Your Questions About Shingles

John asks…

Herpes Zoster Question…?

– Is it preventable?
– What is the scientific name?
– Are there treatments?
– What are some methods of transmission?

admin answers:

Herpes zoster is also known as shingles…it comes from the chicken pox virus….can’t tell you with certainty the treatment of it but it’s best to go to your doctor and stay away from people till the rashes goes away

Charles asks…

is there any treatment for neuralgia ?

my mom suffers from neuralgia after a viral attack of herpes zoster is there any cure for it? she is diabetic and has been suffering with this pain for 4 months ……please help!

admin answers:

You could start here. Without being able to directly ask a lot of questions this is a good start. Without question a doctor would be the best source of help.pp

http://en.wikipedia.org/wiki/Neuralgia,_postherpetic

Paul asks…

where can i buy Terrasil cream in the Philippine?

treatment for herpes zoster

admin answers:

Not sure, try mercury drug.. Hehehe

kahiya nman.

Sharon asks…

Which specialist would be best for shingles? Neurologist or dermatologist? For an immune compromised pt?

Pt is 57 y/o male with a non-aggressive blood cancer. Has been active, working, receiving chemo. Developed a severe case of herpes zoster. Treated so far by his oncologist, but I don’t think that doc has beenaggressivee enough or anticipated the complications that occurred. (Not sure if he even put pt on vancovir or prednisone.)

So which specialist would be best equipped to Tx this pt.

He developed complete urinary retention (from opiates?). May have more than 3 dermatones involved.

Also – are there any leading edge treatments for herpes zoster? I am familiar with the various website info.

admin answers:

You know, I was told by my neurologist less than 6 months ago that there *is* something new some docs are using for shingles, but she did not mention what it was. It came up because she finally noticed in my chart that I had an outbreak when I was 25–she wanted to verify that it was, in fact, shingles, since that’s an unusually young age.

A dermatologist, or even a GP, for that matter, can treat the rash and the pain as well as any oncologist. I would suggest a neurologist, as he or she might have some other ideas for treating the neuralgia and pain, rather than just throwing opiates at the patient. I actually know one person, elderly, who was sent to an anesthesiologist last year and given an epidural for the residual pain from a shingles episode. They were referred by a neurologist.

I think that would be the best bet. It is, after all, primarily a neurological problem, not dermatological. I will try to contact the doc who spoke about the new thing some are trying for shingles, and I will come back and add an edit if I am able to get some information from her for you.

Jenny asks…

Do we have an Immunodeficiency syndrome?

My mother had varicella a long time ago. Then she had pneumonia and encephalitis one year after that. The encephalitis was really bad, she couldn’t speak and write for one year and she had necrosis on her brain. Our medical system is quite bad. Luckily my aunt had money to buy treatment and she only has a slight speech problem – talks slower, has some lapsus. But she is fit to work and her judgment and movement are normal. After 7 years she had necrosis on her femur head, she did surgery… But that’s another story, it happened from the Hydrocortisone she took when ill.
I had chickenpox when I was in primary school, then, about 4-5 years later (can’t recall) I had Herpes Zoster. Luckily I didn’t experience postherpetic neuralgia afterwards until now, (I am 21).
Does this mean we definetly have a genetic immunodeficiency? Or isn’t it a rule? Should I get tested to find out?
If we do, what other complications may we experience?
P.S. I also had a really severe case of laryngitis back then, for 2 weeks or so, where I’d choke all the time, stay in bed with a wet drape at the window, but I’m not sure that’s relevant.

admin answers:

It is possible, and there are genetic immunodeficiency disorders, but that is something that should be tested for. However, it’s not an automatic diagnosis, and there are other factors which could cause a predisposition to infections such as the ones you mention. Herpes zoster (assume you mean shingles) at such a young age is unusual though, so I’d request follow up with the issue.

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