What To Do When Shingles Makes You Tired
If youre experiencing fatigue during or after shingles, try out some of the suggestions below to help you cope.
- Set up a sleep routine. Pain from shingles or PHN can make it hard to sleep. However, setting up a regular sleep routine may help you get to sleep a little easier. Try setting a firm bedtime, or doing something relaxing before going to sleep.
- Reduce stress. Stress can really sap your energy. Additionally, if you have shingles, stress may make your symptoms worse. Because of this, try to find ways to effectively reduce your stress levels.
- Eat often. Eating often may help you keep your energy levels up while youre feeling tired. Try to space out meals and healthy snacks out so that youre eating something every few hours.
- Stay hydrated. Dehydration can make you feel fatigued or sluggish, so make sure youre getting enough fluids.
- Reach out. Try to reach out to family and friends for their support and understanding. If fatigue is significantly affecting your mood and daily life, it may also be beneficial to engage with a support group or a mental health professional.
Other Side Effects Of Shingrix
Some side effects of zoster vaccine, inactivated may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.
Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
Seek Treatment Right Away
Many people have the mistaken impression that, like poison ivy, shingles is a nuisance rash that fades on its own. But in fact a shingles rash should alert people, especially in middle or old age, to seek immediate medical help, says Dr. Oaklander.
Rapid treatment with one of three antiviral drugs, acyclovir , valacyclovir , or famciclovir , can shorten a shingles attack and reduce the risk of serious damage, such as:
- Long-term pain. Pain that lingers in the area of a healed shingles rash is called postherpetic neuralgia. This often-disabling pain can last several months to a year.
- Prolonged itching. Many people are left with an itchy area from their shingles, which can be as disabling as chronic pain. It is most common on the head or neck.
- Damage to vision and hearing. Pain and rash near an eye can cause permanent eye damage and requires an urgent ophthalmological exam. When the nerve to the ear is affected, it can permanently damage hearing or balance.
- Strokes and heart attacks. A PLOS Medicinestudy that tracked about 67,000 people ages 65 and older who were newly diagnosed with shingles found that stroke risk more than doubled in the first week after the shingles diagnosis. The same study reported an increased risk for heart attacks in the three months after shingles, but the additional risk dissipated after six months.
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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.
How Long Does Postherpetic Neuralgia Last
Postherpetic neuralgia can last for weeks, months, or in some people, years after the shingles rash goes away. In most people, shingles pain goes away in one to three months. However, in one in five people, pain lasts more than one year.
The pain from PHN can be so severe in some people that it disrupts their life. Researchers dont know why some people have severe or long-lasting pain and others do not.
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Am I At Risk For Shingles
Everyone who has had chickenpox is at risk for developing shingles. Researchers do not fully understand what makes the virus become active and cause shingles. But some things make it more likely:
- Older age. The risk of developing shingles increases as you age. About half of all shingles cases are in adults age 60 or older. The chance of getting shingles becomes much greater by age 70.
- Trouble fighting infections. Your immune system is the part of your body that responds to infections. Age can affect your immune system. So can HIV, cancer, cancer treatments, too much sun, and organ transplant drugs. Even stress or a cold can weaken your immune system for a short time. These all can put you at risk for shingles.
Most people only have shingles one time. However, it is possible to have it more than once.
Is That Rash By My Eye Really Shingles
Shingles tends to show up most frequently on the torso, just because of the laws of probability, notes Joseph Safdieh, MD, a professor of neurology at Weill Cornell Medicine in New York City. In that area of your body, there are 24 nerves that can host the virus, compared with the 10 in your lower back.
Often, its not what the rash looks like, but what it feels like before and after it shows up, that signals the condition. Up to several days before the shingles rash appears, pain, itching, or tingling often occurs in the area where it will develop.
In the days before the rash appears, a variety of other flu-like symptoms of shingles can occur. You may experience:
You may even experience the pain but not the rash. Because the pain of shingles originates in the nerves, it may have a different quality than any other pain you have experienced before.
Neuropathic pain is burning, says Dr. Safdieh. Its both numb and painful at the same time, and can be provoked by touching the skin. Your skin may be so sensitive that even sunlight can bring on a stabbing sensation.
Even if you arent sure you have shingles, you should still see a doctor right away, because immediate treatment can prevent complications like long-term nerve pain.
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What Is The Shingles Vaccine
The shingles vaccine can protect you against shingles and postherpetic neuralgia , which is the most common complication of shingles. Shingles is a painful rash caused by the varicella-zoster virus, the same virus that causes chickenpox. The rash usually develops on one side of your body or face. It starts with red bumps and then the bumps turn into fluid-filled blisters.
Stroke And Other Brain Ailments
In addition to shingles’ telltale rash, neurological symptoms develop quickly and can include headaches, vomiting, fever, and confusion. This could be because varicella zoster virus sits on a nerve. “That nerve cell body has an arm that has contact with the skin, but it also has another arm that goes directly to the brain,” explains Dr. Mukerji. “When the virus goes to the brain, it can cause meningitis, encephalitis, or stroke.”
So, while shingles resulting in brain conditions is rare, it can increase your risk for stroke. Case in point: A 2016 review of epidemiological studies published in the Journal of Stroke & Cerebrovascular Diseases found that during the year after a shingles bout, the risk of stroke increased 59%, and this risk was highest among those under 40.
In addition, shingles can also cause swelling in the brain and seizures, both of which can lead to serious and permanent complications.
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Who Should Get The Shingles Vaccine
The CDC recommends all healthy adults ages 50 years and older get two doses of the shingles vaccine to prevent shingles and problems that can develop after youve had the disease. The two doses should be separated by two to six months. You should get the shingles vaccine even if you:
- Have had shingles: If youve had shingles in the past, you should get the shingles vaccine to help prevent getting the disease again. You should wait until the shingles rash is gone before getting the vaccine.
- Arent sure if youve had chickenpox: Studies show more than 99% of Americans ages 40 and older have had chickenpox at some point in their lives. You should get the shingles vaccine whether or not you remember having chickenpox because theyre caused by the same virus.
- Received the old shingles vaccine : Before November 18, 2020, people were vaccinated with a shingles vaccine called Zostavax. You cant get Zostavax in the United States anymore. If you were vaccinated with Zostavax, you should get vaccinated with the new shingles vaccine, Shingrix.
Preventing The Virus Spreading
If you have the shingles rash, do not share towels or flannels, go swimming, or play contact sports. This will help prevent the virus being passed on to someone who has not had chickenpox.
You should also avoid work or school if your rash is weeping and cannot be covered.
Chickenpox can be particularly dangerous for certain groups of people. If you have shingles, avoid:
- women who are pregnant and have not had chickenpox before as they could catch it from you, which may harm their unborn baby
- people who have a weak immune system, such as someone with HIV or AIDS
- babies less than one month old, unless it is your own baby, in which case your baby should have antibodies to protect them from the virus
Once your blisters have dried and scabbed over, you are no longer contagious and will not need to avoid anyone.
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The Link Between Crohns Disease And Shingles
If you’ve never had chicken pox, as a child or as an adult, and you’re exposed to the virus let’s say you touch someone at the contagious, blister stage of shingles transmission could occur and you’d get chicken pox.
If you haven’t had chicken pox, you can’t get shingles. But someone who has never had chicken pox or been vaccinated for it can contract chicken pox through close contact with someone who has shingles.
What Are Some After
May 27, 2022
Shingles, also known as herpes zoster, is a type of rash that occurs due to the varicella-zoster virus . Although shingles usually resolve after a few weeks, complications can develop that affect the nerves, ears, eyes, or organ systems.
VZV is the virus that causes chickenpox. After chickenpox resolves, the virus lies dormant and can later reactivate, resulting in shingles. Shingles appear as small, painful blisters that develop on one side of the body or face.
Shingles generally resolve 2 to 4 weeks after blisters develop, sometimes leaving behind scarring and pigment changes on the skin.
This article describes complications that some people can develop following a shingles infection. These complications include long-term pain, eye or ear problems, or serious illness.
Shingles blisters typically form on one side of the body or face. Commonly, the rash first appears wrapped around the waist on one side.
According to the National Institute on Aging symptoms of shingles may include:
- small, fluid-filled blisters
- burning or shooting pain at the rash site
- tingling, itching, or numbness
- nausea or stomach problems
The severity of shingles symptoms can vary from mild to very painful.
A rash on the face can cause long-term vision or hearing problems or brain inflammation. The NIA recommends seeing a doctor right away if a person has shingles on their face.
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How Dangerous Is Shingles
Shingles isnt considered a dangerous health condition.
Each year about 1 million new cases of shingles are reported in the United States. Most people recover and resume their normal activities once theyre no longer infectious.
However, if shingles isnt treated, particularly severe cases can lead to death.
People with autoimmune conditions and people over the age of 65 are at a higher risk for shingles complications.
Women who are pregnant may also be concerned if they develop shingles. You and your baby will most likely be safe. However, talk with your healthcare provider if youre pregnant and suspect you have shingles.
Complications And Side Effects Of Shingles In The Elderly
While many people know that shingles are related to the chickenpox virus, theyre often unaware of the complications of shingles in the elderly. A rash that develops on one side of the body or face can be quite painful. Shingles typically appear as blisters that begin scabbing over within about one week and clear up within two to four weeks.
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Most people who develop shingles experience a rash that develops in a stripe on the right or left side of the body. In rare cases, the shingles rash may appear more similar to chickenpox and be more widespread. This is usually more common in individuals with weakened immune systems.
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How Is Shingles Treated
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
How Well Does Shingrix Work
Two doses of Shingrix provide strong protection against shingles and postherpetic neuralgia , the most common complication of shingles.
- In adults 50 to 69 years old with healthy immune systems, Shingrix was 97% effective in preventing shingles in adults 70 years and older, Shingrix was 91% effective.
- In adults 50 years and older, Shingrix was 91% effective in preventing PHN in adults 70 years and older, Shingrix was 89% effective.
- In adults with weakened immune systems, Shingrix was between 68% and 91% effective in preventing shingles, depending on their underlying immunocompromising condition.
In people 70 years and older who had healthy immune systems, Shingrix immunity remained high throughout 7 years following vaccination.
Shingles Complications In The Elderly
Heres how to protect the population thats at highest risk for shingles complications.
Everyone who has had chickenpox-which is about 99% of the U.S. population over the age of 50-has the varicella-zoster virus in their body, putting them at risk for developing shingles. Many of them may not realize just how painful and potentially debilitating shingles and its complications can be, especially among the elderly.
The segment of the population thats most at risk for developing shingles is people over the age of 60, where about half of all cases occur. This is primarily because aging takes a toll on an individuals immune system, making it harder for them to fight off infection. Stressful life events, immune-compromising conditions such as being treated for cancer, and even the common cold can weaken immunity.
Complications from shingles in the elderly can lead to serious, long-term health problems. They range from bacterial skin infections that can cause scarring and narcotizing fasciitis to hearing and vision loss, encephalitis, transverse myelitis, peripheral motor neuropathy, and postherpetic neuralgia .
Fortunately, a highly effective vaccine against shingles is available and recommended for people aged 50 and above. Shingrix has been proven to be more than 90% effective at preventing shingles and PHN.
Seniors should know that Medicare Part D will cover the shingles shot, as well as all other commercially available vaccines.
How Can You Prevent Spreading The Virus
You cant give shingles to someone else, but the varicella-zoster virus is very contagious. If you have shingles and you expose someone else who has not had chickenpox or the chickenpox vaccine, you can give them the virus. Theyll get chickenpox, not shingles, but this puts them at risk for shingles later on.
Youre contagious when your blisters are oozing, or after they break and before they crust over. Do the following to avoid spreading the virus to others:
- Keep your rash covered, especially when the blisters are active.
- Try not to touch, rub, or scratch your rash.
- Wash your hands thoroughly and often.
Avoid contact with people whove never had chickenpox or the chickenpox vaccine, especially:
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