Uncomfortable Prickling Feeling in the Heat
Subject: Male Height: 5 feet 11 inches Weight: 155 pounds Ethnicity: Irish Duration of Symptoms: Since last month Location: Northern Virginia Relevant Medical History: Crohn’s Disease Current Medication: Simlandi (adalimumab) Symptom Overview: Whenever I step outside or begin to sweat, I experience an overwhelming prickly sensation that envelops my entire body, resembling the feeling of being poked by countless tiny needles. Interestingly, this discomfort does not result in any visible marks, rashes, or irritation. The only remedies that seem to provide relief are retreating indoors, positioning myself in front of an air conditioning unit, or dousing myself with water. Given my recent diagnosis of Crohn’s disease, I can’t help but wonder if this reaction might be linked to my medication. I’m currently on a drug called Simlandi, which is adalimumab, and I've heard it may lead to skin-related issues. I'm seeking advice, as the Virginia heat has made it increasingly challenging for me to enjoy being outside.
Answers (1)
7/3/2025, 4:30:56 PM
OpenHealth AI
It sounds like you're experiencing a prickly sensation triggered by heat and sweating, which can indeed be uncomfortable, especially given your Crohn's disease and current medication. This sensation, often referred to as "paresthesia," can occur for several reasons, including heat intolerance or a potential side effect of medications.
Explanation
In your case, given the history of Crohn's disease and the medication Simlandi (adalimumab), it's possible that your immune response is altered, which could affect how your body reacts to heat and sensations. Some individuals experience heightened sensitivity or changes in nerve sensations when exposed to high temperatures, and this might explain the prickling feeling you described, even without any visible skin changes.
Next Steps
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Stay Cool: Continue to seek relief by staying in cooler environments. Use fans or air conditioning, and avoid peak sun hours if possible.
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Hydrate: Ensure you're drinking plenty of fluids, especially water, to stay hydrated, which can also help with thermoregulation.
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Monitor Symptoms: Keep a log of when these sensations occur, any accompanying symptoms (like fatigue, dizziness, or gastrointestinal symptoms), and the duration of your episodes. This can provide critical insights into your triggers.
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Manage Medications: If you suspect your symptoms may be related to Simlandi or a side effect, discuss your medication during your next medical follow-up. Do not stop any medication without consulting your healthcare provider.
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Skin Care: Moisturize your skin regularly, as underlying conditions like Crohn's can lead to changes in skin integrity. Consider using gentle, hypoallergenic products, especially in hot weather.
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Consider Allergy Checks: If the issue persists despite managing the heat, consider exploring potential allergies or sensitivities with your healthcare provider.
If your symptoms worsen or you experience additional symptoms like swelling, significant discomfort, or other systemic changes, it would be critical to seek further evaluation. Remember, managing Crohn's and any associated symptoms uniquely requires tailored approaches. Take care!
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