Thursday, April 11, 2024

Where On The Body Can You Get Shingles

Am I At Risk For Shingles

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

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.

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.

Who Gets Shingles

In the United States, almost one in three people will get shingles at some point in their life, and there are more than 1 million cases of shingles each year.

Anyone who has had chickenpox is at risk for developing shingles, since VZV stays in your body after you recover. Later in life, the virus can reactivate and cause shingles. The risk of developing shingles increases for people over 50 and for those with a weakened immune system from things like cancer, steroid medications, and trauma or stress. Shingles can also occur in younger people, and even in children, especially if they have a weak immune system.

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How Is It Treated

It is best to start treatment as soon as possible after you notice the rash. See your healthcare provider to discuss treatment with antiviral medicine, such as acyclovir. This medicine is most effective if you start taking it within the first 3 days of the rash. Antiviral medicine may speed your recovery and lessen the chance that the pain will last for a long time.

Your provider may also recommend or prescribe:

  • medicine for pain
  • antibacterial salves or lotions to help prevent bacterial infection of the blisters
  • corticosteroids

What Are The Advantages Of Getting The Shingles Vaccine

Shingles and Shingrix, Everything People Need to Know

The shingles vaccine reduces your risk of getting shingles. Shingles causes a painful rash that usually develops on one side of your body or face. Some people describe the pain as an intense burning or shooting sensation. The rash is often a single strip that wraps around one side of your body or is on one side of your face. It consists of blisters that normally crust over in seven to 10 days. The rash generally clears up within a month.

Some people with shingles also experience additional symptoms including fever, headache, chills or upset stomach.

For some people, the pain from the rash can last for months or even years after the rash goes away. This long-term pain is called postherpetic neuralgia , and it is the most common complication of shingles.

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When Should I See My Doctor

See your doctor as soon as possible if you are experiencing any symptoms of shingles. Starting treatment with antiviral medicines within 3 days of the rash appearing should reduce the severity of symptoms and the risk of further complications, including post-herpetic neuralgia.

See your doctor straight away if you have symptoms of shingles and are experiencing the following:

  • symptoms that affect your eye area
  • a temperature of 38°C or higher

You should also see your doctor if you are pregnant, or have a weakened immune system due to medicine that suppresses the immune system, or a condition that weakens your immune system.

I Got The Shingles Shot And Still Got Shingles How Come

Reader Question 741 votes

A

Its not really surprising that you got shingles after being vaccinated. No vaccine is 100 percent effective and whilechildhood vaccinations get close, the shingles vaccine only cuts the risk of shingles by half for people who receive it at age 60 or older. The Centers for Disease Control and Prevention recommends a single dose for those 60 or older, though the vaccine is approved for use starting at age 50.

Even though the vaccine is not always effective, it still protects a lot of people, since nearly one in three adults develops shingles during their lifetime. And if you do get shingles, you may have a milder episode because you were vaccinated. A large clinical trial found that the vaccine reduces the risk of having very severe, long-lasting pain, a syndrome called postherpetic neuralgia.

Its these extreme, prolonged painful episodes that the vaccine works better at preventing, said Dr. Rafael Harpaz, a medical epidemiologist in the division of viral diseases at the C.D.C.What would motivate me to run out and get the vaccine, he said, would be to protect myself from being that rare person who gets 10 years of life-shattering pain.

The vaccine may be most effective at younger ages. If you get it in your 60s, it reduces cases by nearly two thirds, or 64 percent it reduces risk by 41 percent if you are in your 70s when vaccinated and by 18 percent if you are in your 80s.

Do you have a health question? Submit your question to Ask Well.

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Shingles And Nerve Paths

Shingles is caused by a reactivation of the virus that causes chickenpox. Only people whove had chickenpox or chickenpox vaccines can develop shingles. Having a chickenpox vaccine can lead to shingles because the vaccine contains the virus that causes chickenpox.

Shingles isnt contagious, but people who have not had chickenpox can develop chickenpox if they come in contact with open blisters of somebody with shingles.

After your body fights off a chickenpox infection, the herpes zoster virus remains dormant in your cranial nerves and spinal ganglia until it becomes reactivated. Spinal ganglia are nerve cells that connect your spinal cord to nerves in your body and limbs.

The virus reactivates when your immune system is no longer able to suppress it. Reactivation most commonly occurs in older adults because the immune system tends to get weaker with age, as well as in people with suppressed immune systems.

Once the virus is active, it usually spreads down sensory nerve fibers that lead from your spinal cord to your skin. These nerves carry sensory information like feelings of pain, itchiness, or pressure from your skin to your spinal cord and brain.

Once the virus gets to the end of these sensory nerves, it reaches your skin and usually leads to a rash. This rash often shows up in one or two nearby areas of skin called dermatomes.

A dermatome is an area of your skin where the sensation is supplied by one spinal nerve.

Shingles And Your Eyes

How to treat shingles

If the shingles rash breaks out on the face, near the eye, the vision may be affected. An ophthalmologist should be consulted right away when pain or other symptoms of shingles affect the eye or the area near the eye.

Shingles painand other symptoms from an outbreak of herpes zosterusually lasts between three to five weeks. Most people experience shingles once, but in some instances, people will continue to experience pain. When this happens, its called postherpetic neuralgia .

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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.

What Does The Shingles Vaccine Do

The shingles vaccine can prevent shingles. Every year, about 1 million people in the United States get shingles. Anyone whos had chickenpox can get shingles. Thats because the varicella-zoster virus lives silently in your nervous system after you’ve had chickenpox. The virus can reactivate later in your life if your immune system is weakened. Your risk of getting shingles goes up as you get older. In the United States, 1 in 3 people will get shingles in their lifetime.

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Shingles Is A Painful Blistering Rash That Often Develops In A Stripe That Wraps Around One Side Of The Body Or Face Besides The Rash Symptoms Include Fever Headache And Chills But Mainly You Hear About The Rash Because It Hurts

If youre over 50, the shingles vaccine Shingrix can help you avoid this super painful condition. And you might be surprised to learn who should get it:

If you already got the one-dose shingles vaccine , its time to upgrade to the newer model, Shingrix.

If you previously couldnt get the shingles shot because you are immunocompromised, you can and should get the new one, Shingrix.

You should also get the shingles vaccine if youve had shingles.

You should also get the shingles vaccine if you dont remember having chickenpox.

The varicella vaccine for children will prevent shingles later in life. This one is often combined with the measles-mumps-rubella vaccine and given around ages 1 and 5.

Symptoms, treatment, & epidemiology

Early shingles symptoms include tingling, burning, itching, or shooting pain in a localized area. Then after 1-14 days, a blistery rash appears. The blisters will scab over after about a week.

Shingles is treated with antiviral medication and with pain relievers. The antivirals are most effective when theyre started early on, so dont wait for it to get better on its own before seeking help.

1 in 3 adults will get shingles at some point in their lives. Some people are hospitalized with shingles, particularly when it attacks the nerves of the eye, ear, brain, or lungs. 10-15% of people who get shingles have nerve pain for weeks, months, or even longer after a shingles attack. This is called postherpetic neuralgia.

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Other Complications Of Shingles

Experts sound alarm over shingles

If the shingles rash appears around the eye or forehead, it can cause eye infections and temporary or permanent loss of vision. If the shingles virus attacks the ear, people may develop hearing or balance problems. In rare cases, the shingles virus may attack the brain or spinal cord. These complications can often be prevented by beginning treatment for shingles as soon as possible.

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Are Chickenpox And Shingles Serious Illnesses

The symptoms may be more severe in newborns, persons with weakened immune systems, and adults. Serious problems can occur and may include pneumonia , brain infection , and kidney problems. Many people are not aware that before a vaccine was available, approximately 10,600 persons were hospitalized, and 100 to 150 died, as a result of chickenpox in the U.S. every year.

How Long After Ive Received The Shingles Vaccine Am I Contagious

With the currently authorized shingles vaccine, Shingrix, you wont be contagious. The old vaccine, Zostavax, used a weakened form of the live varicella-zoster virus. Therefore, people worried about spreading the disease to the people around them.

Shingrix doesnt use a live version of the varicella-zoster virus. It is inactivated, which means it uses a dead version of the virus. Therefore, you have no risk of transmitting the disease to anyone.

A note from Cleveland Clinic

No one likes to get shots, especially for something youve already been vaccinated for. But the newer version of the shingles vaccine is one youll want to offer up your arm for. The Shingrix vaccine is more than 90% effective at helping you prevent shingles. Since most of us have had chickenpox in the past, the shingles vaccine is an easy way to prevent the dormant chickenpox virus from creeping up and hitting you again with shingles.

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The Best Pain Doctor For Shingles Pain Treatment Is Roziermd

If you have shingles pain, you should immediately seek the care and treatment of a reputable pain doctor.

Dr. Antonio Rozier is a highly experienced and reputable pain management doctor. He is the best pain doctor for shingles pain treatment in Dallas, Mansfield & TX. He is equipped with different interventional techniques and treatments for various types of pain including shingles pain.

If you have shingles pain or you are searching for a doctor that is very experienced in the treatment of shingles pain, Dr. Rozier is highly recommended.

Treatment Of Herpes Zoster

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The treatment of herpes zoster has three major objectives: treatment of the acute viral infection, treatment of the acute pain associated with herpes zoster and prevention of postherpetic neuralgia. Antiviral agents, oral corticosteroids and adjunctive individualized pain-management modalities are used to achieve these objectives.

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

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.

Is Shingles Contagious

People cannot catch shingles from another person but it is possible for someone to catch chickenpox from a person with shingles. This can only happen if someone has not had chickenpox or received the chickenpox vaccine.

The varicella-zoster virus present in shingles blisters can be spread if someone comes into direct contact with the fluid. It remains contagious until the last blister has dried up and scabbed over.

The risk of spreading the virus is low if the rash is kept covered. Individuals with shingles should avoid contact with anyone who has not already had chickenpox. This is particularly important in the following cases:

10 sourcescollapsed

  • Gilden, D., Cohrs, R. J., Mahalingam, R., & Nagel, M. A. . Neurological disease produced by varicella zoster virus reactivation without rash. Current Topics in Microbiology and Immunology, 342,, 243253

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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.

What Illnesses Does Varicella

Can You Get Shingles Without A Rash

Chickenpox first occurs as a blister-like skin rash and fever. It takes from 10-21 days after exposure for someone to develop chickenpox. The sores commonly occur in batches with different stages present at the same time. The blisters usually scab over in 5 days. A person with chickenpox is contagious 1-2 days before the rash appears and until all blisters have formed scabs. Children with weakened immune systems may have blisters occurring for a prolonged time period. Adults can develop severe pneumonia and other serious complications.

Shingles occurs when the virus, which has been inactive for some time, becomes active again. Severe pain and numbness along nerve pathways, commonly on the trunk or on the face, are present. Clusters of blisters appear 1 to 5 days later. The blisters are usually on one side of the body and closer together than in chickenpox. Shingles does not spread as shingles from one person to another. If people who have never had chickenpox come in contact with the fluid from shingles blisters, they can develop chickenpox.

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