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Home > Help Desk > Health Concern > Section S > Shingles and Postherpetic Neuralgia

Shingles and Postherpetic Neuralgia

Shingles is a disease caused by the same virus (Varicella zoster) that causes chicken pox. Shingles usually affects the elderly or people with compromised immune function. Nerve pain that persists after other symptoms have cleared is called postherpetic neuralgia.

What are the symptoms of shingles?
Symptoms include pain, itching, or a tingling sensation prior to the appearance of a severely painful skin rash of red, fluid-filled blisters that later crust over. The rash is typically located on the trunk or face and only affects one side of the body. Pain may resolve rapidly or persist in the area of the rash for months to years after the rash disappears.

How is it treated?
Conventional treatment includes medications, such as analgesics for pain relief, antibiotics for infected blisters, anti-itch creams, antihistamines, tranquilizers, and corticosteroids, for short-term symptom relief.

Dietary changes that may be helpful:
Varicella zoster, the virus that causes shingles, is a type of herpes virus. Another herpes virus, herpes simplex virus (HSV) has a high requirement for the amino acid arginine. On the other hand, lysine inhibits HSV replication. Therefore, a diet that is low in arginine and high in lysine may help prevent herpes viruses from replicating. For that reason, some doctors advise people with shingles to avoid foods with high arginine-to-lysine ratios, such as nuts, peanuts, and chocolate. Nonfat yogurt and other nonfat dairy can be a healthful way to increase lysine intake. This dietary advice for shingles has not been subjected to scientific study.

Lifestyle changes that may be helpful:
Stress and depression have been linked to outbreaks of shingles in some but not all studies. A small, preliminary study found that four children with shingles outbreaks, but who were otherwise healthy, all reported experiencing severe, chronic child abuse when the shingles first appeared. Among adults, how a stressful event is perceived appears to be more important than the event itself. In one study, people with singles experienced the same kinds of life events in the year preceding the illness as did people without the condition; however, recent events perceived as stressful were significantly more common among people with shingles.

Nutritional supplements that may be helpful:
Adenosine monophosphate (AMP), a compound that occurs naturally in the body, has been found to be effective against shingles outbreaks.

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