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Diseases & conditions
Infections

Chickenpox

Chickenpox is a common, very contagious viral illness that causes an itchy rash of small blisters all over the body. It is usually mild in children and gets better in 1 to 2 weeks. It can be more serious in adults, pregnant women, newborn babies and people with weak immunity.

Symptoms

  • Fever, tiredness and loss of appetite a day or two before the rash
  • Itchy red spots that turn into small fluid-filled blisters
  • Blisters dry into scabs after a few days
  • New spots keep appearing for 3 to 5 days
  • Spots can appear inside the mouth and on the scalp

When to see a doctor

Get medical help quickly if you notice any of these:

  • Blisters that become red, hot, swollen or full of pus
  • Difficulty breathing or chest pain
  • Severe headache, stiff neck, confusion or unsteady walking
  • Chickenpox in a pregnant woman, a newborn baby or someone with weak immunity
  • High fever that lasts more than 4 days

In an emergency, go to the nearest hospital or clinic straight away.

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Causes

  • Varicella-zoster virus
  • Breathing in droplets from an infected person
  • Touching fluid from the blisters
  • A person is contagious from 1 to 2 days before the rash until all blisters have crusted

Prevention

  • Chickenpox vaccine where available
  • Keep a sick child at home until all blisters have crusted over
  • Keep away from pregnant women and newborn babies while contagious
  • Wash hands often

Treatment

  • Rest and plenty of fluids
  • Paracetamol for fever
  • Calamine lotion and cool baths to calm itching
  • Keep nails short to reduce scratching and infection
  • Do not give aspirin or ibuprofen to children with chickenpox
  • Antiviral medicine may be prescribed for adults or high-risk people; do not start prescription medicines without a doctor

Common questions

When can my child go back to school?

When all the blisters have dried and crusted over, usually about 5 to 7 days after the rash started.

Can you get chickenpox twice?

It is rare. But the virus stays in the body and can come back years later as shingles, a painful rash on one side of the body.

General information onlyThis guide does not replace an examination by a doctor. Do not start or stop a medicine without a doctor's advice.