Does herpes zoster require hospitalization?

Written by Zhu Zhu
Dermatology
Updated on April 10, 2025
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Whether hospitalization is needed after contracting shingles depends on the severity of the condition. In most cases, shingles is mild and does not require hospitalization. Treatment can be managed with oral antiviral medications, supplements to nourish the nerves, and topical medications. However, if the shingles is severe and causes complications, hospitalization may be necessary. It is advised to maintain a light diet, avoid overly spicy foods, and ensure adequate rest.

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Written by Zhu Zhu
Dermatology
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How long is the incubation period for herpes zoster?

Shingles is a common dermatological disease primarily caused by the varicella-zoster virus. Shingles has an incubation period, but the duration is uncertain, generally ranging from 3 to 20 days. The reason the incubation period for shingles is variable is that after being infected with the varicella-zoster virus, it accumulates in the nerves of the spinal cord and does not exhibit any symptoms physiologically. The virus only begins to proliferate rapidly and triggers the disease when the body's resistance decreases, or in the event of an infection, a cold, or fatigue.

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Written by Zhu Zhu
Dermatology
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Is shingles contagious?

Shingles is caused by the varicella-zoster virus, which is the same virus that causes chickenpox. Therefore, shingles is contagious to people, especially children, who have never been infected with the virus. The virus is primarily transmitted through the respiratory tract. Thus, it is recommended that if someone in the household contracts shingles, particularly in households with children, it is crucial to avoid close contact and to implement appropriate isolation measures. It is also important to keep windows open for ventilation to prevent transmitting the virus to children, who may develop chickenpox, or to some adults who may also be susceptible to chickenpox if they have never been infected with the virus before.

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Written by Li Ya Ping
Dermatology Department
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How long does it take for shingles to heal?

The symptoms of shingles can generally be divided into two categories. The first involves blisters on the skin, typically unilateral, and the second is that these blisters are often accompanied by pain, which varies in intensity from person to person. Generally speaking, the older the individual, the more severe the pain may be. As for the duration until recovery from shingles, the skin symptoms usually heal within two to three weeks for young people, but for older adults, it generally takes about three to four weeks. If the rash leads to a secondary infection, the recovery may take even longer. This is the duration for the alleviation of skin symptoms. If the condition involves nerve pain, the recovery might take longer. For people over 50, the duration of nerve pain can be significantly longer, and some may experience postherpetic neuralgia, where the skin symptoms have disappeared, but the nerve pain persists, possibly lasting for months or even years.

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Written by Li Jing
Rheumatology
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Foods to avoid with herpes zoster

Shingles is a viral infection, most commonly seen in individuals with diabetes, autoimmune diseases, the elderly, or those who have been taking immunosuppressive drugs for a long time. In other words, it mainly occurs in people with compromised immune systems, who are susceptible to shingles virus infections. After the blisters from the shingles infection rupture, the skin can become infected. It is advisable to wear cotton clothing to help prevent infection. Regarding diet, it should be emphasized again to drink plenty of water and eat fresh fruits and vegetables, while avoiding spicy and irritating foods.

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Written by Zhu Zhu
Dermatology
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Does shingles itch?

Shingles most often leads to the formation of long blisters or herpes, accompanied by significant pain, which is the experience of most patients. However, a minority of people may not feel significant pain but instead experience itching. This is also a manifestation of the inflammation caused by shingles. Therefore, some patients with shingles feel itchy. Both itching and pain require timely antiviral treatment, along with medication that nourishes the nerves.