Shingles Disease
The medical term for the shingles disease is the varicella zoster virus.
This is the exact same virus that causes chickenpox. The way the virus
causes shingles is this: after a person has chickenpox, the virus may
lay dormant in his or her nerve tissues. Years later, if the person is
exposed to the live varicella zoster virus, he or she will very likely
develop shingles.
The rash that shingles causes is medically referred to as herpes zoster.
The rash usually develops in a stripe or band around areas of the
person's body. For example, the rash may develop around the person's
neck or around his or her lower back like a belt.
However, before the rash develops, the person will experience flu-like
symptoms such as nausea, headaches, and fevers for several days. The
person will then experience what is called shingles pain. He or she will
begin to feel discomfort on the area of the skin that will soon develop
the rash. The person's skin may itch and he or she may feel numbness,
tingling, or, sometimes, even burning. Right before the rash develops,
the person's skin will turn bright red. Some people experience shingles
pain and never develop the rash; however, this is extremely rare.
Shingles is very contagious and can be passed to people of all ages
regardless of whether or not they have already been infected with the
varicella zoster virus. Shingles is particularly contagious if the rash
begins to ooze. Until the rash scabs over, an infected person should
avoid contact with children, those who have weak immune systems
(particularly those infected with the HIV virus), and pregnant women.
Pregnant women, in particular, need to avoid exposure to the virus.
Varicella zoster can be passed to the unborn baby and may cause serious
birth defects.
It should be remembered that shingles is a disease the affects the nerve
tissues. Unfortunately, there are many serious complications that can
develop because of this virus.
If a person is still experiencing shingles pain even though the rash has
already healed, it may be a sign of a condition called postherpetic
neuralgia. This condition occurs when the nerve fibers have been damaged
to the extent that they begin sending confusing messages to the brain.
This condition can usually be controlled with common antidepressants.
Not surprisingly, the shingles rash can cause mild to severe skin
infections. If an infection occurs, it should respond to antibiotics.
In some rare cases, shingles can cause irreversible nerve problems. Some
people may develop sensory
impairment, encephalitis (inflammation of the brain), and even
paralysis. Shingles may also cause loss of vision if the rash develops
around a person's eyes (this is medically known as ophthalmic shingles).
A person with the shingles disease should seek medical help as soon as
possible. Doctors can prescribe several drugs that can help keep
symptoms under control and can lessen the possibility of complications.
Shingles patients are usually treated with antiviral drugs such as
famciclovir and acyclovir. However, in order for these drugs to be
effective, they must be taken within 72 hours of when the symptoms first
appear.
Doctors often prescribe narcotics to help relieve the pain. There are
also many over-the-counter sprays and gels that can relieve the itching
and burning of the rash. There are also some natural shingles treatments that can offer help for the pain and itching as well.
There is a shingles vaccine, called zostavax, which can prevent the
development of the disease. However, it is only recommended for adults
and may cause adverse effects such as skin irritation or respiratory
infections.


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