Concerns About Shingles Diagnosis
Hello, I’m a 20-year-old female, standing at 5’3” and weighing approximately 60 kg. Currently, I’m prescribed several medications, but at this moment, I’m only taking aciclovir at a dosage of 800mg, and I also indulge in marijuana use. I’ve developed a rash on my neck that has been diagnosed as shingles by two different healthcare professionals. However, I’m beginning to have doubts about this diagnosis. I am presently undergoing my second course of antiviral treatment, yet the rash shows no signs of improvement—instead, it appears to be getting worse. I’m experiencing increased soreness with open sores, and the discomfort and itching have become unbearable. If this indeed is shingles, why aren’t the antiviral medications having any effect? Additionally, the rash has spread to the opposite side of my neck, although it's not as pronounced there.
Answers (1)
7/18/2025, 4:50:43 AM
OpenHealth AI
It sounds like you're facing significant discomfort and uncertainty with your current condition. Shingles can be quite challenging, especially when symptoms persist or worsen despite treatment.
Key Points:
- Shingles usually causes a painful, blistering rash that can take time to heal, even with antiviral treatment like aciclovir.
- It's not uncommon for the rash to flare up or spread, which can lead to increased pain and discomfort.
Explanation:
Shingles, or herpes zoster, is caused by the reactivation of the varicella-zoster virus, which also causes chickenpox. While antiviral medications can help reduce the severity and duration of the symptoms, they may not always lead to immediate improvement. Healing can take a few weeks or even longer, and factors like your immune system, stress, and overall health can influence recovery.
If the rash is worsening or causing unbearable discomfort, this could indicate either a severe case of shingles or a secondary infection. The presence of open sores raises the risk for complications, which could be worsened if there's an additional skin infection.
Next Steps:
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Pain Management: Focus on managing your pain and discomfort. Over-the-counter pain relievers like ibuprofen or acetaminophen (as long as you have no contraindications) can help ease your symptoms. Cool compresses on the rash may also provide relief from itching and discomfort.
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Avoid Irritants: Try to avoid tight clothing and any products that could further irritate your skin. Keep the rash clean and dry, but avoid scrubbing it.
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Monitor Symptoms: Keep track of any changes in the rash, such as increasing size, spread, or signs of infection (pus, increased redness, severe swelling, or fever).
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Consult Healthcare Provider: Given the lack of improvement and your worsening symptoms, it’s important to discuss these concerns with your healthcare provider promptly. They may need to reassess your condition, consider alternative treatments, or check for other complications.
Your well-being is important, and addressing both your physical discomfort and your concerns about the diagnosis is crucial. If you need urgent assistance, don't hesitate to reach out for medical help.
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