Why does itchy skin worsen at night, and when should it be checked?
Dry skin, eczema or irritants can make itching worse at night. Scabies is one possibility when contacts also itch or the skin pattern fits. Night-time itching is not a diagnosis; persistent or widespread unexplained itch needs assessment.
Details
Look at the skin and household pattern
Describe location, rash, new soaps or medicines and whether others at home are affected. Scabies is not evidence of poor hygiene; confirmed cases may require contacts to receive treatment together under clinical advice.
Reduce irritation safely
Use an unperfumed moisturiser and avoid hot water and irritating clothes. Do not cover the body with strong steroids or scabies treatments without a diagnosis. Sedating antihistamines may be unsuitable with some conditions or medicines.
Pregnancy and prompt assessment
Severe itching during pregnancy, especially on palms, soles or at night, warrants prompt contact with the maternity team for possible cholestasis. Jaundice or weight loss also needs assessment. Tongue swelling or breathing difficulty is an emergency.
Related reading: What causes a change in body odour, and how can I reduce it?.