Is It Safe to Take to the Skies with Shingles?

Understanding shingles: Symptoms and Risks for Travelers

shingles, known medically as herpes zoster, is a viral infection that stems from the reactivation of the varicella-zoster virus—the same virus responsible for chickenpox. After recovering from chickenpox, the virus does not leave the body but remains dormant in the nerve cells. For a variety of reasons, including stress, illness, or a weakened immune system, the virus can reactivate, leading to an outbreak of shingles. Approximately 1 million cases of shingles are diagnosed in the United States each year, with the risk increasing significantly among individuals over the age of 50 (Cleveland Clinic, 2023).

Symptoms of Shingles

The symptoms of shingles can vary, but they commonly include:

Early Signs: These can manifest as burning or shooting pain, tingling, or itching in a localized area of the skin before any rash appears. Early symptoms may also include fever, chills, headache, and sensitivity to light.
Rash: The characteristic rash usually appears 1 to 5 days after the onset of initial symptoms. Initially, it presents as small red spots that quickly progress to fluid-filled blisters. The rash typically develops in a single stripe on one side of the body or face.
Pain: The pain associated with shingles can be intense, often described as stabbing or burning. It may last for several weeks, even after the rash has healed, leading to a condition known as postherpetic neuralgia (Cleveland Clinic, 2023).

Understanding these symptoms is crucial for travelers, as they can significantly impact the ability to fly comfortably and safely.

The Impact of Air Travel on Shingles: What You Need to Know

Air travel can be particularly challenging for individuals suffering from shingles. The confined space of an airplane, along with changes in cabin pressure and humidity, can exacerbate symptoms and lead to increased discomfort. Additionally, the stress associated with traveling can weaken the immune system further, potentially prolonging the shingles outbreak or increasing the risk of complications.

Risks During Air Travel

Increased Pain: The pressure changes during takeoff and landing can intensify nerve pain associated with shingles. This can lead to a more uncomfortable experience.
Exposure to Germs: Airplanes are known for their close quarters and shared air systems, which can expose travelers to various illnesses. For someone with a compromised immune system due to shingles, this could lead to further health complications.
Stress and Fatigue: Traveling often involves a significant amount of stress, which can weaken the immune response and potentially exacerbate shingles symptoms (Cleveland Clinic, 2023).

Complications of Shingles

Travelers should also be aware of the possible complications associated with shingles, such as:

Postherpetic Neuralgia (PHN): This chronic pain condition can persist long after the shingles rash has healed, affecting daily activities and overall quality of life.
Bacterial Infections: The blisters caused by shingles can become infected, leading to more severe health issues that require medical attention.
Vision Problems: If shingles affects the eyes, it can result in serious complications, including vision loss (Cleveland Clinic, 2023).

Precautions for Flying While Experiencing Shingles

If you must fly while experiencing shingles, taking certain precautions can help manage symptoms and reduce discomfort. Here are some tips to consider:

Consult with Your Healthcare Provider

Before planning any travel, it is essential to consult with a healthcare provider. They can assess your condition and advise whether flying is safe for you. If your symptoms are severe, they may recommend postponing your trip.

Manage Your Pain

Medications: Your doctor may prescribe antiviral medications to help shorten the duration of shingles and alleviate symptoms. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can also help manage pain during the flight.
Comfort Measures: Bringing along comfort items, such as a soft pillow or a cool compress, can help ease discomfort during the flight.

Stay Hydrated and Nourished

Airplane cabins are often low in humidity, which can lead to dehydration. Ensure you drink plenty of water before and during your flight. Eating light, nutritious meals can also help maintain your energy levels.

Dress Comfortably

Wearing loose-fitting clothing can prevent irritation to the rash and blisters. Choose breathable fabrics that allow your skin to remain cool and comfortable.

Practice Good Hygiene

Avoid close contact with other passengers, and keep the affected area covered to minimize the risk of spreading the virus. If your rash is in the blister phase, it’s crucial to stay away from individuals who have not had chickenpox or the chickenpox vaccine (Cleveland Clinic, 2023).

Managing Shingles Symptoms During Air Travel

Managing shingles symptoms effectively during air travel is vital for a more pleasant experience. Here are strategies to consider:

Before Your Flight

Plan Ahead: Book direct flights to minimize travel time and stress. Arrive at the airport early to allow for a relaxed experience.
Choose the Right Seat: Opt for an aisle seat if possible, allowing for easier access to the restroom and the ability to move around during the flight.

During the Flight

Take Breaks: Stand up and stretch periodically to ease tension and discomfort.
Use Pain Management Techniques: Utilize relaxation techniques such as deep breathing or meditation to help manage pain and anxiety during the flight. Listening to calming music or using noise-canceling headphones can also be beneficial.

When to Seek Medical Advice Before Your Flight with Shingles

It is crucial to monitor your symptoms closely and seek medical advice if you experience any of the following:

Severe Pain: If the pain becomes unbearable despite over-the-counter medications.
Worsening Symptoms: If you notice an increase in the rash or experience fever, chills, or other concerning symptoms.
Signs of infection: If the blisters become red, swollen, or filled with pus, indicating a potential bacterial infection.

Your healthcare provider can offer guidance on whether it is safe to fly based on your specific health condition and the severity of your symptoms.

FAQ

Can I fly if I have shingles?
Flying is possible if your symptoms are mild and manageable. However, always consult your healthcare provider before traveling.

How long does shingles last?
Typically, shingles lasts about 3 to 5 weeks, but pain can persist for months due to postherpetic neuralgia.

Is shingles contagious?
Shingles itself is not contagious, but the varicella-zoster virus can be spread to someone who has never had chickenpox, leading to chickenpox.

What should I do if I start feeling worse during my flight?
If your condition worsens, inform the flight attendants immediately. They can assist you and may provide medical attention if necessary.

Are there any vaccines to help prevent shingles?
Yes, the recombinant zoster vaccine (RZV) is recommended for adults over 50 to prevent shingles or reduce its severity (Cleveland Clinic, 2023).