Brief Answer:
Shingles- Take pain killers round the clock
Detailed Answer:
Hello young lady,
Welcome again to the forum.
Thanks for uploading the picture and the relevant details of the problem.
In the picture I can see patch with couple of deeply red areas. The picture as well as the details are now sufficient to diagnose your condition as shingles because of its sudden appearance, pain, deep redness and further spread to the strictly one side of chest and shoulder area in 1 week of period.
It is not unusual to find such kind of picture in zoster where rather than blister only some red areas with pain are present on one side of body not crossing the mid-line. This is because of good immunity present in young persons like you. The hallmark of the condition is seer pain with the rash appearing on one side of body in grouped manner (as in your case).
In general if we diagnose the entity in 72 hours of onset then we start
antiviral tablets such as
Acyclovir or Valacycloir. But as there had been more than 72 hours so there is no need to take the antiviral medicines.
I suggest you to take a painkiller tablet such as
paracetamol by mouth for two to three times a day after meals. This will reduce the pain intensity and if pain persists then you can take it for 4 times after meals at a gap of 8 hours. For the itching part antihistamine tablet such as
Loratadine (Claritin or lorfast) would be most appropriate to be taken in the same manner as for paracetamol.
You can apply an antibacterial cream such as fucidin or
mupirocin and calamine lotion over the red areas to prevent any secondary infection and soothing effect to the area.
I further request you to not to touch the areas unnecessarily as it can cause further aggravation.
The pain may remain for few weeks of period and then the intensity will subside. I further suggest you to go for
vaccination of your children for
chicken pox (if not done before) as is the same group of virus.
I hope these information will help you in dealing the condition better. If you have any further queries I will be glad to help you or if not then can close the discussion and rate the answer.
With best wishes of early recovery of the problem.
Regards.
Dr Sanjay Kumar Kanodia
MD (Dermatology & STD)