Shingles, also known as herpes zoster, is a viral infection characterized by a painful rash. It is caused by the reactivation of the varicella-zoster virus (VZV), the same virus responsible for chickenpox. After an initial chickenpox infection, the virus remains dormant in nerve cells and can reactivate years later, leading to shingles. The rash appears as a band or patch of fluid-filled blisters on one side of the body or face. This article addresses whether to pop these blisters.
Risks of Popping Shingles Blisters
Popping shingles blisters is not recommended. Breaking the skin barrier creates an open wound, increasing the risk of secondary bacterial infections. These can lead to cellulitis or impetigo, which may require antibiotic treatment.
The fluid within shingles blisters carries the active varicella-zoster virus. Popping them can spread the virus to other body areas through direct contact. It also poses a risk of transmitting the virus to susceptible individuals, such as those who have not had chickenpox or have not been vaccinated, potentially causing them to develop chickenpox.
Manipulating or breaking blisters can intensify the pain and itching associated with a shingles outbreak. Interfering with the natural healing process by rupturing them increases the risk of permanent scarring or changes in skin pigmentation, such as discoloration, once the rash resolves.
Disrupting blisters can prolong the recovery time for the rash. The body naturally reabsorbs the fluid, allowing them to dry out, crust over, and heal.
Managing Shingles Blisters Safely
Instead of popping shingles blisters, focus on safe and supportive care to promote healing and manage discomfort. Keep the affected area clean and dry by gently washing the skin with mild soap and water, then patting it dry. Avoid harsh chemicals or vigorous scrubbing to prevent further irritation.
Protecting the rash is important. Wear loose-fitting, soft clothing over the affected area to prevent friction and irritation. Avoid adhesive bandages, as they can stick to blisters and cause tearing upon removal. Non-stick dressings can be used if covering the rash is needed to prevent spread.
Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help manage pain and discomfort. Topical lotions like calamine lotion may provide relief from itching. Applying cool, wet compresses to the rash for 5-10 minutes several times a day offers soothing relief, but direct ice should not be applied to the skin.
Antiviral medications, such as acyclovir, valacyclovir, or famciclovir, are often prescribed for shingles. When started within 72 hours of the rash appearing, these medications can shorten its duration and severity, and help reduce the risk of complications, though they do not directly act on the blisters.
Seek medical attention if signs of a secondary infection appear, such as increasing redness, warmth, pus drainage, or fever. Consult a healthcare professional if pain becomes severe, the rash is near the eyes, or symptoms worsen.