How does stress impact shingles outbreaks. What are effective stress management techniques for shingles patients. Can emotional stress trigger shingles reactivation. How to strengthen your immune system against shingles.

The Relationship Between Stress and Shingles

While stress doesn’t directly cause shingles, it plays a significant role in weakening the immune system, which can increase the risk of developing this painful condition. Shingles, also known as herpes zoster, is caused by the reactivation of the varicella-zoster virus, the same virus responsible for chickenpox. Understanding the intricate relationship between stress and shingles is crucial for both prevention and management of the condition.

Approximately 1 million people in the United States experience a shingles outbreak every year, according to the U.S. Centers for Disease Control and Prevention. This staggering number emphasizes the importance of addressing potential triggers, such as stress, to reduce the risk of outbreaks.

How Stress Affects the Immune System

Emotional stress has been shown to weaken the body’s immune system, creating an opportunity for the dormant varicella-zoster virus to reactivate. This is particularly true for individuals who:

• Have experienced a sudden shock, such as the death of a loved one
• Face chronic work or life stress
• Are older or have compromised immune systems
• Have immune deficiencies or chronic diseases

When the immune system is compromised due to stress, it provides the shingles virus with a window of opportunity to become active, leading to the characteristic painful rash and other symptoms associated with the condition.

The Impact of Stress on Shingles Symptoms

Stress not only increases the risk of shingles outbreaks but can also exacerbate the symptoms and prolong recovery time. Here’s how stress can affect shingles patients:

Heightened Pain Perception

Research has shown that stress can alter a person’s perception of pain. Individuals under stress are more likely to experience the physical symptoms of shingles more intensely. The itching, burning, and aching normally associated with shingles can become even more intolerable when a person is experiencing high levels of stress.

Prolonged Discomfort and Complications

Continued stress can hinder the recovery process for shingles patients. It can keep the immune system weak, preventing more rapid healing. Studies have indicated that stress may lead to lingering complications from shingles, such as postherpetic neuralgia, a condition where shingles pain persists long after the rash has cleared.

Effective Stress Management Techniques for Shingles Patients

Managing stress is crucial for shingles patients to aid in the healing process and limit the possibility of complications. Here are some effective stress management techniques:

1. Express your feelings: Talk to friends, loved ones, or a psychotherapist about your stress and emotions.
2. Identify stress triggers: Recognize what causes stress in your life and develop strategies to avoid or minimize their impact.
3. Adopt a healthy lifestyle: Prioritize getting enough sleep, following a nutritious diet, and exercising regularly.
4. Practice relaxation techniques: Find a meditation or relaxation method that works for you and use it when feeling overwhelmed.
5. Maintain a positive outlook: Focus on the positives in your life to counterbalance negative stressors.
6. Limit caffeine and alcohol intake: Excessive consumption can contribute to increased stress levels.

Strengthening Your Immune System Against Shingles

A robust immune system is your best defense against shingles outbreaks. Here are some strategies to boost your immunity:

• Eat a balanced diet rich in fruits, vegetables, and lean proteins
• Stay hydrated by drinking plenty of water throughout the day
• Get regular exercise to improve overall health and reduce stress
• Ensure adequate sleep to allow your body to repair and rejuvenate
• Consider supplements like vitamin C, vitamin D, and zinc (consult with your healthcare provider first)
• Practice good hygiene to reduce the risk of infections

Recognizing Early Signs of Shingles

Early detection of shingles can lead to more effective treatment and potentially reduce the severity of symptoms. Common early signs include:

• Tingling or burning sensation in a specific area of skin
• Sensitivity to touch in the affected area
• Mild to moderate pain that may feel like an insect bite
• Redness or a rash developing in a band-like pattern
• Flu-like symptoms such as fever, headache, and fatigue

If you experience any of these symptoms, especially if you’ve had chickenpox in the past, consult your healthcare provider promptly for evaluation and potential treatment.

Treatment Options for Shingles

While there is no cure for shingles, various treatment options can help manage symptoms and reduce the duration of the outbreak. These include:

Antiviral Medications

Prescription antiviral drugs such as acyclovir, valacyclovir, or famciclovir can help shorten the course of the infection and reduce the severity of symptoms. These medications are most effective when started within 72 hours of the rash appearing.

Pain Management

Over-the-counter pain relievers like acetaminophen or ibuprofen can help alleviate discomfort. For more severe pain, your doctor may prescribe stronger pain medications or topical treatments.

Topical Treatments

Calamine lotion, cool compresses, or oatmeal baths can help soothe the skin and reduce itching associated with the shingles rash.

Stress Reduction Techniques

Incorporating stress management techniques, as mentioned earlier, can help support your body’s healing process and potentially reduce the severity of symptoms.

Preventing Shingles: Vaccination and Lifestyle Choices

While managing stress is crucial for those with shingles, prevention is equally important. Here are some strategies to reduce your risk of developing shingles:

Vaccination

The CDC recommends the shingles vaccine for adults 50 years and older. Two vaccines are available:

• Shingrix: A two-dose vaccine that is more than 90% effective in preventing shingles
• Zostavax: An older, single-dose vaccine that is less effective but still beneficial for those who cannot receive Shingrix

Healthy Lifestyle Choices

Adopting a healthy lifestyle can help strengthen your immune system and reduce the risk of shingles outbreaks:

• Maintain a balanced diet rich in fruits, vegetables, and whole grains
• Exercise regularly to boost overall health and reduce stress
• Get adequate sleep to support immune function
• Manage chronic health conditions effectively
• Avoid excessive alcohol consumption and quit smoking

Long-Term Effects of Shingles: Understanding Postherpetic Neuralgia

For some individuals, the pain associated with shingles can persist long after the rash has healed. This condition, known as postherpetic neuralgia (PHN), can significantly impact quality of life. Understanding PHN and its management is crucial for those who have experienced shingles.

What is Postherpetic Neuralgia?

Postherpetic neuralgia is a complication of shingles characterized by persistent pain in the area where the shingles rash occurred. This pain can last for months or even years after the initial outbreak has resolved.

Risk Factors for PHN

Several factors can increase the risk of developing postherpetic neuralgia:

• Age: Older adults are more likely to develop PHN
• Severity of the initial shingles outbreak
• Delayed treatment of the shingles rash
• Chronic health conditions that weaken the immune system
• High levels of stress during and after the shingles outbreak

Managing Postherpetic Neuralgia

Treatment for PHN focuses on pain management and may include:

• Topical treatments such as lidocaine patches or capsaicin cream
• Oral medications like gabapentin or pregabalin
• Antidepressants to help with nerve pain
• Opioid pain relievers in severe cases
• Alternative therapies such as acupuncture or transcutaneous electrical nerve stimulation (TENS)

Managing stress and maintaining a healthy lifestyle can also help alleviate symptoms of PHN and improve overall quality of life.

The Role of Diet in Managing Shingles and Stress

A balanced diet plays a crucial role in supporting immune function and managing stress levels, both of which are important factors in preventing and managing shingles outbreaks. Here are some dietary recommendations for individuals concerned about shingles:

Immune-Boosting Foods

Incorporate these nutrient-rich foods into your diet to support immune function:

• Citrus fruits high in vitamin C
• Leafy greens rich in antioxidants
• Fatty fish containing omega-3 fatty acids
• Garlic and onions with natural antiviral properties
• Yogurt and other probiotic-rich foods

Stress-Reducing Foods

Certain foods can help regulate stress hormones and promote relaxation:

• Dark chocolate (in moderation)
• Nuts and seeds rich in magnesium
• Herbal teas like chamomile or lavender
• Complex carbohydrates such as whole grains
• Foods high in B vitamins, like avocados and bananas

Foods to Avoid

Some foods may exacerbate stress or weaken the immune system:

• Processed foods high in sugar and unhealthy fats
• Excessive caffeine and alcohol
• Foods high in arginine, which may stimulate viral replication (e.g., chocolate, nuts, and seeds in large quantities)

Remember, a balanced diet is just one aspect of managing shingles and stress. Combining a healthy diet with other stress management techniques and appropriate medical care can significantly improve outcomes for shingles patients.

Coping with the Emotional Impact of Shingles

Dealing with shingles can be emotionally challenging, especially when combined with the stress that may have contributed to its onset. Addressing the emotional aspects of the condition is crucial for overall well-being and recovery.

Common Emotional Challenges

Shingles patients may experience various emotional reactions:

• Anxiety about the duration and severity of symptoms
• Depression due to chronic pain and physical limitations
• Frustration with the slow healing process
• Social isolation to avoid spreading the virus
• Concern about potential long-term complications

Strategies for Emotional Well-being

To cope with the emotional impact of shingles, consider the following approaches:

1. Seek support from friends, family, or support groups
2. Practice mindfulness or meditation to manage anxiety
3. Engage in gentle physical activities as allowed by your doctor
4. Keep a journal to express your thoughts and feelings
5. Consider professional counseling if emotional distress persists

Remember that addressing your emotional well-being is an integral part of the healing process and can positively impact your physical recovery from shingles.

The Future of Shingles Research and Treatment

As our understanding of shingles and its relationship to stress continues to evolve, researchers are exploring new avenues for prevention, treatment, and management of the condition. Here are some areas of ongoing research and potential future developments:

Advanced Vaccine Development

Scientists are working on improving existing vaccines and developing new ones to provide longer-lasting and more comprehensive protection against shingles. Future vaccines may offer broader coverage across different age groups and immune system profiles.

Novel Antiviral Therapies

Research is underway to develop more effective antiviral medications that can better target the varicella-zoster virus and potentially prevent its reactivation. These new treatments may offer faster relief and reduced risk of complications.

Stress Reduction Techniques

As the link between stress and shingles becomes clearer, researchers are investigating more targeted stress reduction techniques specifically designed for individuals at risk of shingles or experiencing an outbreak. These may include specialized mindfulness programs or stress management apps tailored to shingles patients.

Personalized Treatment Approaches

Advancements in genetic research and personalized medicine may lead to more individualized treatment plans for shingles patients. This could involve tailoring medications and therapies based on a person’s genetic makeup, immune system function, and stress response patterns.

Alternative and Complementary Therapies

Ongoing studies are exploring the potential benefits of alternative therapies such as acupuncture, herbal medicines, and energy healing techniques in managing shingles symptoms and reducing stress-related triggers.

As research progresses, it’s likely that we’ll see more integrated approaches to shingles prevention and treatment, combining traditional medical interventions with stress management techniques and lifestyle modifications. Staying informed about these developments can help individuals better manage their risk of shingles and improve outcomes if an outbreak occurs.

Stress Management Tips for Shingles Patients – Shingles Center

Stress doesn’t technically cause shingles, but it can cause your immune system to weaken — and a weakened immune system can put you at risk for shingles.

A viral illness, shingles is caused by varicella zoster virus, the same virus that causes chickenpox. The virus lives in your body and reactivates more readily when your immune system is suppressed. According to the U.S. Centers for Disease Control and Prevention, approximately 1 million people in the United States experience a shingles outbreak every year.

If you get shingles, stress also can exacerbate your misery, by making the itching, burning, painful rash seem worse and lengthening your recovery time.

Shingles and Emotional Stress

Emotional stress is considered a trigger for shingles because it has been shown to weaken the body’s immune system. This can happen in those who have undergone a sudden shock, such as the death of a loved one, or people who face chronic work or life stress. An immune system weakened by stress provides the shingles virus with a window of opportunity. This is particularly true of people who already have challenged immune systems, either because they are older or because they have an immune deficiency or a chronic disease.

Stress also has been shown to alter a person’s perception of pain. People who are under stress are likely to feel the physical symptoms of a disease more acutely. The itching, burning, and aching normally associated with shingles becomes even more intolerable when a person is under stress

RELATED: The United States of Stress

Finally, continued stress can prolong the discomfort a shingles patient experiences. It can keep the immune system weak, preventing more rapid recovery. Studies have shown that stress also can lead to lingering complications from shingles. Some researchers have found that people under stress are more likely to experience prolonged pain as a result of postherpetic neuralgia, a complication in which shingles pain persists long after the rash has cleared.

Stress Management Tips to Outsmart Shingles

If you have shingles, try to avoid stress to aid the healing process and limit the possibility of complications. Practice these stress management tips as needed to get stress under control:

• Talk out your feelings Expressing your feelings of stress to friends, loved ones, or a psychotherapist can help you tremendously.
• Identify your stress triggers. Figure out what triggers stress in you, and try to avoid those situations or lessen their impact by dealing with them before they can affect you negatively.
• Adopt a healthy lifestyle. Getting enough sleep, following a nutritious diet, and exercising regularly can go a long way toward managing stress. Avoid too much caffeine and alcohol.
• Calm down. Find a meditation or relaxation technique that works for you, and use it when you start feeling overwhelmed by stress.
• Find the right balance. Remind yourself of all the positives in your life when the negatives have you feeling stressed.

Practicing good stress management is smart self-care for everyone, but can be especially beneficial for people at risk of developing shingles or who already have the illness.

What are Shingles and is stress the real cause? Here’s all you need to know

Shingles, also known as herpes zoster, is the viral infection that causes a rash with blisters on your torso, face or neck and it appears to be an insect bite initially, but it is most certainly not. People often confuse it for a spider or an insect bite initially and only realize later that is could be something severe like a common viral infection.

Shingles can happen to anyone at any given time, usually, it affects older people who have a weaker immune system. Hence, stress is often linked to shingles as stress leads to a lower immune system and several chronic diseases. However, you’re at risk for developing shingles if you have had chickenpox at a young age because the varicella-zoster virus, which causes chickenpox, is also responsible for shingles. The virus stays intact within your body and sometimes it can reactivate at a later stage in life.

The reason for this is unclear, but according to researchers in a study by the Infectious Diseases Society of America, stress could be one of the factors for shingles to reactivate in your body. 

The link between shingles and stress

Emotional stress is considered to be a trigger for causing shingles to reactivate as stress leads to a weaker immune system. People undergoing high levels of trauma, a sudden loss or chronic work life that leads to situations of dealing with stress and anxiety will weaken the immune system, giving shingles and opportunity to get stimulate the virus inside your body. Having a poor diet, loss of nutrients in your body, mood disorders, high levels of stress, anxiety and low feeling all affect your mental health and immune system. 

People undergoing stress will have bigger problems to deal with as the virus can aggravate more and the pain will be more. The itching, redness and burning will last longer for people with lower immunity.

A weak immune system prevents a patient from speedy recovery and it keeps them at discomfort for a longer period of time. Some researchers have also found that stress can give prolonged pain leading to postherpetic neuralgia, a complication in which shingles pain persists even after the rash has cleared.

How to avoid stress and remain healthy?

As we all know that stress is the root cause of every disease and to prevent from developing any chronic diseases, it is always better to avoid stress and keep a calm mind in every situation.

1. Try meditation. 

2. Do Yoga at home.

3. Turn off your phone before sleeping and inculcate reading as a habit.

4. Spend time in nature.

5. Get some sunlight every day.

6. Try stretching exercises.

7. Do one activity every day that makes you happy – it could be cooking, reading, spending time with family or watching your favourite TV show to unwind.

8. Listen to music.

Also Read:  Boost your immune system with THESE 5 healthy juice recipes shared by Nutritionist Arooshi Aggarwal

Symptoms, Causes, Contagiousness, Vaccine, Diagnosis, and Treatment

What Is Shingles?

You can think of shingles as a one-two punch of infections. Anyone who gets it had a case of chickenpox first, often decades earlier.

These two conditions come from the same virus, called varicella zoster.

Chickenpox causes itchy blisters that might start on your back, chest, and face and spread to the rest of your body. Shingles is a rash with shooting pain. It usually shows up on one side of your body.

The rash turns into red, fluid-filled blisters. They usually dry out and crust over within 7 to 10 days.

Shingles Symptoms

The early signs of shingles include:

Call your doctor quickly if you have any of these signs. There’s no cure for shingles. But treatment can lessen the chance of complications, including pain that lasts after the rash is gone, called postherpetic neuralgia.

Shingles Causes

When the varicella zoster virus gets into your body, the first problem it causes is chickenpox. You may think of it as a childhood disease, but adults can get it, too.

After chickenpox runs its course, the virus moves into the nerve tissues near your spinal cord and brain, where it stays.

We don’t know why, but sometimes the virus “wakes up” and travels along nerve fibers to your skin. That’s when it lands its second punch: shingles, also called herpes zoster.

Shingles Risk Factors

A weakened immune system might wake up the virus. After you’ve had chickenpox, you’re more likely to get shingles if you:

• Are 50 or older
• Are under a lot of stress
• Have cancer, HIV, or another disease that lowers your body’s defenses
• Have had a serious physical injury
• Take long-term steroids or other medicines that can weaken your immune system

But many people who get shingles don’t fit into any of these categories.

Shingles Complications

Shingles can have complications that last long after the rash is gone, including:

• Brain inflammation or facial paralysis if it affects certain nerves
• Eye problems and vision loss if your rash was in or around your eye
• Pain that lasts long after the outbreak, called postherpetic neuralgia. It affects up to 1 in 5 people who get shingles.

Is Shingles Contagious?

Yes. You can spread the varicella zoster virus to people who’ve never had chickenpox and haven’t been vaccinated.

You’re contagious until all of the sores have crusted over. Until then, avoid pregnant women who may not have had chickenpox or the vaccine, people with weak immune systems, and newborns.

Shingles Vaccine

The FDA has approved two shingles vaccines, Shingrix and Zostavax. Shingrix is newer and is preferred over Zostavax because it’s considered more than 90% effective. The CDC recommends that people 50 and older get it, even if you’ve had shingles before. You should also get it even if you already had the Zostavax vaccine.

Shingles Diagnosis

Your doctor can diagnose shingles by asking about your medical history and your symptoms and by doing a physical exam. They can also test small amounts of material from your blisters.

Shingles Treatment

Antiviral drugs can help you heal faster and cut your risk of complications. They’re most effective if you take them within 3 days of the start of a rash, so see your doctor as soon as possible. You’ll probably get one of these three medications to fight the virus:

Treatments for shingles pain can include:

What can stress do to our skin and hair?

Part 1

We all know that stress is responsible for many things including changes in appetite, sleep, and mood. But did you know that stress can have many effects on the skin and hair as well?

One of the most common triggers for a skin condition called Herpes Zoster is stress!

What is Herpes Zoster? 

Herpes zoster, more commonly known as “shingles,” is a localized, blistering and painful rash caused by reactivation of varicella-zoster virus (VZV), the same virus that causes chickenpox.

Who gets it and what causes it?

Anyone that has previously had chickenpox may subsequently develop shingles. Shingles can occur in childhood but is much more common in adults, especially older people and those under increased amounts of stress. After primary infection—varicella—VZV remains dormant in dorsal root ganglia nerve cells in the spine for years before it is reactivated and migrates down sensory nerves to the skin to cause shingles. It is not clear why shingles affects a particular nerve fiber. 

How do I know if I have it?

The first sign of shingles is usually pain, which may be severe. The pain is often described as a needle stabbing, a deep ache, or similar to how a pulled muscle can feel. The pain may be just in one spot, or it may spread out. It can make you feel unwell, with symptoms such as fever and headache. Within 1-3  days of the onset of pain, a blistering rash appears in the painful area of skin. It starts as a crop of red papules. New lesions continue to erupt for several days within the distribution of the affected nerve, each blistering or becoming pustular then crusting over.

How is shingles treated?

Early treatment is key! Antiviral treatment can reduce pain and the duration of symptoms if started within 1-3 days after the onset of shingles. Some examples of antivirals include valacyclovir, acyclovir, and famciclovir. Management of acute shingles may include: (1) rest and pain relief (2) protective ointment applied to the rash (petroleum jelly) (3) oral antibiotics for secondary infection (4) prednisone for severe cases.

If you are suffering from shingles, or have any other skin-related concerns, please reach out to your dermatology provider.

NW Dermatology Institute is now offering telemedicine appointments. If you are interested in speaking with a member of our staff, call 503–223–1933 or schedule an online appointment at https://pdxderm. com/book-appointment/.

Shingles | National Institute on Aging

Ruth’s shingles caused so much pain she couldn’t bear to put on her clothes or have the sheets touch her skin. Her shingles symptoms lasted for several months.

Sarah had it easier. Shingles only made her feel sick for a few days. She felt a little itchy for a while, but she was back to her old self in a few weeks.

What is shingles?

Read and share this infographic to learn more about shingles.

Shingles is a disease that affects your nerves. It can cause burning, shooting pain, tingling, and/or itching, as well as a rash and blisters.

You may recall having chickenpox as a child. Shingles is caused by the same virus, the varicella-zoster virus (VZV). After you recover from chickenpox, the virus continues to live in some of your nerve cells. It is usually inactive, so you don’t even know it’s there.

In fact, most adults live with VZV in their bodies and never get shingles. But, for about one in three adults, the virus will become active again. Instead of causing another case of chickenpox, it produces shingles. We do not totally understand what makes the virus go from inactive to active.

Having shingles doesn’t mean you have any other underlying disease.

How do you get shingles?

Everyone who has had chickenpox has VZV in their body and is at risk for getting shingles. Right now, there is no way of knowing who will get the disease. But, some things make it more likely:

• Advanced age. The risk of getting shingles increases as you age. People may have a harder time fighting off infections as they get older. About half of all shingles cases are in adults age 60 or older. The chance of getting shingles becomes much greater by age 70.
• Trouble fighting infections. Your immune system is the part of your body that responds to infections. Age can affect your immune system. So can an HIV infection, cancer, cancer treatments, too much sun, or organ transplant drugs. Even stress or a cold can weaken your immune system for a short time. These all can put you at risk for shingles.

Can you catch shingles?

Shingles is not contagious. You can’t catch it from someone. But, you can catch chickenpox from someone with shingles. So, if you’ve never had chickenpox, try to stay away from anyone who has shingles.

If you have shingles, try to stay away from anyone who has not had chickenpox or who might have a weak immune system.

What are the symptoms of shingles?

Usually, shingles develops only on one side of the body or face and in a small area rather than all over. The most common place for shingles is a band that goes around one side of your waistline.

Most people have some of the following shingles symptoms:

• Burning, tingling, or numbness of the skin
• Feeling sick—chills, fever, upset stomach, or headache
• Fluid-filled blisters
• Skin that is sensitive to touch
• Mild itching to strong pain

Depending on where shingles develops, it could also cause symptoms like hiccups or even loss of vision.

For some people, the symptoms of shingles are mild. They might just have some itching. For others, shingles can cause intense pain that can be felt from the gentlest touch or breeze.

How long does shingles last?

Most cases of shingles last three to five weeks. Shingles follows a pattern:

• The first sign is often burning or tingling pain; sometimes, it includes numbness or itching on one side of the body.
• Somewhere between one and five days after the tingling or burning feeling on the skin, a red rash will appear.
• A few days later, the rash will turn into fluid-filled blisters.
• About a week to 10 days after that, the blisters dry up and crust over.
• A couple of weeks later, the scabs clear up.

Most people get shingles only one time. But, it is possible to have it more than once.

Long-term pain and other lasting problems

After the shingles rash goes away, some people may be left with ongoing pain called post-herpetic neuralgia or PHN. The pain is felt in the area where the rash had been. For some people, PHN is the longest lasting and worst part of shingles. The older you are when you get shingles, the greater your chance of developing PHN.

The PHN pain can cause depression, anxiety, sleeplessness, and weight loss. Some people with PHN find it hard to go about their daily activities, like dressing, cooking, and eating. Talk with your doctor if you have any of these problems.

There are medicines that may help with PHN. Steroids may lessen the pain and shorten the time you’re sick. Analgesics, antidepressants, and anticonvulsants may also reduce the pain. Usually, PHN will get better over time.

Some people have other problems that last after shingles has cleared up. For example, the blisters caused by shingles can become infected. They may also leave a scar. It is important to keep the area clean and try not to scratch the blisters. Your doctor can prescribe an antibiotic treatment if needed.

See your doctor right away if you notice blisters on your face—this is an urgent problem. Blisters near or in the eye can cause lasting eye damage or blindness. Hearing loss, a brief paralysis of the face, or, very rarely, swelling of the brain (encephalitis) can also occur.

Have a rash? Go to the doctor

If you think you might have shingles, talk to your doctor as soon as possible. It’s important to see your doctor no later than three days after the rash starts. The doctor will confirm whether or not you have shingles and can make a treatment plan. If you have a condition that weakens the immune system, the doctor may give you a shingles test. The shingles test can also help doctors diagnose shingles in people who don’t have a rash. Although there is no cure for shingles, early treatment with drugs that fight the virus can help the blisters dry up faster and limit severe pain. Shingles can often be treated at home. People with shingles rarely need to stay in a hospital.

Should you get the shingles vaccine?

The shingles vaccine is safe and easy, and it may keep you from getting shingles and PHN. Healthy adults age 50 and older should get vaccinated with a shingles vaccine called Shingrix, which is given in two doses. Zostavax, a previous shingles vaccine, is no longer available in the United States.

You should try to get the second dose of Shingrix between two and six months after you get the first dose. If your doctor or pharmacist is out of Shingrix, you can use the Vaccine Finder to help find other providers who have Shingrix. You can also contact pharmacies in your area and ask to be put on a waiting list for Shingrix. If it’s been more than six months since you got the first dose, you should get the second dose as soon as possible. You don’t need to get a first dose again.

You should get Shingrix even if you have already had shingles, received Zostavax, or don’t remember having had chickenpox. However, you should not get a vaccine if you have a fever or illness, have a weakened immune system, or have had an allergic reaction to Shingrix. Check with your doctor if you are not sure what to do.

You can get the shingles vaccine at your doctor’s office and at some pharmacies. All Medicare Part D plans and most private health insurance plans will cover the cost.

COVID-19 is a serious respiratory illness that can cause difficulty in breathing, fever, chills, loss of taste or smell, and many other symptoms. The COVID-19 vaccine can protect you from getting sick and help prevent it from spreading to others. You can get a COVID-19 vaccine and other vaccines, such as a shingles or flu vaccine, at the same visit. You no longer need to wait 14 days between vaccinations. To learn more, check out CDC guidelines for vaccines.

What can you do about shingles?

If you have shingles, here are some tips that might help you feel better:

• Get plenty of rest and eat well-balanced meals.
• Try simple exercises like stretching or walking. Check with your doctor before starting a new exercise routine.
• Apply a cool washcloth to your blisters to ease the pain and help dry the blisters.
• Do things that take your mind off your pain. For example, watch TV, read, talk with friends, listen to relaxing music, or work on a hobby you like.
• Avoid stress. It can make the pain worse.
• Wear loose-fitting, natural-fiber clothing.
• Take an oatmeal bath or use calamine lotion to see if it soothes your skin.
• Share your feelings about your pain with family and friends. Ask for their understanding.

Also, you can limit spreading the virus by:

• Keeping the rash covered
• Not touching or scratching the rash
• Washing your hands often

Read about this topic in Spanish. Lea sobre este tema en español.

For More Information About Shingles

This content is provided by the NIH National Institute on Aging (NIA). NIA scientists and other experts review this content to ensure it is accurate and up to date.

Content reviewed:
February 01, 2021

An Examination of Psychological Antecedents

Innov Clin Neurosci. 2014 May-Jun; 11(5-6): 31–34.

Published online May-Jun 2014.

R. Sansone is a professor in the Departments of Psychiatry and Internal Medicine at Wright State University School of Medicine in Dayton, OH, and Director of Psychiatry Education at Kettering Medical Center in Kettering, OH. L. Sansone is a civilian family medicine physician and Medical Director of the Family Health Clinic at Wright-Patterson Air Force Base Medical Center in WPAFB, OH. The views and opinions expressed in this article are those of the authors and do not reflect the official policy or position of the United States Air Force, Department of Defense, or United States Government

Corresponding author.ADDRESS CORRESPONDENCE TO: Randy A. Sansone, MD, Sycamore Primary Care Center, 2115 Leiter Road, Miamisburg, OH 45342; Phone: (937) 384 6850; Fax: (937) 384 6938; Email: [email protected] article has been cited by other articles in PMC.

Abstract

Herpes zoster and an associated complication, postherpetic neuralgia, are both attributable to the varicella zoster virus. This virus, which lies dormant within the affected sensory ganglia after an initial infection, appears to be triggered in part by a decrease in immunity. According to available research, stress, stressful life events, and depressive symptoms are identified antecedents to outbreaks of herpes zoster. Likewise, the development of postherpetic neuralgia has been associated with the psychological antecedents of somatization, nonspecific personality psychopathology, hypochondriasis, and somatic symptoms. Also studied, the role of mood and anxiety symptoms as antecedents for postherpetic neuralgia remains controversial. In conjunction with other factors (e.g., age, nutritional status, comorbid medical diseases), stress and psychological symptoms may contribute to a lowering of immunity and thereby function as antecedents as well as consequents of both herpes zoster and postherpetic neuralgia. Few studies have examined explicit psychiatric diagnoses and their association with varicella zoster virus reactivation.

Keywords: Antecedents, herpes zoster, postherpetic neuralgia, psychiatric symptoms, psychological symptoms, shingles

This ongoing column is dedicated to the challenging clinical interface between psychiatry and primary care—two fields that are inexorably linked.

INTRODUCTION

Herpes zoster (HZ), or shingles, is a painful outbreak of skin lesions along a dermatome. This outbreak is caused by the reactivation of varicella zoster virus. Specifically, following an initial infection with varicella, the virus persists in a latent form within the sensory ganglia of the affected dermatome. Then, for various reasons, the virus undergoes activation, which results in an outbreak of HZ. According to Johnson et al,¹ approximately one in four adults will contract HZ in their lifetimes, and there is a substantially increased prevalence after the age of 50 years. Likewise, Schmader² estimates that approximately 800,000 individuals in the United States will annually develop HZ, most often in the elderly or the immune-suppressed. Pain is the most predominant symptom in HZ.

In the aftermath of an outbreak of HZ, approximately 20 percent of individuals will develop postherpetic neuralgia (PHN).¹ PHN is characterized by persistent and unrelenting pain in the same dermatomal region as the original HZ outbreak.¹ The pain associated with PHN may persist for months to years, resulting in significant morbidity. In this edition of The Interface, we discuss the potential psychological factors that precede and may contribute to the development of HZ and PHN—relationships that are of relevance to both psychiatrists and primary care clinicians.

PSYCHOLOGICAL ANTECEDENTS IN HZ

According to a review article by Livengood,³ “the role of psychosocial stress in the development of HZ has been well documented.” In support of this statement, we will review the relationships between stress, stressful life events, and psychological symptoms, and the precipitation of HZ outbreaks.

Stress/stressful life events. In a 1990 study from the United States, Schmader et al⁴ compared stressful life events and the status of spousal relationships between 101 individuals with HZ and 101 healthy controls. In this study, participants with HZ were significantly more likely than controls to report negative life events approximately two months before the onset of symptoms. However, there were no between-group differences with regard to changes in spousal relationships or any single life event.

In a 1998 study, Schmader et al⁵ prospectively examined 2,568 individuals in a sample of North Carolina community dwellers over an eight-year period. The baseline age of participants was 73.6 years. Researchers examined perceived negative life events by participants and the subsequent appearance of HZ. In multivariate analyses, negative life events were weakly associated with the subsequent risk of developing HZ. In this study, researchers also examined social support variables, such as the presence or not of a confidant or spouse, but these were not associated with HZ risk.

In a 2004 controlled study from the United States, Mehta et al⁶ examined saliva samples from eight astronauts for varicella zoster virus deoxyribonucleic acid (DNA). Samples were collected before, during, and after space flight. Prior to space flight, only one astronaut had detectable salivary levels of virus DNA, whereas after space flight, saliva samples from all eight astronauts were positive for varicella zoster virus DNA. None of the 10 controls in this study demonstrated active virus in their salivary samples. Researchers concluded that the varicella virus may subclinically reactivate in healthy individuals during exposure to stress.

Finally, in a study from France, Lasserre et al⁷ examined 250 individuals with HZ for recent negative life events. In this study, a recent negative life event demonstrated a statistically significant relationship with an outbreak of HZ (odds ratio: 3.40, 95% confidence interval: 1.67-6.93).

On a cautionary note, one study reported a somewhat minimal relationship between stress and outbreaks of HZ. In this 1998 study from the United States, Schmader et al⁸ examined 167 individuals who were 65 years of age or older. While researchers reported an increase in the number of negative life events among participants with HZ, these relationships were not statistically significant. However, the authors commented that the statistical findings leaned in the direction of a positive association between antecedent stress and HZ.

Psychological symptoms. In addition to stress, two studies have examined relationships between antecedent psychological symptoms and HZ. However, a larger number of studies have focused on psychological symptoms in the aftermath of HZ, most with regard to anxiety and depressive symptoms.

As for antecedent psychological symptoms, in a 1997 retrospective study from Singapore, Goh and Khoo⁹ examined the records of 164 patients with HZ. Approximately 20 percent of these patients reported at the time of presentation to their clinician the symptoms of depression and feeling helpless. In a 2012 case-controlled French study, Lasserre et al⁷ reported among 250 patients a relationship between recent depression and the onset of HZ.

The remaining studies in this area have examined the presence of various psychological symptoms during or after the development of HZ. For example, in a 1992 study from the United States, Dworkin et al¹⁰ examined 19 individuals with HZ and found that anxiety, depression, and less life satisfaction were associated with higher levels of pain following the outbreak. In a 2007 Italian study of 533 patients with acute HZ, Volpi et al¹¹ reported relationships between greater pain severity during the outbreak and anxiety/depressive symptoms. Finally, in a 2010 Canadian study, Drolet et al¹² examined 261 outpatients with HZ and noted that anxiety and depression were common in the aftermath of HZ onset.

Collectively, these preceding findings suggest that depressive symptoms may be antecedents to HZ outbreaks, whereas both anxiety and depression may follow HZ outbreaks and intensify pain symptoms. It is important to note that the majority of assessments for anxiety and depression in these studies were undertaken with self-report questionnaires, rather than clinical or interview-based diagnosis. Therefore, we can only state that anxiety and/or depressive symptoms were present. We cannot conclude from the present data that bona fide psychiatric disorders were in tow.

PSYCHOLOGICAL ANTECEDENTS IN PHN

As noted previously, only a minority of patients with HZ subsequently develop PHN. Regardless, several studies have examined various types of psychological antecedents to PHN. For example, in a controlled study from the United States from the year 2000, Clark et al¹³ examined 35 patients with PHN, using a structured diagnostic interview. In comparison with controls, the PHN cohort had significantly higher rates of major depression and somatization disorder prior to the development of the neuralgia.

In a 2005 study from the United States, Katz et al¹⁴ prospectively examined 110 patients with HZ. In this cohort, 20 (18%) participants subsequently developed PHN. According to the self-report assessments used in this study, statistically significant risk factors for the development of PHN were nonspecific personality disorder symptoms, hypochondriasis, and somatic symptoms. In this study, no individual personality disorders were reported, but rather a summed score of personality pathology. Also, there were no relationships between anxiety or depressive symptoms and PHN. This study also included assessment of participants with a semistructured interview for mood disorders. These assessments with interviews did not yield any associations between major depression or dysthymia and the development of PHN.

In a 2008 prospective study from Italy, Volpi et al¹⁵ followed during a six month period 219 patients with HZ. According to self-report measures at patient presentation and six months later, participants who subsequently developed PHN (32%) were found to have higher mean scores of anxiety and depression on self-report measures as well as reduced quality-of-life.

In keeping with the findings of Katz et al,¹⁴ another study also did not find that anxiety was an antecedent to PHN. Specifically, in this Dutch study from 2007, Opstelten et al¹⁶ prospectively followed 598 participants with HZ; 7.7 percent subsequently developed PHN.¹⁶ Using a self-report measure, researchers found that antecedent anxiety was not a predictor for PHN.

Among studies examining relationships between psychological antecedents and PHN, note that only two used diagnostic interviews to enable psychiatric diagnosis. Unfortunately, while both examined mood disorders, these two studies are at odds with regard to the antecedent role of major depression in PHN. The remaining studies employed self-report inventories to assess symptoms. Therefore, the data on bona fide psychiatric disorders and their role as antecedents to PHN is very limited as well as controversial.

CAUSAL RELATIONSHIPS BETWEEN PSYCHOLOGICAL SYMPTOMS AND HZ AND PHN

What might explain possible associations between stress/ psychological symptoms and the precipitation of HZ and PHN? Several factors may clarify these relationships—all related to effects on immunity.

Age. One factor may be age. Irwin et al¹⁷ stated that there is an age-dependent decline in varicella-zoster virus-specific cellular immunity. Likewise, Pardon stated that aging can worsen the effects of stress.¹⁸ These combined observations may partially explain the presence of higher rates of HZ and PHN in the stressed elderly as well as the antecedent role of stress.

Nutritional status. Another factor may be nutritional status. According to Chen et al,¹⁹ micronutrient deficiencies have been shown to affect the immune system and thereby increase the risk of developing either HZ or PHN.

Mood disorders. A third contributory factor to the development of HZ or PHN may be the effects of mood disorders on the physiology of the body. Specifically, Irwin et al²⁰ reported that major depression is associated with activation of various inflammatory processes as well as reductions in innate immune responses. Specifically, in a cross-sectional study of 104 elderly adults in the community, Irwin et al²⁰ investigated depression in relationship to immune responses to varicella zoster virus. Compared with controls, participants with current depression had significantly lower immune responses to the virus. Findings suggest that depression may blunt the immune response and increase the risk and perhaps severity of HZ.

CONCLUSION

The extant literature is fairly consistent in concluding that stress, stressful life events, and depressive symptoms may partially contribute to outbreaks of HZ. As for the subsequent development of PHN, antecedent psychological variables may include somatization, personality psychopathology, hypochondriasis, and somatic symptoms. Also studied, the contributions of mood and anxiety disorders to the development of PHN remain controversial. In any event, when psychological influences are present, they are likely to exert their deleterious impact through effects on immunity. For example, studies have found that age, nutrition, and depressive symptoms can lower an individual’s immunity. These effects on immunity may partially explain the antecedent associations that have been encountered between psychological symptoms and the development of HZ or PHN. However, further research is needed to tease out the role of various and specific psychiatric disorders on immunity (e.g., borderline personality, posttraumatic stress disorder), and their potential to contribute to the development of either HZ or PHN. Whether preventative measures can be developed beyond the prompt diagnosis and treatment of psychological symptoms remains unknown.

Footnotes

FUNDING:There was no funding for the development and writing of this article.

FINANCIAL DISCLOSURES:The authors have no conflicts of interest relevant to the content of this article.

REFERENCES

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Shingles | Herpes Zoster | MedlinePlus

What is shingles?

Shingles is an outbreak of rash or blisters on the skin. It is caused by the varicella-zoster virus – the same virus that causes chickenpox. After you have chickenpox, the virus stays in your body. It may not cause problems for many years. But as you get older, the virus may reappear as shingles.

Is shingles contagious?

Shingles is not contagious. But you can catch chickenpox from someone with shingles. If you’ve never had chickenpox or the chickenpox vaccine, try to stay away from anyone who has shingles.

If you have shingles, try to stay away from anyone who has not had chickenpox or the chickenpox vaccine, or anyone who might have a weak immune system.

Who is at risk for shingles?

Anyone who has had chickenpox is at risk for getting shingles. But this risk goes up as you get older; shingles is most common in people over age 50.

People with weakened immune systems are at higher risk of getting shingles. This includes those who

Your immune system may be weaker when you have an infection or are stressed. This can raise your risk of shingles.

It is rare, but possible, to get shingles more than once.

What are the symptoms of shingles?

Early signs of shingles include burning or shooting pain and tingling or itching. It is usually on one side of the body or face. The pain can be mild to severe.

One to 14 days later, you will get a rash. It consists of blisters that typically scab over in 7 to 10 days. The rash is usually a single stripe around either the left or the right side of the body. In other cases, the rash occurs on one side of the face. In rare cases (usually among people with weakened immune systems), the rash may be more widespread and look similar to a chickenpox rash.

Some people may also have other symptoms:

• Fever
• Headache
• Chills
• Upset stomach

What other problems can shingles cause?

Shingles can cause complications:

• Postherpetic neuralgia (PHN) is most common complication of shingles. It causes severe pain in the areas where you had the shingles rash. It usually gets better in a few weeks or months. But some people can have pain from PHN for many years, and it can interfere with daily life.
• Vision loss can happen if shingles affects your eye. It may be temporary or permanent.
• Hearing or balance problems are possible if you have shingles within or near your ear. You may also have weakness of the muscles on that side of your face. These problems can be temporary or permanent.

Very rarely, shingles can also lead to pneumonia, brain inflammation (encephalitis), or death.

How is shingles diagnosed?

Usually your health care provider can diagnose shingles by taking your medical history and looking at your rash. In some cases, your provider may scrap off tissue from the rash or swab some fluid from the blisters and send the sample to a lab for testing.

What are the treatments for shingles?

There is no cure for shingles. Antiviral medicines may help to make the attack shorter and less severe. They may also help prevent PHN. The medicines are most effective if you can take them within 3 days after the rash appears. So if you think you might have shingles, contact your health care provider as soon as possible.

Pain relievers may also help with the pain. A cool washcloth, calamine lotion, and oatmeal baths may help relieve some of the itching.

Can shingles be prevented?

There are vaccines to prevent shingles or lessen its effects. The Centers for Disease Control and Prevention recommends that healthy adults 50 years and older get the Shingrix vaccine. You need two doses of the vaccine, given 2 to 6 months apart. Another vaccine, Zostavax, may be used in certain cases.

90,000 Shingles is a disease that comes alive when you are under severe stress

Many people carry the virus in themselves.

In childhood, many suffer from chickenpox, but few know that the virus that caused it does not disappear anywhere. Settling in the cells of the nervous system, he sleeps peacefully. But as soon as the immune system is weakened, the varicella zoster virus awakens.

Moving along the nerves, it causes severe pain, a burning sensation or itching in a certain area of ​​the skin and erupts as watery blisters in the form of shingles. Painful rashes affect about a quarter of all those who have had chickenpox , most often over the age of 60.

You can pick up shingles (also known as herpes zoster, or herpes zoster) in any way (respiratory or tactile) throughout life, because the pathogen is in an inactive form everywhere – in the air, in water, on objects.

Where does the virus come from?

Cultura Colectiva

The first acquaintance with him occurs at primary school age.Until the age of three, the child’s immune system reliably protects him from the virus, because a certain set of immunoglobulins, which the mother passes on to the baby at birth, acts in defense. Subsequently, a crisis of the immune system occurs: the thymus begins to work, and the child’s body is rebuilt to its own immunity.

As a rule, it is at this time that the risk of contracting varicella, caused by the virulent, highly pathogenic varicella zoster virus, arises. And since vaccinations against this flying infection have not yet been developed, sooner or later it causes illness in children.

Having once entered the body, the virus remains there until the end of ‘s life. A person does not even suspect that any extreme situation can provoke a disease, only more severe than in childhood.

It can be activated by weakening of the body after an illness, poor ecology, decreased immunity and any situation requiring increased reactivity of the body: nervous excitement, hypothermia, stress, draft and even pregnancy.

Having received a kind of “doping”, the virus wakes up and begins to multiply in the same nerve cells that were a safe haven for it, mercilessly destroying them.

What are the symptoms of shingles?

Cultura Colectiva

The violent activity of the awakened virus, of course, is not asymptomatic. Since each nerve innervates its own specific area on the body to the right or left of the spinal column, pain, and then rashes will appear along its course, that is, asymmetrically – in stripes (most often – between the ribs, it happens on the face, along the trigeminal nerve) . ..

Severe pain on the left side is sometimes mistaken for heart pain, but with the appearance of rashes, the picture becomes clearer – it becomes clear that this is a herpes infection.

So, first – pain, chills, low-grade fever, pressing and baking sensation along the nerve (the reaction of the nerve to the activation of the virus), and then trophic changes. Red spots , located in a stripe, the next day turn into bubbles filled with a transparent liquid. Then the contents become cloudy, the surface wrinkles and begins to be covered with a crust.

How is versicolor treated?

Cultura Colectiva

Herpes infection is a rather serious disease with the risk of encephalitis and meningitis.Therefore, it is imperative to consult a doctor!

Treatment should be aimed at combating the virus and raising immunity. In the hospital, patients must be prescribed antiviral drugs that suppress the multiplication of the virus. With advanced advanced forms of the disease with immunodeficiency, intravenous drip administration of drugs is carried out, the immunity is corrected and possible manifestations of drug allergy are blocked.

It is very important to strictly observe hygiene – change shirts and T-shirts frequently.It is advisable not only to wash the laundry, but also to boil it. Contact with patients with shingles carries the risk of infection – primarily for those who did not have chickenpox in childhood.

Did you know that many of us have such a terrible virus inside?

11 Aug, 2019

Do you often suffer from Herpes? It’s not just a cold!

Unpleasant rashes on the lips can be a manifestation of emotions that you suppress in yourself.

Herpes is a viral infection. It usually occurs on the lips and looks like a group of bubbles 2-3 millimeters in diameter. In this state, herpes hurts, itches and does not look very aesthetically pleasing.

After the bubbles burst, a wound appears on the lips. It disappears completely within a few weeks.

What is this virus?

Herpes is the most common virus on the planet, it is present in 90% of the world’s population.It is noteworthy that if this virus once enters the human body, it settles there forever. At the same time, outwardly, it may not manifest itself for a very long time, until one day circumstances arise in which the virus begins to develop.

What can trigger herpes?

The herpes simplex virus can appear in the human body after contact with a sick person, but only if the latter has open lesions of the skin. Herpes is capable of multiplying quite rapidly, so sometimes even a quick contact is enough to get infected.As for the reasons that can affect the body and contribute to herpes infection, there are many:

• frequent stress, depression;
• hypothermia of the body, prolonged exposure to the street during strong winds;
• acute respiratory viral disease;
• diseases affecting the suppression of the natural immune system of a person;
• alcohol abuse, junk food;
• severe poisoning of the body.

In addition to the listed reasons, herpes can have other, more serious triggers, such as Alzheimer’s disease.HIV-infected people are also at a special risk group; people with severe skin burns; those who suffer from eczema; underwent chemotherapy; people who received organ transplants and are now taking special medications to promote healing.

Types of herpes

The first type is orofacial herpes. This is the most common type. It is he who causes the appearance of itchy vesicles filled with liquid on the lips, tongue, mucous membranes of the mouth. Sometimes a few hours before the appearance of bubbles, a person feels a fever and weakness, although more often the virus attacks without warning.

The second type is genital herpes. Leads to the appearance of the same blistering rash, but on the mucous membranes of the genitals. It is transmitted through sexual contact. This virus is very dangerous for pregnant women and can lead to fetal abnormalities.

The third type is varicellaeherpes zoster, also called the varicella-zoster virus. It causes chickenpox, which is common in children, and shingles. The rash does not occur on the mucous membranes, but on the skin and lasts for a very long time, about a month.It is accompanied by headaches, general weakness, fever.

The fourth type is the Epstein-Barr virus. In terms of symptoms, it looks like ARVI. The bubbles characteristic of herpes in this disease are located on the tonsils, the virus provokes a very severe sore throat with high fever, weakness, drowsiness and severe sore throat.

The fifth type is cytomegalovirus. Many are infected with this type of herpes, but very often the virus “dormant” and does not cause any characteristic symptoms.However, in an active state, cytomegalovirus is very dangerous, it causes severe damage to internal organs. If a pregnant woman is infected with herpes of the 5th type, then there is a high risk of miscarriage or premature birth, as well as fetal pathologies.

The sixth type can lead to the development of eczema, as well as lymphosarcoma and lymphoma.

The seventh type is the most mysterious virus. Its only obvious manifestation is chronic fatigue, which neither sleep nor rest can cope with. Over time, with such a virus, problems with memory and concentration of attention develop, a person becomes irritable and apathetic, and immunity suffers.As a rule, with such symptoms, people do not consider it necessary to consult a doctor and do not even suspect that chronic fatigue syndrome can be caused by a viral infection.

The eighth type of herpes is a rather rare and poorly understood disease that affects lymphocytes. This type of virus is most often found in HIV-infected people and is manifested by the appearance of small ulcers on the skin. It is activated with the development of Kaposi’s sarcoma.

How to treat herpes?

Many people think that it is impossible to get rid of herpes.Indeed, today it will not be possible to completely destroy the virus in the body. However, it is possible to suppress his activity so that the manifestations will not bother you. The treatment is usually prescribed in combination: antiviral drugs, agents that strengthen the immune system, physiotherapeutic methods (ozone therapy and others). And in case of exacerbation – local anesthetics and antiviral agents.

Traditional methods of treatment

In folk medicine, herpes is suppressed with essential oils (peppermint, tea tree, fir).To do this, a drop of oil is applied to the affected area and left there. Also, the external manifestations of herpes are treated with aloe juice mixed with honey (1 tablespoon of plant juice + 1 tablespoon of honey) and calendula (wipe the sore spot). Also, knowledgeable people recommend garlic for treatment: use garlic gruel, or lubricate the affected area with a cut garlic clove. But this must be done with caution, as you can get burned. It is best to anoint it once and see how the skin reacts.If all is well, you can continue.

But from the inside, vitamin teas fight well against herpes. In particular, ginger and cinnamon, cranberries, viburnum, lingonberries, rose hips.

Follow what you think

It is not enough to anoint the wound. We also need to pay attention to psychosomatics. Psychologists say that herpes is a manifestation of suppressed emotions, which is why chronic stress develops.

For example, nuns in monasteries often suffer from herpes.This is because they conserve their desires and feelings. They should not show anger, fear, or sexual desire.

This is not a call to action, of course, you should not go into all serious matters, just understand that it is normal to be angry. The main thing is not to take it out in public!

Victoria YAKIMOVA

Photos from open Internet sources

90,000 Herpes zoster, herpes zoster – diagnosis and treatment

Shingles (Herpes zoster) is a viral disease characterized by unilateral herpetiformis (typical for herpes viruses) rashes on the skin of the face, neck, chest with severe pain syndrome.The causative agent – varicella-zoster virus (herpesvirus type 3 – Varicella zoster) of the herpesvirus family, which, when it first meets the body (usually at a young age), causes typical chickenpox. After chickenpox disease or after infection with an immune response (without the development of clinical symptoms), the virus remains in the human body for life, passing into a chronic latent state. Chickenpox and shingles cannot be considered two different infectious diseases today.This is an acute episode and a relapse of the same VZV infection. Just like, say, infectious mononucleosis and relapses of chronic Epstein-Barr viral infection (herpes simplex virus type 4). The frequency of virus reactivation in an infected population with the development of herpes zoster is about 15%. The rest of the people remain healthy lifelong carriers of the virus and do not have the clinical problems associated with VZV.

The virus survives in the nerve cells of the posterior horns of the spinal cord, cranial nerves or ganglia of the autonomic (autonomic) nervous system, less often in the cells of the neuroglia, without causing any symptoms.Many years, sometimes decades after the initial entry of the virus into the body, it is reactivated with release from nerve cells and moving along their axons. Having reached the end of the nerve, the virus causes a one-sided infectious process of the skin of the region that is innervated by this nerve. Relapses of herpes zoster (by the type of intercostal neuralgia) are associated with a weakening of specific immunity against VZV and proceed in the form of a painful disease with severe itching, pain and rashes.Often, long-term pain syndrome dominates over the actual skin lesion. There are many factors provoking VZV: stress, hypothermia, overwork, an underlying infectious disease (say, influenza), exposure to a draft, etc. The effect of a simultaneous combination of several provoking factors is especially unfavorable. Although it is not uncommon to establish a clear cause of relapse.

Pain relief is directly related to the timing of the initiation of specific therapy: prescribing acyclovir-based drugs in the first 3 days from the onset of the disease, as a rule, allows pain relief in a short time.However, it is rarely possible to establish the correct diagnosis in such an early period with herpes zoster. Since the period of rashes with herpes zoster is 5-7 days (as with chickenpox), then after a week or more from the onset of the rash, the appointment of antiviral drugs is clinically ineffective and the further course of the disease and pain syndrome no longer affect.

If chickenpox is sick once in a lifetime, then you can suffer from herpes zoster all your life, waiting for the next relapse as a sentence.On the positive side, in about half of patients with herpes zoster, the first relapse is also the last and never recurs. The presence of antibodies in the blood to VZV does not protect against the development of relapse, and their level does not correlate with the severity of the clinical course of the next relapse.

Anti-relapse treatment for herpes zoster has practically not been developed for a long time. Back in 2002-2004. in case of recurrent herpes zoster in the Vitacell clinic (Kiev), a scheme was developed and the high clinical efficiency of the combination of sequential specific immunization, first with immunoglobulin (passive stage of immunization), and after 4 weeks with the Varilrix vaccine against VZV (active stage) was shown.(../page4933.html)

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If you or your child has such complaints or symptoms,

Treatment of shingles at the Citilab clinic in Dimitrovgrad

Shingles is an infectious disease caused by the reactivation of the virus that causes chickenpox.In most cases, it manifests itself in adults and is characterized by severe pain in the affected areas on the skin, which outwardly resembles a burn. The effective treatment of shingles in Dimitrovgrad is offered by a paid private clinic “Citylab”. Our dermatologists have the most advanced and safest therapies in their arsenal.

Causes of

Upon initial ingestion, the virus causes the so-called chickenpox. After treatment, it does not pass without a trace, but goes into a latent form in which it cannot reproduce.Weakened immunity helps him to activate. The virus “wakes up” in such cases:

• Constant exposure to ultraviolet radiation.
• Infection with HIV or AIDS.
• Long-term use of immunosuppressants or corticosteroids.

Severe psychophysical stress can be the cause of the disease.

Symptoms of lichen and complications to which it leads

Depending on the location of the lesions and the type, the following symptoms are observed in patients:

• Red, dark brown, raised or flat spots on the skin, instantly turning into bubbles with liquid.
• Severe itching and swelling of the infected area.
• Hair loss at the sites of manifestation and suppuration.

The pain associated with the rash is intense. Often patients describe it as sharp, sharp and pulsating. Additionally, shingles can present with headache, fever, malaise, and chills.

Postherpetic neuralgia develops in the elderly against the background of an infectious disease. Shingles can cause keratitis, corneal ulcers, retinal necrosis and blindness.Complications such as stroke, meningoencephalitis, myelitis, or aseptic meningitis are less common.

Skilled lichen treatment

In case of shingles in Dimitrovgrad, you must immediately seek help from a neuropathologist and in no case self-medicate. The specialists of the clinic “Citylab” medically stop the symptoms of the disease in a week and eliminate the causes, having achieved a stable remission. Depending on the type of lichen and the level of damage, we use Pharmciclovir, Acyclovir, Valacyclovir – antiviral drugs.To reduce pain and discomfort, doctors prescribe various pain relievers and anti-inflammatory medications.

You can make an appointment with a specialist of our medical center by calling 8 (84235) 3-55-55 or using the feedback form.
90,000 drug search, prices and availability of drugs in the pharmacies of Melovoe and Ukraine

About the project – My Pharmacy

My Pharmacy is the fastest and most convenient way to find the necessary medicines in any pharmacy throughout Ukraine.We provide up-to-date information on prices and availability
medicines in pharmacies in Ukraine. Here you can buy medicines at low prices by comparing prices or making an online reservation.

Our database contains data on more than 11,000,000 product offerings of medicines and related products in 3,000 pharmacy outlets in Kiev and other settlements of Ukraine.

Updating the database of the assortment of goods every 20 minutes allows you to always provide the most up-to-date and reliable information about medicines.

In addition, the user can familiarize himself with the work schedule and contacts of each pharmacy point presented on our resource, find the addresses of 24-hour pharmacies and build them
route on the map.

The purpose of this project is to provide an opportunity for each user to search for medicines as simply and efficiently as possible, and ordering pills online is quick and convenient.

User benefits

My Pharmacy has a number of advantages that distinguish us favorably from competitors, thanks to which customers choose us.

We offer:

• Ability to quickly search for drugs in pharmacies in Kiev and other cities of Ukraine;
• Inquire about the availability of a medicine in pharmacies in Ukraine;
• View current prices for medicines in various pharmacies;
• Comparison of prices in pharmacies for the drug of interest and find out where it can be purchased at the most profitable;
• We provide an opportunity to get an additional discount when ordering drugs online;
• Find analogs of expensive drugs by comparing drugs by active ingredient;
• Read the manufacturer’s instructions for use;
• Find out about the availability of drugs in the nearest pharmacies, and independently build a route on the map online;
• On our website you can find out the exact address, contact numbers and working hours of any pharmacy and find the nearest pharmacy to you.
• Read useful publications about health, learn the latest news from the field of medicine;
• Share your feedback on the quality of service of a particular pharmacy;

Ordering and searching for medicines in pharmacies on the website

On the main page of the site there is a line for quickly finding the necessary medicines. By the full name or its fragment, the resource will offer you a list of found drugs with the current ones.
prices.To purchase a drug at the lowest cost, you just need to compare prices in pharmacies or make a reserve for it for an additional discount.

Using filters by price, distance, schedule will make your search results more targeted and useful.

The functionality of the service will be useful not only for ordinary users, but also for employees of medical institutions. Selection is available on the advanced search pages
medicines according to specialized indicators:

For each drug, the site contains the original instructions for use from the manufacturer, which indicates everything about the product: active ingredients, purpose, contraindications
and side reactions.Please read this information carefully before purchasing. On the same page, you can quickly find drug analogues by simply clicking the Analogues button. Here you will see everything
options that can replace the drug of interest. And to order pills online, you need to click on the green button next to the price.

DEAR USER!

THE “MY PHARMACY” SERVICE ADMINISTRATION WARNS: SELF-TREATMENT CAN BE DANGEROUS FOR YOUR HEALTH! THE INFORMATION ON THIS RESOURCE IS PROVIDED ONLY FOR INFORMATION PURPOSES AND NOT
CAN REPLACE THE DOCTOR’S CONSULTATION.

Herpes | Medical center “President-Med”

The term “herpes” refers to a group of infectious diseases with characteristic rashes (vesicles) caused by the herpes virus. Pathology manifests itself in lesions of the mucous membranes, skin, central nervous system, eyes. Herpes simplex virus (HSV-1 and HSV-2) infects 60–95 percent of adults. WHO estimates that about 20 percent of the world’s population is infected with HSV-2. Women get sick more often.

It is believed that herpes is responsible for the spread of HIV infection, affects the cognitive deficit in bipolar disorder, the development of Alzheimer’s disease.HSV can cause herpetic felon, viral keratitis, herpetic encephalitis, and meningitis. The latter are rare but dangerous diseases that are difficult to treat.

Types of herpes and its symptoms

Several types of virus detected:

1. HSV-1: orofacial herpes causing a cold sore on the lips.
2. HSV-2: Genital herpes, classified as an STD.
3. Shingles and chickenpox virus.
4. Cytomegalovirus.
5. Epstein-Barr Virus.

HSV has a variety of symptoms. Characterized by a rash on the face (area of ​​the nasolabial triangle) – orofacial herpes, genitals, thighs – genital herpes.

Orofacial herpes symptoms:

• bubbles around the mouth;
• fever;
• enlarged lymph nodes in the neck;
• muscle pain.

Genital herpes symptoms:

• small blisters in the genital area;

90,082 crusts;

90,082 itching;

• burning when urinating;
• enlargement of the inguinal lymph nodes.

Chickenpox symptoms:

• itchy rash that resembles insect bites;

90,082 fluid-filled blisters

90,082 irritability;

• general malaise;
• fever;
• headache.

Shingles symptoms:

• itching, reddish rash;
• headache;
• fever;

90,082 liquid-filled bubbles;

• fatigue;
• tingling, pain, burning.

Ways of transmission of herpes

The virus, as a rule, penetrates through damaged skin, mucous membranes of the mouth, vagina, penis, anus. Herpes simplex viruses have an identical structure, so HSV-1, which affects the mouth, infects the genitals during oral sex. And vice versa: HSV-2 becomes the “culprit” of rashes on the lips. The virus is easily transmitted by contact, but quickly dies outside the skin / mucous membranes. Thus, infection is unlikely to occur through clothing, bedding, but common utensils, toiletries, towels can become a source of infection.

Chickenpox is caused by the herpes zoster virus. The condition is very contagious, spreads quickly by contact with an infected person, by airborne droplets. People who have had chickenpox are prone to episodes of shingles, which can be considered a relapse of the disease. Weakening of the immune system acts as a provoking factor.

Causes of herpes

During initial infection, the virus enters the nerve endings at the site of infection, then migrates into the cell and remains in the nerve node.Infection occurs cyclically: latent stage, pronounced stage, relapses, and the latency period often lasts a long time. The immune system cannot completely cope with the virus; it receives a “permanent registration” in the body. Immunity affects the frequency of rashes: stress, menstruation, SARS, sunburn and hypothermia “wake up” the herpes virus.

Treatment and prevention of herpes

The main prevention is protected sex, personal hygiene. In case of infection, do not wet and touch the affected area from the moment the first symptoms appear until complete healing, in order to prevent self-infection of other parts of the body.If you accidentally touch the “sore”, you need to wash your hands.

No vaccination against herpes. The virus “slumbers” in the body and, under certain conditions, “wakes up”. In order not to constantly suffer from recurrent herpes, it is better to consult a doctor, undergo a course of prescribed antiviral and immunocorrective therapy.

For detailed advice on the treatment and prevention of the herpes virus, make an appointment with the specialists of the medical centers President-Med

Artist: Lavrova Nina Avenirovna

Deputy General Director for Medical

Graduated from the Yaroslavl State Medical Institute with a degree in General Medicine
Medical work experience – 25 years

Make an appointment with a doctor

CUSTOMER REVIEWS

Evgeniya

I visited the gynecologist Olga Alexandrovna, I was only once, but the doctor seemed very qualified, then I will judge in the course of treatment, and I will unsubscribe.The clinic is paid, but money does not fight! Professionalism is at the highest level, and prices are lower than in many pseudo-clinics. The girl on the phone is very nice and respectful of clients, tries to help and is beneficial for … […]

Anastasia

Thank you very much for your work! Everything is clear, clear, understandable and fast! Without further ado, “the fate of the fatherland.” Just incredibly positive emotions after communication! […]

Inna

An excellent doctor, has vast experience, can correctly diagnose, explain everything to the client.He finds his own approach to everyone. […]

Natalia

Thank you from me and my whole family for the professionalism, support, sensitive and attentive attitude. It is a great happiness that such competent, skillful and talented, caring people work exactly where they are most needed. Your patience, responsiveness, sensitivity, understanding, caring, benevolent and attentive attitude, heals and soothes. I wish you a strong … […]

Svetlana

I want to express my deep gratitude to Chulak Olga Alexandrovna, for the attentiveness, ind.approach to the patient, as well as professionalism, friendliness and care! As well as the President-med clinic and all the staff at the reception. Olga Alexandrovna – you are the best 🙂 […]

Svetlana

I want to express my deep gratitude to Chulak Olga Alexandrovna, for the attentiveness, ind. approach to the patient, as well as professionalism, friendliness and care! As well as the President-med clinic and all the staff at the reception. Olga Alexandrovna – you are the best 🙂 […]

Ekaterina

Good afternoon, I want to express my admiration for Ekaterina Viktorovna, a doctor of the highest category, from the first second disposes of the patient, you feel high professionalism, very friendly, attentive, really always in touch with your patients, which is very important, since in our time few people can take take responsibility. I advise everyone! […]

90,000 Psoriasis: causes, treatment methods

Diagnosis “psoriasis”, stress for the one who faced it for the first time.And at the same time, it is a relief: now a person knows what his disease is called, and understands that he can be successfully dealt with. Don’t take psoriasis as inevitable. It is important to learn as much as possible about your disease and begin to effectively confront it.

What is psoriasis?

Psoriasis is a disease in which the growth of skin cells is significantly accelerated. Impaired signals from the immune system cause new skin cells to form in a matter of days instead of weeks.As a result of excessive cell growth, affected areas of the skin are formed – psoriatic plaques. They have three characteristics: scaling, induration, and inflammation (redness). It is important to note that the increased cell growth in psoriasis has nothing to do with cancer.

Each person has a different course of psoriasis: from subtle, occasional psoriatic plaques and itching to much more serious manifestations, such as the risk of developing psoriatic arthritis.

How common is psoriasis?

Any person can develop psoriasis.It is equally common among both men and women and occurs in about 2-3% of the world’s population.

Psoriasis can begin at any age, but most people first develop psoriasis symptoms between the ages of 20 and 35. In 75% of cases, psoriasis develops before the age of 40. However, in childhood and in old age, the development of the disease is also possible.

What causes psoriasis?

The exact cause of psoriasis is still unclear. Psoriasis is a complex disease that can be caused by many potential causes – genetic, immunological, environmental and psychological.All of these factors alter the functioning of skin cells, accelerating the rate of formation and shedding.

Psoriasis is not an infectious disease. They cannot be contracted from someone and cannot be transmitted to anyone through touching, using common cutlery, visiting the pool or through intimate contact.

The provoking factor for the development of the disease can be:

• stress;
• pregnancy;
• infectious diseases;
• Certain previous skin diseases (dermatoses, fungal infections, herpes zoster, etc.)).

How is psoriasis treated?

Treatment of psoriasis is a significant problem. The treatment of psoriasis remains the number one in dermatology, as this disease is one of the most common skin diseases in the world.

According to patient reviews, the most effective are

Drug treatment (drugs and medicines for local treatment)

Compliance with a special diet – that is, refusal from products, the use of which provokes exacerbation of psoriasis;

Climate change, balneotherapy and spa treatment.

In order to select the optimal treatment regimen, the Istochnik Clinic offers an integrated approach: consultations of all specialists (dermatologist, nutritionist, immunologist, rheumatologist, gastroenterologist) in one place.