Saturday, February 24, 2024

Should I Go To The Doctor For Shingles

How To Survive Shingles

Ask the Doctor: Shingles

Remember that time I got the shingles? I know I wont be forgetting that experience anytime soonFor anyone who has had or currently has shingles, you know this is a pain you wont soon forget. They call it adult chicken pox, but I can assure you its far worse than chicken pox ever was. That or my memory is playing tricks on me!

Im going to skip over the whole medical diagnosis part since your doctor should probably be the one doing that but instead describe my personal experience with the shingles and what I did to nip it in the bud. The first thing I did when I got diagnosed, was immediately take to the internet to see if anyone had helpful tips for healing shingles. I read a lot of horror stories, some not-so-horror stories but also some really productive tips. Im hoping this post can be that for some of you. Or if you have a friend or family member suffering, feel free to pass onto them. We got this!

So, first things first

When You Should See Your Doctor

Go to your doctor as soon as you see the rash, as treatment is most effective if its started early.

Your doctor may prescribe antiviral medicine, which may help you recover faster and will reduce the chance that the pain will last for a long time.

Your doctor may also give you medicine for pain relief.

See your doctor again if:

  • you get any blisters on your face
  • your fever or pain gets worse
  • your neck gets stiff, you cant hear properly or you feel less able to think clearly
  • you develop new symptoms such as drooping or weakness to one side of your face
  • the blisters show signs of infection or if you see milky yellow drainage from the blister sites.

Call Healthline if you are unsure what you should do.

Can You Get Shingles If You Havent Had Chickenpox

No. You cant get shingles if youve never had chickenpox, but you can get chickenpox from someone who has shingles. If youve never had chickenpox and you come into direct contact with the oozing, blister-like rash of someone with shingles, the varicella-zoster virus can infect you and you would develop chickenpox.

Once youve had chickenpox, you could develop shingles at some point in your life. This is because the varicella-zoster virus never fully goes away after youve had chickenpox. It lies quietly inactive in your nerve tissue. Later in life, the virus may become active again and appears as shingles.

Can you get chickenpox more than once?

Its rare to get chickenpox twice in your life. Once youve had chickenpox, youre usually immune to it for the rest of your life. However, its not totally impossible. If you have a severely weakened immune system , you can get chickenpox a second time. If youve had chickenpox, you are more likely to get shingles at some point in your life than a repeat bout of chickenpox.

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Who Should Not Get Shingrix

You should not get Shingrix if you:

  • Have ever had a severe allergic reaction to any component of the vaccine or after a dose of Shingrix.
  • Currently have shingles.
  • Currently are pregnant. Women who are pregnant should wait to get Shingrix.

If you have a minor illness, such as a cold, you may get Shingrix. But if you have a moderate or severe illness, with or without fever, you should usually wait until you recover before getting the vaccine.

Key Points About Shingles

Is shingles contagious?
  • Shingles is a common viral infection of the nerves. It causes a painful rash or small blisters on an area of skin.
  • Shingles is caused when the chickenpox virus is reactivated.
  • It is more common in people with weakened immune systems, and in people over the age of 50.
  • Shingles starts with skin sensitivity, tingling, itching, and/or pain followed by rash that looks like small, red spots that turn into blisters.
  • The rash is typically affects just one area on one side of the body or face.
  • Treatment that is started as soon as possible helps reduce the severity of the disease.

Read Also: Can I Use Hydrocortisone Cream On Shingles Rash

Avoid Intense Or Irritating Movement

According to the American Academy of Family Physicians, shingles rashes most often appear on the trunk of the body, which includes your:

Shingles rashes can also occur on the:

With that in mind, its best to avoid activities that require you to lay on these areas, like exercising on the floor or a workout bench. For instance, if youre doing gentle yoga, skip any poses that have you lying in the prone or supine position, where your belly or back are touching the floor, respectively.

Additionally, intense cardiovascular exercise like running or cycling may irritate a shingles rash, especially in the early stages.

As you heal, consider switching to lower-intensity workouts like walking until the blisters dry up and crust over. According to the National Institute on Aging , this generally takes around 7 to 10 days after a rash appears.

If possible, hold off on high intensity exercise until the scabs are completely cleared up, which may take 2 to 5 weeks.

When Should You Call For Help

or seek immediate medical care if:

  • You have a new or higher fever.
  • You have a severe headache and a stiff neck.
  • You lose the ability to think clearly.
  • The rash spreads to your forehead, nose, eyes, or eyelids.
  • You have eye pain, or your vision gets worse.
  • You have new pain in your face, or you can’t move the muscles in your face.
  • Blisters spread to new parts of your body.
  • You have symptoms of infection, such as increased pain, swelling, warmth, or redness.

Watch closely for changes in your health, and be sure to contact your doctor if:

  • The rash has not healed after 2 to 4 weeks.
  • You still have pain after the rash has healed.

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Steroid Medication For Shingles

Steroids help to reduce swelling . A short course of steroid tablets may be considered in addition to antiviral medication. This may help to reduce pain and speed healing of the rash. However, the use of steroids in shingles is controversial. Your doctor will advise you. Steroids do not prevent PHN.

Can I Give Shingles To Others

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

No one can catch shingles from you. But the virus can be spread to a person who has never had chickenpox. The virus lives in the blisters that shingles causes. It can be spread until the blisters are completely healed. If you have blisters that have not crusted over yet, you should stay away from:

  • Anyone who has never had chickenpox
  • Babies under 12 months old
  • Very sick people

Tell your doctor if you live with children who have not had chickenpox. They may need to be vaccinated.

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Who Should Get Shingrix

Adults 50 years and older should get two doses of Shingrix, separated by 2 to 6 months. Adults 19 years and older who have or will have weakened immune systems because of disease or therapy should also get two doses of Shingrix. If needed, people with weakened immune systems can get the second dose 1 to 2 months after the first.

You should get Shingrix even if in the past you:

  • Received varicella vaccine

There is no maximum age for getting Shingrix.

If you had shingles in the past, Shingrix can help prevent future occurrences of the disease. There is no specific length of time that you need to wait after having shingles before you can receive Shingrix, but generally you should make sure the shingles rash has gone away before getting vaccinated.

Chickenpox and shingles are related because they are caused by the same virus . After a person recovers from chickenpox, the virus stays dormant in the body. It can reactivate years later and cause shingles.

Shingrix is available in doctors offices and pharmacies.

If you have questions about Shingrix, talk with your healthcare provider.

* A shingles vaccine called zoster vaccine live is no longer available for use in the United States, as of November 18, 2020. If you had Zostavax in the past, you should still get Shingrix. Talk to your healthcare provider to determine the best time to get Shingrix.

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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When Can I Swim After Having Shingles

It is important to pay attention to the shingle blister phase in order not to aggravate your condition or put yourself at risk during this time. Avoid swimming and other activities that could cause you further pain while your shingles are healing, such as pool visits.

Be patient it may take up to six weeks for the blisters on your skin to disappear completely. If you experience any discomfort or redness, consult with a doctor right away so they can help identify and treat the problem accordingly before it becomes worse and more difficult to manage..

Remember patience is key.

What Does It Mean To Let Shingles Run Its Course

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This refers to the typical course a shingles rash takes, even with antiviral treatment:

  • A person may develop a tingling sensation or pain in a certain area on the skin, most commonly on the waistline. This may last for several days.
  • Next, a rash develops in the area. The skin turns red, with fluid-filled bumps . Its during this time that a shingles rash can spread the VZV to another person who hasnt had chickenpox or the chickenpox vaccine.
  • After 1 to 2 weeks, these fluid-filled bumps start to crust over. At this point, the rash can no longer spread to other people. It can then take 1 to 2 more weeks for the crusted areas to fully scab over and heal.
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    When Should You Not Go Swimming

    If you have a fever, dont go swimming. If youre vomiting or have diarrhea, dont go swimming. Dont go if your child has a fever, is vomiting or has diarrhea either.

    You should also avoid going to the pool if its been raining hard outside and there are standing water areas around it that could contain bacteria.. 5 Finally, always check with your doctor before taking any public health precautions like avoiding swimming when theyre necessary

    Can You Spread Shingles Over Your Own Body

    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.

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    Can You Swim In A Chlorinated Pool With Shingles

    . Shingles are a type of roofing material that is made up of small, overlapping sheets of metal. They come in many different colors and styles, and can be found on houses all over the US.

    While shingles are usually safe to swim in, there are some precautions you should take if youre swimming in a chlorinated pool with them: . . -Wear sunscreen and watertight shoes if youre going into the pool .

    -Cover your nose and mouth when entering the pool . -Dont go near sharp objects or surfaces inside the pool . -Call 911 if you experience any problems while swimming.

    Where Does Shingles Come From

    Shingles: What You Should Know | Johns Hopkins Medicine

    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.

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    What Can I Do For The Pain

    To help with the pain of shingles, your doctor might have you take an over-the-counter pain medicine. This could include acetaminophen or ibuprofen .

    Applying a medicated anti-itch lotion to the blisters might reduce the pain and itching. Placing cool compresses soaked in water mixed with white vinegar on the blisters and sores might also help.

    If shingles causes severe pain, your doctor might prescribe a stronger pain medicine.

    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.

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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.

    Can You Go To The Beach With Shingles

    shingles

    If you have shingles, it is important to avoid direct sunlight exposure while the rash is still present. Apply a sunscreen when going outside to help protect your skin from the suns harmful rays.

    Take caution when washing your face and be sure to stay well-hydrated in order to prevent hypothermia or frostbite symptoms. Follow all safety precautions when venturing out into extreme weather conditions such as hurricanes or blizzards remember that shingles can make these conditions even more dangerous for those with the condition..

    Finally, keep yourself warm and dry by wearing layers of clothing and staying inside if possible during inclement weather

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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.

    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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