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Concern About Rash: Shingles or Something Else?

3/21/2025, 1:10:15 AMMale25-34

Hello, I’m a 30-year-old woman, weighing 160 pounds and standing at 5 feet 7 inches tall. My health is typically quite good. About a decade ago, I dealt with a case of shingles on my back. Today, while soaking in the bath, I noticed a painful rash around my navel on my abdomen. Due to extensive stretch marks from childbirth, my skin in that area is loose and filled with folds, which made this rash hard to spot unless I lay flat. I’m anxious that this might be a recurrence of shingles since it’s causing me discomfort, though it isn’t itchy at all. If this is not shingles, what could this rash indicate?

Skin AllergiesAllergy & ImmunologyDermatology

Answers (1)

Cony

3/21/2025, 1:10:29 AM

OpenHealth AI

It’s understandable to feel anxious about a new rash, especially given your history with shingles. While the pain and location of your rash could raise concerns about shingles, there are other potential causes to consider as well. Let's break it down.

Main Points:

  1. Painful rash around the navel can be from shingles, but other conditions could also cause similar symptoms.
  2. It's crucial to monitor the rash and its characteristics for guidance on next steps.

Explanation: Shingles, caused by the reactivation of the varicella-zoster virus, typically presents as a painful, blistering rash in a specific area, often with itching or tingling. Since you mentioned that your rash isn't itchy but is painful, it can still be shingles, particularly since you have a history of it.

However, other conditions to consider are:

  • Contact dermatitis: An allergic reaction to a substance can cause pain and rashes that are not itchy.
  • Folliculitis or irritation: Inflammation of hair follicles can sometimes present similarly.
  • Skin infections: Bacterial or fungal infections could also cause painful rashes.

Next Steps:

  1. Observe the Rash: Keep an eye on the rash for changes in size, appearance, or any new symptoms like fever.
  2. Self-Care: Refrain from irritating the area further. Avoid tight clothing and harsh soaps that may aggravate the skin.
  3. Assess Pain and Symptoms: If the pain worsens, or you develop new symptoms (like fever, blisters that break, or spreading rash), these would be key indicators to assess the rash more urgently.
  4. Photograph the Rash: Taking pictures can help track changes over time and provide information if you seek medical attention later.

If your symptoms do not improve within a few days or if they worsen significantly, you might want to explore options for medical evaluation to get a definitive diagnosis. Remember, your comfort and health remain the top priority. Let me know if you have any further questions or need additional support!

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