Post-Shingles Treatment: Understanding Confusion and Hallucinations in Elderly Patients
After treatment for herpes zoster, there were instances of nonsensical speech? Hello, Doctor Huang! My mother-in-law is in her eighties and, due to excessive stress and prolonged fatigue, developed herpes zoster three weeks ago (she has never had it before) and has experienced ab...
Dr. Huang Ruiyun Reply:
Hello: The tasks to be done are: 1. Discontinue the medications given for the treatment of shingles and <a href="https://adoctor.tw/article/30129">#30129</a>; rash. 2. Refer the patient to a neurology outpatient clinic as soon as possible (preferably at the ...[Read More] Post-Shingles Treatment: Understanding Confusion and Hallucinations in Elderly Patients
Effective Treatments for Shingles: Laser Therapy and Nerve Block Options
Shingles I have been suffering from shingles on my face for nearly a month, which has left some scars. My face and ears are very itchy and painful, and I can't sleep at night. I have taken medication, but it doesn't seem to help much. I found information online about &q...
Dr. Huang Ruiyun Reply:
Hello: We apologize, but our hospital does not offer low-energy laser acupuncture treatment. As for the ganglion block therapy, please schedule an appointment for the pain clinic on Wednesday morning (out-of-pocket). Wishing you all the best.[Read More] Effective Treatments for Shingles: Laser Therapy and Nerve Block Options
Understanding Shingles: Is Skin Peeling Normal During Healing?
Shingles Hello, I recently had shingles, and after two weeks of medication, the lesions have started to scab over. However, I have noticed that the affected area is beginning to peel, with large patches of skin that can be easily removed. Is this a normal occurrence? Thank you.
Dr. Huang Ruiyun Reply:
Hello: Infected dead skin will shed and be replaced, but it is recommended not to "tear" it off. Allow it to fall off naturally during dressing changes. Wishing you peace and health.[Read More] Understanding Shingles: Is Skin Peeling Normal During Healing?
Understanding Shingles: Recurrence and Severity Explained
Shingles Dr. Jiang: May I ask if shingles can recur, and is this condition serious? Thank you!
Dr. Jiang Yujiao Reply:
Ms. Fan: Hello! Generally, shingles does not recur, but a small percentage of patients may experience a recurrence, and the symptoms tend to be milder. The severity depends on the patient's immune status. For example, elderly individuals aged 70, cancer patients, and those w...[Read More] Understanding Shingles: Recurrence and Severity Explained
Understanding Shingles: When to See a Dermatologist for Treatment
Herpes Zoster - 2 Hello Doctor, thank you for your quick response. I still have some questions I would like to ask you: Initially, I thought it was an abdominal issue, so I consulted the gastroenterology department. Fortunately, I was not misdiagnosed. However, the doctor mention...
Dr. Zhang Zhibo Reply:
Hello: Herpes is often misdiagnosed as other conditions; for example, lesions on the back may be mistaken for lower back pain, and those on the chest may be confused with heart disease. Therefore, patients often first consult internal medicine physicians, orthopedic specialists, ...[Read More] Understanding Shingles: When to See a Dermatologist for Treatment
Understanding Shingles: Treatment Options and Recurrence Risks
Shingles Hello Doctor, I have just been diagnosed with shingles, and it has been a week since the onset. The blisters have not yet ruptured, and the affected area extends from my right rib cage to my back, causing severe unilateral neuropathic pain. I have heard that early treatm...
Dr. Zhang Zhibo Reply:
Hello: Herpes zoster, commonly known as shingles, is a reactivation of the varicella-zoster virus that occurs in individuals with weakened immune systems. This virus is one of the few microorganisms that can be effectively treated with antiviral medications. There are generally t...[Read More] Understanding Shingles: Treatment Options and Recurrence Risks
Understanding and Managing Pain from Shingles: What to Expect and How to Cope
Shingles Hello Dr. Huang: My mother recently developed shingles (herpes zoster), which appeared on her lower back and abdomen. It has been a week since she saw a doctor. The blisters are slowly healing, but she experiences sudden, severe pain without warning, which is unbearable....
Dr. Huang Ruiyun Reply:
Hello: It is quite common for this type of pain to persist for a period of time, especially in the elderly. You can consult a dermatologist or neurologist for medication management, and most cases will gradually improve. A statistical report indicates the following (regardless of...[Read More] Understanding and Managing Pain from Shingles: What to Expect and How to Cope
Understanding Shingles: When to Seek Hospitalization for Severe Symptoms
Shingles Hello, I was diagnosed with shingles at a local clinic three days ago. The area with blisters has been spreading from my thigh to the back of my buttocks and lower back. The pain and burning sensation have been persistent and seem to be worsening. Given this situation, i...
Dr. Zhang Zhibo Reply:
Hello: Shingles is a reactivation of the varicella-zoster virus, and the location you mentioned likely corresponds to the lumbar region. Generally, antiviral medications (Acyclovir) should be administered either intravenously or orally within 3-4 days of the rash appearing to tre...[Read More] Understanding Shingles: When to Seek Hospitalization for Severe Symptoms
Effectiveness of Acyclovir vs. Diflucan for Treating Shingles
Measles Which of the two medications, Acyclovir or Valacyclovir, is more effective for herpes zoster? What are the side effects? Is topical hydrocortisone effective for herpes zoster? Can it be used in combination with these medications?
Dr. Zhang Zhibo Reply:
Dear Q: Xyzal (levocetirizine dihydrochloride) 5mg is a third-generation antihistamine derived from the second-generation Zyrtec (cetirizine 10mg), which improves upon the sedation and dizziness side effects associated with the second generation. The package insert states that cl...[Read More] Effectiveness of Acyclovir vs. Diflucan for Treating Shingles
Understanding Chickenpox and Shingles: Your Questions Answered
Questions about chickenpox and shingles? Hello, Dr. Zhang. I have never had chickenpox, but my wife had it when she was young. Over the past few years, my wife has experienced shingles, although it was only a small patch and it has improved over time. During that period, my wife ...
Dr. Zhang Zhibo Reply:
Hello, Xiao Bai: Indeed, the initial infection with the varicella-zoster virus can cause symptoms of chickenpox in the infected individual, especially if they have close contact with someone who has vesicular lesions. However, your wife's symptoms of "shingles, although...[Read More] Understanding Chickenpox and Shingles: Your Questions Answered
Understanding Shingles: Symptoms, Causes, and Treatment Options
About shingles? Hello, doctor! I have developed blisters on my foot (and there are some signs on my buttocks; the top of my foot and toes are painful). One doctor diagnosed it as an allergic reaction and prescribed me a topical steroid, but after using it for 5 days, there was no...
Dr. Hong Zhengsheng Reply:
Hello: "Finding a trusted dermatologist for consultation" is the best advice for you. If your condition is shingles, from a physician's standpoint, it is "not recommended" for a two-month-old baby to sleep with you. I apologize, but based on your written ...[Read More] Understanding Shingles: Symptoms, Causes, and Treatment Options
Understanding Snake Skin Symptoms: Causes, Treatments, and Remedies
Snake skin? I would like to ask why snake skin lesions occur. Is it due to an allergy? How can it be completely cured? Is it effective to see a doctor and apply medication? Or can folk remedies be used to cure it? Or is it only possible to manage it? Thank you.
Dr. Hong Zhengsheng Reply:
Hello, Blue Sky: Shingles (also known as herpes zoster) is a disease caused by a virus. I recommend visiting the website of the Taiwan Dermatological Association for detailed information. I personally have not researched folk remedies, so I do not have any suggestions. Thank you ...[Read More] Understanding Snake Skin Symptoms: Causes, Treatments, and Remedies
Understanding Shingles: Managing Pain and Treatment Options
Shingles The situation is as follows: My mother underwent root canal treatment on August 26 (Saturday) for a large molar on the lower right side. The dentist administered medication to the nerve and prescribed painkillers. After taking the medication, my mother woke up in severe ...
Dr. Zheng Lizhen Reply:
Hello: The pain from shingles can sometimes be extremely unbearable. You can visit the outpatient clinic to describe your pain to the physician, who will adjust your medication as needed. Sincerely, Dr. Cheng Li-Chen, Dermatology.[Read More] Understanding Shingles: Managing Pain and Treatment Options
Understanding Shingles: Recurrence Risks and Nerve Pain Concerns
Shingles Hello, I had shingles a month ago, which appeared on the left side of my back and chest. It has now healed but left noticeable scars. Today, I noticed similar numbness and shooting pain on the right side, and I'm worried it might be shingles again. I visited a docto...
Dr. Zheng Lizhen Reply:
Hello: After having shingles once, there is still a chance of experiencing a second occurrence, but it typically happens after ten to twenty years. However, individuals with compromised immune function may experience a recurrence in a shorter time frame. Sincerely, Dr. Cheng Li-C...[Read More] Understanding Shingles: Recurrence Risks and Nerve Pain Concerns
Can Previous Cold Sore History Trigger Outbreaks from Other Herpes Infections?
If there is a history of herpes labialis, can exposure to other herpes patients trigger an outbreak? Hello Doctor: I have a history of herpes simplex virus (HSV) infections. Recently, due to work, I came into contact with a patient who had chickenpox. One day later, I noticed red...
Dr. Jiang Yujiao Reply:
Hello: The appearance of "herpes" at the corner of the mouth is likely "herpes simplex," not chickenpox or "shingles," which can recur. Poor physical condition, fatigue, and lack of sleep can easily trigger outbreaks. Sincerely, Dr. Jiang Yu-Jiao, De...[Read More] Can Previous Cold Sore History Trigger Outbreaks from Other Herpes Infections?
Understanding Shingles: Symptoms, Treatment, and Care Tips
Questions about having had chickenpox? A few days ago, I noticed unusual pain in my right armpit. Today, while having lunch, I discovered that I had developed many blisters on my back and underarm area. They are very painful but not itchy. After seeing a doctor, I was informed th...
Dr. Hong Zhengsheng Reply:
Hello Pepe: Based on your description, it could be a condition such as herpes. If you have any questions about the disease, you can consult your treating physician in person, which can help resolve your concerns immediately. Whether or not there will be scarring depends on the de...[Read More] Understanding Shingles: Symptoms, Treatment, and Care Tips
Understanding Superbug Infections: Symptoms and Treatment Options
Is my friend infected with a superbug? 1. Superbugs, or multidrug-resistant organisms (MDROs), are bacteria that have developed resistance to multiple antibiotics, making infections difficult to treat. Symptoms of superbug infections can vary widely depending on the type of infec...
Dr. Jiang Zheen Reply:
Shingles should be considered; it is caused by a virus. Generally, young people are not significantly affected, and it may take 2-3 weeks to heal. It is often accompanied by neuropathic pain, and symptomatic treatment is sufficient. Wishing you peace, Jesus loves you.[Read More] Understanding Superbug Infections: Symptoms and Treatment Options
Understanding Shingles: Pain Management and Effective Treatments
Herpes Zoster Hello Dr. Tsai, Recently, I developed shingles on the inner side of my left arm and on my back, which are localized to small areas. The pain has become unbearable, so I visited a dermatologist. After taking the medication, although the lesions feel somewhat improve...
Dr. Huang Ruiyun Reply:
Shingles will take about a month to heal, not just three days. Acyclovir is an antiviral medication for herpes viruses. Brufen is a pain reliever. Tozy is another type of pain medication. Kearnalin or Keamalin? There is no record of such a medication name. If the pain persists, c...[Read More] Understanding Shingles: Pain Management and Effective Treatments
Managing Postherpetic Neuralgia: Alternative Treatments and Options
Postherpetic neuralgia Hello Doctor: My father developed shingles over a year ago and after treatment at Chang Gung Memorial Hospital's dermatology department, the surface wounds have healed. However, he still experiences postherpetic neuralgia, which can be quite painful at...
Dr. Jiang Zheen Reply:
The currently known effective and safe medication is called Neurotin, with the active ingredient being gabapentin. You can obtain this medication through consultations in dermatology or neurology. Wishing you well.[Read More] Managing Postherpetic Neuralgia: Alternative Treatments and Options
Understanding 'Snake Waist': When to See a Dermatologist for Skin Issues
I'm not sure if "snake waist" requires a visit to a dermatologist? I would like to ask a question. My mom has developed a cluster of small, blister-like bumps on her lower back near her waist. She visited a clinic, and the doctor said it is called "shingles.&q...
Dr. Jiang Zheen Reply:
Your mother's skin condition is shingles, which is a disease treated by dermatologists. It is a viral infection that can cause nerve pain in older patients. Currently, there is an oral medication in dermatology called gabapentin that is effective for nerve pain in some indiv...[Read More] Understanding 'Snake Waist': When to See a Dermatologist for Skin Issues