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Shingles

in Fort Madison, IA

Shingles is most common in people
over 50 and
those with a weakened immune system
Almost
1 in 3 adults
will get shingles in their lifetime
The same virus that causes
chickenpox
causes shingles
The shingles vaccine is over
90% effective
at preventing shingles

What causes shingles?

Shingles is a nerve infection that triggers a painful rash. It’s caused by varicella zoster virus (VZV), also known as the chickenpox virus. After someone has chickenpox—as most children did prior to the chickenpox vaccine—the virus lies dormant in certain nerves for decades. When the virus reactivates without warning, shingles can occur.

A shingles rash can appear anywhere, but typically appears on only one side of the face or body. The rash consists of small blisters that typically scab over in 7-10 days. Most shingles rashes clear up in a few weeks, but the pain can continue for months or even years.

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Who is at risk of getting shingles?

Anyone who has had chickenpox can develop shingles, although it is more common in:

  • People over 50, and the risk continues to increase with age
  • People with compromised immune systems, such as those with HIV/AIDS and certain cancers like leukemia or lymphoma
  • People who have recently had a bone marrow or organ transplant
  • People who take medications that suppress the immune system, such as steroids and chemotherapy

What are shingles symptoms?

Several days before the rash appears, you may experience pain, sensitivity, tingling, or itching in the area where it will develop.
Usually, the rash is a single stripe around the left or right side of your face or body. In rare cases, the rash may be more widespread and look similar to a chickenpox rash (especially in people with weakened immune systems). The rash begins as small, red spots and turns into blisters in a matter of days.

Other early symptoms of shingles include:

  • Feeling ill
  • Upset stomach
  • Fever
  • Chills
  • Headache

The symptoms of shingles may look like other medical conditions at first, so it’s important to contact a Forefront provider for prompt diagnosis.

Is shingles contagious?

Shingles cannot be passed on to anyone who has had chickenpox.

However, if you have a shingles rash, any direct contact with the fluid from your blisters can spread VZV to people who never had chickenpox or never received the vaccine. If they get infected, they will develop chickenpox, not shingles, but they could develop shingles later in life.

To prevent spreading VZV to others, rashes should always be covered while they heal. The shingles virus cannot be spread before blisters appear or after they crust over.

Most people only get shingles once, but it is possible to get it again.

How is shingles diagnosed?

A knowledgeable Forefront dermatologist will likely recognize shingles right away based on the unique appearance of the rash. They will also ask about your medical history, specifically if you’ve ever had chickenpox. If necessary, a tiny bit of fluid from a blister can be tested to check if it contains the virus.

What is involved in shingles treatment?

There is no cure for shingles, so treatment focuses primarily on pain relief. Your provider will likely prescribe one of three antiviral medications (acyclovir, famciclovir, or valacyclovir) for shingles pain. These medications can:

  • Decrease symptoms and the severity of the rash
  • Reduce the amount of time that the rash is present
  • Lower the risk of long-term nerve damage

Other treatments for shingles include:

  • Creams or lotions to relieve itching
  • Corticosteroids to reduce inflammation

Applying a cold compress or using calamine lotion on the affected skin area can also help as the virus runs its course.

Can there be shingles complications?

Long-term nerve pain is the most common complication of shingles, affecting 10-18% of people. The risk of long-term nerve pain after having shingles increases with age. For some, the pain can be so debilitating that it interferes with their daily life.

A bacterial infection of the skin where the rash happens is another potential complication. If the rash is near the eyes or eyelids, infection can lead to temporary or permanent blindness. Infection can also cause tissue death and scarring. A Forefront dermatologist will discuss how to avoid shingles complications that involve your skin.

Is it possible to prevent getting shingles?

Health experts recommend the shingles vaccine, Shingrix, for all adults 50 and older, even if they’ve had shingles before. Getting the vaccine has been proven 97% effective in preventing shingles in adults aged 50-69, and 91% effective in people over 70. Shingrix is given in two doses spaced 2-6 months apart.

Who can treat shingles?

If you think you have shingles, a Forefront dermatologist can diagnose your condition and begin treatment right away to minimize your pain. Find a Forefront location near you now.

1 Location in the Fort Madison, IA area

Interested in Shingles? Request a consultation with a skin specialist today.

*Treatment options may vary at each location.
Please confirm your desired treatment is offered at your preferred location when scheduling.
*Age Restriction.
For patients scheduling who are under 18 years of age (19 in Alabama and Nebraska) please make sure you have permission from your parent or legal guardian to schedule this appointment.  Your parent or legal guardian must accompany you on your initial visit and on certain subsequent visits to provide appropriate informed consent.