Symptoms and Treatment of Chickenpox in Children

Written by Hu Qi Feng
Pediatrics
Updated on September 23, 2024
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Chickenpox is an acute, contagious, exanthematous disease caused by varicella-zoster virus infection. Before the rash appears, symptoms such as fever, discomfort, and loss of appetite may occur. The fever typically lasts about one day before the rash emerges. The rash initially appears on the head, face, and trunk with a centripetal distribution. The rash can present as macules, papules, vesicles, and crusts all appearing simultaneously. Rashes can also appear on the mucous membranes of the mouth and the genital area. The treatment for chickenpox involves symptomatic and supportive care, and antiviral medications may be used appropriately to protect the skin and prevent scratching.

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The contagious period of chickenpox is how many days?

Chickenpox is caused by a viral infection. This disease is quite contagious and is mostly transmitted through the air and respiratory system. The contagious period generally lasts about ten days, but it can vary from person to person, with some patients possibly experiencing a longer duration. Generally, children exhibit milder symptoms and have a shorter treatment period. In adults, the treatment period tends to be longer, typically ending when the symptoms have subsided and the blisters on the body have completely dried and fallen off. Once this disease is contracted, it is essential to isolate and treat it properly using antiviral medications. Children and elderly individuals in the household should avoid frequent contact to prevent transmission. After the onset of chickenpox, high fever may occur, so it is necessary to have some fever-reducing medications on hand to prevent other illnesses caused by the fever.

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The differences between measles and chickenpox

Measles and chickenpox, though both are diseases caused by viral infections, have clear differences. Measles is caused by the measles virus, while chickenpox is caused by the varicella-zoster virus. Furthermore, measles generally begins with a fever, and after a few days of fever, red spots and papules appear, whereas with chickenpox, clear vesicular papules appear initially on the trunk or limbs.

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What are the symptoms of chickenpox?

Chickenpox is caused by infection with the varicella-zoster virus and is highly contagious. The symptoms of chickenpox mainly include fever and rash. The fever is usually mild and may be accompanied by chills, headache, fatigue, sore throat, and loss of appetite. These symptoms last for one to two days, followed by the appearance of a rash. The rash first appears on the trunk, then on the head and face, with the limbs being relatively less affected. Initially, the rash starts as red maculopapular lesions, which turn into vesicles within a few hours. The chickenpox rash appears in batches. The same area can show maculopapular lesions, vesicles, and crusts. Chickenpox is a self-limiting disease that usually resolves on its own in about ten days. However, complications such as secondary bacterial infections of the rash, pneumonia, encephalitis, and hepatitis can occur, potentially worsening the condition.

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Will new chickenpox blisters appear if medication is used after two days?

Medication may still cause new outbreaks of chickenpox two days after its initial use, as the typical duration of chickenpox is about a week, and new outbreaks can still occur. In this situation, it is important to avoid scratching because scratching can easily lead to skin infections and worsen the condition. Therefore, it is vital to avoid scratching. If the itching is severe, a calamine lotion can be applied to the skin. Additionally, it is crucial to consume a light, easily digestible diet, including fresh vegetables and fruits, such as broccoli, kiwi, apples, etc., and timely antiviral treatment should be carried out, as chickenpox is caused by a viral infection. (Use of medication should be under the guidance of a physician.)

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What should I do if my child gets chickenpox?

Chickenpox is caused by the varicella-zoster virus and is highly contagious, usually spreading through the air. Once infected, a person can quickly transmit the disease to others within a small area. After a confirmed diagnosis, antiviral medication is needed, which can be administered orally or through infusion. During treatment, chickenpox may cause high fever; if this occurs, appropriate fever-reducing medication can be used. Throughout the treatment period, it is important to drink plenty of water, rest, avoid strenuous activity, and eat a light diet. Try to isolate during treatment and avoid contact with other children or elderly people to prevent cross-infection.