How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Shah Your Own Question

Dr. Shah
Dr. Shah, Doctor
Category: Medical
Satisfied Customers: 3898
Experience:  Years of experience in patients' management.
12501846
Type Your Medical Question Here...
Dr. Shah is online now
A new question is answered every 9 seconds

Is it possible to have a nerve attacked by herpes-zoster without

Resolved Question:

Is it possible to have a nerve attacked by herpes-zoster without the boils on the skin?
I had chickenpox as a baby, i am 50 years old now , and on the third month of my pregnancy (seventeen years ago) i had an episode of herpes-zoster on my left leg, the boils appearing in my left buttock. For already two days i am having a terrible pain in my left foot and, last night, while lying on my bed, could feel the pain going up the leg...i had some sintoms of a mild cold coincidently.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Shah replied 2 years ago.
Hello,
Welcome to JustAnswer!
Thanks for your question. Please provide me the following information so that I can address your concern appropriately.

Is it a very sharp and sensitive to touch kind of pain? Do you feel any itching, tingling or see any skin rashes? Any swelling?
Customer: replied 2 years ago.
Yes, it is very sharp and sensitive, there is some swelling (wich i noticed when i put my shoes) but there are no rashes on the skin.
Customer: replied 2 years ago.
the pain is deep inside the left part of my left foot, if you imagine it cut in two lenghtwise
Expert:  Dr. Shah replied 2 years ago.
Thank you for the information.
Based on your description, you seem to have a history of Herpes Zoster in the past. Moreover, your current pain is very sharp and sensitive to touch which is typically seen in herpes zoster. Yes, it is possible to have herpes zoster even without any skin rashes, but in most cases pain develop first and skin rashes appear after a few days of pain. The antiviral medications are very effective in reducing the severity and duration of illness. Some other possibility of pain would be trauma, nerve damage, skin infection etc. If you do not feel better or see sign of infection, you can see your doctor.

Please let me know if you have any other question for me.
Customer: replied 2 years ago.
Is it possible to have a nerve injury stepping with a warm foot (just out of a warm bed) on cold floor (it is winter here)?
Expert:  Dr. Shah replied 2 years ago.
Nerve damage can be due to wide number of causes such as trauma, diabetes, exposure to toxin, systemic disease, infection, alcoholism, vitamin deficiency, and auto immune problems. In reality, it is often very difficult to pin point the exact cause of nerve damage. Nerve damage due to slight change in temperature is less likely as your body adjust to the new temperature.

I hope these information are helpful to you.
Customer: replied 2 years ago.
Just three more questions: herpes-zoster manifestations can occur several times in life? Should i expect to have more as i get older? what can i do to prevent it?
Expert:  Dr. Shah replied 2 years ago.
Thanks for the follow up.
Yes, some people get frequent attack in their life time. The risk of attack increases as you get older and your immune level decreases. For occasional attack antiviral meds are very effective, but for those who gets frequent attack, they may have to take antiviral meds on daily basis to prevent recurrences.
Customer: replied 2 years ago.
i am taking the medication aciclovir: is it safe to take it even in case i am not diagnosed with herpes zoster?
Expert:  Dr. Shah replied 2 years ago.
Well it is always recommended to confirm the diagnosis before you take medication. Based on your description herpes zoster is a very likely possibility, but still confirmation is required as it is a clinical diagnosis. As you are aware of the fact that each and every medication has side effects, but everyone will not develop it. Thus, we always judge the risk and benefits associated with prescription meds. Acyclovir is considered safe to use in herpes zoster and is approved by FDA.
Customer: replied 2 years ago.
can the illness be confirmed by a laboratory test?
Expert:  Dr. Shah replied 2 years ago.
In most cases, your doctor will confirm the diagnosis based on the history and physical exam. If needed tissue scraping or culture can be done to confirm it.
Customer: replied 2 years ago.
so it can't be detected in blood testing?
Expert:  Dr. Shah replied 2 years ago.
No, if you want, you can request to detect VZV antibody from blood sample to confirm herpes zoster.
Customer: replied 2 years ago.
could you write what "VZV" stands for?(what it means) i am in Brazil, so it will help me. it was the last question. thank you Dr. Shah
Expert:  Dr. Shah replied 2 years ago.
I am sorry, VZV stands for Varicella zoster virus, the causative organism for herpes zoster in adults.
Dr. Shah, Doctor
Category: Medical
Satisfied Customers: 3898
Experience: Years of experience in patients' management.
Dr. Shah and 7 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.