Doctors are the main force in the diagnosis and diagnosis of herpes zoster, that is to say, herpes zoster basically has to come to the department to see a doctor, so we encounter herpes zoster that occurs in all parts of the body, and in autumn and winter there will be more patients with herpes zoster, mainly the elderly.
Location: Herpes zoster, although it is said that the folk call snake around the waist, the waist and abdomen are the most common, but the herpes zoster on the head, face and limbs is still uncommon.
Prodromal symptoms: When blisters of typical herpes zoster appear, as long as the first doctor can diagnose it. However, before the blisters are formed, some patients will have a lot of pain in the area, such as paroxysmal pain in one side of the head and face, which will be thought to be trigeminal neuralgia or brain growth and head CT examinationIf you have shingles on the anterior chest, you will be tested for angina, intercostal neuralgia, or rib fracturesIf you have a stomach ache on one side, you will be examined for appendicitis, cholecystitis, urinary stones, lumbar spine problems, or ** diseasesPain in one arm or leg is examined for cervical spondylosis, sciatica, or lumbar spinal stenosis. In short, it is difficult to diagnose herpes zoster before the pain in different parts is not blistered, and some relevant tests are needed to make a differential diagnosis to avoid missing the diagnosis. Diagnosis is made when there are erythematous papules and vesicles typically distributed in a band-like pattern on one side, accompanied by pain. The picture below shows shingles on one side of the back and buttocks.
Blistering symptoms: Most of the blisters of shingles are moderate or mild, but in severe cases of shingles, the rash may also have blood blisters and sores, which can even be connected together. In addition to the typical banded distribution of blisters, there are also chickenpox-like blisters scattered in other parts of the body, which is due to the presence of viremia, which is contagious and requires active intervention. Even some patients with shingles need to be hospitalized.
Conscious symptoms: Most patients with herpes zoster have more or less pain, some people have severe pain, or even pain, oral administration of some painkillers can not achieve a good pain-relieving effect, may also need pain department intervention, or even pain pump to relieve. However, there are also some patients with very light pain, or no pain at all, some people will itch locally, or even very itchy symptoms, after a month will still be very itchy locally, it is neurogenic itching, simply through antiviral and oral antipruritic drugs, the effect may be poor. Some people with herpes zoster on the head and face will also experience severe symptoms such as dizziness, nausea, crooked mouth and slanted eyesHerpes zoster on part of the stomach can cause intestinal flatulence and constipation, difficulty urinating, etc.;Shingles on the legs can make it difficult to walk;Shingles on the arms have difficulty lifting the arms, etc. Different patients may present differently.
Prevention: If economic conditions permit, if the middle-aged and elderly people over 50 years old have not had herpes zoster, it is still necessary to get the herpes zoster vaccine, which can avoid the occurrence of herpes zoster, as well as severe pain, so as to improve the quality of life.