A 75-year-old man consulted for extensive itching all over his body, which was both embarrassing and troublesome. Despite having no visible rash or eruption, normal test results, and well-controlled diabetes, he experienced constant discomfort. Ultimately, relief came from applying body lotion three times daily. ALSO READ: What do nails say about your health? As people age, numerous changes occur in the body. Conditions such as high blood pressure, diabetes, heart disease, and arthritis affect the majority of older adults worldwide. Many people—especially those educated or affluent—are aware of these issues and take preventive measures. However, some age-related problems, like dry skin, are often overlooked. ALSO READ: Ringing in the ears? It could be tinnitus, an often-ignored problem Dry skin is a common cause of itching in elderly men and women, even without visible signs. As we age, sweat and sebaceous gland activity decreases, reducing the skin’s natural moisture and lubrication. This leads to dryness, which can vary in intensity from person to person. For some, it appears seasonally, such as in cold or changing weather; for others, it persists year-round. Environmental factors like dust can worsen the problem. ALSO READ: What excess of nutritional supplements can do Scratching dry skin can introduce germs under the nails, increasing the risk of infections such as boils, cellulitis, fungal infections, or eczema. Harsh soaps or very warm water can further aggravate dryness. Reduced immunity in older adults, compounded by chronic conditions like diabetes, anaemia, or cancer, increases vulnerability to these skin issues. Prevention and management Moisturize regularly: Apply natural oils such as olive, almond, or coconut oil two to three times daily, preferably on slightly damp skin immediately after a shower. Professional oil massage: Once or twice weekly can help maintain skin hydration. Avoid hot showers: Use warm, not very hot, water. Diet and hydration: Consume colourful fruits and vegetables (yellow, green, orange) and fish, and drink adequate water to support skin health. Sun protection: Use protective measures when outdoors. Chronic disease management: Keep conditions like diabetes well-controlled. Consider thyroid testing if dryness is persistent, as hypothyroidism can also cause dry skin. Itch relief: Anti-allergy medications may help. Avoid scratching with nails; keep fingernails short to prevent infection. While there is no permanent cure for age-related dry skin, vigilant care—through proper moisturizing, hygiene, diet, and medical attention—can control symptoms and prevent the discomfort and embarrassment of persistent itching. Dr. Rachna Pande is a specialist in internal medicine.
