Understanding Shingles: When to Use Acyclovir and Topical Treatments
Shingles Hello Dr. Wu, I have had shingles since November 19, and it has been about 6 days. I saw a dermatologist yesterday who prescribed oral Acyclovir 400mg and a topical cream. I would like to ask if the cream should only be used when the blisters have burst, or is it not to ...
Dr. Wu Yuxin Reply:
If the blister is intact, there is generally no need to use ointment.[Read More] Understanding Shingles: When to Use Acyclovir and Topical Treatments
Can You Get the COVID-19 Vaccine After Shingles Treatment?
Can individuals with shingles receive the COVID-19 public vaccination? The doctor advised that I should not receive the COVID-19 public vaccine within a week after getting the shingles vaccine. My last injection of the anti-inflammatory medication for shingles was on September 11...
Dr. Wu Yuxin Reply:
It should be fine. However, it is still important to inform the vaccination provider.[Read More] Can You Get the COVID-19 Vaccine After Shingles Treatment?
Can Chickenpox in Kids Trigger Shingles in Adults?
If a child has chickenpox, can it trigger shingles in family members? Hello, doctor. Chickenpox and shingles are caused by the same virus, and it is known that shingles can transmit the virus to someone who has not had chickenpox, resulting in chickenpox. If a child develops chic...
Dr. Wu Yuxin Reply:
No, quite the opposite. Individuals who have never had chickenpox can contract the virus and develop chickenpox if they come into contact with someone who has shingles.[Read More] Can Chickenpox in Kids Trigger Shingles in Adults?
Managing Recurrent Shingles: Treatment Options and Advice
Recurrent herpes zoster? In mid-April, I experienced a severe outbreak of shingles (in the lower body). In early June, I had a mild recurrence and received a self-paid vaccine. By the end of August, I had a third outbreak with blisters and pre-existing nerve pain. I took medicati...
Dr. Wu Yuxin Reply:
I cannot recommend medication online, as it violates medical regulations. If it is inconvenient to visit a hospital or clinic due to the pandemic, you can consult a dermatology clinic that offers telemedicine services, which can provide you with diagnosis and treatment according ...[Read More] Managing Recurrent Shingles: Treatment Options and Advice
Should You Return to the Doctor for Persistent Fever and Pain After Shingles?
If you are experiencing persistent fever and abdominal pain after receiving treatment for shingles, you should consider returning for a follow-up appointment? Hello, Doctor. I am currently in the United States. About five days ago, I developed a rash near my coccyx close to my bu...
Dr. Li Yufen Reply:
Hello: In the early stages of shingles, it is possible to experience a slight increase in body temperature, nausea, and stomach pain. It is important to determine whether there were pre-existing gastrointestinal issues or if the discomfort is causing stress-related gastric ulcers...[Read More] Should You Return to the Doctor for Persistent Fever and Pain After Shingles?
Understanding Shingles: Misdiagnosis and Treatment Challenges
Suspected shingles? Hello doctor, I would like to ask if giving the wrong medication for suspected shingles would have an impact. I previously had shingles on my chest, and this time it occurred on the left side of my anal area. Initially, I experienced redness, itching, and pain...
Dr. Wu Yuxin Reply:
Without actually seeing the lesion, it is impossible to determine the issue. If it is very concerning, please seek medical attention as soon as possible. Only after an examination can the problem be identified and addressed.[Read More] Understanding Shingles: Misdiagnosis and Treatment Challenges
Dealing with Blistering Allergies from Adhesive Patches: What to Do?
Allergic reaction to adhesive bandages causing blisters? Hello, doctor. A few days ago, I felt pain in my shoulder, so I went to the pharmacy and bought some patches to apply. The next day, I noticed that the area where I applied the patch was swollen, and the following day, I di...
Dr. Wu Yuxin Reply:
It could be an allergy, but since you are in significant pain, I believe the likelihood of shingles is greater. I recommend that you see a dermatologist as soon as possible.[Read More] Dealing with Blistering Allergies from Adhesive Patches: What to Do?
Understanding Elbow Scaling: Is It Psoriasis or Eczema?
Concern about desquamation on the outer side of the elbow being psoriasis? Hello Doctor: In early July last year, after a few days of staying up late and sunbathing in Taitung, I suddenly developed mild scaling on the outer elbow creases of both arms the next day. A few days late...
Dr. Li Yufen Reply:
Hello: For a detailed introduction to psoriasis, you can refer to the article on Care Online at https://www.careonline.com.tw/2019/03/psoriasis.html. From the four photos, it appears to resemble eczema-like lesions. If the skin condition does not improve or worsens, it is advisab...[Read More] Understanding Elbow Scaling: Is It Psoriasis or Eczema?
Understanding Itchy Rashes: Causes and Treatments for Skin Issues
Itchy rash? Hello Doctor, I started experiencing a rash on the right side of my lower back last week, which is itchy. Eventually, the rash developed into small blisters, and pressing on the blisters causes pain. However, I do not have any other pain symptoms such as neuropathic p...
Dr. Wu Yuxin Reply:
No lesions were observed, so it is difficult to determine the issue. If you are very concerned, please seek medical attention promptly.[Read More] Understanding Itchy Rashes: Causes and Treatments for Skin Issues
Unexplained Red Rash: When to Seek Medical Attention?
Unexplained red rash, painless and itchless; is it necessary to seek medical attention? Hello, Doctor. Symptoms: On August 10, I noticed three distinct red rashes on the left side of my neck, which healed with peeling by August 23. Now, on September 3, I discovered a patch of red...
Dr. Wu Yuxin Reply:
1. The lesion is not visible, so it is impossible to determine what the issue is. 2. Of course it will.[Read More] Unexplained Red Rash: When to Seek Medical Attention?
Understanding Shingles: Healing Timeline and Post-Treatment Care
Shingles Hello, doctor. It has been two weeks since I developed a rash on my body. I consulted a dermatologist and took antiviral medication for ten days. The blisters have dried up and scabbed over, but the affected area still feels somewhat sore, and the rash is still present (...
Dr. Wu Yuxin Reply:
1. It may take 2-3 weeks to gradually develop into pigmentation. 2. It depends on your individual needs. 3. This is a normal phenomenon.[Read More] Understanding Shingles: Healing Timeline and Post-Treatment Care
Understanding Shingles: Symptoms, Treatment, and Recovery Insights
Shingles Hello, Doctor. Initially, I visited a nephrology clinic due to back pain (my family has a history of kidney stones), and the examination showed no abnormalities. However, three days later, I developed small rashes on my back and abdomen. I thought it was a drug rash (as ...
Dr. Wu Yuxin Reply:
1. It is best to consume within 72 hours, but it is still effective if eaten within a week. 2. It is not only the elderly who can be affected; the incidence is just higher in that age group. 3. The skin typically forms a scab within a week, but nerve pain may not resolve immediat...[Read More] Understanding Shingles: Symptoms, Treatment, and Recovery Insights
Understanding Shingles: Is It Related to HIV or Stress?
Shingles Hello doctor, I had HIV rapid tests at 12 weeks and 16 weeks, both results were negative. However, at 17 weeks, I developed shingles. Could this be related to HIV, or is it simply due to a weakened immune system from prolonged stress over the past three months?
Dr. Wu Yuxin Reply:
As long as someone has had chickenpox, they may develop shingles when their immune system weakens.[Read More] Understanding Shingles: Is It Related to HIV or Stress?
Understanding Shingles: Skin Pain and When to See a Doctor
Chickenpox - Skin pain? Which department should I visit? Hello: I occasionally experience sharp pain in the lower left rib area, and there is also tenderness when I press on that spot. There are two chickenpox lesions nearby, and I'm wondering if the pain could be caused by ...
Dr. Wu Yuxin Reply:
Dermatology[Read More] Understanding Shingles: Skin Pain and When to See a Doctor
Can My Husband Bottle Feed Our Baby While Having Shingles?
Shingles Hello Doctor: My husband has recently been very fatigued and has developed shingles (with blisters on his eyelid that have burst and scabs on his forehead). He has already seen a dermatologist for treatment. We have a 3.5-month-old baby at home, and currently, we are fee...
Dr. Wu Yuxin Reply:
Isolation is necessary. The 3.5-month-old infant has not yet received vaccinations and only has antibodies from the mother, which may not be sufficient.[Read More] Can My Husband Bottle Feed Our Baby While Having Shingles?
Can Shingles Be Diagnosed Without a Rash? Understanding Symptoms and Treatment
Can the absence of a rash confirm a diagnosis of shingles? Hello Doctor, my mother experienced facial nerve dysfunction about a month and a half ago (mid-July), with drooping of the eye and mouth. She was treated with corticosteroids by a family doctor abroad. Two weeks later (en...
Dr. Wu Yuxin Reply:
It is very difficult; the likelihood of having herpes zoster without blisters in clinical practice is very low. It is also not possible to make this diagnosis in the absence of a rash or blisters. If there are no skin lesions, it is advisable to consult a neurologist.[Read More] Can Shingles Be Diagnosed Without a Rash? Understanding Symptoms and Treatment
Is Blood Testing for Herpes Accurate? Understanding Diagnosis and Concerns
Is the blood test for herpes not accurate? Doctor, two years ago I went to a massage parlor, and about three days later, I started experiencing muscle spasms in my thigh. Subsequently, I developed rashes and blisters from my foot to the inner thigh, with seven blisters appearing ...
Dr. Wu Yuxin Reply:
I don't understand why there is a suspicion of a diagnosis of shingles. The medications for shingles and those for herpes simplex are essentially the same, with only the dosage differing. Both are clinical diagnoses and do not require blood tests for confirmation.[Read More] Is Blood Testing for Herpes Accurate? Understanding Diagnosis and Concerns
Post-Herpetic Neuralgia: Managing Pain and Sensation Loss After Shingles
Postherpetic neuralgia on the face? Hello, Doctor. I was diagnosed with shingles 15 days ago and took antiviral medication for seven days. My facial blisters have almost healed, so the doctor did not prescribe any more antiviral medication. However, the skin on the right side of ...
Dr. Li Yufen Reply:
Hello: Postherpetic neuralgia can sometimes persist for a period of time. It is advisable to take high doses of B vitamins to help repair the nerves, along with ensuring adequate nutrition and sleep. Additionally, it is recommended to continue follow-up visits to adjust the dosag...[Read More] Post-Herpetic Neuralgia: Managing Pain and Sensation Loss After Shingles
Treating Scarring After Shingles: Options for Recovery and Prevention
Atrophic scars from shingles? In June of this year, I had an outbreak of shingles on the bridge of my nose and above my lips, which is my first recurrence since having chickenpox as a child. I took medication for a week, and the scabs took about a month to fall off. I saw a shing...
Dr. Wu Yuxin Reply:
1. Vaccination is not currently necessary. 2. Pigmented scars and atrophic scars should be evaluated by a dermatologist; fractional laser treatment can improve some atrophic scars.[Read More] Treating Scarring After Shingles: Options for Recovery and Prevention
Understanding Shingles Treatment: Medication Changes After Two Days
Medication for shingles after 2 days? Hello Doctor, on July 3rd, my father was diagnosed with shingles on his back. He noticed the rash on June 29th and applied eczema cream on his own. On the night of July 2nd, he experienced some back pain, and on July 3rd, he sought medical at...
Dr. Wu Yuxin Reply:
I haven't seen your father and am not familiar with his condition. For this issue, you should consult your attending physician, as they are the most knowledgeable about the situation and can help choose the appropriate medication for your father.[Read More] Understanding Shingles Treatment: Medication Changes After Two Days