Sunday, February 18, 2024

Is There Always A Rash With Shingles

Shingles Chickenpox And Pregnancy

Shingles: Pathophysiology, Symptoms, 3 stages of Infection, Complications, Management, Animation.

An attack of shingles during pregnancy will not harm the unborn baby. The mother is already carrying the varicella zoster virus before developing shingles and there is no increase in the risk of passing it on to the fetus if shingles develops. However, an attack of chickenpox during pregnancy can be serious and requires urgent medical attention.

How Long Does A Shingles Outbreak Last

It can take three to five weeks from the time you begin to feel symptoms until the rash totally disappears.

  • First, a few days before the rash appears, you may feel pain in an area on your skin. The pain is described as itching, burning, stabbing or shooting. This usually happens before the rash comes.
  • Next, the raised rash appears as a band or a patch, usually on one side of your body. The rash usually appears around your waistline or on one side of your face, neck, or on the trunk , but not always. It can occur in other areas including your arms and legs.
  • Within three to four days, the rash develops into red, fluid-filled, painful, open blisters.
  • Usually, these blisters begin to dry out and crust over within about 10 days.
  • The scabs clear up about two to three weeks later.
  • Other Health Problems Due To Shingles

    Some people develop other health problems after the shingles rash clears, which include:

    Postherpetic neuralgia : This is the most common. Occurring where you had the rash, PHN can cause constant tingling, burning, and pain. For others, the pain comes and goes.

    Whether the pain is constant or intermittent, it can go on for a long time. You can have PHN for months, years, or the rest of your life. There is no way to know how long it will last.

    The pain caused by PHN can become so severe that it interferes with your life, making everyday activities painful. A musician may no longer be able to play an instrument. Some people cannot walk comfortably. It may be difficult to bathe or get dressed. You may have trouble sleeping.

    How to prevent PHN: If you have shingles, you can greatly reduce your risk of PHN by getting treated for shingles within 3 days of developing the rash.

    Get treated for shingles within 3 days of developing the rash

    Taking antiviral medication within 3 days of getting the shingles rash can: Reduce your risk of developing PHN Ease symptoms of shingles Clear the shingles rash more quickly

    Other health problems that can develop after the shingles rash clears include:

    • Blindness or loss of some eyesight

    Although rare, some people die of shingles.

    Treatment can prevent these complications.

    You can find out if you have a greater risk of developing shingles at, Shingles: Causes.

    Images

    Things that increase risk for shingles include:

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    Shingles Symptom: Chest Pain

    Chest pain is scary, but its not always a symptom of a heart attack. Prior to the appearance of vesicles on the chest, patients may experience sharp or burning pain, says Dr Sylvia Morris. According to Dr Morris, chest pain that feels itchy and painful to the touch could be an early sign of shingles.

    Shingles Rash In The Eyes

    These showed up two days ago in my back between my shoulder blades ...

    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.

    Read Also: Can You Get Shingles If You Had The Chickenpox Vaccine

    Southern Cross Medical Library

    The purpose of the Southern Cross Medical Library is to provide information of a general nature to help you better understand certain medical conditions. Always seek specific medical advice for treatment appropriate to you. This information is not intended to relate specifically to insurance or healthcare services provided by Southern Cross. For more articles go to the Medical Library index page.

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    What Are The Possible Side Effects Of Shingrix

    Studies show that Shingrix is safe. The vaccine helps your body create a strong defense against shingles. As a result, you are likely to have temporary side effects from getting the shots. The side effects might affect your ability to do normal daily activities for 2 to 3 days.

    Most people got a sore arm with mild or moderate pain after getting Shingrix, and some also had redness and swelling where they got the shot. Some people felt tired, had muscle pain, a headache, shivering, fever, stomach pain, or nausea. Some people who got Shingrix experienced side effects that prevented them from doing regular activities. Symptoms went away on their own in about 2 to 3 days. Side effects were more common in younger people.

    You might have a reaction to the first or second dose of Shingrix, or both doses. If you experience side effects, you may choose to take over-the-counter pain medicine such as ibuprofen or acetaminophen.

    Guillain-Barré syndrome , a serious nervous system disorder, has been reported very rarely after Shingrix. There is also a very small increased risk of GBS after having shingles.

    If you experience side effects from Shingrix, you should report them to the Vaccine Adverse Event Reporting System . Your doctor might file this report, or you can do it yourself through the VAERS websiteexternal icon, or by calling 1-800-822-7967.

    If you have any questions about side effects from Shingrix, talk with your doctor.

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    Check If You Have Shingles

    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.

    Who Is At Risk For Getting Shingles

    Shingles: What Are the Causes and Best Treatments?

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

    • With a weakened immune system .
    • Over the age of 50.
    • Who have been ill.
    • Who have experienced trauma.
    • Who are under stress.

    The chickenpox virus doesnt leave your body after you have chickenpox. Instead, the virus stays in a portion of your spinal nerve root called the dorsal root ganglion. For the majority of people, the virus stays there quietly and doesn’t cause problems. Researchers aren’t always sure why the virus gets reactivated, but this typically occurs at times of stress.

    Read Also: Will The Shingles Vaccine Help With Genital Herpes

    What Are The Health Complications

    The most common complication of shingles is postherpetic neuralgia . PHN causes severe pain even after the shingles rash clears.

    People aged 60 years and older who dont seek treatment for shingles are more likely to develop PHN.

    Shingles can also cause serious sight problems if it infects the structures of the eye.

    Other rare complications include:

    Shingles: What Triggers This Painful Burning Rash

    If youre like 95% of American adults, you had chickenpox as a kid. Before the United States started its widespread vaccination program in 1995, there were roughly four million cases of chickenpox every year. So, most people suffered through an infection with this highly contagious virus and its itchy, whole-body rash.

    But unlike many childhood viruses, the varicella-zoster virus that causes chickenpox doesnt clear from the body when the illness ends. Instead it hangs around, taking up residence and lying dormant in the nerves, sometimes for decades, with the immune system holding it in check. In some people, it lives there harmlessly for the rest of their life. But in others, the virus can suddenly emerge and strike again, this time appearing as a different condition known as shingles.

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    Do You Need To Stay Away From Children People Who Are Pregnant Have Cancer Or Anyone With A Weak Immune System After You Get The Zostavax Vaccine

    According to the CDC, its safe to be around babies and young children, pregnant women or anyone with a weakened immune system after you get the Zostavax vaccine. Even though the Zostavax vaccine contains a weakened live varicella-zoster virus, the CDC says theres no documented case of a person getting chickenpox from someone who has received the Zostavax vaccine. And remember: You cant get shingles unless youve already had chickenpox.

    Shingles Symptom: Line Of Red Bumps

    A mild shingles rash on the face.

    Red bumps in a certain pattern on your body could be one of the early symptoms of shingles. The rash can start with red bumps anywhere on the body, and usually takes a shape known as dermatomal, according to Dr Geskin. That means they are usually linear and in a pattern related to the branches of the spinal nerve that innervates that section of the skin.

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    Complications Of Shingles Without Rash

    Complications from shingles can be very severe, particularly if the outbreak goes untreated.

    • Postherpetic Neuralgia-This condition is caused when the nerve fibers become confused after their interaction with the shingles virus. Postherpetic neuralgia will cause the nerves to send exaggerated feelings of pain from the skin to the brain, even after the shingles outbreak has healed.
    • Neurological Problems-Nerves can become permanently damaged after suffering from a shingles outbreak. Facial paralysis, hearing problems, balance problems or inflammation of the brain are all possible side effects.
    • Vision Loss-If a shingles outbreak occurs around the eye it can cause a severe infection. This may cause vision damage or permanent vision loss.

    Can Shingles Be Passed On To Others

    You cant catch shingles from another person with shingles, but the virus responsible for chickenpox can be passed on by someone with shingles to a person who has not had chickenpox or been vaccinated against it. This can happen when a person comes into contact with the fluid from the blisters. To prevent passing the virus on, keep the rash covered with clothing or a dressing and always clean your hands after you touch the rash or change any dressing.

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    What Are Risk Factors For Shingles

    A weakened immune system might wake up the virus. After youâve had chickenpox, youâre more likely to get shingles if you:

    • Are 50 or older
    • Are under a lot of stress
    • Have cancer, HIV, or another disease that lowers your bodyâs defenses
    • Have had a serious physical injury
    • Take long-term steroids or other medicines that can weaken your immune system

    But many people who get shingles donât fit into any of these categories.

    What Are The Symptoms Of Shingles

    What are shingles?

    Like chickenpox, shingles also causes a blistering rash, but this time it generally appears as a painful band around one side of your ribcage or on one side of your face. The first symptom for many people is pain or a burning sensation in the affected area. You may also have fever, a headache, and fatigue. Along with the rash and other temporary symptoms, shingles can also bring unpleasant, long-lasting, and sometimes permanent complications, such as skin infections, nerve pain in the area where the rash appeared, or even vision loss.

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    Contact Dermatitis Can Cause A Rash And Blisters

    Contact dermatitis can also cause a rash, blisters, itching, and burning, per the ACAAI. It occurs when the skin comes into contact with an irritant or an allergen, such as soaps, laundry detergents, shampoos, metals, medications, and more. Allergens like poison ivy, poison oak, or poison sumac can cause red, itchy rashes that may include blisters. Treatment can offer relief and aid healing.

    Zoster Sine Herpete Is A Rare Form Of Shingles That Doesn’t Cause A Rash

    Most people with shingles have a telltale rash on one side of their body, but it is possible to have shingles without a rash. It’s called zoster sine herpete or internal shingles. It’s caused by the same virus, varicella-zoster virus , that causes chickenpox and typical shingles .

    Internal shingles still causes pain and itchingjust without the rashalong with other symptoms. Because healthcare providers may not recognize it as a shingles infection, ZSH infections may be more common than previously thought.

    This article explores the differences in symptoms, the additional complications ZSH can cause, how it’s diagnosed and treated, and how you can cope with it.

    Getty Images / Oscar Wong

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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.

    How To Prevent Shingles: Get Vaccinated

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    Two vaccines may help prevent the shingles virus: the chickenpox vaccine and the shingles vaccine. The shingles vaccine is approved for adults ages 50 and older and for those 18 and older with weakened immune systems or at increased risk of herpes zoster because of a disease or treatment, according to the CDC.

    Per the CDC, talk to your doctor about getting a shingles vaccination if you are 50 or older or if you have the following risk factors:

    • You have cancer, especially leukemia or lymphoma.
    • You are a bone marrow or solid organ transplant recipient.
    • You take immunosuppressive medications, including steroids, chemotherapy, or transplant-related medications.

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    How Long Does Shingles Last

    Shingles blisters usually scab over in 7-10 days and disappear completely in two to four weeks. In most healthy people, the blisters leave no scars, and the pain and itching go away after a few weeks or months. But people with weakened immune systems may develop shingles blisters that do not heal in a timely manner.

    When Should I Get The Shingles Vaccine

    The current shingles vaccine is a safe, easy, and more effective way to prevent shingles than the previous vaccine. In fact, it is over 90% effective at preventing shingles. Most adults age 50 and older should get vaccinated with the shingles vaccine, which is given in two doses. You can get the shingles vaccine at your doctors office and at some pharmacies.

    You should get the shingles vaccine if you:

    • Have already had chickenpox, the chickenpox vaccine, or shingles
    • Received the prior shingles vaccine called Zostavax
    • Dont remember having had chickenpox

    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.

    You should not get vaccinated if you:

    • Currently have shingles
    • Are sick or have a fever
    • Had an allergic reaction to a previous dose of the shingles vaccine

    If you are unsure about the above criteria or have other health concerns, talk with your doctor before getting the vaccine.

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    What Are The Symptoms And Stages Shingles

    Shingles symptoms appear in stages. At first, you may get headaches or feel like you have the flu, but without a fever. You may also be sensitive to light, have trouble thinking clearly or feel dizzy and weak.

    A few days or even weeks later, an area of your body or face will feel itchy, tingly or painful. This is where a rash will appear. The rash will eventually turn into a cluster of blisters that are filled with fluid.

    How Is Shingles Treated

    Shingles: What You Should Know About the Sequel to Chickenpox | Jeffrey Brown, DO

    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

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