Wednesday, April 10, 2024

Do You Have To Go To The Doctor For Shingles

Can You Spread Shingles Over Your Own Body

Shingles: Signs, Symptoms and Treatment with Dr. Mark Shalauta | San Diego Health

Shingles cannot be spread over different areas of your body. For example, if you have an active shingles rash on your back, the fluid from the blisters cannot cause a new rash on your arm.

However, the fluid could potentially spread VZV to someone else if theyve never had chickenpox or received the chickenpox vaccine.

One caveat here is that some people can develop disseminated herpes zoster, which is when the shingles virus causes a rash over multiple areas of the body. This can happen in people who have weakened immune systems from autoimmune disease, cancer, or immunosuppressant medications.

Seek Treatment Right Away

Many people have the mistaken impression that, like poison ivy, shingles is a nuisance rash that fades on its own. But in fact a shingles rash should alert people, especially in middle or old age, to seek immediate medical help, says Dr. Oaklander.

Rapid treatment with one of three antiviral drugs, acyclovir , valacyclovir , or famciclovir , can shorten a shingles attack and reduce the risk of serious damage, such as:

  • Long-term pain. Pain that lingers in the area of a healed shingles rash is called postherpetic neuralgia. This often-disabling pain can last several months to a year.
  • Prolonged itching. Many people are left with an itchy area from their shingles, which can be as disabling as chronic pain. It is most common on the head or neck.
  • Damage to vision and hearing. Pain and rash near an eye can cause permanent eye damage and requires an urgent ophthalmological exam. When the nerve to the ear is affected, it can permanently damage hearing or balance.
  • Strokes and heart attacks. A PLOS Medicinestudy that tracked about 67,000 people ages 65 and older who were newly diagnosed with shingles found that stroke risk more than doubled in the first week after the shingles diagnosis. The same study reported an increased risk for heart attacks in the three months after shingles, but the additional risk dissipated after six months.

How Do Dermatologists Treat Shingles

An antiviral medication can:

  • Reduce the amount of time that you have a shingles rash

  • Lower your risk of developing long-lasting nerve pain and other health problems

One of three antiviral medications is usually prescribedacyclovir, famciclovir, or valacyclovir.

To treat your symptoms, dermatologists typically recommend the following:

Pain: Medication that you can buy without a prescription can help, such as:

If you have severe pain, your dermatologist may prescribe a medication that reduces inflammation, such as a corticosteroid.

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Can Shingles Come Back

Given that shingles results from the varicella zoster virus reactivating some amount of time after having chickenpox, you may be wondering if the virus can…re-reactivate after having shingles.

“Once shingles clears up, the virus simply goes back into hiding and, unfortunately, it can reactivate again in the future,” says Dr. Brown. “As far as the likelihood of shingles reoccurring, that’s still largely up for debate. One study found that the chance of getting shingles a second time is about 5%, but other studies show this number to be lower.”

One way to reduce your risk of getting shingles twice is the same preventive measure that helps prevent you from ever getting it in the first place: the shingles vaccine.

What Causes Internal Shingles

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The varicella zoster virus causes shingles. Its the same virus that causes chickenpox. After a bout of chickenpox, the virus becomes dormant in the body and settles in certain nerves and tissue of the nervous system. Later in life, the virus can reactivate and present itself as shingles. Shingles typically appears on the skin along the nerve path where it had been previously dormant. If the reactivation of the virus becomes severe, it can affect not only the skin but other organs too. This is what is called systemic or internal shingles.

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Should You Quarantine Yourself If You Have Shingles

If you have shingles, it is best to stay home and avoid contact with other people. Wash your hands often and get vaccinated to help prevent the spread of the disease.

Cover the blistered area with a dry bandage or cloth so that it does not get too cold and remain warm. Drink plenty of fluids to help clear up the system and reduce inflammation from shingles symptoms such as fever, headache, muscle aches, chills, fatigue etc.

Drink lots of water especially if you feel dehydrated during this time since shingles can also cause dehydration

What Problems Can Happen

Most cases of shingles heal on their own, with or without treatment, and won’t lead to any other problems. In rare cases, shingles can lead to complications, including:

  • Ongoing pain : Damaged nerve fibers in the skin send confused messages to the brain, leading to pain. Pain can go on for a long time after the shingles rash is gone. This is the most common shingles complication.
  • Vision problems: Shingles near or in an eye can lead to vision loss.
  • Skin infections: A shingles rash can become infected with bacteria, leading to impetigo or cellulitis.
  • Nervous system problems: Shingles on the face can involve different nerves that connect to the brain. This can lead to nerve-related problems such as facial paralysis, hearing problems, and problems with balance. In very rare cases, shingles can lead to encephalitis .

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Diagnosing & Treating Shingles Online

Shingles are caused by the same virus that causes chickenpox varicella-zoster virus. If youve ever had chickenpox, the virus will stay inactive in nerve tissue near your spinal cord and brain. If the virus is reactivated it can cause shingles.

This condition is not life-threatening, but the outbreaks can be extremely painful. There are vaccines that can help reduce the risk of shingles and early treatment can help shorten a shingles outbreak.

Pain is usually the first symptom of shingles and can sometimes be mistaken for another problem depending on the location of the pain. When shingles affect areas near your heart, lungs or kidneys, they can be mistaken for something more serious. In most cases, shingles will start to develop in a rash that appears in a stripe of blisters wrapping around your torso.

You should see a doctor if you think there is any chance you may have shingles, but you should especially see a doctor in the following situations:

  • The rash/pain is occurring near your eyes. This condition can lead to permanent eye damage if left untreated
  • The rash is widespread and extremely painful
  • You or someone in your family have a weakened immune system
  • If your over 70

You and your online doctor can help determine the severity of your symptoms and what type of treatment is needed, or if a referral to a dermatologist or specialist is required.

Options for treatment of shingles may include:

  • An antiviral drug

Urgent Advice: Get Advice From 111 As Soon As You Suspect Shingles

Ask the Doctor: Shingles

You might need medicine to help speed up your recovery and avoid longer-lasting problems.

This works best if taken within 3 days of your symptoms starting.

111 will tell you what to do. They can arrange a phone call from a nurse or doctor if you need one.

Go to 111.nhs.uk or .

Get an urgent GP appointment

A GP may be able to treat you.

Ask your GP surgery for an urgent appointment.

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Do You Always Get The Typical Rash If You Have Shingles

Occasionally, some people dont get a rash. If you have any of the other symptoms of shingles , see your healthcare provider sooner rather than later. There are effective treatments you can take early for shingles. Even if you dont have shingles, seeing your healthcare provider will help you get your condition diagnosed and treated.

How Long Does Shingles Last

Most cases of shingles last three to five weeks.

  • The first sign is often burning or tingling pain sometimes it includes numbness or itching on one side of the body.
  • Somewhere between one and five days after the tingling or burning feeling on the skin, a red rash will appear.
  • A few days later, the rash will turn into fluid-filled blisters.
  • About one week to 10 days after that, the blisters dry up and crust over.
  • A couple of weeks later, the scabs clear up.

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How Is Shingles Treated

Specific treatment for shingles will be determined by your healthcare provider based on:

  • Your age, overall health, and medical history
  • How long the shingles have been present
  • Extent of the condition
  • Your tolerance for specific medicines, procedures, or therapies
  • Expectations for the course of the condition
  • Your opinion or preference

There is no cure for shingles. It simply has to run its course. Treatment focuses on pain relief. Painkillers may help relieve some of the pain. Antiviral drugs may help lessen some of the symptoms and reduce nerve damage. Other treatments may include:

  • Creams or lotions to help relieve itching
  • Cool compresses applied to affected skin areas
  • Antiviral medicines
  • Anticonvulsants

Is A Vaccine Available To Prevent Shingles

41 best r/shingles images on Pholder

Two vaccines are available in the United States to reduce your chance of developing shingles and postherpetic neuralgia. One vaccine, Zostavax®, has been available since 2006. The second vaccine, Shingrix®, has been available since 2017. Shingrix is recommended as the preferred vaccine by the Advisory Committee on Immunization Practices, a group of medical and public health experts.

Shingrix is given as a two-dose shot in your upper arm. You should receive the second dose two to six months after receiving the first. Shingrix has been shown to be more than 90% effective in preventing shingles and postherpetic neuralgia. Its effectiveness remains above 85% for at least four years after receiving the vaccine.

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Antiviral Medicines For Shingles

Antiviral medicines used to treat shingles include aciclovir, famciclovir and valaciclovir. An antiviral medicine is not a cure for shingles, it does not kill the virus but works by stopping the virus from multiplying. So, it may limit the severity of symptoms of the shingles episode.

An antiviral medicine is most useful when started in the early stages of shingles . However, in some cases your doctor may still advise you have an antiviral medicine even if the rash is more than 72 hours old – particularly in elderly people with severe shingles, or if shingles affects an eye.

Antiviral medicines are not advised routinely for everybody with shingles. As a general rule, the following groups of people who develop shingles will normally be advised to take an antiviral medicine:

  • If you are over the age of 50. The older you are, the more risk there is of severe shingles or complications developing and the more likely you are to benefit from treatment.
  • If you are of any age and have any of the following:
  • Shingles that affects the eye or ear.
  • A poorly functioning immune system .
  • Shingles that affects any parts of the body apart from the trunk .
  • Moderate or severe pain.

If prescribed, a course of an antiviral medicine normally lasts seven days.

Shingles Blisters Form And Heal Over A Period Of 3 To 5 Weeks

Shingles blisters are an important part of healing from shingles they protect the skin from drying out and provide relief from pain while the rash heals. They typically form within two days after getting infected with shingles, grow in size for about one or two weeks, then burst and disappear completely by week four or five following infection.

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You Cannot Get Shingles From Someone With Chickenpox

You cannot get shingles from someone with shingles or chickenpox.

But you can get chickenpox from someone with shingles if you have not had chickenpox before.

When people get chickenpox, the virus remains in the body. It can be reactivated later and cause shingles if someones immune system is lowered.

This can be because of stress, certain conditions, or treatments like chemotherapy.

Who Can Give The Vaccine

How to treat shingles

There is not much you need to do to prepare to get a shingles vaccine. You dont even necessarily need an appointment.

A doctor can schedule a time to give you the vaccine, but licensed pharmacists are also allowed to administer it. Some pharmacies offer shingles vaccines on a walk-in basis. Check with your healthcare professional or pharmacy to be sure.

Whether youve made an appointment or walked into a pharmacy for vaccination, the next steps are simple.

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What Is The Prognosis For Shingles What Are Possible Shingles Complications

Many cases of shingles go away by themselves, with or without treatment. The rash and pain should be gone in two to three weeks. However, shingles may last longer and be more likely to recur if the person is older, especially older than 50 years of age, or if they have a serious medical problem.

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What If I Have Shingles And A Poor Immune System

If you have a poor immune system and develop shingles then see your doctor straightaway. You will normally be given antiviral medication whatever your age and will be monitored for complications. People with a poor immune system include:

  • People taking high-dose steroids. per day for more than one week in the previous three months. Or, children who have taken steroids within the previous three months, equivalent to prednisolone 2 mg/kg per day for at least one week, or 1 mg/kg per day for one month.)
  • People on lower doses of steroids in combination with other immunosuppressant medicines.
  • People taking anti-arthritis medications which can affect the bone marrow.
  • People being treated with chemotherapy or generalised radiotherapy, or who have had these treatments within the previous six months.
  • People who have had an organ transplant and are on immunosuppressive treatment.
  • People who have had a bone marrow transplant and who are still immunosuppressed.
  • People with an impaired immune system.
  • People who are immunosuppressed with HIV infection.

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Millions Get Shingles Each Year

Doctors diagnose more than 1 million cases of shingles in the United States every year.1 Many of these people are surprised to find out that they have shingles because they dont remember having had chickenpox. Chickenpox can be very mild. You may have had it when you were too young to remember.

If you were born before 1980, you have a greater than 99% chance of having had chickenpox, according to the Centers for Disease Control and Prevention .

Anyone who has had chickenpox can get shingles.

The Most Important Tip For Shingles

Pros and Cons of getting the Shingles vaccine

I know that this is a lot of information so give yourself time to take it all in. Perhaps, more importantly take this one piece of advice: RELAX. Shingles is usually brought on by stress in your life. While I didnt think I had a lot of stress , when I listed everything on my plate its easy to see how my body was overburdened.

The biggest lesson learned through this process is how important it is to really, truly support your body. People often mentioned how lucky I was to be able to have a job that works from home, but when youre sick its easy to just reach for your phone in bed or work on a project while recovering on the couch. The boundaries are less clear. Though I did the bare minimum I needed to do, I mostly took a lot of time to rest, nap, journal, watch TV and essentially do nothing.

I would have loved to have gone on walks or been outside but the pain of the wind on my face made it impossible. I was upset over this but C reminded me that compassion is a big part of the recovery process. So even though I felt stir crazy, I also knew that going outside actually created more stress in my life. Acknowledging those stressors and putting in plans of action to eliminate or diffuse them is the key to getting over shingles.

* * * * *

Overall I can tell Im drastically improved from where I was and also have learned one of lifes most important lessons: STRESS IS REAL and it can manifest physically, so dont ignore it!

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What Are The Symptoms Of Shingles

Usually, shingles develops on just one side of the body or face, and in a small area. The most common place for shingles to occur is in a band around one side of the waistline.

Most people with shingles have one or more of the following symptoms:

  • Fluid-filled blisters
  • Tingling, itching, or numbness of the skin
  • Chills, fever, headache, or upset stomach

For some people, the symptoms of shingles are mild. They might just have some itching. For others, shingles can cause intense pain that can be felt from the gentlest touch or breeze. Its important to talk with your doctor if you notice any shingles symptoms.

If you notice blisters on your face, see your doctor right away because this is an urgent problem. Blisters near or in the eye can cause lasting eye damage and blindness. Hearing loss, a brief paralysis of the face, or, very rarely, inflammation of the brain can also occur.

Should I See A Doctor For Shingles

It is usually worth seeing a doctor to be certain about the diagnosis and to see if you need treatment or not. Ideally you should see a doctor as soon as possible after the rash appears.

The rash of shingles can be very painful. So even if the doctor doesn’t think you need an anti-shingles medicine, they may be able to give you stronger painkillers than those you can buy over the counter from the chemist.

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