Chicken Pox

Chickenpox is a highly contagious viral infection that causes an itchy rash with red spots or blisters. While it is most common in children, adults can also contract it, sometimes experiencing more severe symptoms. Understanding the causes, symptoms, and treatment options can help manage the infection effectively and prevent complications.

Causes of Chickenpox

Chickenpox is caused by the varicella-zoster virus (VZV), which spreads easily from person to person through:

• Direct contact with the fluid from blisters of an infected person

• Airborne transmission from coughing or sneezing

• Touching contaminated surfaces and then touching your mouth, nose, or eyes

People who have never had chickenpox or have not been vaccinated are at the highest risk of getting infected. Once a person recovers, the virus remains dormant in the body and can reactivate later in life as shingles (herpes zoster).

Symptoms of Chickenpox

Symptoms usually appear 10 to 21 days after exposure to the virus and last about 5 to 10 days. The main symptoms include:

Early Symptoms (1–2 Days Before Rash)

• Fever

• Fatigue and weakness

• Loss of appetite

• Headache

Rash Development (Main Stage of Infection)

1. Red spots appear on the face, chest, and back before spreading to the rest of the body.

2. These spots turn into fluid-filled blisters, which may be extremely itchy.

3. The blisters burst and form scabs, which eventually fall off as the skin heals.

The rash typically goes through all three stages at the same time, meaning a person may have new spots, blisters, and scabs simultaneously.

Diagnosis of Chickenpox

Doctors usually diagnose chickenpox based on physical examination of the rash and other symptoms. In some cases, laboratory tests such as:

• Polymerase Chain Reaction (PCR) test to detect varicella-zoster virus DNA

• Blood tests to check for VZV antibodies

These tests may be necessary for people with weakened immune systems, pregnant women, or those with severe complications.

Treatment for Chickenpox

Since chickenpox is caused by a virus, antibiotics are not effective unless there is a secondary bacterial infection. Treatment focuses on relieving symptoms and preventing complications.

1. Medications

• Antiviral drugs (e.g., Acyclovir) – May be prescribed for high-risk individuals (e.g., adults, pregnant women, immunocompromised patients) to reduce severity.

• Paracetamol (Acetaminophen) – Helps reduce fever and discomfort (Avoid aspirin, as it can cause Reye’s syndrome in children).

• Antihistamines (e.g., Diphenhydramine, Cetirizine) – Relieves itching and irritation.

2. Home Care and Symptom Management

• Rest and hydration – Drink plenty of fluids to prevent dehydration.

• Oatmeal or baking soda baths – Helps soothe itching.

• Calamine lotion – Provides relief from irritation and helps dry out blisters.

• Loose, soft clothing – Prevents further skin irritation.

• Trim fingernails or use mittens for children – Prevents scratching, which can lead to scarring or infection.

Natural Remedies for Chickenpox Relief

While natural remedies cannot cure chickenpox, they can help ease symptoms:

1. Neem (Indian Lilac)

• Neem leaves have antiviral and antibacterial properties.

• Applying neem paste or adding neem leaves to bath water can help soothe the rash.

2. Honey

• Has natural healing and antibacterial properties.

• Applying raw honey to blisters may reduce itching and prevent infections.

3. Coconut Oil

• Moisturizes the skin and prevents scarring.

• Applying a thin layer over scabs can help promote healing.

4. Turmeric Paste

• Known for its anti-inflammatory and antimicrobial effects.

• Mixing turmeric with water to make a paste and applying it to blisters can help soothe irritation.

5. Herbal Teas (Chamomile, Basil, or Ginger Tea)

• Helps boost immunity and relieve fever or discomfort.

• Drinking warm herbal tea can promote relaxation and hydration.

Prevention of Chickenpox

1. Chickenpox Vaccine

The varicella vaccine is the best way to prevent chickenpox. It is recommended in:

• Children: First dose at 12–15 months, second dose at 4–6 years

• Adults who never had chickenpox: Two doses, 4–8 weeks apart

2. Avoid Contact with Infected Individuals

• If someone in your household has chickenpox, keep them isolated until all blisters have crusted over.

3. Maintain Good Hygiene

• Regular handwashing can prevent the spread of the virus.

When to See a Doctor?

Seek medical attention if:

• The fever lasts more than 4 days or is higher than 102°F (39°C)

• Blisters become infected (red, swollen, or filled with pus)

• There is difficulty breathing or severe dizziness

• The rash spreads to eyes or genital areas

• The person is pregnant, immunocompromised, or a newborn with exposure to chickenpox

Summary

Chickenpox is a common and usually mild infection, but it can cause complications in certain individuals. While antiviral medications and home remedies can help relieve symptoms, vaccination is the best way to prevent the disease. If symptoms become severe, consult a doctor immediately. By following proper care and hygiene, you can manage chickenpox effectively and recover without complications.

Dr. Karuturi Subrahmanyam, MD, FRCP (London), FACP (USA)

Internal Medicine Specialist

Kify Hospital

Danavaipeta

Rajahmundry

Phone : 85000 23456

www.KifyHospital.com