Symptoms and Rash Progression
| Stage | Appearance |
|---|---|
| Day 1 | Fever, tiredness, loss of appetite |
| Day 1–2 | Small itchy red spots appear, often starting on chest/back/face |
| Day 2–4 | Spots become fluid-filled blisters |
| Day 4–7 | Blisters burst and crust over |
| Day 7–10 | All spots crusted — no longer contagious |
Complications to Watch For
- Bacterial skin infection (increasingly red, warm, spreading, pus)
- Pneumonia (more common in adults and smokers)
- Encephalitis (very rare) — confusion, seizures, severe headache
- Dehydration from reduced fluid intake
Chickenpox in Pregnancy
If a pregnant woman without immunity is exposed to chickenpox, urgent medical advice is needed — VZIG (varicella zoster immunoglobulin) may be given, and chickenpox in pregnancy carries risks to both mother and baby.Higher Risk Groups — Seek Medical Advice EarlyPregnant women, newborns, anyone immunocompromised (chemotherapy, high-dose steroids, HIV), and adults who've never had chickenpox should contact a doctor promptly if exposed or infected — antiviral treatment (aciclovir) may be recommended.
Itch ReliefCalamine lotion, cool baths with baking soda or oatmeal, loose cotton clothing, and keeping nails short (to reduce scratching and scarring) all help manage itching. Antihistamines can help itching and improve sleep.
Can you get chickenpox twice?
Rare but possible, especially with mild first infections. The virus stays dormant in the body and can reactivate later in life as shingles.
Is the chickenpox vaccine available in the UK?
It's not part of the routine NHS schedule but is available privately. It's routine in the US, Australia, Canada, and several other countries.
How long should my child stay off school?
Until all blisters have crusted over — usually about 5 days after the rash first appeared.
Medical Disclaimer: This page is for general education only and does not replace professional medical advice. Always consult a qualified healthcare provider.