What does it mean when feels like bugs are in your skin?

The feeling of bugs crawling on or under your skin, known as formication, can be a distressing sensation. While real bugs may sometimes cause this feeling, it often isn't related to actual insects or parasites. Instead, it can be a symptom of various medical conditions, and it is important to seek professional advice to determine the underlying cause. Here are a few possible explanations for the feeling of bugs crawling on your skin:

1. Skin conditions: Certain skin disorders, such as eczema, psoriasis, or allergic reactions, can cause intense itching and a crawling sensation on the skin.

2. Nerve damage (neuropathy): Damage to the nerves, often due to conditions like diabetes, multiple sclerosis, or certain medications, can lead to formication as abnormal signals are sent from the nerves to the brain.

3. Psychiatric conditions: Anxiety disorders, including generalized anxiety disorder and obsessive-compulsive disorder (OCD), can sometimes cause sensory distortions, including the sensation of bugs crawling on the skin.

4. Medication side effects: Certain medications, such as cocaine, amphetamines, and some antidepressants, can have the side effect of causing a feeling of bugs crawling on the skin.

5. Parasites: In rare cases, an actual parasitic infection, such as scabies or head lice, can cause the sensation of bugs crawling on the skin.

If you are experiencing the feeling of bugs crawling on your skin, it is important to consult with a healthcare professional to determine the cause and receive appropriate treatment. Self-diagnosis and self-treatment may not be effective and could delay the proper management of the underlying condition.