” Dweck says. “Sexually-transmitted infections also often have burning during urination as their presenting symptom.” So it’s important not to diagnose yourself and to actually go in for the proper test. Gonorrhea and chlamydia both can cause it to hurt when you pee, although they can also sometimes cause no symptoms at all. “But the one that comes to mind that people don’t usually recognize is herpes,” Dweck says, “as one of the indications is a small blister or site of irritation that it is very painful and can feel like it is burning.”
If you do think you might have an STI, see your doc to get the right medication. She might even prescribe a soothing cream with an active, numbing ingredient like lidocaine, which you can apply topically to quell that fiery feeling while you are waiting for the symptoms to clear.
Related: Usher Reportedly Paid A Woman $1.1 Million After Allegedly Infecting Her With Herpes
“The symptoms of BV (Bacterial Vaginosis) and yeast are usually distinguishable from a UTI because yeast will typically have a thick white discharge and a whole lot of itching, and with BV, the clue is usually a liquid with a fishy odor,” Dweck says. “However, because of all of the inflammation that both infections bring, burning with urination or a sensation of pressure, like feeling the need to pee a lot, is normal,” says Dweck.
Yeast infections are traditionally treated with fluconazole (an antifungal prescription medication) or an over-the-counter drugstore product that is inserted vaginally.
Watch a hot doctor explain whether you have to treat yeast infections or not:
Baar, a sports physiologist, says that every time we contract our muscles they produce heat, meaning as exercise intensity increases, the amount of heat we are producing increases in proportion. “Since our body warms during exercise, the temperature of our internal fluids rises, including urine stored in the bladder,” says Baar. That’s why, if you pee right after exercising, it will be warmer than normal and can burn. The good news is, this type of hot pee is temporary and nothing to worry about. In fact, it means you just got in a killer workout.
Salt and sand from the beach can get all up in your bathing suit and cause a lot of irritation, as can just being in a wet bikini bottom for a long period of time. “Bacteria love the moist, dark environment in there, so it can easily become a reservoir for infection,” says Dweck. Minimize your risk by wearing a wetsuit as much as possible when you surf, and letting your bathing suit dry in the sun before layering any shorts or sarongs on top.
Related: 5 Types of Bug Bites You Should Never Ignore
“I see lots of women who come in with trauma to the perineum and vulva from constant chafing,” says Dweck. “Say you’re taking a really vigorous spin class. If you’re just wearing regular gym shorts, the seat is not padded, your class is an hour long, and you’re perspiring like crazy—your vulva is essentially getting injured because of the constant friction from the seat and the shorts.” This can cause those same tiny micro-abrasions and increase sensitivity, just as with sex.
Same thing if you are someone who is horseback riding for hours, except in this case, the chafing gets caused by the constant back and forth of the material on your vulva while you’re bouncing around on a horse. “What I usually recommend for my patients who are real athletes who are having these issues with cycling and horseback riding is to use a silicone lubricant or some sort of body balm to help prevent that chafing in the first place. Padded jodhpurs, bike shorts, and even specially-designed underwear can help to cushion the area as well,” says Dweck.
Urinary incontinence self-care
- General Information
- See Your Pharmacist or Medical Professional
- Treatment Tips
- Treatment Options
- More Information
Urinary incontinence, or loss of bladder control, is when urine accidentally leaks from your bladder. The amount of urine that leaks can range from just a few drops up to the entire contents of your bladder.
Urinary incontinence is a common problem. One in 3 women who have had a child and one in 10 men will have some type of incontinence problem during their adult lives.
The muscles that help keep urine in your bladder are the pelvic floor muscles and urethral sphincter. Pelvic floor muscles help hold all your pelvic organs in their correct positions. When they are strong, your urethra and bladder cannot move out of place. This helps keep your urethra closed, so urine cannot leak from your bladder.
The urethral sphincter is a band of muscles around the urethra (the tube that takes urine from your bladder to outside your body). When these muscles are strong, they squeeze tightly and keep urine in your bladder, and relax when you want to pass urine.
Urinary incontinence can cause skin rashes and irritation from urine being in contact with your skin. This can increase your chances of getting a urine infection. It can lead to emotional and social problems if you are not able to continue with your normal daily activities.
Common bladder control problems include stress incontinence, urge incontinence, overflow incontinence and functional incontinence. These are discussed in more detail below.
This is when your bladder leaks due to physical pressure, usually from lifting, exercising, coughing, sneezing or laughing. It happens when you have a weak pelvic floor or weak urethral muscles, and is most noticeable with a full bladder. Causes of stress incontinence include pregnancy and childbirth, menopause, constant coughing, lots of heavy lifting, being overweight, straining to empty the bladder or bowel, ageing and a general lack of fitness.
This is when there is a sudden, strong urge to pass urine and you cannot stop from leaking urine before you get to the toilet. You may also feel the need to urinate more often, including at night, even though your bladder is not full. This is known as an overactive bladder. It is more common in the older generation and causes include urine infections, stroke, Alzheimer’s disease, Parkinson’s disease, diabetes, certain medications and prostate problems.
This happens when your bladder cannot fully empty itself. This means it becomes too full, causing it to overflow and regularly leak or dribble small amounts of urine. Many people complain of a sense of incomplete emptying and a need to strain to pass urine. Causes include prostate problems, diabetes and certain medicines.
This is when you don’t recognise that you need to go to the toilet due to certain health problems such as dementia, poor mobility and dexterity. Toilets may also be inaccessible and may contribute to patients not reaching them in time.
See Your Pharmacist or Medical Professional
It is a good idea to seek help from a health professional if you have bladder control problems.
This is particularly important if:
- you are experiencing bladder control problems which are interfering with your lifestyle or health
- you need to get up frequently during the night to go to the toilet
- you have symptoms of a urine infection, such as pain or discomfort when passing urine, cloudy or bad-smelling urine, a raised temperature or abdominal pain
- your bladder control problems started after a trauma, such as a fall
- there is blood in your urine
- your bladder control problems began after starting a new medicine
- bladder control problems are not a normal or inevitable result of giving birth or of getting older; they can often be cured or managed with correct medicines or products
- before seeing your doctor keep a ‘bladder diary’ to record when and how much leakage occurs, how often you need to go to the toilet, how much urine you pass and how much fluid you drink
- drink between 1.5 to 2 L of water per day to avoid dehydration (unless on a fluid restricted diet as advised by your doctor)
- identify and avoid triggers that make your bladder control problems worse, such as spicy foods, caffeine and alcohol
- constipation can make bladder control problems worse; see your pharmacist for advice
- avoid heavy lifting (or use correct techniques)
- try to keep to a healthy weight and exercise regularly
- go to the toilet only when you need to
- pelvic floor muscle exercises can be used to tighten and strengthen pelvic floor muscles to reduce stress incontinence; ask your health professional for advice
- bladder training can be helpful for urge incontinence, and it involves gradually increasing the time between feeling the need to pass urine and actually going to the toilet. Ask your health professional for advice
- surgery is sometimes an option for treating urinary incontinence, particularly when other treatments have been unsuccessful
- the Continence Foundation of Australia runs the National Continence Helpline (1800 330 066)
Incontinence pads and pants
e.g. MoliCare, MoliMed, MoliForm, TENA, Poise, Depend, Carefree Plus
- a wide range of disposable incontinence pads and absorbent underpants are available for men and women
- they come in different absorbencies for different amounts of urine leakage
- they are designed to minimise contact between urine and skin, and help reduce skin irritation
- washable, reusable products are also available
- menstrual pads are not recommended for urine incontinence because their absorptive capacity is low and they become lumpy and leak when sodden.
e.g. silicone barrier creams or barrier films (Egozite range, Silic 15)
- silicone barrier creams or barrier film products can be applied to the skin to provide a protective layer, preventing urine from irritating the skin
- these medicines can be prescribed by your GP to help with urge incontinence
- they are unsuitable for people with some medical conditions
- they can cause side effects such as dry mouth and blurred vision
e.g. oestrogen therapy (tablets, vaginal creams, pessaries, skin patches)
- oestrogen therapy may help to manage stress or urge incontinence in women after menopause. However, there are risks as well as benefits, and you should discuss these with your GP
Availability of medicines
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- PHARMACY ONLY available for sale through pharmacies only.
- PHARMACIST ONLY may only be sold by a pharmacist.
- PRESCRIPTION ONLY available only with a prescription from your doctor or other health professional.
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Incontinence and Your Intimate Skin Health
Protecting Sensitive Perineal Skin
Considering the skin functions like a wall protecting your whole body from the outside environment, it should come as no surprise that it is the largest and heaviest organ. Approximately 15% of your body weight, the skin has many functions and contains hair follicles, sweat glands, blood vessels, sensory cells and nerve fibers. It has the amazing ability to repair and renew itself constantly, while at the same time controlling your body temperature and maintaining hydration.
But continuous moisture to intimate skin can cause the protective barrier of epidermis to breakdown, and then the skin can become damp, which creates an ideal environment for bacteria. Consequently, the skin becomes more vulnerable to infections. If an infection occurs, itching and wiping can further disrupt the delicate skin in this area.
In addition, poor fitting incontinence products can result in chafing and rubbing, causing redness and discomfort. By choosing the right fit and style, you can protect better against leaks while avoiding unnecessary irritation.
Harsh soaps, cleansers and over-washing can dry out and strip the skin, making it more susceptible to irritability and infection. However, there are gentler, incontinence specific products designed to replenish and moisturize the skin.
Pro Skin Health Tips: For Fresh and Clean Intimate Skin
Staying one step ahead can reduce anxiety and stress, helping you to feel more comfortable in your own skin. Here are steps you can take to stay covered:
- Keep hydrated throughout the day
- Stick to a balanced diet, avoiding acidic foods
- Change incontinence pads immediately when needed
- Be sure to thoroughly clean intimate skin with a good cleanser, especially after a workout or excessive seating, and do not scrub the area when washing
- Pat the area dry, and use gentle, moisturizing products
- Wear cotton underwear and loose pants
- Incorporate cranberry juice and Greek yogurt into your diet, as these foods can help prevent and treat yeast infections
- Soy products, apples, sweet potatoes, almonds, garlic pumpkin seeds and avocados (that means guac, too!) can actually work to counter dryness and stimulate natural lubrication
- Check often for signs of skin breakdown, like redness, itching and flaking, so you can act promptly and seek medical advice, if needed
- If an infection occurs and antibiotics are required, probiotic yogurt is beneficial in countering negative effects of antibiotic drugs, so try including this dairy product in your breakfast ritual
In addition to incorporating these healthy habits into your daily routine, there are certain things you should steer clear of that can irritate your bladder and skin. Here are some things to avoid:
- Urinary tract infections – Dilute your urine by drinking lots of water which flushes away any bacteria before an infection can occur
- Holding it in! – When you feel the urge, don’t try to resist. It’s a good thing to empty your bladder, even if it’s frequently. Holding it in can put unnecessary pressure on your bladder
- Synthetic materials – Polyester, nylon and spandex are non-breathable materials that can increase the temperature and moisture levels in your intimate area
- Tight fitting pants – They can be uncomfortable and irritating
- Waxing and shaving – These grooming methods can further irritate already sensitive skin
- Depilatory creams – They can burn the delicate skin
- Long baths – Lying in the tub for a long period of time can waterlog your skin, and exposes the intimate area to bacteria from other areas of the body
“ I use the Overnight Underwear every night, and wake up in the morning feeling perfectly dry! ”
– TENA Customer in Austin, TX
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Get a Free Trial Kit.Adult Diaper
Undoubtedly, adult diapers offer both wearers and caregivers the much-needed peace of mind. For the wearer, adult diapers allow leading a normal life and for a caregiver, it is all about freedom from changing or washing soiled clothes frequently. With the benefits that adult diapers provide it also brings in a problem of rashes or Diaper Dermatitis. Diaper dermatitis is an allergy that causes redness, irritation, and discomfort in the diaper area. Adult Diaper Rash is generally caused due to the skin staying wet because of the constant contact with the chemicals of urine and stool.
Some of the symptoms, causes, and treatment of diaper dermatitis/rash are as follows:
- Skin in the diaper area i.e. buttocks, thighs, and genitals becomes red, sore, and tender-looking.
- The texture of the skin changes from normal to bumpy, rough and itchy.
- The skin may become chapped and in some cases boils, pimples and pus-filled sores may also occur.
DIAPER RASH CAUSES
The most common causes of diaper dermatitis or rash are:
- Contact of the wet diaper with the skin for long hours are a common cause of the rashes as the chemicals in urine and feces makes up moisture. As this moisture comes in contact with the skin it causes irritation and damage hence resulting in the Diaper Dermatitis.
- If the diaper is not of a proper size or tight-fitting then the friction caused due to the rubbing of the skin with the diaper may lead to diaper rash. This can get worse if the diaper is wet.
- The moist and warm surrounding formed due to the diaper is a perfect place for bacteria and yeast to breed. The bacterial or the fungal infections are also a cause for diaper rashes.
- People with sensitive skin are more prone to such diaper dermatitis.
DIAPER RASH TREATMENT
How to get rid of diaper rash? Severe diaper rash treatment to avoid or cure it:
- Allow the skin to air out by not wearing a diaper for some time.
- Avoid a prolonged contact of the wet diaper with the skin by changing it frequently or as recommended by the manufacturer.
- Choose the correct size and brand of adult diapers.
- Maintain proper hygiene by cleaning the genitals and the area covered by the diapers with warm water or healing cleanser and use a mild soap only if required; let the skin dry properly before putting on the diaper.
- Applying skin cream or ointment to the affected area helps in faster healing.
HOW CAN ADULTS GET DIAPER RASH?
In a world where the prevalence of adult incontinence increases each day, this is a question you find on many consumer health pages. Adult diaper rash is one of the biggest problems people using adult incontinence diapers encounter. While there is no disputing the positive impact adult diapers have in managing all forms of incontinence, one cannot ignore the discomfort of rashes. It is a problem normally associated with babies but adults using diapers and other incontinence protection have to grapple with it too.
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Skin Rashes Due to Bed-wetting
Rashes on the bottom and genital area are a problem for some children who wet the bed. The kidney makes urine by mixing unwanted chemicals with water. When the urine is concentrated and exposed to the skin for a long time, these chemicals can be irritating.
Skin rashes develop more often in children who wear absorbent underpants that contain the urine. The rash is usually most pronounced around the waste or leg bands where the concentrated nighttime urine pools. Early signs of irritation are redness. If the problem continues for weeks, the skin thickens and dries with a flaky appearance. When the problem continues for months and years, the skin might eventually become a paler color or wrinkled.
The best approach is to prevent the rash by treating the bedwetting. Until this is successful there are several ways to minimize the possibility of a rash. Thoroughly rinse the bottom and genital area every morning after waking. Use the correct size absorbent underpant that absorbs the most urine and minimizes the pressure around the waist and leg band areas. Each night before bed, spread a petroleum ointment over the skin area exposed to urine. If this is not enough, ask your doctor for a special mediated cream.
Sometimes the rash feels uncomfortable against clothes, and in the presence of sweat, the rash can itch. Some children scratch at the rash and this can lead to a bacterial infection on top of the chemical irritation. When this happens, the rash looks wet and pussy and an anti-bacterial cream might be necessary.
Yeast is a common skin organism that will easily grow on irritated wet skin. When yeast becomes a problem the rash is often a brighter red and little spots spread out from the main area of the rash. Yeast rashes can be treated with a special anti-yeast cream.
A rash does not mean that an absorbent underpant cannot be used. Most rashes can be prevented if promptly treated even though a child continues to wear absorbent underpants. For many children absorbent underpants are a good idea; the child is usually more comfortable compared to sleeping and waking up in a cold urine-soaked bed, odor problems are much less, and the sheets, pillows and mattress are protected. However, absorbent underpants are not for everyone. Absorbent underpants should only be used with the approval of the child and should never be forced on a child or otherwise used in a fashion that the child might interpret as a punishment.
Irritant contact dermatitis
What is irritant contact dermatitis?
Irritant contact dermatitis is a form of contact dermatitis, in which the skin is injured by friction, environmental factors such as cold, over-exposure to water, or chemicals such as acids, alkalis, detergents and solvents.
Why does irritant contact dermatitis occur?
Irritant contact dermatitis occurs when chemicals or physical agents damage the surface of the skin faster than the skin can repair the damage. Irritants remove oils and moisture (natural moisturising factor) from its outer layer, allowing chemical irritants to penetrate more deeply and cause further damage by triggering inflammation.
The severity of the dermatitis is highly variable and depends on many factors including:
- Amount and strength of the irritant
- Length and frequency of exposure (eg, short heavy exposure or repeated/prolonged low exposure)
- Skin susceptibility (eg, thick, thin, oily, dry, very fair, previously damaged skin or pre-existing atopic tendency)
- Environmental factors (eg, high or low temperature or humidity)
What are the most common irritants?
Irritants include such everyday things as water, detergents, solvents, acids, alkalis, adhesives, metalworking fluids and friction. Often several of these act together to injure the skin.
Who gets irritant contact dermatitis?
Irritant contact dermatitis may affect anyone, given sufficient exposure to irritants, but those with atopic dermatitis are particularly susceptible. 80% of cases of occupational hand dermatitis are due to irritants, most often affecting cleaners, hairdressers and food handlers.
What is the differential diagnosis of irritant contact dermatitis?
Irritant contact dermatitis can appear similar to other forms of dermatitis, notably:
- All kinds of hand dermatitis
- Allergic contact dermatitis — this is caused by an immune response following skin contact with an allergenic substance. Small quantities may be sufficient to cause allergy, whereas a certain minimum exposure is necessary for irritant contact dermatitis. Irritant and allergic contact dermatitis may coexist.
- Pompholyx eczema (dyshidrotic eczema) — in which there are itchy clusters of blisters along the sides of the fingers and on the palms, often triggered by sweating.
Clinical features of contact irritant dermatitis
Irritant contact dermatitis is usually confined to the site of contact with the irritant, at least at first. If the dermatitis is prolonged or severe, it may spread later to previously unaffected areas, but it is less likely to do this than allergic contact dermatitis.
Dermatitis often appears as a well-demarcated red patch with a glazed surface, but there may be swelling, blistering and scaling of the damaged area, indistinguishable from other types of dermatitis. It can be very itchy.
Contact irritant dermatitis can appear differently according to the conditions of exposure.
- Accidental exposure to a strong irritant such as a strong acid or alkali substance may cause an immediate skin reaction resulting in pain, swelling and blistering.
- Contact with mild irritants such as water and soap or detergent may over weeks cause dryness, itching and cracking of the skin. Eventually, sores may appear which form crusts and scales.
Contact irritant dermatitis due to saliva
Some typical examples of irritant contact dermatitis include:
- Dribble rash around the mouth or on the chin in a baby, or older children due to licking; the cause is saliva, which is alkaline. Skin bacteria may contribute to the clinical appearance.
- Napkin dermatitis due to urine and faeces can affect older incontinent patients as well as babies (incontinence-associated dermatitis).
- Chemical burns from strong acids (eg, hydrochloric acid) and particularly alkalis (eg, sodium or calcium hydroxide).
- Housewife’s eczema is hand dermatitis caused by excessive exposure to water, soaps, detergents, bleaches and polishes.
- Dermatitis on a finger underneath a ring. Soaps, shampoos, detergents and hand creams may accumulate under the ring and cause irritant contact dermatitis.
- Gloves or glove powder or sweat or tiny quantities of chemicals that have been occluded inside the gloves may have a direct irritant action on hands (rubber may also result in latex or rubber antioxidant allergy).
- Fibreglass may cause direct mechanical/frictional damage.
- Dry cold air may cause dry, irritable skin (winter itch).
- Reactions to contact with beetles, for example paedarus dermatitis, and caterpillars.
- Cosmetics may irritate sensitive facial skin (especially in rosacea) resulting in immediate stinging, burning and redness followed by itching and dryness. Gels and solutions tend to be more irritating than creams and ointments.
In time, the skin may develop some tolerance to mild irritants.
Irritant hand dermatitis
See more images of irritant contact dermatitis.
Testing for irritant contact dermatitis
Sometimes it is easy to recognise irritant contact dermatitis, and no specific tests are necessary. The rash usually heals once the irritant is removed and, if necessary, special treatment is applied. While some tests can indicate the irritant potential of substances, there are no specific tests that can reliably show what the effect of an irritant will be in each case. Irritant dermatitis is usually the result of the cumulative impact of multiple irritants.
Patch tests are used to confirm allergic contact dermatitis and identify the allergen(s). They do not exclude irritant contact dermatitis as the two may coexist.
What is the treatment of contact irritant dermatitis?
It is essential to recognise how you are in contact with the responsible substance(s) so that, where possible, you can avoid it (them) or at least reduce exposure. Wear suitable gloves to protect against irritants in your home and work environment.
Irritant contact dermatitis is usually treated with the following:
- Chemical burns are usually flushed with water followed by the use of antidote or specific remedy against the particular toxic chemical.
- Compresses, creams and ointments may assist healing
- Emollient creams
- Topical steroids
- Antibiotics for secondary infection (usually flucloxacillin or erythromycin).
Symptoms of erythema multiforme
Most people with erythema multiforme will just have a rash, but other symptoms can sometimes occur.
SCIENCE PHOTO LIBRARY BSIP SA / Alamy Stock Photo
The rash starts suddenly and develops over a few days. It tends to start on the hands or feet, before spreading to the limbs, upper body and face.
- starts as small red spots, which may become raised patches a few centimetres in size
- often has patches that look like a target or “bulls-eye”, with a dark red centre that may have a blister or crust, surrounded by a pale pink ring and a darker outermost ring
- may be slightly itchy or uncomfortable
- usually fades over 2 to 4 weeks
In more severe cases, the patches may join together to form large, red areas that may be raw and painful.
Additional symptoms of erythema multiforme can include:
- a high temperature
- a headache
- feeling generally unwell
- raw sores inside your mouth, making it hard to eat and drink
- swollen lips covered in crusts
- sores on the genitals, making it painful to pee
- sore, red eyes
- sensitivity to light and blurred vision
- aching joints
These symptoms are more common in erythema multiforme major or a similar condition called Stevens-Johnson syndrome.