Shingles Risks And Pregnancy
Pregnant women are susceptible to shingles. Fortunately, shingles in pregnancy is very rare. The antiviral medications described previously are considered safe to use in pregnant women, as are most pain-relieving drugs. Women should not take nonsteroidal anti-inflammatory medications such as ibuprofen or naproxen in the later stages of pregnancy, but acetaminophen is considered safe. Having chickenpox during pregnancy has the potential to cause birth defects, depending upon when in the pregnancy the infection occurs. The risk of birth defects is believed to be lower with shingles than with primary chickenpox infection.
When To Seek Medical Advice
Shingles is not usually serious, but you should see your GP as soon as possible if you recognise the symptoms. Early treatment may help reduce the severity of your symptoms and the risk of developing complications.
You should also see your GP if you are pregnant or have a weakened immune system and you think you have been exposed to someone with chickenpox or shingles and havent had chickenpox before.
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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Chickenpox Is Caused By The Same Virus
The same virus, varicella zoster virus, causes both chickenpox and shingles.
Chickenpox typically causes an itchy rash that spreads over the entire body, as opposed to just one side of the body or face like shingles. More than 99 percent of Americans born on or before 1980 have had chickenpox, per the CDC. If you dont know if you had chickenpox, check with your family doctor, who can review your records.
Is This Shingles Without A Rash Worried
About 5 weeks ago I injured my back, dont remember doing it but it felt like a pulled muscle. I thought nothing of it but then 2 weeks ago I got tender skin on patches of my back and around to my chest. I thought maybe it was a trapped nerve but the back pain is now just about gone. The skin pain is still there, also my right lymph node is enlarged and the skin around it is also tender. The skin on my back and around to my chest feels like it is tender too , like mild.sunburn or goosebumps, it is on my left side. I went to the doctor but he said theres no rash then its not shingles. He sort of put it down to nerve pain but im not convinced. The last few days I feel a bit tired too. There is no rash whatsoever but the skin pain is very painful at times especially on the groin where the lymph node is.
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Get Shingles Treatment Online
Speak to a board-certified doctor securely from your phone or computer and get medication for shingles in 15 minutes. Shingles, also known as herpes zoster, is a viral infection that causes a painful rash. Although shingles can appear anywhere on the body, it most often is a single stripe of blisters that wraps around the left or right side of your torso. With our same-day treatment service, you can meet with a top online doctor, get diagnosed, and receive the medication you need.
Can Shingles Be Prevented
Shingles can be prevented. Vaccine is available against varicella zoster virus to prevent chickenpox and shingles. According to the CDC , children are routinely recommended to take two doses of the vaccine, the first dose at the age of 12-15 months and the second between 4-6 years.
Two doses of the vaccine are recommended in children and adults who have never had chickenpox. One dose of the vaccine prevents 95% of moderate disease and 100% of severe disease. Two doses of the vaccine are more effective. It is not known how long the vaccine is effective, but studies have shown that the vaccine provides protection against the varicella zoster virus for 10-20 years following vaccination.
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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.
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.
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Timeline Of Shingles Symptoms
Shingles actually doesn’t occur without a prior chickenpox infection. VZV lies dormant in nerve roots after you recover where it can reactivate years later, returning as shingles. But though they share the same viral cause, the two conditions are distinct.
The first sign of shingles is usually a burning or stinging sensation in a band-like formation around the waist, chest, stomach, or back.
You may experience itching or become incredibly sensitive to even the softest touch. The weight of bed sheets on your skin may be uncomfortable. You may also experience fatigue, fever, and headache.
After a few days or even up to a couple of weeks, the telltale shingles rash will appear. This rash consists of fluid-filled blisters that worsen quickly. The blisters may look like chickenpox, but they are clustered together.
The shingles rash can vary in color, depending on your skin tone. On darker skin, the rash may be pink, grayish, dark brown, or even purple. On lighter skin, it will be red.
This is the stage at which VZV can be passed on to someone who has never had or been vaccinated against chickenpox.
Blisters typically scab over within a week to 10 days. Shingles typically takes three to five weeks to progress through all of its stages.
Can Shingles Cause Chronic Pain
In some people, the pain of shingles may linger for months or even years after the rash has healed. This pain, due to damaged nerves in and beneath the skin, is known as postherpetic neuralgia. Others feel a chronic itch in the area where the rash once was. In severe cases, the pain or itching may be bad enough to cause insomnia, weight loss, or depression.
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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.
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.
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What Is The Contagious Period For Shingles
The virus that causes shingles, the varicella-zoster virus, can be transmitted from person to person by direct contact with the fluid from the active blistering rash. Therefore, susceptible individuals should avoid contact with people who have active shingles, especially pregnant women who have never had chickenpox and immunocompromised individuals. It cannot be transmitted by coughing or sneezing, and it is not contagious before the blisters appear. Once the shingles rash has dried and developed crusting, it generally is not considered to be contagious.
There are a few important points to consider when discussing the varicella-zoster virus and transmissibility.
- If an individual who has never had chickenpox or the chickenpox vaccine comes in direct contact with the fluid from the shingles rash, they may go on to develop chickenpox, but they will not immediately develop shingles.
- It is possible, however, for them to develop shingles later in life, just as it is with others who have previously been exposed to the virus and developed chickenpox.
- Also, if you have previously been exposed to the varicella-zoster virus and you have had chickenpox, you will not contract the virus from others with shingles.
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Treatment If The Condition Gets Worse
In some cases, shingles causes long-term complications. Treatment depends on the specific complication.
- Postherpetic neuralgia is persistent pain that lasts months or even years after the shingles rash heals. Certain medicines, such as anticonvulsants, antidepressants, and opioids, can relieve pain. Most cases of PHN resolve within a year.
- Disseminated zoster is a blistery rash over a large portion of the body. It may affect the heart, lungs, liver, pancreas, joints, and intestinal tract. Treatment may include both antiviral medicines to prevent the virus from multiplying and antibiotics to stop infection.
- Herpes zoster ophthalmicus is a rash on the forehead, cheek, nose, and around one eye, which could threaten your sight. You should seek prompt treatment from an ophthalmologist for this condition. Treatment may include rest, cool compresses, and antiviral medicines.
- If the shingles virus affects the nerves originating in the brain , serious complications involving the face, eyes, nose, and brain can occur. Treatment depends on the nature and location of the complication.
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Home Care For Shingles
Colloidal oatmeal baths are an old standby for relieving the itch of chickenpox and can help with shingles, as well. To speed up the drying out of the blisters, try placing a cool, damp washcloth on the rash If your doctor gives you the green light, stay active while recovering from shingles. Gentle exercise or a favorite activity may help keep your mind off the discomfort.
What To Do If You Suspect You Have Monkeypox
If you have a rash you suspect is monkeypox, get tested. Most primary health care providers, dermatologists, and even some urgent care centersknow how to swab for monkeypox, Zheng said. She recommends people see whichever provider is most accessible to them.
You can learn more about how to get a monkeypox test here.
Prior to getting tested or treated, you may be able to book a video appointment where you can point out your symptoms, or send a photo for a trusted professional to evaluate.
In the meantime, considering isolating yourself and keeping your rash clean and covered.
“Apply a little bit of Vaseline or Aquaphor and a wear a bandage to cover the lesions,” Zheng said. “Keep the areas moist and clean to help your skin heal and prevent infection.”
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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.
Who Should Not Get The Vaccine
Do not get the shingles vaccine if:
- You have a severe allergic reaction, such as anaphylaxis, to any ingredient of a vaccine or to a previous dose of Shingrix
- You have shingles now.
You are sick with an illness and a fever of 101Â°F or higher.
- You should also consider delaying the vaccine if you are pregnant or breastfeeding. Not enough is known about its safety for expectant and lactating women.
- You have had a negative test for varicella this would be uncommon for adults eligible for the vaccine, as most adults worldwide ages 50 and older have been exposed to the virus. You do not have to be tested before getting the vaccine.
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How Can I Tell If A Roof Has More Than One Layer Of Shingles
Sunday, June 24, 2018
Adding a new second layer of shingles over an existing shingle roof is called a roof-over in the construction industry, and it does have a couple of advantages:
But the downside is that a roof-over typically does not last as long as a roof replacement and, when you do replace it, the tear-off and disposal of two layers of shingles costs extra. A maximum of two layers of shingles is allowed by the building codes. Plus, you have to do the re-nailing that was put off by the previous roof-over.
One clue that a home has had a roof-over which is easily observable from the ground is that it looks a little lumpy overall, but especially at the roof penetrations, like plumbing vents and gas appliance flues. The photo above of a plumbing vent at a roof-over is a good example.
And heres another example at furnace flue. Notice the waviness at the ridge also.
www.thevillagesbestinspector.com Comments or questions to
Can Shingles Be Spread To Others
A person with a shingles rash can pass the virus to someone, usually a child, who has never had chickenpox, but the child will develop chickenpox, not shingles. The child must come into direct contact with the open sores of the shingles rash during the blistering phase. Once the rash has developed crusts, the person is no longer contagious.
Merely being in the same room with a shingles patient will not cause the child to catch chickenpox because during a shingles infection the virus is not normally in the lungs and therefore cant be spread through the air.
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Dont Shrug Off Shingles
- By Matthew Solan, Executive Editor, Harvard Mens Health Watch
ARCHIVED CONTENT: As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Please note the date each article was posted or last reviewed. No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.
If you had chickenpox as a kid, there is a good chance you may develop shingles later in life. In fact, one in three is predicted to get shingles during their lifetime, says Dr. Anne Louise Oaklander, director of the Nerve Unit at Harvard-affiliated Massachusetts General Hospital.
The same varicella-zoster virus that causes chickenpox also causes shingles. After the telltale spots of chickenpox vanish, the virus lies dormant in your nerve cells near the spinal cord and brain. When your immunity weakens from normal aging or from illnesses or medications, the virus can re-emerge. It then travels along a nerve to trigger a rash in the skin connected to that nerve. The rash often appears on only one side of your body. The most common locations are the chest, back, or stomach, or above one eye.