Good afternoon. u003cbr u003My parents have been more than 1 month old, have unbearable headaches and in the right forehead area there are swollen sores, stinging pain and the muscles of the neck and shoulders are hard and now they are flat but have marks on his forehead and have been treated at the health center and clinic and according to the clinician doctor is exposed to herpes, but they don’t know what kind of herpes virus, sometimes for example, the pain is unbearable …? u003cbr u003and what should be the treatment
Maybe your doctor is referring to shingles. Herpes zoster is a contagious disease caused by Varicella zoster infection. Herpes zoster can cause complaints in the form of rashes and sores filled with fluid that feels painful and hot and sometimes itchy. Herpes can also cause comorbid complaints such as fever, headaches, fatigue, and sensitivity to light. The rash and sores caused by herpes will dry out and become scabs then get better. Herpes rash and sores only occur on one side of the body.
Examination to find out herpes zoster is by interview, physical examination, and if necessary, supporting examinations, for example with a skin scraping test or a stretchy fluid test. Treatment of herpes is with antivirals and supporting drugs such as painkillers, fever-lowering, tricyclic antidepressants, and anticonvulsants.
There are times when herpes causes complications. Some of the complications of herpes are post herpetic neuralgia, blindness around the eyes, nervous disorders, secondary infection, and hypopigmentation / white spots on the rash.
Persistent pain or headache complaints with a history of herpes in the forehead area can be caused by complications of herpes, namely post herpes neuralgia. Post herpetic neuralgia is a condition in which the pain persists for several weeks or months after the herpes sores heal. This condition requires further treatment by a doctor.
However, apart from post herpes neuralgia, headaches can also be caused by other things such as tension headaches, cluster headaches, migraines, trigeminal neuralgia, hypertension, previous history of head injury, and psychosomatics.
If the pain recurs frequently, I suggest that your parents check with a neurologist so that further tests can be done to determine the cause of the headache you are experiencing. If needed, doctors can perform additional examinations, for example with blood tests and CT scans. Then the doctor can provide further treatment for your parents.
In the meantime, your parents should get plenty of rest, light exercise regularly, eat healthy and nutritious foods, and try to avoid excess stress.
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Thank you and hope it helps,
dr. Devika Y