Doctor insights on:
Reflexology For Treating Shingles
Is Neurontin (gabapentin) treating shingles pain dangerous to the kidneys for 55 yr. Old man w/chronic renal insufficiency secondary to chemo 14 yrs. Ago for aml?
Potentially yes: Because blood levels can climb quickly as creatinine clearance decreases. This must be taken into account by the prescribing physician so as to avoid toxic build-up of the medication in your body. Best wishes. ...Read more
Shingles (Herpes Zoster) (Definition)
A painful blistering skin rash caused by the chickenpox virus (varicella zoster). Early treatment with antiviral medication (within 72 hours) lowers the risk of post-herpetic neuralgia, which is lingering skin pain after the rash disappears. ...Read more
No: There is no such evidence that incidence of shingles is increasing in younger population. ...Read more
Yes: A person can have shingles more than once. His primary care doctor can evaluate to see if there is a weakness in his immune system (or just bad luck, older age, or other bodily stressors) that allowed him to have the first case of shingles. The doctor can give some advice on whether or not the patient should get the shingles vaccine to help prevent a recurrence of shingles. ...Read more
Herpes zoster: Shingles, also called herpes or varicella zoster, occurs when the v. Zoster virus is reactivated after being dormant within nerve roots since a previous episode of chickenpox. Shingles occurs mainly in people over age 50 and in people with immunosuppressed states that allow the virus to "wake up". ...Read more
If you had chicken pox as a child, the virus is already in your body. It remains dormant in most people but can activate if the immunity is lower e.G in hiv, cancer or even old age.
These days it can be effectively treated if medical attention is sought early on. If you think you have shingles, please see a physician as soon as you can. ...Read more
Yes: The only prerequisite for shingles is a prior infection with chickenpox or a dose of the vaccine. I have seen it in toddlers. It is less common with those who had the vaccine but still possible. Rare infant cases have been reported and likely reflect unrecognized infection during the pregnancy of both mother an infant. ...Read more
Shingles is from activation of dorsal horn varicella zoster. To treat
the patient needs rest and a course of an antiviral medication at the
highest dose permitted by weight of patient. An oral dose of steroids, such as a Medrol (methylprednisolone) dose pack for six days, will decrease inflammation.
It is good to recommend an immunization for people 50 or older who had chicken pox to avoid the disability from shingles. ...Read more
It has been estimated that approximately 10-20% of the population will develop shingles (hz) during their lifetime. Individuals over 50 are particularly susceptible because of reduced cell-mediated immunity. However, any patient with immunosuppression due to radiation therapy, malignancy or cytotoxic drugs has an increased susceptibility to hz.
Symptomatic treatment with analgesics is recommended. ...Read more
Tiny blisters/1 side: Shingles is reactivation of the chicken pox virus, that emerges from hiding in a nerve, long after original infection. Classically, very painful small blisters are confined to one side of the body, and clustered together. Usually diagnosed by physical exam, the blood test is only required if the presentation is not obvious, or infection is severe enough to require antiviral treatment. ...Read more
Yes: Showering when a person has shingles is the same as normal showering. . . Except that one must be gentle and not scratch the skin lesions and scabs with his fingernails. Allowing the scabs to heal and come off the scalp by themselves is the best thing to do. The doctor can prescribe medications to relieve pain and unusual skin sensations, plus help prevent new shingles lesions. ...Read more
Shingles: Shingles - Herpes zoster - is a reactivation of the virus that causes chickenpox. After natural infection with chickenpox, or vaccination, the virus remains dormant in nerve cells in the body and may, at some point, resurface in the form of Shingles. Shingles may be quite painful, and sometimes can cause persistent nerve pain. Early diagnosis and antiviral treatment may lessen severity. ...Read more
Same as if not: Shingles occurs when a hibernating zoster virus (chickenpox) reactivates and travels down a nerve group, causing pain and a breakout. I have seen it in toddlers. We are not sure why it occurs. Since it commonly occurs in older folks, most speculate that a weak period in someones immunity allows it to activate. ...Read more
Pain: Shingles usually presents with pain followed by a typical rash on one side of the body in the area of the skin supplied by one nerve, called a dermatome. Any good primary care provider can make the diagnosis. You should consider getting the shingles vaccine which can decrease your chances of getting the miserable complication known as "post-herpetic neuropathy". ...Read more
Pain and rash: Shingles is usually characterized by a painful rash that develops in a limited are of the body on one side. The rash usually blisters and then goes away over a few weeks. Sometimes pain persists for a protracted period of time and can be quite miserable. The shingles vaccine decreases your chance of getting the persistent pain condition known as post-herpetic neuralgia. ...Read more
Great question. Can consider supplements that are typically taken for nerve related pain conditions. Here is a natural solution that I developed with several other doctors: http://holisticpain. Com/products/nerve-formula
also could consider acupuncture and seeing a naturopathic doctor. Hope that helps. ...Read more
Shingles symptoms: Shingles often starts out as a patch of skin with a burning sensation followed a few days later by vesicles (small blisters) which eventually burst & scab over (just like chickenpox). Some pain may be present during the vesicle phase but more likely to appear in the healing phase. So best to get treatment early to prevent "post-herpetic neuralgia". Face/ear/eye warrant doc visit at once. ...Read more
See below: Recurrent bouts of shingles are often associated with immune system problems that occur with aging or as a result of a medical condition or treatment. One of the best ways to prevent future attacks is to get the shingles vaccine. Early treatment is often the best response to recurrent shingles. In severe or frequent cases, ongoing medication to reduce the risk of shingles may be an option. ...Read more
Shingles: Shingles is chicken pox in a nerve. Rarely it appears at the same time as acute chicken pox. Most often it is an older person who had the virus as a child and carried it as a dormant virus for many yrs. It may occur in a normal 14 yr-old but the diagnosis may be an error. In the absence of some predisposing condition causing defective immunity it is not serious. Meds control it. ...Read more