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How Long Do Shingles Blisters Last

Is Shingles Prevention Possible Is There A Shingles Vaccine

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

Prevention of shingles in people who have contracted chickenpox is difficult, since the factors that trigger reactivation are not yet defined. However, if a person is never infected with the virus, shingles will not develop. Furthermore, there are at least two methods that are currently used to reduce the incidence of shingles.

First, the VZV vaccine, otherwise known as the chickenpox vaccine, may decrease the incidence of shingles by enhancing the immune systems ability to fight off VZV or keep this virus inactive. This vaccine is usually administered to children, but the immunity may decline in about 15-20 years. The single-dose vaccine dose is given to babies 12-18 months of age. Most vaccine side effects, if they occur, are mild and range from a rash, skin redness, and swelling to small chickenpox lesions, usually at the injection site. Boosters of this vaccine for use in adults are now being investigated and may help prevent shingles in the future.

Shingrix is the vaccine the CDC currently recommends as the preferred shingles vaccine. Two doses about 2-6 months apart are more than 90% effective in preventing shingles and PHN, and it is recommended for use in people 50 and over. Side effects of Shingrix may occur and last about 2-3 days and may include redness and swelling at the inoculation site. Some individuals may experience muscle pain, headache, shivering, fever, stomach pain, and nausea.

Who Should Get The Shingrix Vaccine

The Shringrix vaccine is recommended in healthy adults age 50 and older. There is no maximum age. You should get the vaccine even if:

  • Youve had shingles.
  • Youre not sure if youd had chickenpox .
  • Youve already had the Zostavax vaccine. This vaccine for shingles is no longer available in the U.S. Ask your healthcare provider about the best time to get the Shingrix vaccine.

If you currently have shingles, you need to wait until the shingles rash has gone away. Talk with your provider about the proper time to begin vaccination with Shingrix.

Is There A Treatment For Shingles

Several antiviral medicines, acyclovir , valacyclovir , and famciclovir , are available to treat shingles. These medications should be started as soon as possible after the rash appears and will help shorten the illness and decrease how severe the illness is. Pain medicine may also help with pain caused by shingles. Call your provider as soon as possible to discuss treatment options.

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When To Seek Care

Early shingles symptoms, such as pain or flu-like feelings, are not obvious signs of a shingles outbreak.

Once a rash appears, you should see your primary care physician or a dermatologist. A trained eye can often diagnose shingles by visually inspecting the rash.

If you have shingles, you may never experience the extreme pain that can often come with it. You may only feel itching and some minor discomfort.

Even without the painful symptoms of shingles, its recommended that you see a healthcare professional and start antiviral treatment within 72 hours of a rashs appearance.

Its especially important to seek prompt medical care if a rash forms near one or both eyes. Shingles in the eye may cause permanent vision loss.

Can Shingles Be Prevented Or Avoided

How is Shingles Transmitted, How long is it Contagious &  How Long Does ...

The best way to prevent shingles is through vaccination. Vaccinate your children for chickenpox. This vaccine reduces their risk for getting chickenpox. You cant get shingles unless youve had chickenpox first.

When you are older, get the shingles vaccine. It is recommended for adults 50 years of age and older. It can prevent shingles. People who have had shingles should get the vaccine to help stop the disease from reoccurring. Common side effects of the vaccine are headache, plus redness, swelling, itching, and soreness at the injection site.

The shingles vaccine is not recommended for anyone who:

  • Has had an allergic reaction to gelatin or the antibiotic neomycin
  • Has an allergy to any component of the shingles vaccine
  • Has a weakened immune system due to conditions such as leukemia, HIV, or AIDS
  • Is receiving treatment for cancer
  • Is being treated with drugs that suppress their immune system, including high-dose steroids
  • Is pregnant or might become pregnant within 4 weeks of getting the vaccine

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Other Complications Of Shingles

If the shingles rash appears around the eye or forehead, it can cause eye infections and temporary or permanent loss of vision. If the shingles virus attacks the ear, people may develop hearing or balance problems. In rare cases, the shingles virus may attack the brain or spinal cord. These complications can often be prevented by beginning treatment for shingles as soon as possible.

What Happens When Shingles Blisters Pop

The cluster of blisters that form with shingles fill with fluid, pop, then start to ooze. Eventually the affected areas crust over and heal like the rash shown here. The whole process may take three to four weeks from start to finish. Once all of the blisters are crusted over, the virus can no longer be spread.

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How Is Shingles Diagnosed

Your healthcare provider will do a complete physical exam and ask about your medical history, specifically about whether you have ever had chickenpox.

Your healthcare provider will likely know right away that it is shingles based on the unique rash. The rash usually appears one area on one side of the body or face. It appears as red spots, small fluid- or pus-filled vesicles, or scabs.

The healthcare provider may also take skin scrapings for testing.

How Long Does The Shingles Vaccine Last

Shingles: What Are the Causes and Best Treatments?

Currently, Shingrix is the vaccine on the market that can help decrease your risk of shingles. It also decreases your risk of PHN.

The Centers for Disease Control and Prevention reports that Shringrix is more than 90% effective at protecting adults ages 50 years and older who have healthy immune systems. This immunity lasts for a minimum of 7 years after the vaccination.

Adults who have weakened immune systems benefit from 6891% effectiveness of Shingrix in preventing shingles and PHN.

The CDC recommends that the following people get the Shingrix vaccine:

  • adults over age 50 years, even if they have already had shingles
  • adults over age 19 years with weakened immune systems

Contact your doctor if you wish to discuss getting the shingles vaccine.

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Can Shingles Be Prevented

There are 2 vaccines available to reduce the likelihood of developing shingles, Zostavax and Shingrix. If you are over 50, you can talk to your doctor about whether you need it. It is recommended for everyone over 60 and is given free of charge in Australia to people aged 70 to 79.

Vaccination will not guarantee that you will not get shingles, but it will reduce your chance of developing the condition. The vaccine used to protect against shingles is not the same as the vaccine used to protect against chickenpox. Read more about the chickenpox vaccine here.

What Is The Most Painful Stage Of Shingles

Typically, the peak pain of shingles is felt within 4 or 5 days after the first symptoms develop, and it comes along with a blistering rash. As the blisters scab over, the pain usually starts to disappear. In some cases, the pain does not go away. This is known as a condition called postherpetic neuralgia.

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Home Care For Shingles

Colloidal oatmeal baths are an old standby for relieving the itch of chickenpox and can help with shingles, as well. To speed up the drying out of the blisters, try placing a cool, damp washcloth on the rash If your doctor gives you the green light, stay active while recovering from shingles. Gentle exercise or a favorite activity may help keep your mind off the discomfort.

What Do Shingles Scabs Look Like

How to Treat Post Shingles Pain

Shingles scabs develop when your blisters dry up. The blisters that form on the rash usually start to scab within 7 to 10 days. These scabs are usually dry and flat and can be red, brown, or yellowish in color.

Since shingles blisters affect just one side of the body, the scabs will only appear on one side as well. This is different from most other skin conditions, which typically affect both sides of the body.

Other common skin disorders might cause peeling or white patches . Shingles scabs usually dont have these characteristics.

The following images show what shingles scabs look like:

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Weighing The Risks Vs Benefits

The vaccine to prevent shingles will help you to avoid shingles symptoms, which in most cases are quite mild but may cause intense pain in some people.

Shingles symptoms come in two stages: the prodromal stage and the eruptive stage. In the first stage, your symptoms may include:

About three to five days later, you develop a prickly and painful pimple-like rash. These pimples turn into blisters during this eruptive stage, and your skin may be red and swollen. Shingles sores also can affect your mouth, which is another symptom the vaccine can prevent.

Shingles isn’t generally life-threatening. It can be, though, if your immune system is compromised. During an outbreak and after the rash clears up, some people may experience complications that require immediate medical attention.

Common ones include:

  • Postherpetic neuralgia : Damaged nerves cause lingering pain for three months or more.
  • Bacterial skin infections: When shingles blisters pop, bacteria can get in.
  • Eye damage: One branch of the trigeminal nerve goes to the eye. Damage there can lead to eye damage, which can be severe.

While you may experience side effects with the vaccine, the benefits outweigh the risks of shingles symptoms and complications in most people.

If you were vaccinated with Zostavaxa shingles vaccine that is no longer being givenask your healthcare provider about getting the Shingrix vaccine.

Who Is At Risk For Getting Shingles

People who have had chickenpox who are more likely to develop shingles include:

  • People with a weakened immune system .
  • People over the age of 50.
  • People who have been ill.
  • People who have experienced trauma.
  • People who are under stress.

After having chickenpox, your body does not rid your system of the virus. Instead, the virus stays in a portion of the spinal nerve root called the dorsal root ganglion. For the majority of people, the virus stays there quietly and doesnt cause problems. We arent always sure why the virus gets reactivated, but this typically occurs at times of stress.

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How Do I Shorten The Duration Of Shingles

Antiviral drugs can speed healing after a shingles outbreak, and topical and internal medicines can aid in relieving discomfort. In this way, the overall duration shortens, and the effects are less severe. However, medication is entirely optional for people with shingles, although its ability to offer comfort and a shorter outbreak period is something to consider.

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Tingling Pain Or Numbness

Shingles: What you need to know about causes, symptoms, and prevention.

During the first stage of shingles, before anything appears on your skin, a particular area of your body may begin to feel different. When a shingles outbreak is starting, you may feel itching, burning, or pain,” Kim says. Often you will feel this on only one side of your body.

The initial signs of shingles may feel different for each person. In some cases, shingles can cause intense sensitivity, making it painful to even wear clothes over your skin, while in other cases, your skin may feel numb.

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Appearance Of The Shingles Rash

The eruptive stage of shingles begins a few days later. This is when a rash appears.

The skin in the area of the prodromal pain caused by shingles will often be sensitive to the touch and reddish in appearance. As these symptoms get worse, it may begin to feel like a sunburn.

Within three to five days of the initial pain, a few tiny pimple-like spots appear and quickly multiply into clusters, forming a rash that feels prickly to the touch.

From there, sometimes within hours, the pimples develop into water-filled blisters, or vesicles, that then consolidate into larger blisters. Often, redness and swelling accompany the rash.

The shingles rash looks very much like the chickenpox rash, with a key difference: Chickenpox blisters are widely scattered over the entire body. With shingles, the rash almost always occupies a finite strip of skin.

Ultimately, the pain of shingles may get so excruciating that simply grazing the skin with clothing can set off what feels like an electric shock.

How To Treat And Prevent Shingles

Shingles is treated using antiviral medications, such as:

To manage shingles pain, you can also use numbing creams like lidocaine, or place a cool, wet washcloth on your skin.

It’s important to get treatment as quickly as possible because, “people with shingles can develop long-term pain or itch after the shingles resolves if the virus does too much damage,” Kim says.

To stop yourself from spreading varicella-zoster to anyone else, try to cover up your rash when possible and avoid directly touching it.

The best way to prevent shingles is to get a shingles vaccine. The newest vaccine, called Shingrix, is 85% to 90% effective at preventing shingles in people who have already had chickenpox. If you have never had chickenpox, you will need to get the chickenpox vaccine instead.

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Stay Away From Certain Groups Of People If You Have Shingles

You cannot spread shingles to others. But people who have not had chickenpox before could catch chickenpox from you.

This is because shingles is caused by the chickenpox virus.

Try to avoid:

  • pregnant people who have not had chickenpox before
  • people with a weakened immune system like someone having chemotherapy
  • babies less than 1 month old unless you gave birth to them, as your baby should be protected from the virus by your immune system

What Does Early Stages Of Shingles Look Like

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Shingles progress through several stages as the virus replicates in your body. Shingles start as a rash with red bumps, known as papules, distributed most frequently over your back and torso.

Within several days, grouped blisters are present. Within seven to ten days, the vesicles dry up and crust.

The early stage of shingles looks like small, red, raised, solid pimples or an inflamed rash. These are tiny, raised bumps on the skin. Eventually, these bumps blister and later crust. The beginning stages of shingles create tingling and localized pain.

The early stages of shingles are also described as itching, burning, or deep pain. People who have had shingles also described the early stages as similar to the beginning of the flu.

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Where A Shingles Rash Forms

A shingles rash typically occurs on the face, neck, or chest, on just one side of the body.

The affected area of skin is called a dermatome, a region supplied by the sensory fibers of a specific spinal nerve. Outbreaks can involve two adjacent dermatomes, but rarely two non-adjacent dermatomes.

The exception may be in people whose immune systems are severely comprised, such as those with advanced HIV infection. They’re often at risk of disseminated shingles , shingles of the eyes or internal organs, and a recurrence of shingles within six months.

What You Can Do To Help Recover From Shingles

There is no cure for shingles, but there are medications, including antiviral medications, such as acyclovir or valacyclovir, to help fight the infection.

While your shingles is active, you should:

  • Rest and relax. Try moderate activities, such as walking and listening to music that can help take your mind off the pain. For severe pain, your doctor may prescribe narcotic pain relievers, corticosteroids, and anticonvulsants.
  • Wear loose-fitting clothes.
  • Keep the rash clean and dry. Do not cover it or use ointments, which can prevent the blisters from bursting and beginning to scab over.
  • Try cool compresses, calamine lotion, or an oatmeal bath to ease the itching and pain of the rash.
  • Dont share bedding, clothing or towels in order to avoid spreading the infection while you have blisters.

There are effective vaccinations available to prevent shingles, so if you have had chickenpox, talk with your healthcare provider about getting protected from shingles.

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How Can I Take Care Of Myself

  • Take a pain-relief medicine such as acetaminophen. Take other medicine as prescribed by your healthcare provider.
  • Put cool, moist washcloths on the rash.
  • Rest in bed during the early stages if you have fever and other symptoms.
  • Try not to let clothing or bed linens rub against the rash and irritate it.
  • You develop worsening pain or fever.
  • You develop a severe headache, stiff neck, hearing loss, or changes in your ability to think.
  • The blisters show signs of bacterial infection, such as increasing pain or redness, or milky yellow drainage from the blister sites.
  • The blisters are close to the eyes or you have pain in your eyes or trouble seeing.
  • You have trouble walking.

Who Shouldn’t Get A Shingles Vaccine

How to treat shingles

The CDC says some people shouldn’t get the shingles vaccine. That includes those who:

  • Have ever had a severe allergic reaction to any component of the vaccine or after a dose of Shingrix
  • Tested negative for VZV immunity
  • Currently have shingles
  • Have a severe or moderate acute illness, such as a respiratory infection

Your healthcare provider can answer any questions you have about whether the vaccine is safe for you.

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