Shingles 

Introduction 

Shingles

Shingles is a viral infection of a nerve and the area of skin around it. A GP describes causes, symptoms and treatment options for shingles.

Shingles is an infection of a nerve and the area of skin around it. It is caused by the herpes varicella-zoster virus, which also causes chickenpox.

See the Health A-Z topic on Chickenpox for more information about this condition.

Most people have chickenpox in childhood, but after the illness has gone, the virus remains dormant (inactive) in the nervous system. The immune system (the body’s natural defence system) keeps the virus in check, but later in life it can be reactivated and cause shingles.

Shingles usually affects a specific area on either the left or right side of the body. The main symptoms are:

  • pain
  • a rash, which develops into itchy blisters and then scabs over

See Shingles - symptoms for more information.

How common is shingles?

It is estimated that about 3 people in every 1,000 have shingles in the UK every year.

Shingles can occur at any age, but is most common in people who are over 50 years of age. Among people who are over 80 years of age, about 11 people in every 1,000 have shingles each year. Shingles is much less common in children. 

It is unknown exactly why the shingles virus is reactivated at a later stage in life, but it may be due to having lowered immunity (protection). This may be the result of:

  • being older
  • being stressed
  • a condition that affects your immune system, such as HIV and AIDS

Outlook

In most cases, the painful rash of shingles lasts 7 to 10 days and takes 2 to 4 weeks to fully heal. A number of different medicines can be used to treat the pain.

Complications can occur after you have had shingles, such as postherpetic neuralgia (see Shingles - complications). This is where severe nerve pain lasts for more than three months after the rash has gone.

It is estimated that postherpetic neuralgia affects at least 1 in 10 people with shingles. It is more common in older people, and affects around one-third of people who are over 80 and who have shingles.  

See the Health A-Z topic on Neuralgia for more information about this condition.

Last reviewed: 22/06/2010

Next review due: 22/06/2012

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Comments are personal views. Any information they give has not been checked and may not be accurate.

thatmh said on 30 January 2012

oh and I have also felt very stressed and down over the last few weeks due to exams, and revision so I think I have got shingles from stress.

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thatmh said on 30 January 2012

oh and I have also felt very stressed and down over the last few weeks due to exams, and revision so I think I have got shingles from stress.

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thatmh said on 30 January 2012

I am 15 and For about 3 weeks I felt painfully itchy in my ears, on my back, on my face and arms and wasnt quite sure what the issue was. about 4 days ago rashes have appeared in a band round my back and stomach. I have had memory loss forgetting very basic things, I have felt exhausted no matter how long I sleep or nap and have had sore eyes. I also am quite active and have had aching muscles all over and put it down to sports but now I'm pretty sure I have shingles. It was very itchy but its getting better as I bought some pure aloe vera gel which I highly recommend for shingles sufferers. It cools the rash down a lot!

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Juniper5 said on 24 January 2012

On Wikipedia it says that you can be immunised against shingles. Have none of the poor repeat sufferers on here been offered this?

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Rembrandt said on 31 December 2011

I had severe stabbing pains in my leg and eventually the rash came out - I felt dreadful. I went to the local doctor in a big town who told me I had shingles and there was NO TREATMENT and that I wasn't contagious! Caught the plane home to Oz and the doctor at Singapore airport belatedly gave me Aciclovir. Why didn't the English doctor prescribe this and save me all this pain/tiredness? It seems to be standard practice! There is also an innoculation which wasn't mentioned in the UK either! It's dismal to read others' comments that I can keep getting this repeatedly. I have had such a severe dose this time!

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xxcaitlinrose said on 20 December 2011

I had shingles a few months ago when I was 16. My experience was pretty much the same as what Redden said on 26 May 2009, my pain itself also wasn't that bad unless I touched it or if it rubbed against a surface, and I just felt really weak and a bit down, rash is almost completely gone but I still have little white faded dots (not raised and their not a problem at all). Not a nice thing for anyone, at any age.

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MissPickle said on 07 December 2011

Posting my Shingles experience in hope this can help someone else to speedy diagnoses and recovery. Reading posts on this and other websites, experiences between people can be different and I was puzzled for 2-3 days over my mine until I researched it.

Day 1 and 2 - Localised short head pains/aches. Insect bite or cyst 'like' little lumps and bumps on middle forehead hairline which grew larger.
Day 3 - Right lymph gland swelling and general achiness, lethargy and washed out. One or two red lumps and bumps under right eyebrow.
Day 4 - More lumps and bumps in a patch on forehead, all lumps and bumps a bit sore, itchy, tingly. Still felt very peaky.
Went to the doc and got aciclovir
Day 5 - Stabbing, needling sensations all over affected areas. Some lumps and bumps starting to blister (but not all). Still felt peaky.
Day 6 - Meds started to kick in as lumps and bumps stopped getting worse and even started retracting. Sensations in head still occurring and gland still swollen. Felt better in my self.
Day 7 - Well and truly on the mend apart from some red blotches and itchiness.

I recommend anyone who feels like this go to the Doc and get the meds as soon as possible because it was good to get a diagnoses to put ones' mind at rest and like the gentlman below they really helped.

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Dodsworg said on 05 December 2011

I just wanted to add something 'positive'. Not to gloat, but when you first get something like shingles, all you appear to read is desperate stories which exacerbate the diagnosis. 40 year old male - I realized I had shingles (from this website) and got acyclovir within 72 hrs. This seems to have minimized the symptoms and bar a shocking 48 hours where I was permanently knackered with flu like feeling am, I think 10 days on, getting better - rash nearly gone and with a couple of paracetmol a day to get red of worst discomfort, hopefully not that far off normality. This hasnt been fun, but if you read this a few days in, it perhaps isnt always as horrific as some of the postings here

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me myself and I said on 16 October 2011

I am now experiencing my 5th occurence.I have not been diagnosed with shingles - i am being treated for a cold sore!!! prescribed aciclivor! The occurences are getting more frequent, in fact the last time I had an episode was only two weeks ago!! My rash is also on my right buttock. I have absoloutely no idea as to why this may be happening. It is helpful to know this I am not alone in this. What is everyone else being prescribed to combat this?

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Pavlova9 said on 06 October 2011

A week ago I went to my Dentist as I had clumps of blisters inside my mouth.He said I had a viral infection, and prescribed an antibiotic!(Not an anti viral). The pain and tingling was awful, and the blisters turned into revolting looking sores, and yesterday the left side of my face started swelling, with almost unbearable pain leading to my ear and side of head. I am tired out, cannot eat properly or sleep, and my left side of my top lip is so swollen with forming blisters, it looks like a botox in jection gone wrong! I had Shingles many years ago on my abdomen, but it was nowhere near as bad as in my mouth and on my face. I will not be going out at all, till the blisters and swelling have gone. I saw a Doctor today who prescribed Steroids, plus Aciclovir, which should have been prescribed within 72 hrs of the spots etc appearing. He hopes it will still work - so do I.This is so miserable. Most women panic if a single spot appears on their face. They ought to experience facial/oral shingles.Give me a spot any day.

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Annachadwick said on 20 September 2011

I went to my GP today and i have shiungles, i'm 14 years old and it's horrible! sharp pains in the whole affected area, fever, headaches, and its so horrible , i'm in so much pain! got them on my birthday aswell:(

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austina40 said on 05 September 2011

It has been reassuring to read others experiences with shingles. I am in the middle of an outbreak at present. This is the 4th time I have had it. It has shown up at the back of both my thighs. In the past I've had it round my waist and on my buttocks too! - twice. I agree with DMN that if you have a susceptability to it then every time your are under the weather out it comes!! One of the things I find hard to cope with apart from the obvious pain and headaches is the tearfulness - does anyone else feel like this? I too like other sufferers get fed up when people say you can't have it more than once and look doubtfully at you. Now through this site I realise I'm not alone and that in itself has made me feel better! So thank you to all my fellow 'shinglelites' for sharing your experiences and good luck against this pesky virus - each and every one of you! x

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wrecked said on 25 August 2011

I am now into my 5th week of suffering from shingles and I cannot see an end to this dreadful disease any time soon.I was misdiagnosed from the outset having visited a nurse,GP Hospital and back again.After 5 days of sheer agony in my groin area the pain travelled down my left leg and round my buttocks.I was then diagnosed.The rash has dried up but I am still very weak even after this amount of time.How long this will continue I have no idea but last night it was like I was right back at the beginning with the same pain (milder but enough to send me in a panic)I am almost 60 years old,have always had a bad diet due to stomach problems ie: PDU 20 odd years ago so my immune system is very low.I just want to get better but I feel as if I'm a little better one day and the next I am back to square on.When is this going to end?During the height of the virus I suffered from severe constipation (18 days)and this exacerbated the illness and my health to such a degree I contemplated committing suicide on a few occasions.I pray to God that this horrendous Virus disappears now as I'm at the end of my tether.I don't want to take any other medication for this recurring pain because I believe the constipation has set me back so much I cannot see the light at the end of a huge tunnel..I feel as though I am being buried alive.Depression has set in and every day is getting harder to get up!I wouldn't wish this terrible illness on my worst enemy.what a God awful disease.

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mich75 said on 24 May 2011

My mother in law is 80 and has never had chicken pox, my son has chicken pox and have been in contact with her , could she still get shingles seen she's never had the chicken pox virus?

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robyn21 said on 27 February 2011

i have had shingles 4 times in the past year. it comes out in the exact same place everytime. (right buttock)
i notice it after stressful periods and being run down and ill. i find it very itchy and it burns. i am only 21 and cannot understand why it keeps happening. can anyone help?

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DMN said on 12 May 2010

Oh one more thing I forgot to mention... I have an under-active thyroid (take thyroxine daily) and have vitaligo - both of which are auto-immune disorders. I don't know whether there's a link at all? But I imagine I'm more susceptible.

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DMN said on 12 May 2010

This is now my third attack of shingles in 14 months (6th time in total) and I'm only 32! I truly believe that once you've had it (much like if you suffer from cold-sores around your mouth when you're run down) that you're more susceptible to getting it again. I find it annoying when you read info on the web about it, saying how rare it is to have it more than once. But I don't think that's the case at all. I think it'll just keep rearing it's ugly blistered head each time you feel a little under the weather or have an emotional encounter!

I must admit I'm my own worst enemy at times and worry and wittle over the silliest of things. I can get quite anxious and have a very small appetite (all self perpetuating I know!) So I guess it's not surprising I suffer from Shingles.

So, like the lady in the video clip says, I think the only thing you can do is to keep your immune system in check and be happy!

I'm an exhausted mummy and make little time for myself. After this last bout I'm definately going to make sure that I eat better, make more time for myself, not get so stressed and perhaps take a vitamin supplement with Ginseng in it to boost my energy levels. I guess I'll just have to live with the little blisters! At least when I do get them, they're not so much painful but just incredibly itchy and more of a hindrance really. My other worry is that I'll pass the virus onto my son (19 months) who'll then get chicken pox and I'd hate to think I was responsible for him being poorly. But trying to look on the positive side, I guess it's better he gets it now as it'll be much milder than if he got it as an adult.

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Angelvoice said on 04 May 2010

My 5 year old son has shingles it would appear. At first I thought it was insect bites as the rash appeared like a small group of red raised bumps on his chest almost like slightly red goose bumps. As he had been playing on the school field that day I assumed an insect had got inside his shirt and bitten him.

I kept an eye on the rash over the following days. It did not spread but he was in tears at some points as it was itching and hurting so much. It then turned to flat scabs within about 5 days.

6 days after the first rash appeared he got a 2nd rash very close to the 1st appearing next to it on his chest. It was at this point I noticed 2 much smaller areas of rash on his back on the same side but slightly higher. It was at this point I called the doctors for an appointment.

2 days later we went to the GP's. She was unsure of the diagnosis and called another doctor in to look for a 2nd opinion. They both then came to the conclusion that it was shingles although they had some doubts because of his young age and the fact that the spots on his back were slightly higher on his body than the ones on his chest as they are normally in a band around the body as the same nerve is effected.

I had been sending him to school all this time as I had no idea that it was shingles.

He has not had any other symptoms apart from the ithcy painful rash which he still has after 12 days. I am now convinced that it definitely is Shingles as my 2 year old is very out of sorts today and appears to be developing a chicken pox rash.

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JaneHemm said on 15 March 2010

I was diagnosed with Ramsay Huny Syndrome which is Shingles of the ear/mouth/face May 2009, this is quite a nasty very painful illness. It affects your hearing and causes Bells Palsy, I am still recovering from this but making good progress. I have about 90% of my movement back in the side of face that was affected. You need early diagnosis for a quicker recovery and need to get the correct medication as soon as possible within 72 hours. I was very fortunate and was diagnosed early. There is a Ramsay Hunt Web Site with a very helpful forum which gives lots and lots of good advice and names a lot of the medication that is recommended. Also it advises that you see and ear nose and throat and eye specialist to monitor your hearing and your eye if this is affected. The specialists that I saw were fantastic and very sympathitic as was my GP as this kind of shingles can be very distressing and extremely painful. It also causes severe fatigue I was off work for 4 months and it is just a matter of rest, rest and more rest, and I have my fingers crossed that it does not re-appear!!!!!!

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dawn0478 said on 02 March 2010

I would love to know how many times overall the lady in the video has suffered from shingles. I am currently suffering from my 12th attack in less than 3 years! This is not something I want to learn to live with! My GP is not sure why I suffer so frequently and also she is not sure who to refer me onto. In the past I have taken acilorvir for long periods of time and still they keep coming back, even while I am taking the medication! Very fustrated and at the end of my tether, people look at me like I am some sort of freak when they discover how many times I have had it or even worse they assume I am lying which is even more fustrating.

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dawn0478 said on 02 March 2010

I would love to know how many times overall the lady in the video has suffered from shingles. I am currently suffering from my 12th attack in less than 3 years! This is not something I want to learn to live with! My GP is not sure why I suffer so frequently and also she is not sure who to refer me onto. In the past I have taken acilorvir for long periods of time and still they keep coming back, even while I am taking the medication! Very fustrated and at the end of my tether, people look at me like I am some sort of freak when they discover how many times I have had it or even worse they assume I am lying which is even more fustrating.

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bw59 said on 31 January 2010

I have had 4 outbreaks of shingles since July 09. The last 3 since beginning of Dec. Each outbreak is mild and in the same area (left buttock). The pain is mild and is causing discomfort, but is not debilitating. Am wondering why I am having recurrences. My immune system perhaps?

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littleva said on 12 January 2010

I have had Shingles three times to date. I have it on my face at the moment, but had it on my head many years ago. That was so painful, thought I had a brain tunour. Went to A&E & they said I had a migraine headache. When I went to my GP following morning, he diagnosed Shingles. It does occur when I have been ill & more so when I have had a stressful period. I guess keeping your immune system in check must be the answer.

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ega95jch said on 10 January 2010

My understanding is that shingles only occurs once for the vast majority of people. Joanne's video gives the misleading impression that shingles will necessarily reoccur and will need 'managing' and 'living with'.

Am I mistaken?

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lana92 said on 04 January 2010

is it normal to get shingles when you are about 14?

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elephants57 said on 17 December 2009

i have had shingles for two weeks now .its very sore and i cant sleep still have the rash i just wish it would go away so i can get back to the gym.what can i do to build my immunie system back up again

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Redden said on 26 May 2009

Last year i suffered from shingles and this was when I was 14. My GP told me that when you are younger, it is not as painful and you may recover from it quicker.
The pain itself wasn't that bad unless I touched it or if it rubbed against a surface. I wasn't physically sick, but I'm an active person and for the week I had shingles, I struggled to move and just felt weak. It's not a pleasant thing to get at any age.

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