Patient :I have shingles and it appears to be severe. I had a 4-5 day severe prodormal phase before the rash erupted on Sat eve. ER Dr Rx'd Acyclovir Sunday AM within 24 hrs 800 mg x5 per day. Rash is on the T8 dermatome wrapping around in an arc from spine to belly. It's Day 5 and still growing but turning purple and still expanding.. Small bumps everywhere but no distinct blisters. Started Methylprednisone this AM (Thurs). Percocet doesn't touch this and I can barely able to up and take care of myself. I'm feeling nerve pain on the opposite flank, my lower sacrolumbar region and and pectorals. I'm concerned that this is the onset to multiple dermatomes a becoming infected. Should I be going back to the ER? Is radiating pain to other areas where there is no rash common? Never been so sick and feel I need to be in a hospital getting more aggressive treatment to prevent PHN.
Symptoms: Pain that cannot be put into words. Radiating, shooting, stabbing lancing ting pain in most of torso...not just where the rash is.
Thanks for your query.
Read and understood your history and concerns.
Yes, longer the prodromal stage, severe can be symptoms.
As also true where the whole nerve is involved as seen picture.
The pains at other sites and the areas you mentioned does not mean that there may be herpes unless there is
appearance of a rash.
For the pain, which is intolerable:
You have to stop valium as it does not reduce the pain and may in fact, increase the pain.
You may need either Tegretol or Gabapentine for control of pain. You have to talk to the Doctor to get this prescription
Take bed rest.
Avoid extreme air temperatures as it increases the sensitivity.
I think you should report to the ER to get these new medicines.
I hope this answer helps you.
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