Does herpes zoster require hospitalization?

Written by Zhu Zhu
Dermatology
Updated on April 10, 2025
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Whether hospitalization is needed after contracting shingles depends on the severity of the condition. In most cases, shingles is mild and does not require hospitalization. Treatment can be managed with oral antiviral medications, supplements to nourish the nerves, and topical medications. However, if the shingles is severe and causes complications, hospitalization may be necessary. It is advised to maintain a light diet, avoid overly spicy foods, and ensure adequate rest.

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Written by Liu Gang
Dermatology
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Can shingles be contagious?

Shingles is caused by the varicella-zoster virus infection. It has mild contagiousness, but the contagious period is very short, typically lasting about a week from when blisters appear to when they dry up. During this period, try to avoid contact with very young children or elderly people with low immunity, otherwise, it may be transmitted to them. Once diagnosed, it must be treated formally. Common antiviral medications can cure it. This disease can also easily leave complications, so it is crucial to detect and treat it early. During treatment, it is advisable to take some neuro-nourishing medications orally, avoid spicy and irritating foods, refrain from staying up late, exercise moderately, rest more, and drink plenty of water.

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Written by Liu Gang
Dermatology
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Clinical manifestations of herpes zoster

Shingles is a disease caused by the varicella-zoster virus infection. Its most characteristic symptom is the appearance of clustered small blisters distributed along nerve paths on one side of the body, which are quite painful and generally do not cross the midline. This disease has a certain natural course, and it can usually heal within one week to ten days. Some individuals, if in good physical condition and with strong immunity, may recover without medication. However, once identified, it is best to treat with antiviral medications. Delaying treatment may lead to postherpetic neuralgia, which involves severe pain. Therefore, it is crucial to undergo proper treatment once the disease is detected. During treatment, patients should rest more, drink plenty of water, and avoid spicy and irritating foods.

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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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What family does shingles belong to?

Shingles can be treated in three medical departments. First, dermatology. Since the blisters primarily appear on the skin, seeing a dermatologist can treat shingles. Second, neurology. As shingles may be caused by nerve damage, treatment can be sought from a neurologist. Third, for severe pain, especially if postherpetic neuralgia remains after shingles, one can consult the pain management department. The initial symptoms of shingles are mainly pain, particularly unilateral limb or unilateral scalp/facial pain.

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Written by Zhu Zhu
Dermatology
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How is herpes zoster transmitted?

Shingles is caused by the activation of the varicella-zoster virus that lies dormant in the nerve roots, affecting both the skin and nerves. There are several ways shingles can spread, mainly through direct contact or droplet transmission. Direct contact transmission primarily occurs because the blister fluid in shingles blisters contains a high concentration of the virus. Therefore, before the blisters of a person with shingles are completely dry, they are somewhat contagious, primarily affecting those with lower resistance such as the elderly, children, women of childbearing age, pregnant women, and so on.