Is shingles contagious?

Written by Zhu Zhu
Dermatology
Updated on September 09, 2024
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Shingles is caused by the varicella-zoster virus, which is the same virus that causes chickenpox. Therefore, shingles is contagious to people, especially children, who have never been infected with the virus. The virus is primarily transmitted through the respiratory tract. Thus, it is recommended that if someone in the household contracts shingles, particularly in households with children, it is crucial to avoid close contact and to implement appropriate isolation measures. It is also important to keep windows open for ventilation to prevent transmitting the virus to children, who may develop chickenpox, or to some adults who may also be susceptible to chickenpox if they have never been infected with the virus before.

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Written by Zhu Zhu
Dermatology
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Can people with herpes zoster take a bath?

Whether or not someone who has herpes zoster (shingles) can take a bath depends on the individual’s condition. Most patients can bathe, but they must not scrub, especially at the areas affected by the rash. A minority of patients should avoid bathing if their blisters have ruptured, leading to open sores that could facilitate a secondary bacterial infection. In such cases, bathing is not recommended as it may worsen the infection.

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Written by Zhu Zhu
Dermatology
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Is shingles contagious?

Shingles is caused by the varicella-zoster virus, which is the same virus that causes chickenpox. Therefore, shingles is contagious to people, especially children, who have never been infected with the virus. The virus is primarily transmitted through the respiratory tract. Thus, it is recommended that if someone in the household contracts shingles, particularly in households with children, it is crucial to avoid close contact and to implement appropriate isolation measures. It is also important to keep windows open for ventilation to prevent transmitting the virus to children, who may develop chickenpox, or to some adults who may also be susceptible to chickenpox if they have never been infected with the virus before.

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Written by Xie Ming Feng
Dermatology
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Early symptoms of shingles

The prodromal symptoms of shingles primarily refer to mild fever, tiredness, loss of appetite, and general discomfort that occur before the rash appears. There is also a burning sensation and pain in the affected skin area, which feels significantly sensitive to touch. Generally, these symptoms can last from 1 to 5 days, but some people may not exhibit any prodromal symptoms and develop the rash directly.

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Written by Yu Gang
Dermatology Department
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How long does herpes zoster take to heal?

The healing time for shingles varies from person to person; generally, younger people recover faster, while older individuals take longer. Treatment typically includes oral antiviral medications like famciclovir and acyclovir, as well as nutrients for nerve health such as vitamins B1 and B12, along with oral traditional Chinese medicine and acupuncture. However, if it progresses to postherpetic neuralgia, the condition tends to heal more slowly. Postherpetic neuralgia can only alleviate pain but is generally difficult to cure completely.

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Written by Zhu Zhu
Dermatology
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How long does it generally take for herpes zoster to heal?

Most patients, if they do not develop complications from shingles, generally recover within two to four weeks. However, many patients who do develop related complications, such as postherpetic neuralgia, motor paralysis, or gastrointestinal or urinary tract diseases from shingles, have an uncertain recovery time. It could be several weeks, months, or even years. Therefore, once shingles occur, it is essential to seek timely medical treatment at a formal hospital and pay attention to enhancing one's immunity.