My father got shingles in July and it's now early October. It has been debilitating for him and I'm worried that he's not going to last much longer.
The doctors have tried so many different drugs trying to get the pain under control, but nothing seems to work. He isn't eating a lot and he's definitely not getting enough fluids even though we try to get him to drink Gator Aid regularly because his sodium levels have been so low.
He has fallen a number of times and three times he's been taken to the ER because of it. Each time we find out his sodium levels were extremely low and he was dehydrated, but I cannot stand over him and make sure he keeps getting enough fluids.
He's 88 and my mother is 93, and we are very fortunate to have them in a wonderful assisted living facility. My mother, who has dementia, is flourishing, while my dad seems to be getting worse. I feel so sorry for him and it's very difficult to see him suffering and not be able to help.
Also, I don't want to keep either of my parents going when their quality of life is no longer good. I don't want that for myself. If my dad can get better and enjoy life again, that would be wonderful, but if he can't than I pray for an end to his misery.
I'm hoping someone can tell me their experience with this sort of thing. This is such a difficult time for everyone and I hate the hills and valleys, although I know that's part of the process.
The 3rd and 4th weeks were my worst, pain wise. (I gave up on using the RectiCare because it seemed to irritate my facial skin.) What helped me most when the pain got really intense was to go into the bathroom and wash my face with warm water and hydrating cleanser and then put a light amount of Vasoline on it. I often had to do this 15-20 times a day.
My worst day was this one Saturday when Mom and I were in an outdoor shopping area where bathrooms were few and far between. I couldn't get to a water faucet. The pain got so bad that I started crying. After that I carried my facial cleanser, a towel, and a jar of Vasoline with me whenever I left the house and only went to places where I knew I could get to running water quickly.
I feel very fortunate that my shingles pain/itching is mostly gone now and that I don't have facial scarring. The red areas of my face have returned to normal and there's only one small area on my chin that's still pitted.
I've made changes to reduce my stress level and am watching myself more for signs of stress...like if my neck starts to hurt or if I start feeling like I've had about 10 cups of caffeinated coffee when I've had none. Or if I start to feel overwhelmed in some other way. (In the months before I got shingles it had gotten to the point that I was feeling this way almost every day.)
When the above happens, I back off and take a break as soon as I can, even if it's just for 15 minutes to take a warm bath or to put a microwaved hot pack on the back of my shoulders or to relax with a cup of hot tea. I'm going to the Y now twice a week for one hour. I'm joining a free weekly meditation class next week (meditation had been suggested by my doctor). I've kept off the five pounds I lost during the first few weeks of my shingles symptoms. Over the holidays I tried to do less and expect less and just enjoy the precious time with loved ones. Maybe I'm starting to learn how to just savor the moments.
All these changes have made a huge difference in my daily joy. I quite honestly haven't felt this good in several years.
When my dad has awakened during the night with postherpetic itching, I've reminded him to do two things: 1) make sure he's thinking about positive things, not negative ones (sometimes he awakens with itching after a bad dream) and 2) try and relax all his facial muscles. Fortunately he only rarely wakes up with itching during the night--like maybe once or twice a month. When he does, I'll continue to be there for him with RectiCare or hot water on a washcloth, whichever he tells me he needs. I'm grateful his itching has become less and less over the past three years and that he doesn't have it every day like he did in the beginning.
I've read that medical knowledge is currently doubling about every two years. I pray there will soon be some real solutions available to end the misery that so many with shingles endure.
My elderly, disabled dad got trigeminal shingles at age 87. He was in the hospital with a secondary bacterial infection the first week, then spent another week in rehab. He said he wouldn't wish the pain of shingles on his worst enemy.
He had severe postherpetic itching for about a year before it started letting up. Even today he wants what he calls "The Good Stuff" (topical RectiCare, which is 5% Lidocaine) applied with a Q-Tip around the right side of his nose before bedtime, just in case he starts to itch during the night.
During the first months he would be awake at 2 in the morning and want me to boil some water and bring it into the room and dip a washcloth in it then apply the washcloth to the right side of his face. That was the only thing that relieved his pain and itching. It seemed too hot to me, but it felt so good to him, he said. Later we discovered that vibration also helped reduce his symptoms, so he used a Neutragena microdermabrasion device (without a cleansing pad attached), held against his face. We tried the Lidocaine patch, but it was hard to keep it in place on the face. RectiCare cream (which is also 5% Lidocaine) has worked much better. Sometimes petting a cat would help his itching go away for a while. But most of the time he was miserable. Such a brave soul, he almost never complained and never showed signs of the discomfort in his face.
After about a year he was signed up to have speech/swallow therapy, including the Vital Stim device. During the time he was being treated with Vital Stim, his postherpetic itching went away completely for almost a month. I kept a daily log and it was amazing during this time. The speech therapist said it may have been due to the Vital Stim because she had seen other Vital Stim clients with shingles see a reduction in their post-herpetic pain/itching during treatment too. (His itching eventually came back after that treatment, but with less regularity. The itching became intermittent, sometimes going away for days at a time and lasting on average less than 1 hour a day, if that.)
Ironically, my dad's trigeminal shingles was in Nov 2012 and I got it almost exactly three years later, in Nov 2015. Mine is on the left side of my face. It's been 3-1/2 weeks since my symptoms began. The first three weeks my pain was mild-to-moderate, but the past few days it's been worse. I'm wondering if it's because I was isolated in my home for over two weeks, taking it easy, while my parents had 24x7 caregivers from the agency to care for Dad. Whereas now I'm back at my parents house, being a caregiver again and having more stress.
But I'm determined not to let trigeminal shingles get the best of me. I'm working on the way I handle my stress. I'm finding ways to lessen my workload, doing less each day, remembering to say no where needed, and spending more time being relaxed, learning to take a breathe and just enjoy my time with my parents. I'm a type A person by nature but determined to form more healthy habits and take better care of myself.
My pain seems mostly in the 3rd division of the trigeminal nerve (ear pain, tooth/gum pain, throat pain, and near the lips), but some is higher up, in the 2nd division on the left side of my face (cheeks, hairline, etc) Over the past weeks I've taken only a couple of pain pills and 5 or 6 Tylenol PMs. I started using the RectiCare on my face this afternoon and it seemed to help the most with this annoying burning pain I'm now having that's higher up on my cheek.
Oh, and I forgot to mention that right after Dad got shingles in 2012, my mom and my sister and I all got the shingles vaccine. (I was age 56 at the time). Both the ENT I saw last week and my dermatologist are calling the shingles vaccine a failure in my case. My dermatologist said the reason my dad's pain was worse than mine is because he is very elderly--that the older you are, the more severe pain you'll have. My dermatologist also told me my shingles case was NOT a mild case--it was pretty typical of what she sees. As for the shingles' other expected benefit of reducing the risk of postherpetic neuralgia, I guess we'll see how it goes. Shingles pain is supposed to last 3-5 weeks. One of my dad's doctors had it at age 53 and said his pain lasted about 6 weeks. I'm so hoping mine goes away like it should. If there's a chance the vaccine helps with that, then I'll consider the vaccine worthwhile in spite of getting the shingles three years afterward.
Angel
Not every elderly person gets it, but it is more common and much more devastating as we age. I wouldn't wish it on anyone.
Please take good care of yourself. You are in my prayers.
Sending a tight hug and shoulder to cry on.
Chonie
Again, I cannot emphasize enough that it's extremely important to get that vaccine. Someone just told me that an elderly relative killed herself because she was so tired of the pain. I realize this is not common and even the pain my dad suffered was worse than usual, but it's not worth the risk. Elderly people do not have the ability to heal the way younger people do. They can end up suffering for years and it's something that can reoccur.
And, what's also frustrating is you feel as though you have a choice of allowing your loved one to deal with the pain or have him/her so doped up he/she hardly knows what's going on. Please, if you haven't been vaccinated, do it now!
Grandaughter, sorry to hear about your Grandmother as well as it seems like she is going through similar situation. I had no idea that elders could get the shingles. I know its easier said than words but, try to look at the pain meds r keeping grandma from feeling the aweful pain from the shingles.
I hope you two keep us posted on how they r doing n don't forget to take care of yourself too.
We reached the point where the goal was to try to get the point where the pain was under control and then put him in the nursing home, which is basically what happened. He's been there since Friday and has actually rallied to some extent, but he's not looking good. He's lost a lot of weight and still doesn't have much of an appetite. The nursing home is a good one and I'm able to visit daily. We are also working with hospice to make sure Dad stays as comfortable as possible.
My mother has some dementia, but she was an RN and is handling this unbelievably well. She is very loving towards him and reassuring, but when I talk to her later she tells me she is surprised he's lasted this long.
Shingles is horrible, especially in the elderly. I know the nerves are damaged and it's much harder for them to repair themselves as we age. After seeing what my dad has been going through I immediately got vaccinated as well. It's especially difficult to see my dad going downhill AND having so much pain.
I would get him drinking and see if he can have some ensure or like products if he doesn't want to eat. Everything is worse on an empty stomach and dehydrated.
I would get the doctor or another doctor to re evaluate his progress since he is still in pain. It seems to me they could reduce his pain level at least.
Elizabeth