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Why does my rosacea get worse with heat, wine, or stress?

Why does my rosacea get worse with heat, wine, or stress?

Dermatology

Doctor answers

Lizaveta Trafimchuk Takhvaniuk

May 20, 2026

With rosacea, the blood vessels and nerve endings of the skin become more sensitive and react too actively to external and internal irritants.
Heat dilates blood vessels and increases blood flow to the skin, wine also provokes vasodilation and an inflammatory response, and stress activates the nervous system and the release of inflammatory mediators. Because of this, redness, a feeling of heat, burning appear and the rash may worsen.
Each person has their own triggers and degree of skin sensitivity, so treatment and care are best selected individually. If necessary, you can make an appointment with a dermatologist to choose a suitable treatment regimen.

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