Doctor insights on:
What Are The Warning Signs For The Onset Of Shingles
Pain and a rash: Pain followed shortly by a rash on one side of the body in an area supplied by a nerve (dermatome) heralds the onset of a shingles attack. You should discuss getting the shingles vaccine with your doctor. It decreases the miserable complication of "post-herpetic neuralgia". ...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
Shingles symptoms: Early symptoms of shingles include headache, sensitivity to light, and flu-like symptoms without a fever. You may then feel itching, tingling, or pain where a band, strip, or small area of rash may appear several days or weeks later. A rash can appear anywhere on the body but will be on only one side of the body, the left or right. The rash will first form blisters, then scab over. ...Read more
Pain, itch, rash: Initially pain and/or itching occurs then with the development of a blister-like rash following the distribution of the sensory nerve where the reactivation occurs. Sometimes the rash is the first thing noted. Rarely the pain/itching occurs without a rash (zoster sine zoster). ...Read more
Possibly: But it takes a very long time. You get shingles because your immunity to chicken pox has waned, and you get a reactivation of the virus in a nerve. This process generally takes decades to happen, but if you had the shingles in your 40s, and now you are in your 70s or 80s, it is possible. However, you are unlikely to get the shingles more than once in a short time. ...Read more
I think my nerv pain from a case of the shingles is starting to subside slightly. I'm going into week 2 but have had this before. Is this a good sign?
Yes looks good: You need to wait a bit longer to see that your pain is definitely subsiding. ...Read more
Burning pain: The first sign of shingles is burning pain on or under the skin. The pain is limited to a narrow band on one side of the body reaching around from back to front. Pain precedes the rash. This is the best time to treat shingles. In a couple days the skin develops the typical small blisters and redness associated with shingles. ...Read more
Pain/lesions pattern: Shingles is extremely painful with lesions or rash in a nerve root distribution. The patient had chicken pox before, and the virus sits in the dorsal horn of the spinal column. People who are sleep deprived, under stress, immunocompromised are at risk. One needs to see the doctor for treatment to minimize the pain and to heal more quickly with steroid course. ...Read more
Would I ever need to worry about shingles causing me to need an ER trip? If yes what signs do I look for?
Not necessarily: We know most often we can identify a significant medical treatment, illness or psychosocial stressor as a trigger. Cancer is known to be a trigger but though we all have seen patients who had shingles and then soon after were diagnosed with cancer, most with shingles don't get a cancer diagnosis in the following months. ...Read more
I had shingles a month ago on l arm. Felt like someone stabbed my arm. Now the same pain is on r arm but no sign of shingles. Is this common?
Likely not shingles: While it is possible for a person to get shingles more than once, it is quite rare, especially in the wake of the first attack. Your antibody levels to herpes zoster (the virus that causes shingles) are high and should prevent another infection for at least a while. More likely some there is some other cause behind the pain. ...Read more
Shingles virus is a lesion in the dorsal horn of the spinal column which nestled there after chicken pox. It can become activated when
one is exhausted, stressed, immunocompromised, or on steroids. The symptoms are not only debilitating pain but also a rash of lesions in a dermatome distribution, that is, along a path from a nerve in the spinal column wrapped around to the front of the body. ...Read more
Zoster herpes Igg level 2400 with shingles like outbreak that only relieves with b12 and C shots. How do I confirm it's not shingles? Any tests/sign?
Culture lesions: Recurrent herpes zoster outbreaks are not very common, and are usually related to a drop in your immunity that suppresses the herpes zoster virus lying dormant in your dorsal root ganglia. B12 & C shots are not indicated treatments for shingles outbreaks. You can have your clinician unroof one of the lesions during an outbreak and collect a herpes zoster culture. Take Care! ...Read more
I have shingles and my dr prescribed acyclovir;;had had them for 23 weeks, they are scabbing over. Is that a good sign?
Yes: Yes that is a good sign. Once they are scabbed over they are no longer contagious. ...Read more
I'm a 37 yr old female. 13 months ago I had a kidney stone, now shingles! Is this a sign of cancer? Should I be looking for something wrong with me
NO: Kidney stone formation is often diet related with uric acid and calcium as the primary components. Herpes zoster that causes shingles is a virus and is not a predisposition to cancer. As we progress through "life" ailments are a requiste for "passage" for stones and life. See a md regularly so that life for you will not be a "four letter word.". ...Read more
Pain, rash, itching: The common word for it is shingles. It may first make itself kinown by severe pain over a given area, very puzzling to a doc. After a day or so the blotchy red rash appears and itching and pain continue until it resolves. There is no valid treatment for it. ...Read more
I have herpes zoster, the doctor gave me the antiviral, and other medicines, what are the signs of the blisters and the rashes are getting better?
A week to 10 days: The rash should be completely dry in 7 to 10 days. If persists or new vessicles appear then it would be concerning. Sometimes they can start looking worse before they better. ...Read more
Should I still be in pain from shingles after weeks fron onset? Dr saya ram hunt with past herrpatic aneuralgia. What neds should I be taknig?
Consider topicals: Post herpetic nerualgia can be quite painful. Tricyclic antidepressants (desipramine, amitriptyline) work for most, but be patient, as may take 3 to 4 weeks to take full effect. Can take rx strength nsaids meanwhile +/- an opioid if & when excruciating pain. Anticonvulsants such as gabapentin, pregabalin, and Depakote are also effective. Topical remedies may be too tricky to use on the face. ...Read more
Chiro says I have herniated disc causing acute onset sciatic nerve pain but shingles popped up at exact same time. Could all my pain be from shingles?
Where is the rash (what nerve root distribution (s)?
What does the MRI look like (you can attach pictures of the study) And what does the EMG show? (needs to be done at least 2 weeks after symptom onset for denervation pattern to be obvious. Treat for shingles and if symptom persist see a specialist to sort this out (neurologist or maybe a PMR physician. Hope this is helpful. ...Read more
I have onset of shingles just behind my ear since 4 days ago on the bone area. May I still wash my hair with bandaide over shingle patch?
Wrong question: Water is GOOD for shingles!!! Bandaids are BAD for shingles. It does not sound like shingles, anyway. See a dermatologist. ...Read more
Shingles right side of neck & ear. Blisters scabbing over & pain gone. Onset severe right ear & neck pain with new blisters.
4 1 thing l would --: -rec is 4 U 2 C Ur PCP & get a Rx 4 Silvadine cream 2 use on the rash which will help it keep clean & infection free. Also ask him/ her 4 a pain med & follow any protocol Ur PCP uses. U R 2 young 4 the vaccine, but don't 4get 2 get it when U reach 50 I believe. Symptomatic Rx is the mainstream Rx but also Gabapentin or the like R used, as well as Cymbalta (duloxetine). Good luck & B careful with any meds presc ...Read more
11y/o shingles in ear. Day3of prednisone, ciprodex, Percocet, valtrex (valacyclovir). Takes pills on full stomach. Reg BMs. Sudden onset nausea/stomach pain. Normal? Ok?
Yes but rare: Depending on the severity of the shingles (zoster) and risk factors, your doctor may decide to investigate for underlying systemic conditions associated with an immunocomprised state. ...Read more