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is a disease caused by the varicella virus. Chickenpox is spread when an infected person coughs or sneezes. It is also spread when someone touches the fluid that comes out of chickenpox blisters.
Common signs and symptoms:
A rash usually appears on your child's chest, back, and scalp first. The rash then spreads to the arms and legs. It begins as itchy, red bumps. The bumps form blisters that are filled with fluid. The blisters then break and crust over. New blisters may continue to form for up to 4 days. It takes about 2 weeks for all the crusts and scabs to fall off. Your child may also have any of the following:
- Mouth sores
Call your local emergency number (911 in the US) if:
- Your child has trouble breathing or is breathing faster than usual.
- Your child has a seizure.
Seek care immediately if:
- Your child is confused or more clumsy than usual.
- The rash spreads to one or both of your child's eyes.
Call your child's doctor if:
- The blisters get red, warm, tender, or drain yellow or white fluid.
- You have questions or concerns about your child's condition or care.
Your child may need any of the following:
- Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to give your child and how often to give it. Follow directions. Read the labels of all other medicines your child uses to see if they also contain acetaminophen, or ask your child's doctor or pharmacist. Acetaminophen can cause liver damage if not taken correctly.
- Antihistamines help decrease itching. They are available without a doctor's order. Follow directions. These medicines can make your child sleepy.
- Do not give aspirin to children under 18 years of age. Your child could develop Reye syndrome if he takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin, salicylates, or oil of wintergreen.
- Give your child's medicine as directed. Contact your child's healthcare provider if you think the medicine is not working as expected. Tell him or her if your child is allergic to any medicine. Keep a current list of the medicines, vitamins, and herbs your child takes. Include the amounts, and when, how, and why they are taken. Bring the list or the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency.
Manage your child's symptoms:
- Help relieve your child's itching. A bacterial skin infection or scars may develop if your child scratches or picks at his or her rash. The following may help relieve your child's itching:
- Apply calamine lotion on your child's rash. Follow the directions on the label. Do not use this lotion on sores inside your child's mouth.
- Give your child baths in lukewarm water. Add ½ cup of baking soda or uncooked oatmeal to the water. Let your child bathe for about 30 minutes. Do this several times a day.
- Trim your child's fingernails. Put gloves or socks on his or her hands, especially at night. Wash his or her hands with germ-killing soap to prevent a bacterial infection.
- Keep your child cool. The itching can get worse if your child sweats.
- Help relieve painful mouth sores. You may be given medicine to put on your child's mouth sores. These may include numbing gels or an antacid solution. Use these medicines before he or she eats or drinks. Avoid spicy, salty, hot, or sour foods.
- Give your child liquids as directed. Liquids help prevent dehydration. Ask how much liquid your child should drink each day and which liquids are best. Good liquids include water, juice, or broth. Your child may need an oral rehydration solution (ORS). An ORS has the right amounts of water, salts, and sugar needed to replace body fluids.
- Help your child rest. He or she should rest as much as possible and get plenty of sleep.
Prevent the spread of chickenpox:
- Keep your child away from others. He or she will need to stay home from school or daycare until the blisters are crusted over. This usually takes about 1 week.
- Ask your child's healthcare provider about the chickenpox vaccine. Your child will need 2 doses of the vaccine. If your child misses a dose, ask his or her provider when to come in for a catch-up dose.
- Have your child wash his or her hands often. He or she should wash after using the bathroom and before preparing or eating food. Have your child use soap and water. Show him or her how to rub soapy hands together, lacing the fingers. Wash the front and back of the hands, and in between the fingers. The fingers of one hand can scrub under the fingernails of the other hand. Teach your child to wash for at least 20 seconds. Use a timer, or sing a song that is at least 20 seconds. An example is the happy birthday song 2 times. Have your child rinse with warm, running water for several seconds. Then dry with a clean towel or paper towel. Your older child can use hand sanitizer that contains alcohol if soap and water are not available.
- Remind your child to cover a sneeze or cough. Show your child how to use a tissue to cover his or her mouth and nose. Have your child throw the tissue away in a trash can right away. Then your child should wash his or her hands well or use a hand sanitizer. Show your child how to use the bend of his or her arm if a tissue is not available.
- Clean surfaces often. Clean doorknobs, countertops, cell phones, and other surfaces that are touched often. Use a disinfecting wipe, a single-use sponge, or a cloth you can wash and reuse. Use disinfecting cleaners if you do not have wipes. You can create a disinfecting cleaner by mixing 1 part bleach with 10 parts water.
Follow up with your child's doctor as directed:
Write down your questions so you remember to ask them during your visits.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.
Learn more about Chickenpox (Ambulatory Care)
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