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Was googling my condition and came across a dialogue with Dr…

Hi, was googling my...

Hi, was googling my condition and came across a dialogue with Dr Jyoti that was similar. I finished a 3 day treatment of chest/sinus congestion (possible infection) with Azithromycin and a few days after, I've developed what appears to be shingles (exactly matches symptoms) on my right forehead. Also see that over 100 other people have reported shingles after using Azitrhomycin. Will be going to a clinic later this morning but wonder if Dr J has any comments or suggestions.

Doctor's Assistant: How long have you been dealing with this? Are you having any breathing problems?

Had symptoms of sinus/chest infection develop on Dec 31st (2 weeks ago). Re breathing, not severe, but somewhat shortness of breath.

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

I have asthma and take symbicort puffer and Omnaris nasal spray. Concern is closeness of shingles to eye - about 1 inch above it as of now.

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Answered in 1 minute by:
1/14/2018
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (non-eye specialty)
Category: Eye
Satisfied Customers: 38,117
Experience: MBBS MS
Verified

Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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What is your age?

Are you diabetic?

Please post the picture of forehead.

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Customer reply replied 4 months ago
Male age 63, not diabetic
Current feeling of constant pressure/pain

I am reviewing the picture.

If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you.

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Do you have rash which is painful / burning?

It is difficult to exactly perceive in the picture.

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Customer reply replied 4 months ago
rash with maybe 20 'bubbles' just occured overnight. Tingling and pain in 3 inch square area now about 1 inch above eye.
Customer reply replied 4 months ago
but sharp pain in very localized point started 2 days ago... now has spread.
Customer reply replied 4 months ago
FYI, I had banged my head on a tree limb about 2 weeks earlier in the same spot as rash and above that spot. I had large scrape that has healed.

Yes, this is likely to be Shingles.

Your doctor may prescribe your antiviral medicine with analgesics and Gabapentin.

Injury if healed completely may not be related with it.

The other possibility is frontal sinusitis.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

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Customer reply replied 4 months ago
Also had persistant strong headache which felt like a sinus infection for 3 days before appearance of rash.
I have a history of recurring sinus infections (about 1 per year) over last 10 years since asthma condition started. Had endoscopic sinus surgery about 4 years ago which had reduced occurance of sinus pain/infections.
Customer reply replied 4 months ago
Could frontal sinutitis actually cause a rash?

Headache can occur due to Shingles or frontal sinusitis.

A x-ray or MRI of sinuses can determine if it is concomitant with Shingles or just sinusitis alone.

Frontal sinusitis if severe may cause a rash. But will have persistent pain / headache.

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Customer reply replied 4 months ago
Definitely have persistent headache/pain including behind and above right eye. I will ensure the clinic doctor considers both possible diagnoses. Would the treatment for these 2 possible conditions be the same? ...and Thanks!

You are very welcome.

Treatment are different.

Shingles treatment we had discussed.

Sinusitis treatment is following;

1) Nasal steroid; decrease inflammation and open up obstruction.

2) Oral decongestants such as pseudoephedrine are often helpful.

3) Topical decongestant for short duration.

4) Antihistamines; use only if allergic.

5) Steam vaporizer

6) Eucalyptus oil may help

7) Nasal saline irrigation

8) Vitamin C

It is privilege assisting you.

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Wishing you all the very best in life.

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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (non-eye specialty)
Category: Eye
Satisfied Customers: 38,117
Experience: MBBS MS
Verified
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Category: Eye
Satisfied Customers: 38,117
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Experience: MBBS MS

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