Chickenpox

Chickenpox

DEFINITION
Chickenpox is caused by a virus called the varicella-zoster
virus
DESCRIPTION
  • The incubation period (before the spots appear) is usually 10
    to 21 days.
  • The symptoms are a slight fever, headache, fatigue and a loss
    of appetite for a day or two before pink spots of various sizes
    appear. The rash usually starts on the body, then progresses to
    include the head and limbs.
  • Usually after 1 or 2 days, the pink spots turn into watery
    blisters and begin to crust within 6 to 8 hours. 
  • Chickenpox is contagious from about two days before the rash
    appears until roughly five days after. 
  • Chickenpox is spread by direct contact or by sneezing and
    coughing.
  • The onset of Chickenpox is sudden. The ailment is very
    contagious and a baby is highly susceptible from birth. 
  • In severe cases, spots may cover the entire body. In most
    cases, the upper trunk of the body is most affected and the body is
    thought to resemble a plucked chicken. It is possible for ulcerated
    lesions to appear on the upper respiratory tract and the walls of
    the vagina and rectum.
  • If an adult contracts Chickenpox, the infection is usually more
    severe than it is for children. Sometimes complications include
    bronchitis and other medical conditions. It is very important that
    your Doctor is consulted. 
  • After a person recovers from this ailment, they are usually
    immune for life from any other attacks. Epidemics of Chickenpox
    occur every 3 to 4 years. This is the time period required to
    develop a new group of susceptible children (children without
    immunity).
  • It is possible that in later years, shingles may develop, as
    the Chickenpox virus remains dormant in the body
TREATMENT OPTIONS
Always consult your Doctor for diagnosis and advice. In no way
is this information intended to replace the advice of a medical
practitioner. 
  • Discourage the patient from scratching, as this may encourage
    infection and scarring. Keep fingernails short to avoid damaging
    the skin.
  • Bathing often in mild soap and water and wearing clean
    underclothing will reduce the risk of bacteria infecting the
    Chickenpox sores. 
  • Avoid excessive sun exposure at this time.
  • Treatment is based on relieving symptoms.
  • An antihistamine may help to relieve severe itching. Ask your
    Pharmacist for advice.
  • Wet compresses may be applied to help relieve
    itching. 
  • Paracetamol can be used to lower a fever. 
  • Do not give aspirin to children under 16.
  • Adults and newborns with Chickenpox are often sicker than
    children. Their condition should be monitored to ensure that no
    complications develop. If the patient is not better after
    approximately 7 days, seek medical advice.
  • Children with Chickenpox should not attend school or daycare
    for at least 5 days from the onset of blisters.
 
Aspirin should not be given to children under 16 years of age
unless specified by a Doctor.
DIET HINTS
  • Maintain a healthy diet with a variety of nutritious foods
    including wholegrains, beans, peas, fresh fruit and vegetables,
    lean meats and low fat dairy products.
  • If appetite is poor soups, broths and fresh vegetable and fruit
    juices are a good way to maintain calorie and nutrient intake.
  • Refined sugars are thought to inhibit the activity of the
    immune system. Avoid foods and drinks with added sugars, including
    soft drinks, fruit juices with added sugars, cordial etc. Pure
    fruit juices should always be diluted 50% with water.
  • Drink at least 6-8 glasses of water per day.
PREVENTION
Prevention of Chickenpox is now possible, with vaccinations
available for children and adults. Vaccination is recommended
for:
  • All healthy children over the age of nine months.
  • Adults, particularly those at risk of infection. This includes
    adults working in occupations where they are likely to be exposed
    to the Chickenpox virus, such as child-carers, teachers and those
    in other health care-related fields.
  • Parents of young children.
  • People with no history of Chickenpox who live with
    immuno-compromised patients such as HIV patients, cancer patients,
    patients on immuno-suppressant medications.
Vaccinations are available from your Doctor.
VITAMINS/MINERALS/HERBS
  • Vitamin A helps resist infection and is also an essential
    nutrient for skin. 
  • Vitamin C also supports the immune system and helps fight viral
    infection. 
  • Vitamin E helps prevent scarring of the skin.
  • Echinacea to assist the immune system. 
  • Aloe vera may help relieve itching and assist the skin to
    heal.
PHARMACIST’S ADVICE
Ask your Pharmacist for advice.
  1. Follow the Diet Hints.
  2. If you need any advice about how to take or how to apply any
    prescribed medication, ask your Pharmacist.
  3. Ask your Pharmacist for a product to control the itch. It is
    suggested to first add a suitable medicated product from your
    Pharmacy to a bath and soak for 20 minutes. Pat the skin dry and
    then apply a product such as a gel recommended by your Pharmacist,
    to help dry up the scabs. This should allow the skin to heal,
    preventing scars.
  4. If you need a pain-killer, paracetamol is one suggestion. Never
    give aspirin to young children because of the possible side
    effects.
  5. Keep the patient as cool as possible.
  6. Rest is very important for the patient.
  7. Keep the fingernails trimmed and the hands clean to help stop
    any scarring because that can be caused by scratching.
  8. If the diet is considered inadequate, some nutritional
    supplements might be considered.
  9. A vaccine is available to protect against Chickenpox. Ask your
    Pharmacist for details.
     
Aspirin should not be given to children under 16 years of age
unless specified by a Doctor.