Symptoms and Treatment of Chickenpox

Written by Liu Gang
Dermatology
Updated on March 18, 2025
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Chickenpox is primarily caused by an infection with the varicella-zoster virus, and the disease is generally transmitted through the respiratory tract.

At the onset of the disease, red papules appear on the body, face, or scalp, which gradually develop into small vesicles. As the vesicles grow, they feel itchy. Scratching them can break the vesicles, leading to oozing and crusting.

As the condition progresses, it can peak within two to three days, presenting with widespread vesicles throughout the body. In such cases, antiviral treatment should be promptly administered, such as acyclovir tablets or valacyclovir dispersible tablets. These can be combined with traditional Chinese antiviral medications, such as Scutellaria root oral solution.

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When to get the chickenpox vaccine?

Chickenpox primarily affects infants and children, and the target group for chickenpox vaccination is mainly 1-12 years old. During this age period, most children enter preschool or elementary school institutions, and the chickenpox virus is highly contagious, transmittable through droplets and contact. Once one child contracts chickenpox, the surrounding children are almost certain to be infected too. Additionally, since there are currently no effective medications to cure chickenpox, it is best to vaccinate within this age range, namely 1-12 years old. Adults can receive the chickenpox vaccine without age restrictions. The timing can be decided based on individual circumstances, but it is generally recommended to get vaccinated before the onset of the peak season for chickenpox, which is best before the spring and winter seasons.

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How is chickenpox treated?

Chickenpox generally has a good prognosis, and does not leave scars after the scabs fall off. Its treatment mainly includes three aspects: First, general and symptomatic treatment. Patients should be isolated until all the vesicles have scabbed over. Rest in bed during the fever period, consume easily digestible food, and ensure adequate hydration. Enhanced nursing care is important to keep the skin clean and avoid scratching, which could lead to secondary infections. Second, antiviral treatment. Early use of antiviral medications can be effective. Antiviral treatment within 24 hours of the appearance of the rash can control its progression and speed up recovery. Third, prevention of complications. Antibacterial drugs should be used in cases of secondary bacterial infections. For patients with encephalitis presenting with cerebral hemorrhage, dehydration treatment should be administered. Corticosteroids should not be used in chickenpox.

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How can a child recover quickly from chickenpox?

How can children recover quickly from chickenpox? Chickenpox is an acute contagious disease caused by the varicella-zoster virus, mainly transmitted through airborne droplets and direct contact, and is commonly seen in infants and preschool children. Chickenpox is self-limiting, so how does one recover quickly? First, it is crucial to isolate the affected child, practice hand hygiene and disinfection, ensure the child drinks plenty of water, adopt a light and easily digestible diet, avoid stimulating foods such as seafood and spicy items, and provide proper skin care to keep the skin dry, clean, and free from scratching by applying anti-itch ointments. Second, treatment involves antiviral and heat-clearing detoxifying symptomatic treatments. Since there are no specific antiviral drugs, it is important to ensure the child has enough sleep and rest. As long as the child maintains a good spirit and appetite, the usual course of the disease is about a week. Third, try to prevent complications and if there is a secondary infection, antibiotics may be appropriately used, but note that corticosteroids must not be used during the fever phase. The general process takes about a week, and isolation can be lifted once all the rash crusts have fallen off. (Please use medication under the guidance of a doctor and do not self-medicate.)

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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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Is scabies chickenpox?

Scabies is caused by an infection of scabies mites and is highly contagious, generally being transmitted through direct contact, such as sharing clothes or sleeping in the same bed with shared bedding. Typically, the itching is milder during the day and worsens at night. Symptoms include itching, peeling, and blistering between the fingers. In males, red scabies nodules may appear on the scrotum. Chickenpox, caused by the varicella-zoster virus, is also highly contagious but primarily spreads through droplets and air. Once infected, it can be treated with antiviral medications. Scabies and chickenpox are entirely different diseases and must be diagnosed and treated separately.