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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain On Sacroiliac Area, Hot Tingling, Sensitivity, Sleeping Difficulty, Nausea. No Relief With Painkillers, Rashes Appeared. Shingles?

I'm afraid I might have shingles. I've had severe pain on left side of sacroiliac area for nearly a week, but different from any previous back problem, with hot tingling of skin & sensitivity to touch; very difficult to sleep as no position is comfortable. Also experienced nausea for some days last week. Went to doc on Friday - diagnosed wrenching of sacroiliac area; prescribed painkillers & anti-inflammatories. Symptoms haven't improved. Yesterday experienced an attack of shivering - had to go to bed & put central heating on. Had another uncomfortable night & this morning a rash has appeared over part of the area.
Fri, 13 Sep 2013
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Dermatologist 's  Response
Hi.severe pain followed by rash unilateral side is typical of herpes zoster or shingles.sacroiliac joint is most typical site for herpes zoster.it presents as painful erythematous vesicles in unilateral distribution.it can be confirmed by seeing multinucleate gaint cells in vesical fluid.the best treatment option is valcyclovir 1000mg thrice daily for seven days and use of ultracet to decrease pain is used.apply calamine lotion in the morning and silverex ointment in the night can cure it
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Pain On Sacroiliac Area, Hot Tingling, Sensitivity, Sleeping Difficulty, Nausea. No Relief With Painkillers, Rashes Appeared. Shingles?

Hi.severe pain followed by rash unilateral side is typical of herpes zoster or shingles.sacroiliac joint is most typical site for herpes zoster.it presents as painful erythematous vesicles in unilateral distribution.it can be confirmed by seeing multinucleate gaint cells in vesical fluid.the best treatment option is valcyclovir 1000mg thrice daily for seven days and use of ultracet to decrease pain is used.apply calamine lotion in the morning and silverex ointment in the night can cure it