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| Summer Woes: Chafing and Skin-Fold Irritations | |
| Did you know that the skin is
the body’s biggest organ (even on thin people)? It has many functions,
one of which is to keep us cool. When we reach a certain level of heat,
the skin begins to give off moisture. Whether you want to call it
perspiration or plain old sweat, it’s our natural cooling system. As
air circulates aroundour slightly dampened skin, the sweat evaporates
and our temperature drops. On dry days, the system works very well. On
humid days, we are much more aware of the wetness, because moisture does
not evaporate as quickly.
The larger you are, the more skin surface you have, and the more water you need to perspire to stay cool (a good reason to drink lots of fluids on warm days). But large people also have more areas where skin touches skin most of the time, where air doesn’t circulate and moisture builds up. These skin folds offer the perfect conditions for bacteria and yeast (intertriginous candida) to grow. Simply put, it’s a red irritation or infection where skin rubs against skin. Thigh chafing is caused by a combination of moisture buildup (lack of air circulation) and friction. The same steps you can take to avoid moisture in other areas will also help with the inner thighs.
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| Washing | |
| Start your day cool and clean.
Showering in the evening is fine, but it is even more important to wash
well in the morning and start your day with a clean slate (bacteria- and
yeast-free). End your bath or shower with cool or cold water to lower
your skin temperature.
Any soap is fine, as long as you use it and rinse it off well. If you have a problem with skin-fold irritations that hurt rather than itch, use an antibacterial soap. If an irritation itches more than it hurts, chances are you have a yeast (fungal) infection. In that case, avoid the antibacterial soaps and use regular soap instead. Rinse very well. A great tool for the size-friendly bathroom is a hand-held shower spray. It will allow you to direct a spray of water into skin folds and hard-to-reach places.
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| Drying Off | |
| Use a clean towel to dry off.
But where skin touches skin, extra care is needed. Use a fan or a hair
dryer (set on the cool setting) to completely dry your skin.
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| Powders and Creams | |
| Talc and cornstarch powders
help absorb moisture and cut down on friction. Dry your skin very well
before applying powder, or it will cake and become less absorbent.
Talcum powders work great, but some talc samples have been shown to have small traces of asbestos and lead in them. Choose the better-known brands of talcum powder, or baby talcum powder, which we hope are of the highest quality talc. Always use talc in a well-ventilated area that is regularly cleaned and dusted, so the powder doesn’t build up in the air you breathe. Women should be very careful never to apply talc directly to their vaginal area. If you want to use it on your inner thighs, apply the powder after you put on your panties. (Some people claim that even small traces of talc may be a factor in cervical cancer.) Many people like medicated powders that include talc and other elements that cool the skin. Gold Bond Medicated and Mexsana are two common brands. Get a powder that contains clotrimazole or miconazole. Some people prefer cornstarch. It’s good for absorbing moisture and cutting down on friction, without the small risks associated with talc. However, if you suffer from yeast infections, avoid cornstarch. It just feeds the yeast. If you have chronic yeast problems or are diabetic (which makes you more prone to yeast infections), avoid cornstarch even when you are asymptomatic. Some people use creams to protect from chafing: thick moisturizing cream, petroleum jelly, zinc oxide ointment, and diaper rash ointment that contains zinc oxide. Someone I spoke with recommended using solid antiperspirant to lubricate the skin and control perspiration. (Ed. note: I have recently heard that Baza cream works well, as do Nizoral Cream, Lotrimin AF, and Micatin.)
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| Ventilation | |
| It’s a good idea to get some
air circulating in skin folds whenever possible. Use a bathroom break to
lift your breasts or belly to expose the area to air. Gently dab the
area with tissue.
If you sit at a desk all day at work, consider bringing a small fan to keep under your desk. My mother would say that sitting like this isn’t "ladylike," but a cool stream of air on the inner thighs keeps the moisture from building up and helps control chafing.
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| Clothing | |
| Besides controlling moisture
with powders, creams, and air ventilation, there are a wide range of
garments available that help fight thigh chafing. Pettipants, bloomers,
split slips, whatever you want to call them, can protect your legs from
friction. Cotton tricot drawers (underwear with long legs) do the same
thing. So do cotton bike shorts. There are also several styles of anti
chafe shields or chafe guards designed to be worn with or without
stockings. (You can wear them under or over your pantyhose.)
Wear natural fibers, such as cotton or rayon. They breathe, pulling moisture away from your body and allowing it to evaporate. Polyester and nylon do not breathe: they trap moisture on your skin. There are wonderful sources for plus-size and supersize natural fiber clothes: many advertise here in Radiance. Choose cotton panties, and wear a cotton panty liner or use a sanitary napkin to absorb moisture. On a really hot day, you might want to change it once or twice. Skip the nylon pantyhose on hot days. Wear cotton pants or shorts. If you want to wear a skirt but hate the look of bare legs, use a cosmetic nondyeing skin bronzer which, if applied correctly, can mimic the look of pantyhose. If you work in a field that forces you to wear a dress and pantyhose, try wearing cotton chafe guards under the pantyhose. If you have irritation problems under your breasts, wear a cotton bra liner under the elastic of your bra. This will control moisture and has the added bonus of being washable in hot water and bleach. (You can wash the bra in cooler water, which will extend the life of the elastic.) Or choose cotton bras, especially the type with cotton bands or cotton-covered elastic.
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| Chronic Conditions | |
| Some conditions are resistant
to cures. It’s important to try various products. If, after a week,
you don’t see an improvement, try something else. If something makes
you feel worse, stop using it right away. Keep experimenting.
For chronic irritations or infections, see your doctor or dermatologist. Prescription medications may help you. For example, there are now oral (often single-dose) antifungals for vaginal and vulvar yeast infections, which some women even take monthly to keep chronic problems at bay. Some people get skin-fold infections that are both bacterial and fungal. There are special creams that work on both problems. Consult your physician before starting any treatment, including over-the-counter medications. If your doctor prescribes only weight loss, it’s time to look for a new doctor. Investigate other sources of the problem. For instance, the elastic in bras can hold bacteria or yeast even after being washed in warm water and laundry soap. When you put on a seemingly clean garment, you might be reinfecting yourself. Wash those underthings in hot water and bleach. Another suggestion is to treat the elastic with isopropyl alcohol (not denatured alcohol), let dry, and repeat. (This will not harm elastic.) Or buy some new bras. A friend once told me that for her, there were only two seasons: the chafing season and the nonchafing season. Finding the correct hygiene regimen for you and sticking to it will make the warmer months much more enjoyable. ©
NANCY SUMMER is the author of Ample Hygiene for Ample People, and the co-owner of Amplestuff, a mail-order catalog of products for large people. She lives in Woodstock, New York. |
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Resource List:Products available through your local pharmacy or home health care supplier:
For specific conditions, ask your doctor about prescription and over-the-counter treatments. Mail-order catalogs:
Pambra’s cotton bra liners, Mini-max personal fan, Cliniscrub and Betadine antibacterial cleansers, and hand-held shower spray and other bath items for large people.
Cotton and Lycra bras, leggings, shorts, and nightgowns.
Activewear (some natural fibers).
Split slips and other lingerie.
Plus-size cotton panties, bras, hosiery, and so on.
Clothing in natural fibers.
Catalogs, natural fibers Remember,
this is only a taste of what's inside the printed version of the
magazine! |
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Radiance. |
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