Shingles cause a painful rash that may appear as a stripe of blisters on the torso. Shingles, also called Herpes Zoster cost is varies as per the mode of treatment chosen.
Shingles cause a painful rash that may appear as a stripe of blisters on the torso. Shingles, also called Herpes Zoster cost is varies as per the mode of treatment chosen.
Shingles, or herpes zoster in medical terms, is a viral infection that can give rise to a painful rash and is due to the varicella-zoster virus that also causes chickenpox. It is an extensive guide that covers shingles from causes to types, symptoms, diagnosis, treatment, cost of treatment in India, recovery, and prevention.
Shingles is caused by the reactivation of the varicella-zoster virus (VZV), which remains dormant within the nerve cells of someone who has had chickenpox. The virus reactivates and travels down a nerve to the skin surface to cause shingles. No triggers are known to cause reactivation, but some factors may include the following:
- A weakened immune system: A weakened immune system, due to age, disease, or medicines, would mean an increased risk of VZV reactivation.
- Emotional trauma or stress: Stress and emotional trauma can weaken the immune system, resulting in a possible occurrence of shingles.
- Injury or surgery: Physical trauma or surgery may in some instances result in a shingles formation in the affected area.
- Certain medicines: Such as immunosuppressants, medications can trigger a higher risk of shingles.
Shingles symptoms
- Herpes Zoster: Most often, a painful rash on one side of the body or face is observed. In such cases, dermatomal patterns will demonstrate the travel path along this nerve.
- Ophthalmic Shingles: It refers to the rash on the area of the eye and is also known as ophthalmic shingles. It may also lead to visual disturbances and requires urgent medical attention.
- Ramsay Hunt Syndrome: Ramsay Hunt syndrome is a sort of shingles affecting one ear and one half of the face. It very often leads to a paralysis of the half of the face and ear ache as a consequence.
- Disseminated Shingles: In rare cases, the shingles rash may dissipate to other locations and can be quite serious, especially in those most predisposed such as people who are compromised immunologically.
Usually, the symptomatology of shingles starts with the same flu-like signs, including fever, headache, and malaise. The most important symptom in terms of its distinguishing features is the painful rash, which appears a few days after the initial symptomatology. Main symptoms of shingles include:
- Pain: The pain associated with shingles may vary up to a very high extent from mild sensations to severe pain, which is often described as burning, stabbing, or shooting. It most usually precedes the appearance of a rash.
- Rash: This may be localized to one side of the body and follows the pathway of a given nerve. It consists of clusters of blisters filled with serum. They eventually dry up, giving place to scabs.
- Itchy: This is an intensely itchy rash.
- Sensitive: Skin may tend to be very sensitive to touch.
- Tingling or Numbness: Some people may experience tingling or numbness in the area before the rash appears.
Most diagnoses are based on characteristic rash and symptoms. A health-care provider will typically perform a physical examination and ask questions on the patient's medical history. Occasionally, there are other tests done for the diagnosis confirmation or to rule out other problems. Some of them include:
- Viral Culture: Samples obtained from the rash or through blister fluid may be taken to the laboratory, and its result may dispatch the presence of varicella-zoster virus.
- Polymerase Chain Reaction (PCR) Test: This study may also involve the use of the virus's genetic material.
- Blood Test: Blood studies are helpful at times in checking whether antibodies against the varicella-zoster virus are present or absent in the body.
Shingles cannot be cured; however, a prompt start to treatment can alleviate symptoms, reduce the severity and duration of illness, and prevent any complications that may arise. Treatment options for shingles include:
Antiviral Medications: Acyclovir, valacyclovir, and famciclovir constitute the most commonly prescribed antivirals to reduce the duration and severity of the rash and illness caused by shingles. These drugs can only be effective when started within 72 hours following the rash's appearance.
Pain Relievers: Acetaminophen, the common OTC pain reliever, together with nonsteroidal anti-inflammatory drugs, may be sufficient to relieve the pain and discomfort caused by shingles.
Topical Creams: Calamine lotion or lidocaine-containing creams may be applied to the rash and help in relieving the itching and pain associated with shingles.
Antiviral Eye Drops: Antiviral eye drops may be prescribed if the eyes are involved.
Corticosteroids: Shingles involve both eyes and ears; they may sometimes be treated with corticosteroids to reduce inflammation and pain.
Costs involved in the treatment of shingles in India also depend on various factors regarding types and intensities of shingles, medications chosen, fees of the respective healthcare provider, and specific areas in which treatment is sought. In general, antiviral medications and pain relievers are inexpensive; however, the cost goes high if more tests or specialist consultations are needed. A complete antiviral course in India costs around 500-2,500 INR ($7-$35) or above.
People suffering from shingles recover in most cases within two to four weeks. It is vital during that period to
Follow Medical Advice: Take antiviral medications and other prescribed treatments as directed by a healthcare provider.
Manage Pain: Use of topical creams and over-the-counter pain relievers can help manage pain and itching.
Maintain Cleanliness of Rash: Make sure that the rash is kept clean and dry to prevent infection.
Avoid Close Neighbors: Shingles is contagious to people who have not had chickenpox. Keeping close contact would be inappropriate with pregnant women, infants, and immunocompromised persons.
In some patients, shingles are complicated by postherpetic neuralgia (PHN), which manifests as chronic nerve pain at the site of the rash. In most instances, PHN is challenging to treat and shows a tendency to require treatment of pain on a chronic basis.
In order to prevent the onset of shingles, one needs to focus on minimizing the possibility of reactivation of the varicella-zoster virus. Vaccination proves to be the primary measure for preventing shingles:
- Zoster vaccine for shingles: It is recommended for prevention in persons aged 50 or older. It can definitely minimize the possibility of coming down with shingles and its complications, like post-herpetic neuralgia. In India, the vaccine is available and is recommended for adults.
- Chickenpox vaccine: Since shingles develop from the same virus that causes chickenpox, getting a vaccination against this disease can provide some degree of protection from shingles later on in life, either in childhood or adulthood.
- Keeping Immunity System Strong: A healthy immune system may protect against shingles. This includes general good health habits, stress management, and avoiding immunosuppressive medications whenever possible.
- Avoid Close Contact: If shingles are present, restrict contact with people who have not had chickenpox, particularly pregnant women, infants, and those with compromised immune systems.
Shingles are an agonizing viral infection brought on by the reactivation of the varicella-zoster virus. Accurate diagnosis and early treatment of shingles are necessary for minimizing symptoms and complications associated with the disease. Immunoprophylaxis is another vital measure, and the shingles vaccine is recommended in persons 50 years of age and older. Immediate consultation with a health professional is imperative if shingles are suspected, as early treatment may significantly alter the disease process.