Tuesday, June 18, 2024

What Not To Do When You Have Shingles

Shingles On Your Face

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

Shingles usually occurs on one side of your back or chest, but you can also get a rash on one side of your face.

If the rash is close to or in your ear, it can cause an infection that could lead to:

  • loss of hearing
  • issues with your balance
  • weakness in your facial muscles

Shingles inside your mouth can be very painful. It may be difficult to eat and may affect your sense of taste.

A shingles rash on your scalp can cause sensitivity when you comb or brush your hair. Without treatment, shingles on the scalp can lead to permanent bald patches.

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.

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Can You Still Develop Shingles If Youve Been Vaccinated For Chickenpox

Yes. Despite being vaccinated for chickenpox, you can still get shingles. No vaccine is 100% protective, and the effectiveness of vaccines lessens with time. However, people who get the chickenpox vaccine are significantly less likely to develop shingles later in life compared with people who never received the chickenpox vaccine. One recent 12-year study found that the number of shingles cases was 72% lower in children who had received the chickenpox vaccine compared with those who didnt.

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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.

If You Get The Shingles Vaccine Does This Mean Youre 100% Protected From Getting Shingles

Are Shingles Contagious?

No. Just like most vaccines, getting vaccinated with a shingles vaccine doesnt provide 100% protection from disease. However, getting the shingles vaccine reduces your risk of developing shingles.

Even if you do develop shingles, youll be more likely to have a mild case. Also, youll be much less likely to develop postherpetic neuralgia, a painful condition that can follow a shingles outbreak.

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Should Someone With Shingles Stay Home From Work Or School

In general, as long as the lesion can be covered, a person with shingles does not need to stay home from work or school.

Health care workers and others working with high-risk individuals should remain home from work until the blisters have scabbed over.

Anyone who cannot keep their blisters covered should stay home from work or school until all blisters have scabbed over.

Stay Away From Certain Groups Of People If You Have Shingles

You cannot spread shingles to others. But people who have not had chickenpox before could catch chickenpox from you.

This is because shingles is caused by the chickenpox virus.

Try to avoid:

  • pregnant people who have not had chickenpox before
  • people with a weakened immune system like someone having chemotherapy
  • babies less than 1 month old unless you gave birth to them, as your baby should be protected from the virus by your immune system

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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.

Who Should Be Vaccinated With Shingrix

How to treat shingles

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.

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Can I Prevent Shingles

There are two shingles vaccines. Shingrix is recommended over the older vaccine, Zostavax, because it is more than 90% effective in preventing a shingles outbreak

Who should get it: The CDC recommends that you get this vaccine if youâre a healthy adult age 50 or older, whether or not you remember having had chickenpox, because most people have been exposed to the virus. If you have had the Zostavax vaccine, you can also have Shingrix.

How many shots do you need? You would need two shots for Shingrix: One at first, with a follow-up in 2 to 6 months.

What it does:Shingrix reduces your chance of getting shingles by more than 90%. Even if you still get shingles, the vaccine may help it be less painful.

I never had chickenpox. Do I still need the shingles vaccine? Yes, you do. Shingrix is recommended for everyone age 50 or older, whether or not you remember having had chickenpox.

If Iâve had shingles, can I still get the vaccine? Yes. It may help prevent you having another bout of shingles later on. If you have shingles right now, you should wait until the rash is gone before you get vaccinated.

Donât get the Shingrix vaccine if you:

  • Are allergic to any of the ingredients
  • Are pregnant or nursing
  • Have tested negative for immunity to the chickenpox virus. Ask your doctor about the chickenpox vaccine instead.
  • Have shingles now

What Are Risk Factors For Shingles

A weakened immune system might wake up the virus. After youâve had chickenpox, youâre more likely to get shingles if you:

  • Are 50 or older
  • Are under a lot of stress
  • Have cancer, HIV, or another disease that lowers your bodyâs defenses
  • Have had a serious physical injury
  • Take long-term steroids or other medicines that can weaken your immune system

But many people who get shingles donât fit into any of these categories.

Read Also: What Causes The Shingles Virus To Reactivate

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.

Articles On Shingles Treatment

When Shingles Wanes But Pain Does Not

The virus that causes chickenpox is also what causes shingles. Itâs called varicella zoster. It can lie quietly in your nerves for decades after causing chickenpox but suddenly wake up and become active.

The main symptom of shingles is a painful rash that comes up on one side of your body or face. See your doctor as soon as you can if you think you might have this condition.

Your doctor may want to put you on medications to control your infection and speed up healing, cut inflammation, and ease your pain. They include:

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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.

Can I Give Shingles To Others

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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What Should You Expect If You Get Shingles

Shingles can be a very painful condition. If you think you have the symptoms of shingles, see your healthcare provider right away. Starting antiviral medications early can ease your discomfort and end symptoms earlier.

A better approach to shingles is to take action and do what you can to lessen your risk of getting it. If you’ve never had shingles in the past, talk to your healthcare provider about getting the shingles vaccine. If youve never had chickenpox, talk with your healthcare provider about getting the chickenpox vaccine.

Skin Care And Itch Relief For Shingles

5 Home Remedies for Shingles | Health

To relieve itching and discomfort, try:

  • A cool, wet compresses on the affected skin
  • Soothing baths and lotions, such as colloidal oatmeal bath, starch baths, or calamine lotion
  • Zostrix, a cream that contains capsaicin
  • Antihistamines to reduce itching

Keep your skin clean. Throw away bandages you use to cover your skin sores. Throw away or wash in hot water clothing that has contact with your skin sores. Wash your sheets and towels in hot water.

While your skin sores are still open and oozing, avoid all contact with anyone who has never had chickenpox, especially pregnant women.

Also Check: What To Do If I Have Shingles

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.

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.

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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.

Are There Complications Of Shingles

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Shingles can have complications that last long after the rash is gone, including:

  • Brain inflammation or facial paralysis if it affects certain nerves
  • Eye problems and vision loss if your rash was in or around your eye
  • Pain that lasts long after the outbreak, called postherpetic neuralgia. It affects up to 1 in 5 people who get shingles.

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Hows Shingles Without A Rash Diagnosed

Shingles without a rash isnt common, but it may be more common than previously thought because it often goes undiagnosed. Shingles without a rash is difficult to diagnose based on your symptoms alone.

Your doctor may test your blood, cerebrospinal fluid, or saliva to identify the presence of VZV antibodies. This will allow them to confirm a diagnosis of shingles without a rash. However, these tests are often inconclusive.

Your medical history may provide clues that suggest you have shingles without a rash. Your doctor may ask if youve had a recent operation or if youre under increased stress.

Once your doctor suspects you have VZV, theyll use antiviral medicines such as acyclovir to treat the shingles. They may also prescribe drugs for the pain.

Other treatment will vary based on the location and severity of symptoms.

You Cannot Get Shingles From Someone With Chickenpox

You cannot get shingles from someone with shingles or chickenpox.

But you can get chickenpox from someone with shingles if you have not had chickenpox before.

When people get chickenpox, the virus remains in the body. It can be reactivated later and cause shingles if someone’s immune system is lowered.

This can be because of stress, certain conditions, or treatments like chemotherapy.

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How Is Shingles Treated

There is no cure for shingles, but antiviral medicine may relieve the symptoms and help prevent complications. See your doctor for a prescription of antiviral medicines as soon as possible after symptoms develop. Treatment should be started within 3 days of the shingles rash appearing.

If you are pregnant, talk to your doctor about whether antivirals are right for you.

Over-the counter medicines, such as paracetamol and non-steroidal anti-inflammatories, can be used for pain relief. If over-the-counter medicines are not controlling your pain, your doctor may prescribe other medicines.

There are several things you can do to help manage the condition. They include the following.

When Should I See A Doctor Because Of The Side Effects I Experience From Shingrix

Shingles: What you need to know about causes, symptoms, and prevention.

Shingrix causes a strong response in your immune system, so it may produce short-term side effects. These side effects can be uncomfortable, but they are expected and usually go away on their own in 2 or 3 days. You may choose to take over-the-counter pain medicine such as ibuprofen or acetaminophen. Contact your healthcare provider if the symptoms are not improving or if they are getting worse.

In clinical trials, Shingrix was not associated with serious adverse events. In fact, serious side effects from vaccines are extremely rare. For example, for every 1 million doses of a vaccine given, only one or two people might have a severe allergic reaction. Signs of an allergic reaction happen within minutes or hours after vaccination and include hives, swelling of the face and throat, difficulty breathing, a fast heartbeat, dizziness, or weakness. If you experience these or any other life-threatening symptoms, see a doctor right away.

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When To Call A Doctor

if you:

  • Have a rash or blisters on your face, especially near an eye or on the tip of your nose. This can be a warning of eye problems. Treatment can help prevent permanent eye damage.
  • Think you have shingles. Early treatment with antiviral medicines may help reduce pain and prevent complications of shingles, such as disseminated zoster or postherpetic neuralgia .

If you still feel intense pain for more than 1 month after the skin heals, see your doctor to find out if you have PHN. Getting your pain under control right away may prevent nerve damage that may cause pain that lasts for months or years.

What Are The Symptoms

The first sign of shingles is often burning, sharp pain, tingling, or numbness in your skin on one side of your body or face. The most common site is the back or upper abdomen. You may have severe itching or aching. You also may feel tired and ill with fever, chills, headache, and upset stomach or belly pain.

One to 14 days after you start feeling pain, you will notice a rash of small blisters on reddened skin. Within a few days after they appear, the blisters will turn yellow, then dry and crust over. Over the next 2 weeks the crusts drop off, and the skin continues to heal over the next several days to weeks.

Because shingles usually follows nerve paths, the blisters are usually found in a line, often extending from the back or side around to the belly. The blisters are almost always on just one side of the body. Shingles usually doesn’t cross the midline of the body. The rash also may appear on one side of your face or scalp. The painful rash may be in the area of your ear or eye. When shingles occurs on the head or scalp, symptoms can include headaches and weakness of one side of the face, which causes that side of the face to look droopy. The symptoms usually go away eventually, but it may take many months.

In some cases the pain can last for weeks, months, or years, long after the rash heals. This is called postherpetic neuralgia.

Also Check: How To Treat Shingles In The Eye

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