Fact: A Vaccine Can Help Prevent It
It doesnât guarantee you wonât get shingles, but a vaccine can lower your chances by more than 90%. And if you do get the condition, it might not affect you as much. The CDC recommends that healthy adults 50 or older get two doses of the vaccine Shingrix, 2 to 6 months apart, unless they currently have shingles, are pregnant, or a test shows they have immunity. You likely have been exposed to chickenpox even if you didnât develop blisters, so you should get the vaccine even if you don’t remember being ill.
What Can I Do Right Now
You can begin to help yourself right now to manage the challenges and stress of PHN by eating better, engaging in relaxation activities, improving your sleep, moving more, and maintaining social connection with others. Engaging in physical activity, even taking short daily walks, will help you feel better.
You also can help yourself by learning about pain and how it works in the body. Once you learn the large role played by the brain in how you experience pain, it can help you take more control over your pain and become less fearful of it. Understanding the Complexity of Chronic Pain, a 10-minute video, is another good resource.
When To See A Doctor
Most minor rashes improve in appearance within a couple of days.
A person should speak with a doctor if the rash does not start to get better by this time. They should also consult medical advice if the rash worsens or they experience other symptoms, such as a fever.
If a person with a rash suddenly has difficulty breathing or swallowing, they should seek emergency medical help.
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Signs Of Shingles Faqs
Q: Are there further health risks associated with shingles?A: If left untreated, shingles is more likely to result in post herpetic neuralgia , a condition in which a burning pain continues to be felt in the areas affected by shingles for more than three months after the rash and blisters themselves have disappeared. Approximately one fifth of people who are affected by shingles will go on to develop PHN. The likelihood of shingles spreading to internal regions of the body likewise increases in the absence of a promptly initiated treatment and recovery plan.
Q: Are the signs of shingles different in adults to those in children?A: The signs of shingles in children are largely the same as the signs of shingles in adults. However, shingles in children is generally less severe and lasts for a shorter duration than in adults, and most children recover well with no associated health complications. Shingles rarely affects children under three years of age and can only affect children who have already had chickenpox. Shingles are not common in children. However, having a weakened immune system as a result of an autoimmune disease, other chronic or serious disease or because of being overly stressed, however, can increase the likelihood of a child developing shingles.
Good to know: People who have a weakened immune system, and who have never been infected by VZV before, will develop chickenpox the first time they catch the virus, rather than its subsequent form, shingles.
What Should I Expect Will Happen To Me If I Get Shingles
Shingles can be a very painful condition. If you think you have the symptoms of shingles, see your healthcare provider right away. Starting antiviral medications early can ease your discomfort and reduce the duration of your symptoms.
A better approach to shingles is to take action and do what you can to lessen your risk of getting it. If you never had shingles or had a bout of them in the past, talk to your healthcare provider about getting the shingles vaccine. If youve never had chickenpox, talk with your healthcare provider about getting the chickenpox vaccine.
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Worried About Ms 4 Triggers That Can Cause Flares
Periods of relapse and remission are common with the chronic disease multiple sclerosis. Find out about factors that might trigger MS symptoms.
For Americans living with multiple sclerosis , the majority are initially diagnosed with relapsing-remitting MS, or when the symptoms ebb and flow. Although the flares of numbness, pain, dizziness, and imbalance can be unpredictable, there are certain triggers that cause the flare ups for many people.
“When a new neurological symptom develops in multiple sclerosis, one that isnt related to an infection, and lasts for more than 24 hours, it is considered to be an MS relapse,” explains Devon Conway, MD, a neurologist at the Cleveland Clinic. While a relapse that causes serious symptoms usually needs to be treated, old symptoms that reappear are not as serious and often go away without needing treatment.
What Is The Main Cause Of Rosacea
Rosacea is a chronic skin condition characterized by a flushed face and tiny bumps on the face, more commonly over your nose and cheeks. It can strike at any age of your life and is found in both the genders. However, it affects women more than men, whereas men get severe rosacea more than women.
Doctors don’t know the exact cause of rosacea. A few factors that may play a role are as follows:
- Genes: You may get rosacea because of a particular gene that runs in your family.
- Trouble with facial blood vessels: A problem in your blood vessels may cause your face to appear red. If you have a light skin, the redness gets easily noticed by people. Sun damage to the blood vessels also causes rosacea.
- Mites: A mite known as Demodex folliculorum that is normally found on everybodys nose and cheeks might be excess in number or cause hypersensitivity in certain people. Studies have observed that many people with rosacea harbor these mites.
- Bacteria: The bacteria Helicobacter pylori that infect your gut might make you more likely to get rosacea. Some studies have suggested that they increase the levels of a digestive hormone called gastrin, which might give you a flushed skin.
- Antimicrobial protein: A protein that normally protects the skin from infection, cathelicidin, may give rise to rosacea. The development of rosacea depends upon how your body deals with this protein.
Some things make you more likely to get rosacea. These include the following:
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What Are The Triggers For Rosacea Flare
Anything that causes your rosacea to flare up is called a trigger. Sun exposure and emotional stress are the most common triggers for rosacea flare-ups in most patients. Other triggers include the following:
- Hot weather
- Citrus fruits, tomatoes, and bananas
- Red plums, raisins, or figs
- Spicy and hot foods
- Dairy products
Remember that not everyone with rosacea will experience their flare-ups caused by these factors. Each person has their own set of triggering factors. What could be a trigger for you may not be the trigger for others. Hence, it is necessary to keep a watch out for things that you suspect to be setting off your rosacea flare-ups.
Who Should Not Be Vaccinated With Shingrix
You should not receive the Shingrix vaccine if you:
- Have ever had a severe allergy to this vaccine or any ingredient in this vaccine.
- Are breastfeeding or pregnant.
- Are somewhat ill or very ill and have a high fever.
- Have tested negative for immunity to varicella zoster virus .
Ask your healthcare provider if the benefits of getting the vaccine outweigh any potential risks.
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Lasting Pain After Shingles
Pain that continues for a long time after a shingles rash has disappeared is called post-herpetic neuralgia. This is the most common complication of shingles. Its still not clear how it can be prevented or what the best treatment is.
Shingles typically causes a rash accompanied by pain in the affected area. The pain normally goes away when the rash goes away. This usually happens after two to four weeks. Pain that continues for longer is referred to as post-herpetic neuralgia. The word “post-herpetic” means “post-herpes” because the pain arises after infection by the herpes zoster virus. In very rare cases pain can come back after a shingles infection, even if it had already gone away and the rash has disappeared.
The main symptom of post-herpetic neuralgia is pain in the nerves . The skin is often overly sensitive and itchy as well. This can make it difficult or painful to wash yourself, turn over in bed, or hug someone. The pain and itching can be very severe and might keep you from sleeping.
How To Prevent Rosacea Flare
Rosacea is a chronic skin condition that can only be controlled but cannot be cured. Hence, you have to learn to live with it peacefully. Along with the treatment, what you can do is to try to prevent its flare-ups by making some lifestyle modifications that include the following:
- Protect your skin from the sun
- Learn to manage your stress
- Stay away from heat
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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 relationshipsall related to effects on immunity.
Age. One factor may be age. Irwin et al 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. 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, micronutrient deficiencies have been shown to affect the immune system and thereby increase the risk of developing either HZ or PHN.
Who Is At Risk For Getting Shingles
People who have had chickenpox who are more likely to develop shingles include:
- People with a weakened immune system .
- People over the age of 50.
- People who have been ill.
- People who have experienced trauma.
- People who are under stress.
After having chickenpox, your body does not rid your system of the virus. Instead, the virus stays in a portion of the spinal nerve root called the dorsal root ganglion. For the majority of people, the virus stays there quietly and doesn’t cause problems. We aren’t always sure why the virus gets reactivated, but this typically occurs at times of stress.
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What Can You Do To Avoid Stress
Reducing or eliminating stress from your life may not guarantee that you wont get shingles, but it will make you healthier. Experimenting with different techniques for stress can help you find what works for you. Try these techniques to reduce stress:
- Identify and avoid the things that trigger your stress. Consider keeping a journal of your moods and possible triggers.
- Wind down before sleep. Reading a book, turning off the computer, and creating a bedtime routine may help.
- Turn mealtimes into social rituals with people you like, complete with conversation, soft music, and healthy, well-prepared food.
- Spend time with your pet or someone elses pet if you like animals.
- Turn off your phone.
- Spend time in nature or taking quiet walks in peaceful surroundings.
- Practice meditation.
Foods To Avoid When Suffering From Shingles
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Shingles is no fun at all for adults its caused by the same virus that causes chicken pox, which can become dormant for years and reappear as this painful nerve condition. Those with shingles develop a very painful and itchy rash that can last for weeks or months.
There are some treatments available for shingles, and even vaccines to help prevent it, but one thing you can do to alleviate some of the symptoms is to change your diet. The best way to help relieve shingles and help speed up the recovery process is to avoid these 6 foods
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Shingles Can Strike Twice Will The Shingles Vaccine Help
- By Urmila Parlikar, Associate Director, Digital Health Products, Harvard Health Publishing
No one who has experienced the burning, stabbing, painful misery of shingles wants to think about it again. But they should. Why? Because shingles can strike twice, or rarely, even a third time. A shingles vaccine can reduce the chances of a recurrence.
Theres some disagreement about how often recurrence occurs. In one study, researchers examined medical records of nearly 1,700 patients who had a documented case of shingles between 1996 and 2001. They found that more than 5% of these patients were treated for a second episode within an average of eight years. Thats about as likely as getting shingles in the first place if youre age 60 or older. Other studies have shown the recurrence rate to be much lower.
But the bottom line is the same: having shingles once doesnt protect you from ever having it again.
Where Does Shingles Come From
When you have chickenpox as a child, your body fights off the varicella-zoster virus and the physical signs of chickenpox fade away, but the virus always remains in your body. In adulthood, sometimes the virus becomes active again. This time, the varicella-zoster virus makes its second appearance in the form of shingles.
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How To Find Triggers Of Your Rosacea Flare
It is essential to find out what triggers your rosacea flare-ups so that you:
- Reduce flare-ups.
- Get maximum benefits from your treatment.
- Stop rosacea from worsening.
You can use a three-step process to find out the triggers as follows:
- Step one is Discovering what could be triggering your rosacea: You can use the list of common triggers mentioned before as a reference to identify what could trigger your rosacea.
- Step two is Confirming your triggers: After you identify what could be triggering your psoriasis flare-ups, you can maintain a rosacea diary. This diary should contain your everyday account of what you eat, what you do, and whether you have a rosacea flare-up on that day. Taking note of things that usually precede your flare-ups will help you confirm your triggers.
- Step three is Making some changes: Once you know whats triggering your rosacea flare-ups, you can modify your lifestyle accordingly and take precautions to avoid those triggers.
Can Stress Cause Shingles
Its become almost a cliché to tell family caregivers to remember to take care of themselves, but its for good reason: many of them end up combatting serious illness after their immune systems become weakened under stress. Shingles is one such disease that afflicts some family caregivers who find themselves overwhelmed with so many care responsibilities.
What Is Shingles?
Shingles is a painful skin rash caused by the same virus that causes chickenpox. About half of the people in the United States who contract shingles are age 60 or older and almost one out of every three people in the U.S. will develop shingles. This is partly because the immune system is weakening with age, so the combination of age and stress can leave a person susceptible to an outbreak of shingles.
While stress itself does not cause shingles, todays typical family caregiver is someone in the age range to have had chickenpox as a childand therefore possibly a virus still in their bodyand this means that when the stress of caring for an elder loved one gets to be too much, they may develop a painful case of shingles.
Symptoms include pain in the form of a burning or tingling on one side of the body followed a few days later by a red rash. Not everyone develops a rash, fever or headache too. If someone suspects shingles, they should contact their health care provider, but it is urgent if the symptoms occur near an eye or if you have a weakened immune system due to another chronic illness.
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What Are The Complications Of Shingles
After the shingles rash has disappeared, you might continue to have nerve pain in that same area. This pain, called postherpetic neuralgia, can last for months or years and become quite severe.
About 10% to 15% of people who get shingles develop postherpetic neuralgia. Researchers dont know why some people get postherpetic neuralgia and others dont. It may be that nerves become more sensitive or the virus may be invading and damaging the central nervous system.
Other complications include other types of nerve issues like numbness or itching, bacterial infection of the shingles rash, and eye and ear inflammation if the rash is near these organs.
Why Your Mental Health Matters
Living with chronic pain is not easy. Not knowing how long the pain will persist is also stressful. Chronic and unpredictable pain can be hard on your emotional and mental health.11
Depression, anxiety, emotional distress, fearthese are responses to events in our lives that can change the way we daily live.
Along with interfering with daily functioning, people with PHN often report feeling isolated. Sleep, which is essential to good mental health, is also a major problem for many people with PHN.
It is important to recognize the emotional and mental impact of PHN, and understand that feelings of depression, anxiety, and fear are not unusual to experience when living with a chronic and unpredictable condition.
If you can gain some control over your response to your symptoms, that can help reduce the stress of chronic pain. There are many things you can do to help yourself as described below.
You may also want to seek professional help if you are experiencing emotions or thoughts that are too difficult to manage by yourself. Getting help is another way of helping yourself, and should be considered as just one more part of your self-care program.
There are a number of things you can do to take care of yourself to help you manage the symptoms of PHN, including the mental and emotional challenges discussed above. Many of these self-care strategies are the same ones that help with overall physical and mental health. These include:
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