Cincinnati Children's Blog
  • Y&H Podcast
  • Newsletter Subscribe
  • CincinnatiChildrens.org
  • Contact Us
  • Blog
  • Healthy Living
  • Rare and Complex Conditions
  • Safety and Prevention
  • Heart Conditions
  • Learning and Growing
  • Research and Discoveries
  • Blog
  • Healthy Living
  • Rare and Complex Conditions
  • Safety and Prevention
  • Heart Conditions
  • Learning and Growing
  • Research and Discoveries
  • Y&H Podcast
  • Newsletter Subscribe
  • CincinnatiChildrens.org
  • Contact Us
HOME/Healthy Living/Heat Rash, Exhaustion and Stroke: What’s the Difference?

Heat Rash, Exhaustion and Stroke: What’s the Difference?

Heat Rash, Exhaustion and Stroke: What’s the Difference?
June 16, 2026
Rosalynd Brackens, MD
0 Comments

As temperatures rise, so do the risks of heat-related illnesses.

Whether your kids are headed to the pool, camp or sports conditioning, it’s important to know the difference between heat rash, exhaustion and stroke. It can help you determine whether you need to cool off at home or seek emergency care.

Heat Rash: Usually Mild

Heat rash, also called “prickly heat,” happens when sweat gets trapped under the skin. It’s common in babies, but older kids can get it too. It is usually harmless and can improve quickly once the skin cools down.

Symptoms:

  • Red, prickly little dots
  • Itchy skin
  • May feel a little warm to the touch
  • Flushed cheeks
  • Can appear anywhere sweat collects, such as neck, chest, back, elbows and on the trunk, which is where we maintain the most heat

HELPFUL HINT: Be mindful of babies taking long car rides in the summer. They can get particularly hot in their car seat with extra layers on.

Heat Exhaustion: More Concerning

Heat exhaustion happens when the body loses too much water and salt through sweating and can no longer cool itself properly. It is more serious than heat rash, but not life-threatening like heat stroke.

Babies younger than six months are more susceptible because they have immature thermoregulation, or the ability to regulate body temperature. Also, keep an eye out for teens who are having long practices in the summer heat.

Signs of heat exhaustion:

  • Pale skin
  • Temperature of 100–102° F
  • Sweating
  • Nausea
  • Dizziness or fainting
  • Headache
  • Drowsy and confused

What to do if you suspect heat exhaustion:

  • Get them out of the sun.
  • Remove their clothes.
  • Use cool towels or a cool shower.
  • Offer cool water. Give formula to babies younger than 6 months old.
  • Take their temperature frequently to make sure it’s not worsening.

IMPORTANT TO KNOW: Most kids will improve within 30 minutes of treatment. If symptoms continue to progress or worsen, such as vomiting, body temperature rising or confusion, call your doctor or seek urgent care.

Heat Stroke: A Medical Emergency

Heat stroke is very concerning and can become life-threatening quickly. It happens when the body’s temperature becomes dangerously high and cannot cool itself. It is a medical emergency.

Signs of heat stroke:

  • Temperature above 104° F
  • Confusion, disorientation or passing out
  • Red, hot, dry skin (do not wait for the skin to turn dry before determining it’s an emergency!)
  • Severe headache
  • Rapid heart rate

What to do immediately:
Quick treatment is essential because heat stroke can affect all of a child’s organs.

  • Call 911 or head to the hospital.
  • Place in bathtub with cool water, not freezing or ice water.
  • Aim a fan or air conditioner at them.
  • Offer fluids if they’re conscious.

DOWNLOAD NOW: A quick breakdown of the differences between heat rash, exhaustion and stroke.

HOW TO PREVENT HEAT-RELATED ILLNESSES

Babies younger than 6 months and kids who are active in the heat are the most at-risk for heat-related illnesses. The good news is that it is preventable with proper planning.

Steps to prevent heat-related illnesses:

  • Keep an eye on the temperature and heat index. Anything over 90° F is going to put your child at risk.
  • Encourage frequent water breaks. For teens doing summer training, drink 8 ounces every 30 minutes. If they’re exercising for over an hour outside, replace one water drink with a sports drink.
  • Dress them in lightweight, light–colored clothing.
  • Take breaks in air conditioning or shade.
  • Check in with your kids frequently. They may not want to stop playing even when they’re overheated!

Trust your gut! If you’re worried that something isn’t right, find the safest way to cool them down and call your doctor.

If your child requires immediate care, call 911 or go to an emergency room. Or if you need help finding a primary care physician, please visit our Primary Care Offices.

Related Articles
Swim Lessons: Need-to-Know Info
Swim Lessons: Need-to-Know Info
Helping Baby’s Congestion: Tips for Using Bulb Syringes
Helping Baby’s Congestion: Tips for Using Bulb Syringes
Warm Weather Guide to Water Safety
Warm Weather Guide to Water Safety
Summer Eye Safety and Care for Kids 
Summer Eye Safety and Care for Kids 
TAGS:
  • Emergency Department
  • general and community pediatrics
  • Home
  • summer safety
Rosalynd Brackens, MD.
About the author: Rosalynd Brackens, MD

Rosalynd Brackens, MD, is a pediatrician in our Community Health Services Network. She specializes in treating kids with asthma, acne and mental health conditions such as ADHD. When she’s not working, she loves spending time with her family, children and friends, as well as watching movies.

Write A Comment

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

No Comments Yet

Topics

  • Cancer and Blood Diseases
  • Child Development and Behavior
  • Childhood Obesity
  • Chronic Care Networks
  • Cincinnati Walks for Kids
  • Featured Faces
  • Fetal Conditions
  • Fitness and Nutrition
  • Food Allergies
  • Ghana 2012
  • Health Care Public Policy
  • Health Care Quality
  • Health Care Reform
  • Healthy Living
  • Heart Conditions
  • Hospital Operations
  • Learning and Growing
  • Nurses Week 2012
  • Patient Family Experience
  • Patient Flow
  • Patient Safety
  • Pin of the Week
  • Rare and Complex Conditions
  • Research and Discoveries
  • Safety and Prevention
  • Share Your Story
  • Technology
  • The Young & Healthy Podcast
  • Uncategorized
  • Vaccines
  • Volunteerism
  • What's New
See All Topics
See Less Topics

Subscribe

Subscribe today to our family newsletter for tips, blog posts, podcasts and more.

Subscribe Now

Popular Posts

  • 6 Questions to Ask When Your Child Complains of Chest Pain 421 views
  • Lean, Purple Drank, Sizzurp: A Dangerous Teenage Drink 394 views
  • Key Questions to Ask When Considering GLP-1s for Teens 258 views
  • Swaddling DO’s and DON’Ts 257 views
  • Stuttering In Young Kids: When To Be Concerned 204 views
  • 20 Books About Emotions and Mental Health for Kids 168 views
About

The Cincinnati Children’s blog features thoughts and perspectives from our experts on all things pediatric health. This blog does not provide medical advice, diagnosis, or treatment. Learn More »

Contact Us
  • 3333 Burnet Avenue, Cincinnati, Ohio 45229-3026
  • 1-513-636-4200 | 1-800-344-2462
  • TTY: 1-513-636-4900
  • socialmedia@cchmc.org
Connect With Us
  • Newsletter Subscribe
  • CincinnatiChildrens.org
  • Contact Us

© 2009-2026 Cincinnati Children’s Hospital Medical Center