Sunday, February 18, 2024

How To Treat Shingles Without Rash

Are There Shingles Home Remedies

How to treat shingles

People who have shingles symptoms and signs should see their doctor as soon as possible, because antiviral medication is effective only if given early. Individuals with facial, nose, or eye symptoms and signs should seek medical care immediately.

  • Do not scratch the skin where the rash is located. This may increase the risk of secondary bacterial infection and scarring. Over-the-counter antihistamines and topical creams can relieve the itching.
  • After diagnosis and appropriate treatment, apply cool tap-water compresses to weeping blisters for 20 minutes several times a day to soothe and help dry the blisters. This also aids in removing the scabs and decreases the potential for bacterial infection. Tap-water compresses must be stopped once the blisters have dried, so the surrounding skin does not become too dry and itchy. Remember that weeping blisters contain the virus and are contagious to individuals who are susceptible to the chickenpox virus.
  • Keep the area clean with mild soap and water. Application of petroleum jelly can aid in healing. Wear loose clothing to avoid extra pain from clothing rubbing against the rash. Avoid close skin-to-skin contact with others who have not had chickenpox, are ill, or who have a weakened immune system.

What Is The Outcome For Someone Who Has Shingles

Most people get shingles once, but its possible to get it again.

If you have a healthy immune system, the blisters tend to clear in 7 to 10 days. The rash tends to go away completely within 2 to 4 weeks. The pain may last longer, but usually stops in 1 or 2 months.

For some people, the pain will last longer than the rash. When it does, its called postherpetic neuralgia , which can come and go or be constant. PHN can last for months, years, or the rest of your life. Treatment can help reduce the amount of pain you feel.

Be sure to tell your doctor if you continue to have pain. Treatment can help you feel more comfortable.

For anyone who has a shingles rash, the right self-care can help ease your discomfort. Youll find out what dermatologists recommend at, Shingles: Self-care.

ImageGetty Images

ReferencesCenters for Disease Control and Prevention . About shingles. Page last reviewed 10/17/2017. Last accessed 4/1/2019.

Dooling KL, Guo A, et al. Recommendations of the Advisory Committee on Immunization Practices for Use of Herpes Zoster Vaccines. Morb Mortal Wkly Rep 2018 67:103-8.

Madkan V, Sra K, et al. Human herpes viruses. In: Bolognia JL, et al. Dermatology. . Mosby Elsevier, Spain, 2008: 1204-8.

Straus SE, Oxman MN. Varicella and herpes zoster. In: Wolff K, Goldsmith LA, et al. Fitzpatricks Dermatology in General Medicine . McGraw Hill Medical, New York, 2008: 1885-98.

How Common Is Shingles

Shingles affects 1 out of every 3 people in the United States. More than 1 million cases of shingles are diagnosed every year. The risk of shingles increases as you get older, with about half the cases occurring in people over the age of 50. Shingles develops in about 10% of people who have had chickenpox at an earlier time in their life.

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How Is Shingles Diagnosed And Treated

If you think you might have shingles, talk to your doctor as soon as possible. Its important to see your doctor no later than three days after the rash starts. The doctor will confirm whether you have shingles and can make a treatment plan. Most cases can be diagnosed from a visual examination. If you have a condition that weakens the immune system, your doctor may order a shingles test. Although there is no cure for shingles, early treatment with antiviral medications can help the blisters clear up faster and limit severe pain. Shingles can often be treated at home.

What Is Id Cares Experience Caring For Shingles Patients

What Are The Symptoms Of Internal Shingles? Without Rash

There are over 50 physicians at ID Care across 10 New Jersey locations, and our team keeps growing, said Dr. Gurland, including advanced care providers with broad experience treating patients with shingles, and who understand exactly how the disease progresses, how to fight it, and how to keep it from coming back.

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Are There Complications Of Shingles

Shingles can have complications that last long after the rash is gone, including:

  • Brain inflammation or facial paralysis if it affects certain nerves
  • Eye problems and vision loss if your rash was in or around your eye
  • Pain that lasts long after the outbreak, called postherpetic neuralgia. It affects up to 1 in 5 people who get shingles.

If Ive Been Vaccinated For Chickenpox Can I Still Develop Shingles Later In Life

Unfortunately, yes, despite being vaccinated for chickenpox, you can still get shingles. No vaccine is 100% protective and the effects of vaccines lessen with time. However, people who get the chickenpox vaccine are significantly less likely to develop shingles later in life compared with people who never received the chickenpox vaccine. One recent 12-year study found that the number of shingles cases was 72% lower in children who had received the chickenpox vaccine compared with those who did not.

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Shingles Rash In The Eyes

Ophthalmic shingles, or herpes zoster ophthalmicus , is when the shingles rash is in and/or around the eye. It is a severe variant that affects 20% of people with the infection.

If you develop a shingles rash near your eye, contact your healthcare provider right away.

lauraag / Getty Images

HZO usually appears within two to four weeks after a shingles rash starts. People who have a compromised immune system, such as those with HIV/AIDS, are at higher risk for developing this.

All parts of the eye can be affected. For example:

  • You can develop blisters around the eye that may cause the eyelids and surrounding area to swell.
  • The corneaâthe transparent part over the front of the eyeâcan be affected, causing calcification .
  • Blood vessels in the eye could become more pronounced blood flow to the eye could be impacted.

To reduce your risk of long-term eye complications, contact your healthcare provider right away if you have a shingles rash on your face.

What Are Symptoms Of Shingles Without A Rash

Mayo Clinic Minute: Don’t suffer with shingles

The symptoms of ZSH are similar to the symptoms of shingles, but without a rash. The symptoms are usually isolated to one side of the body and commonly occur on the face and neck, and in the eyes. Symptoms can also occur in the internal organs. Typical symptoms include: a painful burning sensation. itchiness.

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The First Symptoms Of Shingles

Early symptoms of shingles can appear several days before the more obvious symptoms. However, some people will not have early symptoms before a rash appears.

The most common early symptoms occur on one part of the body or face. This often happens in the abdominal area.

These symptoms many include:

The pain can worsen as shingles develops. The pain can be sharp, stabbing, and intense.

It may also cause hypersensitivity, or an excessive reaction to touch.

There are also other early symptoms of shingles.

Although not every person with shingles will experience them, early symptoms include:

  • general feeling of being unwell

Your doctor can often diagnose shingles based on these symptoms. Your doctor may prescribe medication to speed up recovery.

Medication also reduces the chance of complications, so seeking early intervention is important.

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How Do You Prevent Shingles

Vaccination is a safe and effective way to protect against shingles in most people. The shingles vaccine should not be given to people who are immunocompromised.

For more information on shingles immunisation, see Shingles immunisation service.

Shingles is less contagious than chickenpox. The risk of spreading the disease is low if the rash is covered. When the rash has developed crusts, you are no longer infectious.

If you have shingles, you should:

Avoid contact with these people until the rash has developed crusts:

  • pregnant women who have never had chickenpox or the chickenpox vaccine
  • premature or low birthweight babies
  • children who have not had chickenpox or the chickenpox vaccine
  • people with weakened immune systems, such as people who:
  • have had chemotherapy

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What Are The Signs & Symptoms Of Shingles

Often the first shingles symptoms happen in the area where the rash will appear. A person may have tingling, itching, or pain in this area. When the rash shows up, the pain may be mild or severe.

The rash starts as groups of tiny pimples on one side of the body or the face. Its often in the shape of a band or belt. The pimples change to pus-filled blisters that break open and scab over in about 710 days. The scabs usually heal and fall off about 24 weeks after the rash starts.

Some kids with shingles also may have a fever and a headache, and might feel tired and achy. Rarely, a child has the pain of shingles without the rash. More severe symptoms can happen, but usually in people over age 50.

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Why Does Shingles Appear Mostly On One Side Or In One Area Of The Body

Can I Have Shingles Without a Rash?

The virus travels in specific nerves, so you will often see shingles occur in a band on one side of the body. This band corresponds to the area where the nerve transmits signals. The shingles rash stays somewhat localized to an area it does not spread over your whole body. The torso is a common area, as is the face.

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Where Does Shingles Come From

When you have chickenpox as a child, your body fights off the varicella-zoster virus and the physical signs of chickenpox fade away, but the virus always remains in your body. In adulthood, sometimes the virus becomes active again. This time, the varicella-zoster virus makes its second appearance in the form of shingles.

Symptoms Of Zoster Sine Herpete

Zoster sine herpete is not common and can be hard to diagnose as the most common and differentiating shingles rash is not present. Other symptoms of ZSH are similar to regular shingles, which include:

Pain

Shingles is a very painful disease. This pain is typically described as a deep boring or stabbing sensation that is very severe. Because of the impact on the nervous system this pain may have an electric feel to it. In many cases pain will only affect one side of the body and will be localized to a specific area of the skin, though the disease can affect as many as three spinal nerves at a time. As the disease affects the skin, patients may experience a prickling, itching, or numbness on the skin as well.

Flu-like Symptoms

Patients will often develop flu-like symptoms just before the skin lesions appear. This can include body or muscle aches, headaches, mild fever, a general feeling of illness or poor appetite. These symptoms can last as long as 7-10 days. It is important to note that unlike a cold, patients will not develop a runny nose or cough when suffering from shingles.

Movement Problems

Other Symptoms

  • Pain radiating from your spine
  • Sensitive to touch

Also Check: Can A Person Have Shingles More Than Once

What Can I Do If I Have An Attack Of Shingles

Shingles can be a painful and very uncomfortable condition, but there are a number of things you can do to make yourself more comfortable. These include:

  • Taking paracetamol for the pain
  • Applying a cold compress to affected areas
  • Keeping the rash clean and dry to reduce infection
  • Avoiding antibiotic cream.

If you think you are experiencing symptoms of shingles, the best thing to do is to go and see your doctor. It is important to get shingles diagnosed as soon as possible, as early treatment with antiviral medicine can help lessen an attack, but this needs to be taken within the first few days of any visible symptoms.

Questions To Ask Your Doctor

Shingles: Signs, Symptoms and Treatment with Dr. Mark Shalauta | San Diego Health
  • Ive had chickenpox. Am I at risk of developing shingles?
  • What is the best treatment for my shingles?
  • The pain from shingles isnt going away. What can I do to make myself more comfortable?
  • Im on treatment for shingles. When should I call my doctor if things dont get better?
  • I have shingles and my children havent had the chickenpox vaccine. Should I get them vaccinated?
  • Is the shingles vaccine right for me?
  • Are there any risks associated with the shingles vaccine?
  • Will my post-herpetic neuralgia ever go away?
  • If Ive never had the chickenpox, should I still get the shingles vaccination?

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What Are The Symptoms Of Shingles

Early symptoms of shingles may include:

Other signs and symptoms that appear a few days after the early symptoms include:

  • An itching, tingling or burning feeling in an area of your skin.
  • Redness on your skin in the affected area.
  • Raised rash in a small area of your skin.
  • Fluid-filled blisters that break open then scab over.
  • Mild to severe pain in the area of skin affected.

Treatment Of Shingles Without Rash: Symptoms & Complications

Shingles also commonly known as herpes zoster is a viral disease caused by varicella zoster virus. It is the same virus that causes chickenpox. The disease chickenpox gets cured within few days but the virus is not killed. It stays latent in the nerve roots of the spinal cord. It gets reactivated under favorable circumstances later in life to cause shingles.

Most people are aware of shingles due to severe pain and blisters or skin rash on the body. However, in rare cases shingles may appear with pronounced pain but without any rash or blisters.

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Treat Your Body And Mind

You can get worn down mentally when youâre in constant pain. Stress can make it seem even worse. Self-care starts with treating your rash, but donât stop there. Your mind and emotional state need to be cared for as well.

5. Stick with good habits: Your bodyâs working hard to fight the varicella-zoster virus that causes shingles. To give it the right support, you can:

  • Eat nutritious food and have regular meals. Ask someone to make a run to the grocery store for fresh fruit and such if youâre not up for it.
  • Try to get a good nightâs sleep and rest anytime you need to.
  • Do gentle exercises, such as walking or stretching. Light activity can help take your mind off the pain. Keep it simple though, and check with your doctor if youâre trying something new.

6. Distract yourself: Sometimes, the best thing you can do is to put your focus elsewhere. Here are a few things to try:

Check If You Have Shingles

Eczema

The first signs of shingles can be:

  • a tingling or painful feeling in an area of skin
  • a headache or feeling generally unwell

A rash will appear a few days later.

Usually you get the shingles rash on your chest and tummy, but it can appear anywhere on your body including on your face, eyes and genitals.

The rash appears as blotches on your skin, on 1 side of your body only. A rash on both the left and right of your body is unlikely to be shingles.

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Can You Have Shingles Without A Rash

Most people who develop shingles have a tell-tale rash on one side of their body. But its possible to have shingles without a rash. This is known as zoster sine herpete or internal shingles. It is caused by the same virus, varicella-zoster virus , that causes shingles .

While it doesnt produce a painful, itching rash, internal shingles does cause other symptoms. Because it may not be recognized as a shingles infection, the frequency of ZSH infections may be higher than previously thought.

Should You Get The Shingles Vaccine

The shingles vaccine is safe and easy, and it may keep you from getting shingles and PHN. Healthy adults age 50 and older should get vaccinated with a shingles vaccine called Shingrix, which is given in two doses. Zostavax, a previous shingles vaccine, is no longer available in the United States.

You should try to get the second dose of Shingrix between two and six months after you get the first dose. If your doctor or pharmacist is out of Shingrix, you can use the Vaccine Finder to help find other providers who have Shingrix. You can also contact pharmacies in your area and ask to be put on a waiting list for Shingrix. If its been more than six months since you got the first dose, you should get the second dose as soon as possible. You dont need to get a first dose again.

You should get Shingrix even if you have already had shingles, received Zostavax, or dont remember having had chickenpox. However, you should not get a vaccine if you have a fever or illness, have a weakened immune system, or have had an allergic reaction to Shingrix. Check with your doctor if you are not sure what to do.

You can get the shingles vaccine at your doctors office and at some pharmacies. Medicare Part D and private health insurance plans may cover some or all of the cost. Check with Medicare or your health plan to find out if it is covered.

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