Blushing and flushing (2024)

About blushing and flushing

Facial blushing is an involuntary reddening of the face due to embarrassment or stress. The terms blushing and flushing mean the same thing, although flushing tends to be used for more severe cases (known as idiopathic cranio-facial erythema).

Wet blushing (flushing associated with increased perspiration) is thought to be caused by an overactive sympathetic nervous system. This system helps to regulate glands and organs without our conscious effort, and controls the diameter of blood vessels to the face. In some people, these nerves are unusually sensitive to emotional stress.

Dry flushing – blushing that is caused by increased vasodilator chemicals in the bloodstream – does not cause increased perspiration.

Given the right stimulus (such as embarrassment), the nerves prompt the blood vessels to open wide, flooding the skin with blood and causing reddening of the face. In some people, the ears, neck and chest also blush.

Severe facial blushing is common in people who have social phobia, an anxiety disorder in which the person experiences extreme and persistent anxiety in social and performance situations, and fears being judged, criticised, ridiculed or humiliated.

Symptoms of severe blushing

The symptoms of severe facial blushing can include:

  • Intense blushing, often for no apparent reason
  • Sensation of heat in the face
  • Perspiration.

Situations where severe blushing can occur

Just about any situation at all can bring on intense blushing (for example, the trigger can be as simple as casual conversation with friends) and it may take one or two minutes for the blush to disappear.

Severe blushing can make it difficult for the person to feel comfortable in either social or professional situations. People who have social phobia are particularly prone to blushing

Hyperhidrosis (excessive sweating)

Hyperhidrosis means excessive sweating. A person with blushing may also experience hyperhidrosis.

Diagnosis of the cause of blushing

The menopause (’hot flushes’) or certain skin disorders (for example, rosacea) can cause severe facial blushing. It’s important to see your doctor to make sure that your blushing isn’t caused by an undiagnosed medical problem.

Medications for blushing

Medications to help treat facial blushing can include:

  • Beta-blockers are drugs that can help manage some of the symptoms of anxiety, such as blushing and heart palpitations.
  • Clonidine is a medication that is sometimes used to treat uncontrollable facial blushing. It works by changing the body’s response to naturally occurring chemicals, such as noradrenaline, that control the dilation and constriction of blood vessels.
  • Botox injections into the skin of the face will temporarily paralyse the nerves in the skin that cause blushing. The effects may last up to six months.

Laser treatment for blushing

Laser treatment may help facial flushing. In particular, vascular lasers can remove the small surface blood vessels that contribute to the red appearance.

Possible complications of laser treatment include:

  • Redness, swelling, that subsides within an hour or 2
  • Bruising or purpura that subsides over 1 to 3 days
  • Blisters that subside over 2 to 5 days.
  • Increased pigmentation that appears after 2 to 4 weeks and gradually fades.

When performed by qualified operators, laser treatment generally produces only minor discomfort and purpura, blisters and scarring is rare.

Surgery for severe blushing

Endoscopic thoracic sympathectomy (ETS) is an operation to cure severe facial blushing. The operation is performed under general anaesthesia. It’s a treatment of last resort when all other options have been exhausted. The cure rate for facial blushing is around 90%.

Possible complications of this operation include:

  • Risks of surgery – including allergic reaction to the anaesthetic, haemorrhage and infection
  • Droop to the eyelid caused by nerve damage (Horner’s syndrome)
  • Compensatory sweating, which means other areas of the body such as the legs and chest sweat heavily instead
  • Chronically dry hands.

Other treatment options

Involuntary blushing is common to people who have a social phobia. In most cases, these disorders respond well to treatment, which may include cognitive behaviour therapy (CBT), breathing techniques and confronting fears (with the guidance of a professional).

Where to get help

Blushing and flushing (2024)

FAQs

Is flushing the same as blushing? ›

Facial blushing is an involuntary reddening of the face due to embarrassment or stress. The terms blushing and flushing mean the same thing, although flushing tends to be used for more severe cases (known as idiopathic cranio-facial erythema).

What causes flushing blushing? ›

Blushing is a normal body response that may occur when you are embarrassed, angry, excited, or experiencing another strong emotion. Flushing of the face may be associated with certain medical conditions, such as: High fever. Menopause.

How do I stop flushing and blushing? ›

How to help stop yourself blushing
  1. try to relax and do breathing exercises to help reduce stress and anxiety.
  2. keep cool by removing a layer of clothing and drinking water.
  3. wear make-up that reduces the redness of your skin in stressful situations like an interview or when giving a presentation.

What are the signs of flushing? ›

Flushing is a subjective sensation of warmth that is accompanied by reddening of the skin anywhere on the body but favors the face, neck, and upper torso (1).

What does someone look like when they are flushed? ›

Due to this increased blood flow, you may feel warmth around your neck, upper chest, or face. On lighter skin tones, this flushing may result in patches of visible reddening. On darker skin tones, flushing may not result in reddening of the skin but may instead cause discoloration or darkening of the affected area.

Is flushing part of anxiety? ›

You can become flushed when you're embarrassed, excited, angry or stressed. If you have social anxiety disorder or generalized anxiety disorder, you may notice flushing as a symptom. Generally, when an emotional factor causes a red face, it's called blushing. In these cases, you may notice sweating as well.

What deficiency causes blushing? ›

What deficiency causes a flushed face? Anecdotal evidence suggests that certain B vitamin deficiencies or excesses may increase the risk of facial flushing. For example, vitamin B3, also called niacin, helps regulate blood vessel dilation, and an imbalance may affect these processes.

What are blushing triggers? ›

Blushing is a natural bodily response that is triggered by the sympathetic nervous system — a complex network of nerves that activate “fight or flight” mode. Those who are easily stressed or have anxiety disorders or social phobias may blush more than others.

What causes rapid facial flushing? ›

Summary. Facial flushing can occur for many relatively harmless reasons, including strong emotions, menopause, and eating spicy foods. It can also develop with a fever. when drinking alcohol, or as part of a chronic skin condition called rosacea.

What autoimmune disease causes facial flushing? ›

The signs and symptoms of carcinoid syndrome depend on which chemicals the carcinoid tumor secretes into your bloodstream. The most common signs and symptoms include: Skin flushing. The skin on your face and upper chest feels hot and changes color — ranging from pink to purple.

What endocrine disorder causes flushing? ›

Carcinoid syndrome can cause a handful of symptoms. Some people develop a single symptom, while others get a mix. Symptoms include: Flushing: Roughly four in five people with carcinoid syndrome experience flushing.

Why am I suddenly blushing all the time? ›

It may be caused by an overactive sympathetic nervous system. Some people who blush a lot also experience excessive sweating, known as hyperhidrosis. Hyperhidrosis is also caused by the sympathetic nervous system. You may also be more likely to blush a lot if you have a family member who experiences excessive blushing.

Can heart problems cause facial flushing? ›

Carcinoid syndrome is the pattern of symptoms that typically are exhibited by people with carcinoid tumors. The symptoms include bright red facial flushing, diarrhea, and occasionally wheezing. A specific type of heart valve damage can occur, as well as other cardiac problems.

Is facial flushing serious? ›

A flushed face is often the result of anxiety, stress, embarrassment, or even spicy foods, but it could also be the result of an underlying medical condition, such as rosacea, Cushing's disease, or a niacin overdose. If you experience recurring, unexplained flushing, seek medical attention.

What infections cause facial flushing? ›

The most common reasons for flushing are fever, hyperthermia, menopause, emotional blushing, and rosacea [16]. But, the most likely causes of high fever with facial flushing are dengue infection [1, 2], influenza [3], and scarlet fever, which usually has a pale area around the mouth called circumoral pallor [17].

What does it mean to appear flushed? ›

The enlarged blood vessels cause the face to go red. A flushed face is often the result of anxiety, stress, embarrassment, or even spicy foods, but it could also be the result of an underlying medical condition, such as rosacea, Cushing's disease, or a niacin overdose.

What does flushing mean in medical terms? ›

DEFINITION. Flushing is a sensation of warmth accompanied by transient erythema that most commonly occurs on the face but may also involve the neck, ears, chest, epigastrium, and arms or other areas [1].

What is flushing behavior? ›

Flushing involves using noise, movement, or dogs to cause game to become nervous and leave cover.

What is the difference between blush and blushing? ›

When you have a blush — or are blushing — your face gets red. People blush when they're embarrassed. Having a crush can cause blushing; so can getting caught stealing something. Blushing is caused by blood rushing to the head: thus, the color red.

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