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Horrible Acne after swimming in ocean
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Horrible Acne after swimming in ocean

I have visited the Bahamas multiple times now and everytime I go down there, my upper back and shoulders break out in absolutely horrible acne. Mostly it contains whiteheads and then a constant redness starting from the lower shoulder blades up to my neck line. It seems to happen a few days after I go swimming in the ocean but it is at least partially possible it could be due to the over sweating from the warm climate. I do however work out and sweat a lot in the states (with mild acne on the back area but mostly just redness without many whiteheads) and thus feel the only difference is the swimming in the ocean. It also seems to take about 4-5 days before my back gets really red and produces about 150~ whiteheads. I cant even begin to pop them all and they seem to go away around 2 days after I leave the Bahamas. They make my back pretty sore and generally makes the trips very uncomfortable. Does anyone have any idea what might be causing this and/or what can be done to prevent this (aside from not going into the ocean)?
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Avatar_m_tn
Does this same episode occur while open-water swimming in the pacific or atlantic ocean?

My concern would be:

1) temporary weakness in the immune system - especially if you are consuming larger amounts of alcohol, and suffering jet lag. - leading to temporary opportunistic infection by dermal flora

2) infection by microbes in the water

3) sun burn, leading to immunocompromised state and opportunistic infection of the dermis
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1334842_tn?1275680447
It is probable that a mix between the warm humidity and and exposure to sunlight uv rays are extracting the acne already present in your skin. A white head indicates the bacteria is being pulled out of the skin. It generally takes about 14 days for acne bacteria to be expelled by the skin, so at the point when the acne is presently visible it has been there previously in most cases. However increases in humidity , sweating and sunlight can expidite this process and pull out your acne at an increased rate. The reason it hurts is because there are so many of them in one area. I suggest when you plan to go you use a body wash with small particle scrub. The scrub also increases the rate acne bacteria is pulled from the skin. Also try wearing loose clothes instead of tight, especially at night, like a loose flowing night gown instead of tanks and halters, the sweat sits in them and adds to the bacterial spread of acne.
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Avatar_m_tn
Hi all,

I have a  similar problem but on my face, not on my shoulder. Everytime I go to the sea (regardless it is Atlantic or Mediterranean) a terrible acne appears in my face with hundreds of whiteheads. It takes approximately 2 days to appear and 2 days to completely disappear if I give up swimming. Never experienced the same problem in the swimming pool nor in the beach if I don't swim. I have tried with and without protection, but no difference. I'm 35 years old male.

Thanks for your help.
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Avatar_m_tn
I have this same problem. Never used to happen when I was a kid - after not being in the ocean for 10 years I went to Hawaii and had a horrible break out all over my face, shoulders, back but it wasnt a regular breakout. I know what my zits look like after 32 years. This was a reaction. No doubt. Hundreds of whiteheads, really sore sensitive skin, swollen, very red. At the time this came out I had an itchy rash come and go on random parts of my body. Especially my torso or under my arms...the places that were most touched by clothing or warmest.

I didn't think much of it until I went to St. Lucia, Mexico, and Antigua all with the same reaction. This happens every single time I swim in the ocean and I have no idea why. Its so frustrating - the ocean is my favorite place to be! Antihistamine seems to defuel the whiteheads for awhile and it brings great comfort to the additional rashes. Mine lasts for about 4 days after I stop going into the ocean.

I started taking Omega Zen 3 supplement a few weeks ago. A vegan Omega 3- the same reaction started happening this week. The only two things that make me break out in this way with this sore, itchy skin.

Any help is GREATLY APPRECIATED!!! Thanks.
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Avatar_f_tn
I AM AN MD. AND I HAVE THIS SAME RASH. YOU CAN GOOGLE IT FOR PHOTOS OF THE RASH


FROM THE CDC


What is swimmer's itch?
Swimmer's itch, also called cercarial dermatitis, appears as a skin rash caused by an allergic reaction to certain microscopic parasites that infect some birds and mammals. These parasites are released from infected snails into fresh and salt water (such as lakes, ponds, and oceans). While the parasite's preferred host is the specific bird or mammal, if the parasite comes into contact with a swimmer, it burrows into the skin causing an allergic reaction and rash. Swimmer's itch is found throughout the world and is more frequent during summer months.
How does water become infested with the parasite?
The adult parasite lives in the blood of infected animals such as ducks, geese, gulls, swans, and certain mammals such as muskrats and raccoons. The parasites produce eggs that are passed in the feces of infected birds or mammals.
If the eggs land in or are washed into the water, the eggs hatch, releasing small, free-swimming microscopic larvae. These larvae swim in the water in search of a certain species of aquatic snail.
If the larvae find one of these snails, they infect the snail, multiply and undergo further development. Infected snails release a different type of microscopic larvae (or cercariae, hence the name cercarial dermatitis) into the water. This larval form then swims about searching for a suitable host (bird, muskrat) to continue the lifecycle. Although humans are not suitable hosts, the microscopic larvae burrow into the swimmer's skin, and may cause an allergic reaction and rash. Because these larvae cannot develop inside a human, they soon die.
What are the signs and symptoms of swimmer's itch?
Symptoms of swimmer's itch may include:

tingling, burning, or itching of the skin
small reddish pimples
small blisters
Within minutes to days after swimming in contaminated water, you may experience tingling, burning, or itching of the skin. Small reddish pimples appear within twelve hours. Pimples may develop into small blisters. Scratching the areas may result in secondary bacterial infections. Itching may last up to a week or more, but will gradually go away.
Because swimmer's itch is caused by an allergic reaction to infection, the more often you swim or wade in contaminated water, the more likely you are to develop more serious symptoms. The greater the number of exposures to contaminated water, the more intense and immediate symptoms of swimmer's itch will be.
Be aware that swimmer's itch is not the only rash that may occur after swimming in fresh or salt water.
Do I need to see my health care provider for treatment?
Most cases of swimmer's itch do not require medical attention. If you have a rash, you may try the following for relief:

Use corticosteroid cream
Apply cool compresses to the affected areas
Bathe in Epsom salts or baking soda
Soak in colloidal oatmeal baths
Apply baking soda paste to the rash (made by stirring water into baking soda until it reaches a paste-like consistency)
Use an anti-itch lotion
Though difficult, try not to scratch. Scratching may cause the rash to become infected. If itching is severe, your health care provider may suggest prescription-strength lotions or creams to lessen your symptoms.
Can swimmer's itch be spread from person-to-person?
Swimmer's itch is not contagious and cannot be spread from one person to another.
Who is at risk for swimmer's itch?
Anyone who swims or wades in infested water may be at risk. Larvae are more likely to be present in shallow water by the shoreline. Children are most often affected because they tend to swim, wade, and play in the shallow water more than adults. Also, they are less likely to towel dry themselves when leaving the water.
Once an outbreak of swimmer's itch has occurred in water, will the water always be unsafe?
No. Many factors must be present for swimmer's itch to become a problem in water. Since these factors change (sometimes within a swim season), swimmer's itch will not always be a problem. However, there is no way to know how long water may be unsafe. Larvae generally survive for 24 hours once they are released from the snail. However, an infected snail will continue to produce cercariae throughout the remainder of its life. For future snails to become infected, migratory birds or mammals in the area must also be infected so the lifecycle can continue.
Is it safe to swim in my swimming pool?
Yes. As long as your swimming pool is well maintained and chlorinated, there is no risk of swimmer's itch. The appropriate snails must be present in order for swimmer's itch to occur.
What can be done to reduce the risk of swimmer's itch?
To reduce the likelihood of developing swimmer's itch

Do not swim in areas where swimmer's itch is a known problem or where signs have been posted warning of unsafe water.
Do not swim near or wade in marshy areas where snails are commonly found.
Towel dry or shower immediately after leaving the water.
Do not attract birds (e.g., by feeding them) to areas where people are swimming.
Encourage health officials to post signs on shorelines where swimmer's itch is a current problem.
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