How to treat shingles on the thigh of a diabetic patient?
Disease description:
My grandmother has diabetes, and she says she has developed a "weiyao she" (herpes zoster), which is very painful. I would like to know how to treat herpes zoster on the thigh of a diabetic patient.
Doctor's answer (1)
Dr. Liu Wenmin
When a diabetic patient develops herpes zoster, commonly known as "weiyao she" (a belt-like rash), treatment should take into account both the management of diabetes and specific therapies for herpes zoster. The following measures may be taken:
1. Daily care: Maintain good hygiene at the affected area, avoid excessive fatigue, and ensure adequate rest.
2. Medication: Under a doctor's guidance, use antiviral drugs such as acyclovir or valacyclovir to inhibit viral replication, alleviate symptoms, and shorten the duration of the illness.
3. Physical therapy: Treatments such as acupuncture and cupping may be used to promote the absorption and resolution of inflammation. For severe cases, physical therapies like infrared irradiation may be considered.
4. Blood glucose management: Monitor blood glucose levels closely and adjust hypoglycemic medications to prevent high blood sugar from increasing the risk of infection. Additionally, keep the affected area clean and dry to prevent secondary infections, and apply antibiotic ointment locally if necessary.
Enhancing the patient's immunity through a balanced diet and vitamin supplementation can aid in recovery. Throughout the treatment process, regular follow-up visits are necessary to adjust the treatment plan and ensure therapeutic effectiveness.
