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Why are my hands itching at night?

Published in Itchy Hands 3 mins read

Itching hands at night can be caused by several underlying conditions or factors. Based on the provided reference, itchy palms may occur due to eczema, allergic reactions, nerve disorders, or another cause. This itching can sometimes feel more intense during the nighttime hours.

Potential Causes for Nighttime Hand Itching

Several factors can contribute to itchy hands, and these can often worsen or become more noticeable when you're trying to rest at night. According to the reference and common dermatological understanding, key potential causes include:

  • Eczema: This is a common inflammatory skin condition that causes dry, itchy, inflamed skin. Types like dyshidrotic eczema specifically affect the hands and feet and can cause deep-seated blisters and intense itching, which might be more bothersome at night.
  • Allergic Reactions: Contact with allergens (substances you are allergic to) can trigger a reaction called contact dermatitis, leading to itchy rashes on the hands. Common allergens include certain metals (like nickel), fragrances, preservatives, or ingredients in soaps, lotions, or gloves. Symptoms can flare up, especially after exposure, and itching can persist into the night.
  • Nerve Disorders: Sometimes, itching isn't caused by a skin issue but rather a problem with the nerves. Conditions affecting the nerves (neuropathy) can sometimes manifest as itching sensations in the extremities, including the hands.
  • Other Causes: Beyond these specific conditions, various other factors can lead to itchy hands. These might include dry skin, irritants (like harsh soaps or chemicals), fungal infections, insect bites, or systemic conditions affecting the whole body, such as liver disease or kidney disease, which can cause generalized itching that includes the hands. Hormonal changes or even stress can also play a role for some individuals.

Why It Might Seem Worse at Night

While the underlying cause exists throughout the day, itching can feel more intense at night for several reasons:

  • Circadian Rhythms: Your body's natural cycles can influence skin temperature, blood flow, and the release of certain substances (like cytokines) that affect inflammation and itching.
  • Lack of Distractions: During the day, you're often busy, which distracts from minor discomforts. At night, with fewer distractions, you become more aware of the itching sensation.
  • Warmer Skin: Being under blankets can increase skin temperature, which may exacerbate itching in some conditions.

Identifying the Cause and Seeking Help

Because multiple factors can cause itchy hands at night, it is crucial to identify the specific trigger or condition.

As the reference states, people can speak with a doctor and identify potential triggers and other symptoms to learn the cause of their itchy hands. A doctor, such as a dermatologist, can:

  • Evaluate your symptoms and medical history.
  • Perform a physical examination of your hands.
  • Discuss potential triggers, such as exposure to irritants or allergens.
  • Consider other symptoms you might be experiencing (like rash, dryness, pain, or other systemic issues).
  • Recommend tests, such as allergy testing or blood work, if needed.

Understanding the exact cause is the first step towards effective treatment and relief from nighttime hand itching.