Stage : Rash Outbreak
The second stage of shingles is an eruption of the rash itself, typically 34 days after you first experience the tingling and burning sensation.
The rash typically appears as a band or strap. It includes fluid-filled blisters and lasts 24 weeks. The rash at this stage can be painful.
Some people experience a minor rash or skin irritation. For other people, the rash can cover a larger area. Flu-like symptoms may also occur at this stage.
When To See A Healthcare Provider
Because scabies is so contagious, its important to seek a diagnosis and treatment right away.
Talk to your healthcare provider immediately if you experience scabies symptoms or if someone close to you has been diagnosed with scabies. Your healthcare provider can advise you on how to treat your symptoms and avoid spreading the condition.
Who Should Not Be Vaccinated With Shingrix
You shouldnt receive the Shingrix vaccine if you:
- Have ever had a severe allergy to this vaccine or any ingredient in this vaccine.
- Are breastfeeding or pregnant.
- Currently have shingles.
- Are ill and have a high fever.
- Have tested negative for immunity to varicella-zoster virus .
Ask your healthcare provider if the benefits of getting the vaccine outweigh any potential risks.
Also Check: How Do You Get The Shingles Vaccine
Im Pregnant And Have Had A Blood Test For Chickenpox What Do The Results Of This Test Show
The blood test can show that you:
- Are immune and have no sign of recent infection. You have nothing further to be concerned about.
- Are not immune and have not yet been infected. You should avoid anyone with chickenpox during your pregnancy.
- Have or recently had an infection. You should discuss what the risks are for your stage of pregnancy with your healthcare provider.
Diagnosis Of Shingles In The Eye
Your doctor should be able to diagnose shingles just by looking at the rash on your eyelids, scalp, and body. Your doctor might take a sample of fluid from the blisters and send it out to a lab to test for the varicella-zoster virus.
An eye doctor will examine:
- help the rash fade more quickly
Starting the medicine within three days after your rash appears can help you avoid long-term shingles complications.
To reduce swelling in your eye, your doctor might also give you a steroid medicine in the form of a pill or eye drops. If you develop postherpetic neuralgia, pain medicine and antidepressants can help relieve the nerve pain.
Also Check: How To Figure Shingles Needed
Who Should Not Have The Vaccine
People who should not have the shingles vaccine without first discussing it with their doctor include those who:
- have an allergy to any component of the shingles vaccine
- have a weakened immune system
- are or might be pregnant
Although anyone who has had chickenpox can develop shingles, some people may be at a higher risk.
Possible risk factors and triggers include:
Can You Get Chickenpox If You’ve Been Vaccinated
Yes. About 15% 20% of people who have received one dose of varicella vaccine do still get chickenpox if they are exposed, but their disease is usually mild. Vaccinated persons who get chickenpox generally have fewer than 50 spots or bumps, which may resemble bug bites more than typical, fluid-filled chickenpox blisters. In 2006, the Advisory Committee on Immunization Practices voted to recommend routine two-dose varicella vaccination for children. In one study, children who received two doses of varicella vaccine were three times less likely to get chickenpox than individuals who have had only one dose.
Read Also: How Do You Spread Shingles
What Are The Risk Factors For Shingles
In the United States, 1 in 3 people will develop shingles in their lifetime, and there are about 1 million cases a year in the country. Older adults who had chickenpox but do not have the shingles vaccine can often have a higher risk of reactivating the varicella-zoster virus and getting shingles.
Other factors that increase your risk include:
- conditions that weaken the immune system, such as HIV, cancer, chemotherapy, or an organ transplant
- weakened or impaired immune system, which also increases the risk for having recurring episodes of shingles
The risk of shingles is usually 10 times greater in adults who are more than 60 years old than in children younger than 10. Much of the increase in shingles risk occurs at around 50 years old.
Who Should Be Vaccinated With Shingrix
The Shingrix vaccine is recommended for those 50 years of age and older who are in good health.
You should get the Shingrix vaccine even if:
- Youve had shingles already.
- Youve been previously vaccinated with Zostavax . If youve been vaccinated with Zostavax, wait at least eight weeks before getting vaccinated with Shingrix.
- You dont know for sure if youve ever had chickenpox.
Ask your healthcare provider, who knows your entire health history if getting this vaccine is right for you.
Recommended Reading: Does Medicare Pay For Shingles Vaccine
Shingles Treatment: Home Remedies
Bathing is generally allowed, and the affected area can be washed with soap and water. Cool compresses and anti-itching lotions such as calamine lotion may also provide relief from symptoms. An aluminum acetate solution can be used to help dry up the blisters and oozing. Application of petroleum jelly can also aid in healing. Over-the-counter antihistamines, such as diphenhydramine and pain medicines can also help provide relief.
Wearing loose clothing can help avoid extra pain from clothing rubbing against the rash. Avoid close skin-to-skin contact with others who have not had chickenpox, are ill, or who have a weakened immune system to avoid spread of the virus. People who do not have immunity to the virus may catch varicella by having direct contact with the lesions. In this way zoster is similar to cold sores, which are caused by a virus in the same family as varicella.
Shingles Vs Poison Ivy: How To Tell The Difference
Roughly 1 in 3 people in the United States will have shingles in their lifetime, making it one of the most common viral illnesses in older adults.
While shingles and poison ivy can both cause a blistering rash, there are significant differences in symptoms between the two conditions.
In this article, well explore how to tell the difference between shingles and poison ivy, including the symptoms, treatment, and prevention for each condition.
Although shingles and poison ivy may appear similar at first glance, there are definitive differences between the symptoms of shingles and the symptoms of poison ivy rash.
A viral shingles infection generally presents with a specific type of blistery rash thats accompanied by other symptoms of malaise, such as pain, fever, chills, and headaches.
An allergic poison ivy rash may look similar, but is usually more localized and doesnt cause symptoms of feeling unwell.
The chart below outlines the primary differences between a shingles infection and a poison ivy rash.
You May Like: Shingles In Hair On Scalp
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:
How You Catch The Varicella
Shingles is not contagious. You cant catch shingles from someone. However, a person with shingles can pass along VZV to people who have never contracted chickenpox.
VZV can be transmitted from a person with shingles to someone who has never had chickenpox via direct contact with fluid from shingles rash or blisters. Its not possible to pass along VZV before shingles blisters appear or after lesions crust over.
However, shingles is a lot less contagious than chickenpox. By covering up your rash, you can prevent the spread of the virus.
Shingles usually happens many years after an initial chickenpox infection. The first signs of a reactivation of the virus are malaise, fever, a localized tingling or burning sensation, and pain. Within a few days a one-sided rash forms on the face or body. It can takes up to 10 days for the rash and blisters to crust over. It will clear up entirely several weeks later.
Don’t Miss: When Is Shingles Not Contagious
Outlook For People With Shingles In The Eye
Your shingles rash should heal within one to three weeks. Symptoms around your face and eyes can sometimes take up to a few months to heal.
In the early stages of the disease, your doctor will check you every few days. After youve received treatment for the infection, youll probably need to see your eye doctor every 3 to 12 months to check for glaucoma, scarring, and other long-term problems that can affect your vision.
S Of The Shingles Rash
If you have a rash of blisters on your skin or a rash that looks like any shown below, see your doctor immediately for a diagnosis. If you have shingles, its important to get treatment, preferably within 2 to 3 days.
If youve had the rash for longer than 2 to 3 days, its still important to see your doctor.
A typical shingles rash
Doctors often refer to this rash as the shingles band because it looks like a band that appears on one area of your body, as shown here.
A rash on one side of the body
A key that you have shingles is that the rash only develops on one side of your body.
Close-up of a shingles rash
The shingles rash often causes a cluster of tiny blisters. You may notice that the skin beneath the blisters is red and inflamed, as shown here.
The rash will also feel painful.
Blistering shingles rash on a man’s chest
Although the rash can begin in one area, you may notice that a few scattered blisters develop in other areas, as shown here.
Shingles rash on the palm of a man’s hand
While shingles tends to develop on your body or face, it can appear anywhere on your skin.
You May Like: Can You Put Calamine Lotion On Shingles
How Is Shingles Diagnosed
Your healthcare provider will do a complete physical exam and ask about your medical history, specifically about whether you have ever had chickenpox.
Your healthcare provider will likely know right away that it is shingles based on the unique rash. The rash usually appears one area on one side of the body or face. It appears as red spots, small fluid- or pus-filled vesicles, or scabs.
The healthcare provider may also take skin scrapings for testing.
Tingling Pain Or Numbness
During the first stage of shingles, before anything appears on your skin, a particular area of your body may begin to feel different. “When a shingles outbreak is starting, you may feel itching, burning, or pain,” Kim says. Often you will feel this on only one side of your body.
The initial signs of shingles may feel different for each person. In some cases, shingles can cause intense sensitivity, making it painful to even wear clothes over your skin, while in other cases, your skin may feel numb.
Also Check: What Are The Symptoms Of Shingles In The Head
What Can You Do To Avoid Stress
Reducing or eliminating stress from your life may not guarantee that you wont get shingles, but it will make you healthier. Experimenting with different techniques for stress can help you find what works for you. Try these techniques to reduce stress:
- Identify and avoid the things that trigger your stress. Consider keeping a journal of your moods and possible triggers.
- Wind down before sleep. Reading a book, turning off the computer, and creating a bedtime routine may help.
- Turn mealtimes into social rituals with people you like, complete with conversation, soft music, and healthy, well-prepared food.
- Spend time with your pet or someone elses pet if you like animals.
- Turn off your phone.
- Spend time in nature or taking quiet walks in peaceful surroundings.
- Practice meditation.
How Is Postherpetic Neuralgia Treated
Treatments include lotions or creams and/or other medications not specifically used for pain, such as antidepressants or drugs for epilepsy. Regular pain relievers are not usually effective for this type of pain.
If your pain doesnt lessen, you might try therapies like nerve blocks or steroid injections near the area where the nerves exit the spine. Your provider might suggest an implantable nerve stimulator device for severe, ongoing pain that hasnt responded to other treatments.
Read Also: What Medication Is Prescribed For Shingles
Burning Feeling And Red Rash
Between 1 and 5 days after you start to feel the tingling or numb feeling, a red rash will develop on the same area of your skin. Most often, the rash appears on one side of your torso, but it can show up anywhere on your body.
You may also have other symptoms along with the rash, such as:
When the rash starts, you should see a doctor for treatment as soon as possible. Starting antiviral medication treatment within 3 days of the rash first appearing can lower your risk of developing complications, like long-term pain.
Should I Get The Shingles Vaccine
“Because the vaccine has been shown to reduce the risk of developing herpes zoster and shingles complications, getting the vaccine is highly recommended,” says Dr. Mohring. “I strongly recommend it for all patients 50 years or older and those who are immunocompromised. It’s safe and effective and reduces severity if you have a breakthrough episode.”
The Shingrix vaccine is a two-dose series given two to six months apart. It’s been shown to be over 90% effective in preventing shingles and postherpetic neuralgia and remains over 85% effective for at least four years afterward. You will not get shingles from this vaccine, and it is generally safe for those with weakened immune systems.
Recommended Reading: Why Is Shingles Pain Worse At Night
Are There Natural Ways To Boost Your Immune System To Help Lessen The Chances Of Developing Shingles
Stress is a risk factor for developing shingles, so limiting your stress can be helpful. Try meditation, yoga or other relaxation methods.
Other things you can do include:
- Eat a healthy diet.
- Aim for seven to nine hours of sleep each night.
- Dont smoke or use tobacco products.
These are all tips for an overall healthy lifestyle, not just for reducing your chance of getting shingles.
Measles Rash Looks Like Flat Red Spots
Like the shingles rash and herpes simplex, measles is caused by a virus. Measles is highly contagious. Symptoms of measles typically begin with a high fever, cough, runny nose, and red, watery eyes, according to the CDC. Three to five days later, a rash that looks like flat red spots appears, normally starting on the face at the hairline and spreading down the body to the neck, trunk, arms, legs, and feet. Measles is a very serious disease that can lead to complications and death fortunately, it can be prevented with a measles vaccine.
Read Also: Is Apple Cider Vinegar Good For Shingles
Am I Contagious If I Have Shingles
Shingles cannot be passed from one person to another. But someone who has never had chickenpox can contract VZV from a person with active shingles. They would then develop chickenpox, not shingles.
Only direct contact with fluid from shingles blisters can transmit the virus. Keep shingles blisters covered with a fluid absorbent dressing to prevent others from contracting the virus.
Can Shingles Come Back
Given that shingles results from the varicella zoster virus reactivating some amount of time after having chickenpox, you may be wondering if the virus can…re-reactivate after having shingles.
“Once shingles clears up, the virus simply goes back into hiding and, unfortunately, it can reactivate again in the future,” says Dr. Brown. “As far as the likelihood of shingles reoccurring, that’s still largely up for debate. One study found that the chance of getting shingles a second time is about 5%, but other studies show this number to be lower.”
One way to reduce your risk of getting shingles twice is the same preventive measure that helps prevent you from ever getting it in the first place: the shingles vaccine.
Don’t Miss: What Are The Symptoms Of Shingles
What Shingles Symptoms Come Next
After about 1 to 5 days, a shingles rash will appear on one side of the body, often in a single characteristic band around one side of the torso or face.
The painful rash will then form itchy or burning blister-like sores filled with a clear fluid. The blisters will scab over in 7 to 10 days. Theyll gradually grow smaller before disappearing.
Shingles rash symptoms commonly last between 2 to 4 weeks.
What Are The Signs And Symptoms Of Shingles
Shingles causes a painful, blistering rash on your skin. If you get shingles, you may notice the following:
Before the rash appears: For 1 to 2 days before the rash appears, you may have pain, burning, or tingling on an area of skin where the rash will develop. Some people say they felt an electrical sensation on their skin before getting the rash.
Rash appears: A painful, blistering rash appears. It usually appears on one side of your body, often on the torso however, it can appear anywhere on your skin. Some people get more blisters after the rash appears, so it can seem that the rash is spreading.
Rash starts to clear: As the rash clears, the blisters may crack open, bleed, and scab over. For most people, the rash will clear within 2 to 4 weeks.
Although the rash will clear on its own, treatment is important. Taking medication within 3 days of getting the shingles rash can:
Reduce your risk of developing other health problems, such as long-lasting nerve pain, pneumonia, or hearing loss
Shingles rash on the face
If you have a shingles rash on your face, immediately seeing a doctor for treatment could save your eyesight.
Recommended Reading: How Long Between Shingle Shots