Why does my 93-year-old grandfather itch in winter?

Question

Hello doctor.

My grandfather's age is 93 years, and he has a lot of itches in his back and arms. Sometimes it becomes very serious.

He is applying coconut oil thrice a day and some cream, which a dermatologist suggested. He is also taking direct sunlight in the afternoon. His itches are most common in winter and also at night.

Please advise.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I am deeply concerned about your worries.

I read your query and understand your concerns.

Based on the history, the itching is most likely due to dry skin (xerosis), which is quite common in elderly individuals, especially during winter and at night. Aging skin tends to lose moisture easily, leading to irritation and itching.

Coconut oil is a good natural remedy and can be continued. In addition, I strongly recommend using a good-quality moisturizer (preferably thick and fragrance-free) immediately after bathing to lock in moisture. Lukewarm water should be used for bathing, as hot water can further dry the skin. Limit bath time and avoid harsh soaps; instead, use mild, moisturizing cleansers.

Proper clothing is also important. He should wear soft, breathable fabrics like cotton and keep himself adequately warm to avoid exposure to cold weather, which can worsen dryness.

Direct sunlight in moderation is fine, but avoid prolonged exposure during peak afternoon hours, as it may further irritate the skin. Also, ensure he stays well hydrated and maintains a balanced diet.

If itching is severe, antihistamines (only if prescribed by a doctor) may help reduce symptoms, especially at night. Watch for any redness, rashes, or signs of infection due to scratching.

If symptoms persist or worsen despite these measures, or if new skin changes appear, please consult a dermatologist again and consider sharing photographs for further evaluation.

I hope this helps you.

Do follow up whenever needed.

Let me know if I can assist you further.

Thank you.