Shingles

Shingles is an infection that causes a painful rash. Get advice from 111 as soon as possible if you think you have it.

Check if you have shingles

The first signs of shingles can be:

a tingling or painful feeling in an area of skin
a headache or feeling generally unwell

A rash will appear a few days later.

Usually you get shingles on your chest and tummy, but it can appear on your face, eyes and genitals.

A red, blotchy rash on 1 side of the chest — The shingles rash appears as red blotches on your skin, on 1 side of your body only. A rash on both the left and right of your body is unlikely to be shingles.

Patches of red blisters oozing fluid — The blotches become itchy blisters that ooze fluid. A few days later, the blisters dry out and scab.

A red, blotchy rash in a band on one side of the body — The rash can form a cluster that only appears on 1 side of your body. The skin remains painful until after the rash has gone.

Red, swollen eyelid with a red rash on the surrounding skin — Shingles can also make your eye red and sore, affect your sight or hearing, or make it difficult to move 1 side of your face.

Urgent advice: Get advice from us or 111 when we are closed as soon as you suspect shingles

You might need medicine to help speed up your recovery and avoid longer-lasting problems.

This works best if taken within 3 days of your symptoms starting.

How to treat shingles symptoms yourself

Do

Take paracetamol to ease pain
Keep the rash clean and dry to reduce the risk of infection
Wear loose-fitting clothing
Use a cool compress (a bag of frozen vegetables wrapped in a towel or a wet cloth) a few times a day

Don't

do not let dressings or plasters stick to the rash
do not use antibiotic cream – this slows healing

How long does shingles lasts?

It can take up to 4 weeks for the rash to heal.

Your skin can be painful for weeks after the rash has gone, but it usually settles over time.

Stay away from certain groups of people if you have shingles

You cannot spread shingles to others. But people who have not had chickenpox before could catch chickenpox from you.

This is because shingles is caused by the chickenpox virus.

Try to avoid:

pregnant women who have not had chickenpox before
people with a weakened immune system – like someone having chemotherapy
babies less than 1 month old – unless it's your own baby, as they should be protected from the virus by your immune system

Important

Stay off work or school if the rash is still oozing fluid (weeping) and cannot be covered, or until the rash has dried out.

You're only infectious to others while the rash oozes fluid.

You can cover the rash with loose clothing or a non-sticky dressing.

Shingles and pregnancy

If you're pregnant and get shingles, there's no danger to your pregnancy or baby.

But you should be referred to a specialist, as you may need antiviral treatment.

What are the risks of shingles during pregnancy?

You cannot get shingles from someone with chickenpox

You cannot get shingles from someone with shingles or chickenpox.

But you can get chickenpox from someone with shingles if you have not had chickenpox before.

When people get chickenpox, the virus remains in the body. It can be reactivated later and cause shingles if someone's immune system is lowered.

This can be because of stress, certain conditions, or treatments like chemotherapy.

Shingles vaccination

A shingles vaccine is available on the NHS for people in their 70s. It helps reduce your risk of getting shingles.

If you get shingles after being vaccinated, the symptoms can be much milder.

Information from NHS choices website.

For further information visit: http://www.shinglesaware.co.uk/