How can we stop the blisters from recurring and dry up - #19996
Hello Doctor, I would like to get medical advice regarding a possible case of shingles. I am experiencing pain/tingling/burning sensations and a rash with blisters on one side of my body. The pain started around the eye and in the eye and the rash appeared about the forehead and head and has blisters too The blisters is located on my forehead and top of my head . I would like to know: If these symptoms are consistent with shingles Whether I need urgent antiviral treatment What pain relief measures I can take It has lasted for six months and keeps recurring
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Doctors’ responses
Hello dear See as per clinical history it seems varicella zoster which is associated with high grade fever and blisters. It will require comprehensive therapy I am suggesting some medication. In addition please get in person consultation from general physician medicine also Tablet acycyclovir 800 mg thrice a day for 1 week Ointment acycyclovir topical application twice a day for 5 days Lacto calamine lotion topical application twice a day for 1 week Tablet paracetamol 500 mg symptomatic treatment Avoid excessive sugary products and nuts Take balanced diet with adequate hydration and good proteinacous diet In case of no improvement in 1 week consult general physician medicine in person for better clarity Regards
Hello,
Symptoms strongly suggest shingles (Herpes Zoster), likely Herpes Zoster Ophthalmicus, which can threaten vision.
Tab Acyclovir 800 mg- 5 times daily for 7 days Ideally within 72 hours, but still beneficial later if new blisters or eye risk.
Paracetamol for pain relief Urgent ophthalmology evaluation is important to protect the eye and vision.
You can use Acyclovir topical cream with opthal consent
Blisters may not dry due to active infection, age, weak immunity, or secondary infection.
Keep rash clean and dry; cold compress; avoid scratching;
Go to ER urgently if eye redness/blurred vision, fever, confusion, rash spreads to both sides, or in immunocompromised patients.
Thank you
Your symptoms do sound consistent with shingles, especially given the rash, blistering, and pain on one side of your face and forehead. Shingles typically involve a burning or tingling sensation followed by a rash and blister formation in a localized area. It’s concerning that you’ve had symptoms recurring for six months, as shingles outbreaks usually resolve within a few weeks. If your symptoms persist for this long, it might indicate postherpetic neuralgia, a complication of shingles, or an initial misdiagnosis. To address this condition effectively, antiviral treatments are indeed more effective if started early — within 72 hours of rash appearance — but given your ongoing symptoms, consultation with a healthcare provider is crucial to assess the need for continuing or repeat antiviral therapy. For pain relief, options include over-the-counter analgesics like acetaminophen or ibuprofen. For persistent or severe pain, a physician may prescribe gabapentin, pregabalin, or topical lidocaine patches. Proper skincare is important; keeping affected areas clean and dry can help, and cool compresses can reduce itching and discomfort. To avoid further complications and assess whether other conditions could be at play, you should see a healthcare provider promptly, as this might require a more comprehensive evaluation or changes in your treatment strategy. Additionally, confirm if there’s any secondary bacterial infection in the lesion areas. Always ensure that any medication fits your overall health profile, and is discussed with your doctor.
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