What should I do if my child has chickenpox?

Written by Liu Gang
Dermatology
Updated on March 08, 2025
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Chickenpox is caused by the varicella-zoster virus infection and is highly contagious, primarily spreading through the air or droplets. Once infected, it quickly spreads to children or older adults who are in contact with each other. It is best for a child with chickenpox to go to a dermatology department at a formal hospital for antiviral medication treatment. Some children may develop a high fever and can take some fever-reducing medicine appropriately; if there is an inflammatory infection, some anti-inflammatory drugs can be taken as needed. During treatment, it is important to isolate, drink plenty of water, and eat a light diet. Try to avoid going outside in the wind or to crowded places to prevent cross-infection. (Doctor's answer is for reference only; medication should be taken under the guidance of a professional physician, do not take medicine blindly.)

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Symptoms and Treatment of Chickenpox in Children

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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Can you get the chickenpox vaccine if you have a cold?

Vaccination is generally required when the baby is healthy, as most vaccines are antigens introduced into the human body to elicit an antibody response from the immune system. If a baby has a cold, it indicates a weaker immune resistance and possible bacterial or viral infection. Vaccinating in such a condition could potentially worsen the cold due to the already compromised immune system and may lead to other side effects such as high fever, rashes, or even other infections. Therefore, it is not recommended to vaccinate while the baby has a cold. It is better to wait a few days until the cold symptoms have completely subsided before vaccinating. Generally, delaying vaccination will not affect the baby and will be rescheduled according to the plan. Thus, it is best not to vaccinate when the baby has a cold.

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The Difference between Urticaria and Chickenpox in Children

When children develop hives, the rash looks like chickenpox, but these two are completely different diseases. With chickenpox, fever usually occurs after the onset of the disease, and the oral mucosa can also be easily damaged. On the other hand, hives typically appear on the limbs, neck, or buttocks, with noticeable itching that becomes more pronounced at night. The difference between hives and chickenpox lies in their differing causes of infection, which also affects where the symptoms manifest. It is advised that parents pay attention to these differences and treat them accordingly to minimize harm.

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Written by Yuan Lin Yan
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What are the symptoms and treatments for chickenpox in children?

Symptoms of chickenpox in children vary with age. Infants often show no symptoms or only mild symptoms, which can include mild fever, irritability, and refusal of breast milk, accompanied by a rash. Older children may experience mild fever, headache, fatigue, sore throat, coughing, and decreased appetite. These symptoms persist for one to two days before a rash appears. The rash initially appears on the trunk and then spreads to the face and limbs. Chickenpox rashes often emerge in batches, so the same area may show maculopapular lesions, vesicles, and crusts at the same time. The crusts typically fall off about a week later, usually leaving no scars. Secondary bacterial skin infection, pneumonia, encephalitis, and hepatitis are possible complications. In terms of treatment, infected children should be isolated until all the vesicles have crusted over. During the fever, they should rest in bed, consume an easily digestible diet, stay hydrated, and practice enhanced skincare to prevent infection of the vesicles. Antiviral treatment within 24 hours of rash onset can control the progression of the rash and speed up recovery. If a secondary bacterial infection develops, antibiotics should be used. In cases where encephalitis causes cerebral edema, dehydration treatments should be administered. The use of corticosteroids is not advisable for treating chickenpox.

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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.