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My daughter just got shingles. One of her sores is near her…

Customer Question
My daughter just got...

My daughter just got shingles. One of her sores is near her eye and I am concerned. What general advice do you have to ease her pain and promote healing.

Doctor's Assistant: How long have you had the pain? What seems to make the pain better or worse?

Pain for two days. She will be with me within the hour. Maybe I should wait until she arrives so you can get the info straight from her.

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I will be back in touch in one hour. Thank you.

Submitted: 6 months ago.Category: Eye
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Answered in 3 minutes by:
11/25/2017
Eye Doctor: Dr. Bob, Medical Doctor replied 6 months ago
Dr. Bob
Dr. Bob, Medical Doctor
Category: Eye
Satisfied Customers: 5,723
Experience: 20 Years in Internal Medicine, Neurology and Sports Medicine
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Hello. Shingles can be a terrible affliction. I would be happy to go over some options for your daughter when you are ready.

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Customer reply replied 6 months ago
Hi, my name is ***** ***** patient and am ready to discuss!
Customer reply replied 6 months ago
I apologize, I have not used this system before, do I just wait for a response now?
Customer reply replied 6 months ago
What do I do now??
Eye Doctor: Dr. Bob, Medical Doctor replied 6 months ago

Are you begin treated for the shingles? what meds are you on?

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Customer reply replied 6 months ago
Famciclovir 500mg three x's per day. no other meds
Eye Doctor: Dr. Bob, Medical Doctor replied 6 months ago

This is an antiviral medication that helps to arrest viral replication and give your immune system a chance to chase th virus back into hiding.

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Eye Doctor: Dr. Bob, Medical Doctor replied 6 months ago

Some doctors will also treat with prednisone, a strong anti-inflammatory that suppresses the inflammation that results in redness, pain, burning, etc.

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Customer reply replied 6 months ago
My big concern is if the lesion on the bridge of my nose keeps moving towards my right eye.
Eye Doctor: Dr. Bob, Medical Doctor replied 6 months ago

This can be particularly important in severe cases or those with a high risk of complication such as ocular shingles.

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Eye Doctor: Dr. Bob, Medical Doctor replied 6 months ago

The nerve branch supplying the nose is different than those going to the surface of the eye. While this is somewhat reassuring, it does not guarantee that the virus won't come out along both nerve branches, so you would want to watch for pain, redness, excess tearing of the eye, etc.

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Customer reply replied 6 months ago
Ok, but at what point in time do I need to go back to a professional and would you like me to send you a picture. Very painful. Can I get pain meds.
Eye Doctor: Dr. Bob, Medical Doctor replied 6 months ago

We are not allowed, legally, to prescribe online. The pain can be managed with prednisone, as mentioned above, though this does require a prescription from an examining physician. In the meantime, anti-inflammatories such as motrin and alleve can be used to take the edge off the pain. In addition, an otc cream called Zostrix is designed to calm the inflammed nerves down. Just be careful not to get it into your eye. Another commonly used prescription medication for shingles pain is the nerve stablizing agent know as gabapentin.

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Eye Doctor: Dr. Bob, Medical Doctor replied 6 months ago

Any eye pain, or increased redness and tearing, would warrant a visit to your doctor or an ophthalmologist. Ocular shingles (herpes zoster) can be very, very painful and lead to scarring of the cornea, so prompt and aggressive management is usually needed in such a situation.

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