Shingles recurrence: Signs, reasons, and remedies
In the battle against shingles, the first line of defence is an antiviral medication, with over-the-counter pain relief offering relief for symptoms [1]. However, it's essential to be aware of the potential complications that can arise from shingles, such as secondary bacterial infections, vision loss, scarring, nerve damage, brain inflammation, and kidney disease [2].
One of the most concerning complications of shingles is postherpetic neuralgia (PHN), a long-term nerve pain that can persist even after the rash has healed [3]. People under the age of 40 are less likely to experience PHN [4].
Recurrent shingles, where an individual repeatedly develops shingles, is more common in those with weakened immune systems [1]. Common risk factors for recurrent shingles include advanced age, especially after 50, as a decline in immunity makes it easier for the varicella-zoster virus (VZV), which causes shingles, to reactivate [4].
Other risk factors for recurrent shingles include the use of immunosuppressant medications, chronic diseases and conditions that impair immunity, stress and emotional strain, poor nutrition and sleep deprivation, and recent or ongoing illnesses [1][2][4][5]. These factors weaken immune surveillance over the latent virus, increasing the chance of reactivation and recurrence.
Individuals taking immunosuppressant medications, such as chemotherapy, corticosteroids, or drugs taken after organ transplants, are at a higher risk of recurrent shingles [1][3]. Similarly, those with chronic diseases and conditions that impair immunity, including HIV/AIDS, autoimmune diseases (like rheumatoid arthritis, lupus, Crohn’s disease), cancer, and diabetes, are also at a higher risk [1][4][5].
Stress, poor nutrition, and sleep deprivation can contribute to immune suppression, raising susceptibility to shingles [2]. Recent illnesses or infections, such as COVID-19, may temporarily compromise immune defenses and increase risk [2].
If the pain is severe or over-the-counter pain relievers do not help, it's recommended to talk with a doctor about prescription pain relievers [1]. If the rash spreads to the face and is near the eyes, it's crucial to seek medical advice to prevent vision loss [3].
Doctors recommend that people ages 50 and over get the Shingrix vaccine to help prevent shingles [6]. By understanding the risk factors for recurrent shingles, individuals can take proactive steps to protect their health and reduce the risk of this debilitating condition.
References: [1] Mayo Clinic. (2021). Shingles. Retrieved from https://www.mayoclinic.org/diseases-conditions/shingles/symptoms-causes/syc-20355225 [2] Centers for Disease Control and Prevention. (2021). Shingles. Retrieved from https://www.cdc.gov/shingles/about/index.html [3] National Health Service (NHS). (2021). Shingles. Retrieved from https://www.nhs.uk/conditions/shingles/ [4] Johns Hopkins Medicine. (2021). Shingles. Retrieved from https://www.hopkinsmedicine.org/health/conditions-and-diseases/shingles [5] American Academy of Dermatology. (2021). Shingles. Retrieved from https://www.aad.org/public/diseases/contagious-skin-conditions/shingles [6] Centers for Disease Control and Prevention. (2021). Shingrix Vaccine Information Statement. Retrieved from https://www.cdc.gov/vaccines/hcp/vis/vis-statements/shingrix.html
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