Shingles

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Shingles

If you've ever had chickenpox, then you can get shingles.
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The same virus that cause chickenpox remains inactive in certain nerves in the body after the chickenpox. This virus can suddenly become active again if for instance your immune system is weakened or you are taking some types of medications or you come down with some disease.

Let's try to see if you have shingles.


Models with shingles location

It is not easy to know if you have shingles before the actual outbreak of the rash.

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Shingles

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Starting signs

Are you experiencing or did you experience a tingling sensation on one side of the body?
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Yes?

 

 

What about an itchy feeling on one side of the body?
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Yes?

 

Any burning feeling on one side of the body?
Pharmacist

 

Yes?

 

OK. Are you feeling pain that can be severe at times on one side of the body?
Pharmacist

 

Yes?

 


Those were starting signs of shingles.
Pharmacist

The first sign of Shingles is usually a painful, burning or an itchy feeling on a single side of the body.

This sensation may last from two to three days.

It is usually present before any rash appears.

If this is all you are experiencing right now, look out for red patches on the skin followed by small blisters forming at any time (especially in the same area of the pain), tingling or burning sensation.

If you already have the rash, let's continue.

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Shingles

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Is it shingles?

Are you looking at red patches or rash on the skin?
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No?
If you are thinking shingles, you will have to see a healthcare professional.
Pharmacist

The discussions from here on would assume you have a skin rash or something similar.

 

Would you say the rash started after a burning or painful sensation?
Pharmacist

 

No?
You should see a doctor for further evaluation of the skin rash or red patches.
Pharmacist

Let's continue to see what else we are working with.

 

Did it start after a tingling or itchy sensation?
Pharmacist

 

Yes?
You may start setting your eyes on shingles.
Pharmacist

Symptoms of shingles include rash after:

  • Burning or painful sensation
  • Tingling or itchy sensation

 

Are the rash like blisters on red patches of the skin?
Pharmacist

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • More than likely looking at shingles
  • Treatment has to be started early within 72 hrs of blisters appearing.

Symptoms usually begin with pain along the affected areas on one side of the body, followed in 2 to 3 days by red patches of the skin which quickly develop blisters on them. This is usually diagnostic.

To reduce complications, treatment has to be started early with antiviral and possibly steroids within 24 hours of feeling pain or burning, and preferably before the blisters appear.

If it is more than 72 hours of the blister appearing, then this treatment is unlikely to be effective.

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What about blisters or rash from the spine to the front of the belly?
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Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • Possibly looking at shingles.

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Are you looking at blisters or rash from spine to the front of the chest?
Pharmacist

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • Possibly sign of shingles.

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Is the blisters or rash on one side of the face or forehead?
Pharmacist

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • Need to reduce severe complications if it is shingles.
  • Blisters or rash on the face requires urgent care. If you suspect anything like that, then you should seek urgent medical attention.

Would you like to see the nearest urgent care facility or Continue?

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Is the blisters or rash on one side of the mouth, eyes or ears?
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Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • Need to reduce severe complications

Would you like to see the nearest urgent care clinic or Continue?

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Alright
Let's see how else you feel and if this will tell you something.
Pharmacist

Or do you think you should seek urgent care from the discussions so far?

Urgent Care Continue

 

 

If it is shingles and the blisters are:

Around the eyes:
This can lead to painful eye infections, immediate or delayed vision impairment or blindness. If you have Shingles in these areas, you should see an ophthalmologist immediately.

Around the ears:
This can lead to hearing loss or a disease called Ramsay Hunt Syndrome, in which facial nerves become paralyzed. Ramsay Hunt syndrome can cause hearing and balance problems. Muscles on the affected side of the face becomes weakened. In this case the virus has infected the facial nerve near the inner ear. If you have painful blisters in or around your ear, I will consider this a medical emergency.

Chances of recovery are better if the treatment is started within 3 days of when the symptoms begin. 70% of patients will make a full recovery if started at this time. However, if after 3 days, this drops to about 50%.

So the more severe the damage, the longer it will take to recover and the lower the chance that you will get normal again.

 

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Shingles

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How do you feel?

Do you feel weakness on one side of the face in addition to a rash and pain?
Pharmacist

 

Seek urgent care or emergency room.
Pharmacist

Here is why:

  • Possible symptom of shingles.
  • There is a possibility of some nerves on your face getting affected.

You should suspect Shingles or at least see a doctor if any of these is applicable to you:

  • One-sided burning, pain, tingling or itching
  • Painful, blistering rash
  • Facial muscle getting weak

Take this seriously especially if you have difficulty moving some of the muscles in the face.

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What about fever, chills, headaches?

In addition to a painful rash on one side of the body?
Pharmacist

 

Seek urgent care or emergency room.
Pharmacist

Here is why:

  • Possibly looking at shingles.
  • This require urgent care.

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Are you looking at burning, reddish looking marks like someone bit or scratched you?
Pharmacist

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • May be looking at shingles rash.

You should suspect shingles or at least see a doctor if any of these is applicable to you:

  • One-sided burning, pain, tingling or itching
  • Painful, blistering rash
  • Facial muscle getting weak
  • Reddish looking bites with burning

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Are you thinking sunburn blisters and you have a headache?
Pharmacist

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • Could be shingles especially if a possible sunburn could be ruled out.

You should suspect shingles or at least see a doctor if any of these is applicable to you:

  • One-sided burning, pain, tingling or itching
  • Painful, blistering rash
  • Facial muscle getting weak
  • Reddish looking bites with burning
  • Thinking sunburn blisters with headache.

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Do you have blisters in the ear and is your hearing getting affected?
Pharmacist

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

  • Suspecting shingles.

You should suspect shingles or at least see a doctor if any of these is applicable to you:

  • One-sided burning, pain, tingling or itching
  • Painful, blistering rash
  • Facial muscle getting weak
  • Reddish looking bites with burning
  • Thinking sunburn blisters with headache.
  • Blisters in the ear
  • Hearing is getting affected

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Are you losing your sense of vision or taste?
Pharmacist

 

Seek urgent care or call your doctor.
Pharmacist

Here is why:

  • Need to reduce complications if it is shingles.

You should suspect shingles or at least see a doctor if most of these apply to you:

  • One-sided burning, pain, tingling or itching
  • Painful, blistering rash
  • Facial muscle getting weak
  • Reddish looking bites with burning
  • Thinking sunburn blisters with headache.
  • Blisters in the ear
  • Hearing is getting affected
  • Losing your sense of vision and/or taste.

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What about general ill-feeling with a painful rash?
Pharmacist

 

Seek urgent care or call your doctor.
Pharmacist

Here is why:

  • A sign and symptom of shingles.

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Are you over the age of 60 and experiencing a burning rash?
Pharmacist

 

Seek urgent care or call the doctor.
Pharmacist

Here is why:

You should suspect shingles or at least see a doctor if any of these is applicable to you:

  • One-sided burning, pain, tingling or itching
  • Painful, blistering rash
  • Facial muscle getting weak
  • Reddish looking bites with burning
  • Thinking sunburn blisters with headache.
  • Blisters in the ear
  • Hearing is getting affected
  • Losing your sense of vision and/or taste.
  • Over the age of 60

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Do you have abdominal pain in addition to a painful rash?
Pharmacist

 

Seek urgent care or call your doctor.
Pharmacist

Here is why:

  • Need to rule out shingles.

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What about swollen glands with a painful rash?
Pharmacist

 

Seek urgent care or call your doctor.
Pharmacist

Here is why:

  • Need to rule out shingles.

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Those were signs and symptoms of shingles.
Pharmacist

If you suspect shingles, see a doctor as soon as possible by going to the nearest urgent care clinic or emergency room. Don't try to ride it out.

Suspect shingles if any of these apply to you:

  • Current going through stress.

  • One-sided burning, pain, tingling or itching.

  • Painful, blistering rash.

  • Facial muscle getting weak.

  • Reddish looking bites with burning.

  • Thinking sunburn blisters and you have a headache.

  • Blisters in the ear.

  • Hearing is getting affected.

  • Losing your sense of vision and/or taste.

  • Over the age of 60

Would you like to see the nearest urgent care facility to you?

Nothing over the counter will take care of this.

Nearest Urgent Care