[84M] Experiencing burning sensation when lying in bed

Patient Description

An 84-year-old male reports a persistent burning sensation over the entire back and buttocks that occurs exclusively when lying in bed. This symptom has been present for approximately 1 year. The sensation is described as feeling like the skin is 'on fire,' but it resolves when not in the lying position. No other symptoms have been reported, and there is no mention of any skin changes or other associated factors. The patient has not indicated any measures taken to alleviate the symptom apart from changing position.

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Arora's Assessment

What might be happening

Based on the information you've shared, here are a few possibilities:

  • Neuropathy: This is a condition where the nerves in the body are damaged and can cause symptoms such as burning, tingling, or numbness. It's common in people with conditions like diabetes, but can also occur due to aging.

    • Treatment usually involves managing the underlying condition and medications to help control the symptoms.

  • Bedsores (Pressure Ulcers): These are injuries to skin and underlying tissue resulting from prolonged pressure on the skin. They most often develop on skin that covers bony areas of the body, such as the back and buttocks.

    • Treatment involves relieving the pressure on the area, cleaning and dressing wounds, and sometimes surgery.

  • Allergic Reaction or Dermatitis: This could be a reaction to the material of your bed linens or laundry detergent.

    • Treatment involves removing the allergen and using creams or medications to control the symptoms.

What you can do

  1. Try changing your position frequently when you're in bed to relieve pressure on your back and buttocks.
  2. Consider using a mattress topper or pad designed for pressure relief.
  3. Check your skin daily for any visible changes and keep it clean and moisturized.
  4. If you suspect an allergic reaction, try changing your laundry detergent or bed linens to see if that helps.
  5. Over-the-counter pain relievers may help manage your discomfort.

What you should look out for

Please consult a healthcare professional if:

  • The burning sensation worsens or spreads to other areas.
  • You notice changes in your skin such as redness, sores, or color changes.
  • You develop other symptoms such as numbness, tingling, or weakness.
  • The burning sensation is affecting your sleep or daily activities.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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9 mo ago

People Also Ask

What are the common causes of a burning sensation in the back and buttocks when lying down?

Common causes of a burning sensation in the back and buttocks when lying down include neuropathy, pressure from lying in one position for too long, and allergic reactions to materials in contact with the skin.

How can neuropathy be managed in elderly patients?

Neuropathy in elderly patients can be managed by addressing the underlying cause, if known, and using medications to control symptoms. Lifestyle changes, such as regular exercise and a healthy diet, can also help manage symptoms.

What are the signs of bedsores and how can they be prevented?

Signs of bedsores include redness, swelling, and open sores on the skin, especially over bony areas. They can be prevented by frequently changing positions, using pressure-relieving mattresses, and keeping the skin clean and moisturized.

Could an allergic reaction to bed linens cause a burning sensation, and how can it be identified?

Yes, an allergic reaction to bed linens can cause a burning sensation. It can be identified by noticing if the sensation improves when different linens are used or if there are other signs of an allergic reaction, such as itching or redness.

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