The pain is felt in the area where the rash occurred. The older you are when you get shingles, the greater your chances 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, such as dressing, cooking, and eating.
Talk with your doctor if you are experiencing PHN or have any of these symptoms. Usually, PHN will lessen over time. Everyone who has had chickenpox is at risk for developing shingles. Researchers do not fully understand what makes the virus become active and cause shingles. But some things make it more likely:. The current shingles vaccine brand name Shingrix is a safe, easy, and more effective way to prevent shingles than the previous vaccine.
Most adults age 50 and older should get vaccinated with the shingles vaccine, which is given in two doses. Medicare Part D and private health insurance plans may cover some or all of the cost.
Minus Related Pages. Other symptoms of shingles can include Fever Headache Chills Upset stomach. Related Links. Links with this icon indicate that you are leaving the CDC website. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website.
Blisters sometimes erupt and ooze. They may then turn slightly yellow and begin to flatten. As they dry out, scabs begin to form. Each blister can take one to two weeks to completely crust over. During this stage, your pain may ease a little, but it can continue for months, or in some cases, years. This classic presentation is easily recognizable as shingles. The belt can cover a wide area on one side of your midsection.
Its location can make tight clothing particularly uncomfortable. Ophthalmic shingles affects the nerve that controls facial sensation and movement in your face.
In this type, the shingles rash appears around your eye and over your forehead and nose. Ophthalmic shingles may be accompanied by headache.
Other symptoms include redness and swelling of the eye, inflammation of your cornea or iris, and drooping eyelid. Ophthalmic shingles can also cause blurred or double vision. According to the U. Centers for Disease Control and Prevention CDC , about 20 percent of people with shingles develop a rash that crosses multiple dermatomes. Dermatomes are separate skin areas that are supplied by separate spinal nerves.
When the rash affects three or more dermatomes, it is called disseminated, or widespread zoster. In these cases, the rash may look more like chickenpox than shingles. This is more likely to happen if you have a weakened immune system. Open sores of any kind are always susceptible to bacterial infection. PHI is believed to be the result of isolated remaining nerve fibers firing when they shouldn't, giving false sensations that fool the central nervous system. Patients often report the sensation of insects on their skin when there aren't any.
Neurologist Anne Louise Oaklander, MD, director of the Nerve Unit at Massachusetts General Hospital and Harvard Medical School, notes that while itch and pain are distinct sensations, they are closely related and are the two major nocifensive sensations. When itching develops in normal skin, a person will only scratch until they trigger pain that causes them to stop. With PHI, the skin sometimes has diminished sensation due to the shingles-induced nerve damage.
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