Adult chickenpox
Hello Doctor, I noticed a fluid-filled bump on my neck while scratching two nights ago, and yesterday I found one on my waist and another on my back.
I went to see a doctor in the evening, and although he said the number of lesions was not significant, they appeared to be chickenpox.
He prescribed me an anti-itch lotion to apply.
I would like to ask how long it will take to recover and if there is anything I can supplement to speed up the healing process.
I have an exam coming up, but I feel very unwell.
I can't take time off work, and the main discomfort is in my shoulders and back, which feel very sore, along with a sore throat, occasional headaches, and a lack of appetite.
How can I improve these symptoms? I found a lot of information online stating that chickenpox in adults can easily lead to complications and has a higher mortality rate, which makes me quite worried.
I hope you can clarify this for me.
Thank you, Doctor.
Ellis, 20~29 year old female. Ask Date: 2017/04/18
Dr. Wu Yuxin reply Dermatology
I am not familiar with your medical condition; you should consult your attending physician regarding this matter, as they are the most knowledgeable about your situation.
Reply Date: 2017/04/18
More Info
Chickenpox, also known as varicella, is a highly contagious viral infection caused by the varicella-zoster virus. While it is commonly associated with childhood, adults can contract chickenpox, and the symptoms can be more severe. Understanding the symptoms, treatment, and recovery tips can help you manage your condition effectively.
Symptoms of Chickenpox in Adults
The initial symptoms of chickenpox typically appear 10 to 21 days after exposure to the virus. Common symptoms include:
1. Rash: The hallmark of chickenpox is a red, itchy rash that develops into fluid-filled blisters. These blisters eventually crust over. The rash usually starts on the face, chest, and back before spreading to other parts of the body.
2. Fever: A mild to moderate fever often accompanies the rash, typically ranging from 100°F to 102°F (37.8°C to 38.9°C).
3. Fatigue: You may feel unusually tired or lethargic.
4. Body Aches: Muscle aches and general discomfort are common.
5. Headache: Some individuals experience headaches.
6. Loss of Appetite: A decrease in appetite is also common during the infection.
Treatment for Chickenpox
While chickenpox usually resolves on its own, treatment focuses on relieving symptoms and preventing complications. Here are some common treatment options:
1. Antihistamines: Over-the-counter antihistamines can help alleviate itching and discomfort from the rash.
2. Calamine Lotion: Applying calamine lotion to the rash can provide soothing relief.
3. Pain Relievers: Acetaminophen (Tylenol) can help reduce fever and alleviate body aches. Avoid aspirin, as it can lead to Reye's syndrome in children and teenagers.
4. Hydration: Drink plenty of fluids to stay hydrated, especially if you have a fever or are not eating well.
5. Rest: Ensure you get adequate rest to help your body recover.
Recovery Tips
1. Avoid Scratching: Scratching can lead to secondary bacterial infections. Keep your nails trimmed and consider wearing gloves to prevent scratching during sleep.
2. Cool Baths: Taking cool baths with baking soda or colloidal oatmeal can help soothe itchy skin.
3. Monitor Symptoms: Keep an eye on your symptoms. If you develop a high fever, difficulty breathing, or severe headache, seek medical attention promptly.
4. Isolation: Since chickenpox is contagious, it’s important to stay away from others, especially those who are immunocompromised, pregnant, or have not had chickenpox.
Complications of Chickenpox in Adults
Adults are at a higher risk for complications from chickenpox compared to children. Potential complications include:
- Pneumonia: This is a serious complication that can occur, especially in adults with weakened immune systems.
- Encephalitis: Inflammation of the brain can occur, leading to neurological symptoms.
- Bacterial Infections: Scratching the blisters can lead to bacterial skin infections.
Conclusion
In terms of recovery time, chickenpox typically lasts about 5 to 7 days, with the rash crusting over within a week. However, you may continue to feel fatigued and unwell for a longer period. It’s crucial to take care of yourself during this time, manage your symptoms, and seek medical advice if you notice any concerning signs.
Given your situation with exams and work, it’s understandable to feel stressed. Prioritize your health, and if necessary, communicate with your employer or school about your condition. Taking care of your physical health will ultimately help you perform better academically and professionally. If you have any further concerns or if your symptoms worsen, don’t hesitate to reach out to your healthcare provider for guidance.
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