Mom has this blistering rash wrapping around her side. She says the burning pain is unbearable. ER wait is 8 hours! What can we do?

It is crucial to avoid touching or scratching the blisters, as this can lead to infection or scarring. Popping the blisters is also strongly discouraged, as this increases the risk of bacterial infection and can delay healing.

Avoid using harsh soaps, lotions with fragrances, or any alcohol-based products on the rash, as these can further irritate the skin. Stick to gentle, unscented cleansers and moisturizers to care for the affected area.

Shingles itself is not contagious, but the varicella-zoster virus can be spread from someone with active shingles to others who have not had chickenpox or the chickenpox vaccine, leading them to develop chickenpox rather than shingles. The virus spreads through direct contact with the fluid from the blisters, not through respiratory droplets.

To protect vulnerable individuals, such as newborns, pregnant women who have never had chickenpox or the vaccine, and people with weakened immune systems, it’s important to cover the rash and wash hands frequently. Avoid direct contact with these groups until the blisters have crusted over, which usually takes about 7 to 10 days.

If the wait at the ER is too long or if you’re unable to get an appointment with your primary care provider, consider reaching out to an urgent care clinic, which may have shorter wait times. Many clinics now offer telehealth services, allowing you to consult with a healthcare professional from home.

Some insurance plans provide access to on-call doctors who can offer guidance and potentially prescribe antiviral medications. Check your insurance card or online account for a nurse hotline or telehealth options available to you.

Antiviral medications, such as acyclovir, valacyclovir, or famciclovir, are most effective when started within 72 hours of the rash appearing. These medications can help reduce the severity and duration of the shingles outbreak, as well as decrease the risk of complications like postherpetic neuralgia.