Get out of direct sunlight, cool the affected skin, and drink water. Severe pain—especially with blisters, swelling, fever or chills, dizziness, nausea, or marked tiredness—needs urgent medical advice. Repeated or unusually painful reactions can have causes beyond an ordinary sunburn, so don’t assume pain alone explains what is happening.
What to do right away
- Move indoors or into shade. Keep the affected skin out of direct sunlight while it heals.
- Cool the skin gently. Take a cool shower or bath, or place a clean, cool, damp cloth over the area. Pat dry rather than rubbing. Do not put ice directly on the skin.
- Drink water. This helps replace fluid, particularly if you have been in the heat.
- Leave blisters intact. Do not pop them or scratch peeling skin; keep blistered areas clean.
For an uncomplicated burn, a gentle moisturizer may soothe the skin. The American Academy of Dermatology (AAD) suggests aloe vera or soy moisturizer and calamine for discomfort. The NHS advises against petroleum jelly on sunburned skin; the AAD gives separate, blister-specific advice that petroleum jelly can protect blisters as they heal. If you are unsure how to care for a blister, ask a clinician.
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MedlinePlus says over-the-counter ibuprofen or acetaminophen may relieve pain, but whether either is appropriate depends on the person. Follow the product label or ask a clinician or pharmacist. Do not give aspirin to children for sunburn, and avoid benzocaine or lidocaine products on the burn.
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Seek urgent medical advice for severe pain with blistering or swelling, or if you develop fever or chills, dizziness, nausea, marked tiredness, headache, or muscle cramps. Signs of shock, heat exhaustion, or dehydration need prompt medical attention. If symptoms are severe or worsening, do not rely on home care alone.
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Severe pain by itself does not establish “sun poisoning” or identify the cause. Sunburn pain can worsen after the exposure: MedlinePlus says it is often worst between 6 and 48 hours later, and blistering may appear later as well.
Why sunlight may cause a severe or repeated reaction
Sunburn occurs when ultraviolet exposure exceeds the skin’s protective capacity. But a severe or recurring reaction may also involve photosensitivity—an unusually strong skin reaction to sunlight associated with a medicine, product, exposure, or health condition.
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- Medicines: MedlinePlus names doxycycline and tetracycline as examples of medicines that can make skin more prone to burning. Do not stop a prescribed medicine on your own; discuss the reaction with the prescriber or a pharmacist.
- Topical products and exposures: The AAD describes photosensitive reactions associated with some oral medicines and topical pain-relief products, as well as contact with plants or foods such as lime, figs, celery, hogweed, and St. John’s wort.
- Medical conditions: MedlinePlus notes that lupus is associated with photosensitivity.
The possible cause depends on your exposure and medical history. If reactions are severe or keep recurring, arrange professional assessment rather than assuming they are ordinary sunburn.
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While the skin heals, cover it and keep it out of direct sunlight. For future outings, combine measures you can use consistently:
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- Choose shade when available.
- Cover up with sun-protective clothing, a wide-brimmed hat, and UV-protective sunglasses.
- Apply sunscreen to uncovered skin. The AAD recommends broad-spectrum, water-resistant SPF 30 or higher. Follow the label for reapplication, including after swimming or sweating.
Sunscreen helps prevent exposure; it does not treat severe pain or explain a repeated reaction.
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