Tuesday, July 9, 2024

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Prevent Shingles Or Another Shingles Outbreak:

How to treat shingles

A vaccine may be given to help prevent shingles. You can get the vaccine even if you already had shingles. The vaccine can help prevent a future outbreak. If you do get shingles again, the vaccine can keep it from becoming severe. The vaccine comes in 2 forms. Your healthcare provider will tell you which form is right for you. The decision is based on your age and any medical conditions you have. A 2-dose vaccine is usually given to adults 50 years or older. A 1-dose vaccine may be given to adults 60 years or older.

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Can You Get Shingles From The Covid

There have been a few reports of shingles happening in people who were vaccinated against COVID-19. The varicella-zoster virus was reactivated in these people.

A note from Cleveland Clinic

If youve had chickenpox, youre at risk of developing shingles later in life. Shingles causes a rash that is contagious and painful. The disease can have serious complications. The best thing you can do to reduce your risk is to get the shingles vaccine. The vaccines are safe and effective.

What Are The Symptoms Of Ramsay Hunt Syndrome

In most cases, the main symptoms of RHS are:

  • A painful reddish rash with fluid-filled blisters in clusters on, in and around one ear. The rash is similar in appearance to chickenpox, though it is more painful than itchy. Blisters may also appear inside the mouth.
  • Paralysis or weakness on the same side of the face as the affected ear. This causes the facial muscles to droop.

Usually, pain precedes the rash by 3 to 7 days. In some cases, the pain and rash appear at the same time. Sometimes the rash will appear before the facial paralysis or vice versa. Occasionally no rash appears, making diagnosis more challenging this is called zoster sine herpete . Usually, only one side of the face is affected .

Other symptoms might include:

  • deep ear pain on the affected side that progresses from a dull ache to excruciating sensations such as burning, electric shock or sharp jabbing pain it may progress to the neck
  • sensorineural hearing loss and/or ringing in the ear on the affected side
  • sensitivity to sounds
  • difficulty closing the eye or blinking on the affected side, due to facial weakness on the affected side
  • dry eye on the affected side
  • vertigo accompanied by nausea and vomiting
  • difficulty eating, drinking and speaking, as well as a lopsided smile, due to facial weakness on the affected side
  • flu-like symptoms, including a high fever
  • a change in taste perception, or loss of taste on the affected half of the tongue

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How Can Ramsay Hunt Syndrome Be Prevented

Fortunately, vaccination can help prevent reactivation of the herpes zoster virus. About 20% of people that have had chickenpox are likely to get shingles and potentially RHS without the vaccine.

Two vaccines are available in Canada:

Shingrix® is recommended by Canadas National Advisory Committee on Immunization for those 50 years and older who:

  • Have previously received Zostavax II® at least one year ago
  • Have had shingles at least one year ago
  • Are not sure if they had chickenpox in the past

Shingrix®, first used in Canada in 2017, has been shown to reduce the risk of getting shingles by 97% in those over 50 years of age and by 91% in those over 70 years of age. If you do get shingles even after having the vaccination, it is very likely to be a mild case.

Shingrix® is given in two doses, at least 6 months apart. Some provincial or territorial medical plans cover the cost . Some extended health plans may cover part or all of the cost. Shingrix® is available through most pharmacies and a prescription is not needed. Protection lasts for at least four years. As the vaccine is so new, how long protection lasts beyond four years is still unclear. Researchers expect protection will last much longer.

The older Zostavax II® vaccine may be considered for adults 50 years of age or older who cannot get Shingrix® for medical reasons.

Talk with your family doctor before getting either vaccine.

What Causes Ramsay Hunt Syndrome

Dealing With the Pain of Shingles  Delta

RHS is caused by the varicella-zoster virus , the same virus that causes chickenpox and shingles. Even after the chickenpox infection is over, the virus can lie dormant in the nervous system for years before becoming active again. When the virus re-emerges to cause RHS, it lodges in a collection of fibres and neurons of the facial nerve .

Why the virus reactivates in only some people who have had chickenpox is not fully understood. A decrease in cell-mediated immunity may play an important role. The cell-mediated immune response specializes in recognizing and attacking invaders found within cells in the body. This may explain why someone with an immune system weakened by disease or medications is much more likely to develop shingles than a healthy person.

Stress and depression do not cause RHS, but they may weaken the immune system and increase the risk of developing shingles and potentially RHS. Research suggests that exposure to chronic stress as well as depression may play a role in triggering shingles.

RHS is not a contagious disease you cannot catch it from someone else. However, the herpes zoster virus found in the blisters of RHS can cause someone who has never had chickenpox, or has not been vaccinated for it, to get chickenpox. This is uncommon direct contact with fluid from the blisters is needed.

If you have RHS, it is important to wait until scabs form on all blisters before coming into contact with:

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How Long Does Shingles On The Face Last

According to the National Institute on Aging , many cases of shingles take 35 weeks to heal.

A rash may develop around 48 hours after experiencing initial skin sensations or a general feeling of being ill . Rash and blisters then appear and can take around 2-4 weeks to clear.

If you experience a chronic infection, you may have recurrent pain and other symptoms, such as paresthesias, lasting more than 4 weeks. This could last months to years.

However, the outlook and recovery time will vary according to the person and their condition.

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:

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Consider Using Creams Lotions Or Patches

Shingles can be very painful. If you need help managing pain, your doctor might prescribe a topical pain-relieving cream or patch. These contain lidocaine or other nerve block medication for the skin.

A medicated anti-itch cream that includes an antihistamine, such as diphenhydramine , might also help you find some relief.

After the rash has scabbed over, you can try using creams or lotions to soothe any remaining symptoms. Look for products that contain:

  • colloidal oatmeal

Your doctor may also recommend an oral over-the-counter pain reliever such as a nonsteroidal anti-inflammatory drug or acetaminophen . Always follow the dosage instructions on the label or take according to your doctors instructions.

Are There Natural Ways To Boost The Immune System To Help Lessen The Chances Of Developing Shingles

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Stress is a risk factor for developing shingles. So limiting your stress can be helpful. Try meditation, yoga or other relaxation methods. Eat healthy, maintain a healthy weight, exercise regularly, get seven to nine hours of sleep each night, dont smoke these are all good living tips, not just for reducing your chance of getting shingles, but also many other diseases and health conditions too.

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When Shingles Strikes Your Face

Dozens of muscles line your face, and they help you talk, eat, blink, and wink. All those movements start with nerve impulses, and any nerve band can get hit with a shingles outbreak.

Just one side of the face is touched by the issue, and the blisters will not spread. If you touch the bumps on one side of your face and then touch the other, you cant spread the problem around. The virus sits within the nerves, far below the skin, and you cant influence how the infection spreads.

Your shingles may appear on or around your eyelid, and that can make blinking difficult or painful. Sometimes, the tissues swell, and that makes it hard for you to open your eye.

Know The Bathing Dos And Donts

Using the right water temperature while bathing or showering can make a big difference in how your skin feels and heals. Ideally, you should bathe with cool or lukewarm water and avoid very hot water.

You can also apply a cool, wet compress to the rash and blisters. The AAD recommends you soak a clean washcloth in cold water and place the cloth on top of the affected area several times a day. Leave it on for 5 to 10 minutes.

You should avoid rubbing washcloths, sponges, or exfoliants on the area.

You can also add colloidal oatmeal or cornstarch to your baths to provide some much-needed itch relief. Just be sure to dry your skin gently after getting out of the bath. Then, follow up with a layer of calamine lotion to soothe your skin, or keep it dry and cover with a bandage if its still weeping.

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Natural Remedies For Shingles

Shingles is a viral infection that causes a painful rash. The varicella zoster virus causes this viral infection. Its the same virus that causes chickenpox.

If you had chickenpox as a child, the shingles virus lies dormant in your body. The virus can reactivate later in life and cause a shingles rash. The rash can occur on any part of your body but typically only affects small sections.

Pain is usually the first symptom of shingles. The rash and fluid-filled blisters form within a couple of days after the onset of pain. Some people with shingles also have a fever, sensitivity to light, and fatigue.

According to the Centers for Disease Control and Prevention , about 1 in 3 people in the United States will develop shingles at some point in their lifetime.

The shingles virus can last between two and six weeks. Shingles isnt life-threatening, but some people experience postherpetic neuralgia. This is when nerve fibers become damaged, causing shingles pain that lasts for weeks or months after the rash clears.

Theres no cure for shingles, but your doctor can prescribe antiviral medication to help shorten the duration of the virus and reduce symptoms.

Although an antiviral is an effective treatment for shingles, its not the only option. Several natural remedies may also reduce pain and discomfort.

Dry your body completely and then wash your towel to avoid spreading the virus to others.

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Who Is At Risk Of Shingles On The Scalp

Dealing With the Pain of Shingles  Delta

If youve had chickenpox at any point in your life, theres always a chance that youll develop shingles.

The only people who wont develop shingles are those who have never had chickenpox. However, you can still catch chickenpox even when youre an adult. And if you do, it means youll be susceptible to shingles later on.

So, lets look at who is more likely to develop shingles. First of all, shingles isnt hereditary. What this means is youre no more likely to get it if your family members have had it. Its purely down to who you are, and the lifestyle that you lead.

One of the main factors is age. When older, youre more likely to suffer from a shingles attack. In particular, the elderly are the most susceptible age group. Its thought that this has something to do with the immune system. As we age, our immune systems naturally become weaker. A weakened immune system means that the shingles virus finds it easier to become active.

For the same reason, people who are under a lot of stress are more at risk of developing shingles. Stress can put pressure on the immune system, making you more susceptible to all sorts of illnesses. Similarly, youre more likely to get shingles if you already have an illness which affects the immune system.

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What Happens If You Pick Shingles Scabs

As the pustules scab over its important to try to leave the scabs intact as this can cause: bacterial infection to occur, the herpes simplex virus to spread and can also cause the area affected to scar more. This can be difficult to maintain but try to avoid knocking or scratching the scabs as they heal.

How Do People Get Shingles

People get shingles when the virus that causes chicken pox, varicella zoster, is reactivated in their body. The varicella zoster virus doesnt leave the body, even after a person has recovered from chicken pox. It can flare up again, causing shingles, often many years after a person has had chicken pox. The virus tends to reactivate when a persons immune system is weakened because of another health problem.

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What Is The Most Painful Stage Of Shingles

Typically, the peak pain of shingles is feltwithin 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.

When Should I See My Doctor

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See your doctor as soon as possible if you are experiencing any symptoms of shingles. Starting treatment with antiviral medicines within 3 days of the rash appearing should reduce the severity of symptoms and the risk of further complications, including post-herpetic neuralgia.

See your doctor straight away if you have symptoms of shingles and are experiencing the following:

  • symptoms that affect your eye area
  • a temperature of 38°C or higher

You should also see your doctor if you are pregnant, or have a weakened immune system due to medicine that suppresses the immune system, or a condition that weakens your immune system.

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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.

Whos At Risk For Shingles

Anyone who has ever had chickenpox can get shingles, but the risk increases with age. People older than age 60 are up to 10 times more likely to get shingles than younger people. Other factors that increase your risk include:

  • Some cancer medicines
  • A weak immune system from illnesses such as cancer or HIV

A quarter of adults will develop shingles at some point, and most are otherwise healthy.

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Shingles: Diagnosis Treatment And Outcome

How do dermatologists diagnose shingles?

To diagnose shingles, a dermatologist will look at the skin and ask some questions.

If there is any doubt, the dermatologist may scrape a blister to get a sample. This sample will be examined under a microscope. Also, the dermatologist may send the fluid from a blister to a laboratory for testing.

If you have shingles on your face, see a doctor immediately. Without treatment, shingles can damage an eye.

How do dermatologists treat shingles?

Without treatment, the rash clears in a few weeks. Dermatologists, however, strongly recommend treatment. Without it, many people get pain, numbness, itching, and tingling that can last for months or years.

It is best to get treatment immediately. Treatment can include:

Treatments for pain after the rash clears: Certain anti-depressants, pain relievers, anesthetic creams and patches, and anti-seizure medicines can help.

Ask your dermatologist about possible side effects .


Patients with shingles rarely need a hospital stay. But shingles can cause serious problems such as:

Shingles: Tips For Managing

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When talking about shingles, dermatologists recommend the following to their patients:

Pain relief

To relieve the pain and itching of shingles, you can:

  • Cool the rash with ice packs, cool wet cloths, or cool baths.
  • Apply calamine lotion to the blisters.
  • Cover the rash with loose, non-stick, sterile bandages.
  • Wear loose cotton clothes around the body parts that hurt.


A shingles vaccine is available for people ages 50 years and older. The benefits of getting this vaccine include the following:

  • In one study, this vaccine lowered the risk of getting shingles by 50 percent.
  • If you develop shingles after getting the vaccine, you are likely to have less pain.

The Centers for Disease Control recommends this vaccine for everyone 60 and older.

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