*Welcome to the OutUK series looking at gay men and their health brought to you in association with the NHS* website.**
	Each week we'll tackle a different topic in our A to Z of Gay Health. We'll have features and advice on everything from relationships, sexual health, mental and physical conditions and how to stay fit. You can follow any of links provided below for more information direct from the NHS website, or see this week's feature L: Laxatives.

Chickenpox

Chickenpox is common and mostly affects children, but you can get it at any age. It usually gets better by itself after 1 to 2 weeks without needing to see a GP.

Check if it's chickenpox

An itchy, spotty rash is the main symptom of chickenpox. It can be anywhere on the body.

Chickenpox happens in 3 stages. But new spots can appear while others are becoming blisters or forming a scab.

Stage 1: small spots appear

The spots can:

be anywhere on the body, including inside the mouth and around the genitals, which can be painful
spread or stay in a small area
be red, pink, darker or the same colour as surrounding skin, depending on your skin tone
be harder to see on brown and black skin

Stage 2: the spots become blisters

The spots fill with fluid and become blisters. The blisters are very itchy and may burst.

Stage 3: the blisters become scabs

The spots form a scab. Some scabs are flaky while others leak fluid.

Other symptoms

Before or after the rash appears, you might also get:

a high temperature
aches and pains, and generally feeling unwell
loss of appetite

Chickenpox is very itchy and can make children feel miserable, even if they do not have many spots.

The chickenpox spots look the same on children and adults. But adults usually have a high temperature for longer and more spots than children.

It's possible to get chickenpox more than once, but it's unusual.

If you're not sure it's chickenpox

Check other rashes in children

How to treat chickenpox at home

Stay off school or work

You'll need to stay away from school, nursery or work until all the spots have formed a scab. This is usually 5 days after the spots appeared.

Do

drink plenty of fluid (try ice lollies if your child is not drinking) to avoid dehydration
take paracetamol to help with pain and discomfort
cut your child's fingernails and put socks on their hands at night to stop them scratching
use cooling creams or gels from a pharmacy
speak to a pharmacist about using antihistamine medicine to help itching
bathe in cool water and pat the skin dry (do not rub)
dress in loose clothes

Don't

do not use ibuprofen unless advised to do so by a doctor, as it may cause serious skin infections
do not give aspirin to children under 16
do not go near newborn babies, or anyone who is pregnant or has a weakened immune system, as chickenpox can be dangerous for them
do not scratch the spots, as scratching can cause scarring

Speak to a GP if:

you're not sure it's chickenpox
you're concerned about your child

Tell the receptionist you think it might be chickenpox before going in to a GP surgery.

Get advice from 111 now if:

the skin around the chickenpox blisters is hot, painful and red, but redness may be harder to see on brown or black skin
your child has chickenpox and is dehydrated
chickenpox symptoms suddenly get worse
you're pregnant and have not had chickenpox before, or you're not sure, and you've been near someone with chickenpox
you have a weakened immune system and have been near someone with chickenpox
you think your newborn baby has chickenpox

Some people may be able to take medicine to prevent complications. It needs to be started within 24 hours of the spots appearing.

111 will tell you what to do. They can arrange a phone call from a nurse or doctor if you need one.

Go to 111.nhs.uk or call 111.

It's easy to catch chickenpox

You can catch chickenpox by being in the same room as someone with it. It's also spread by touching things that have fluid from the blisters on them.

When chickenpox can be spread

You can spread chickenpox to other people from 2 days before your spots appear until they have all formed scabs - usually 5 days after your spots appeared.

How soon you get symptoms after catching chickenpox

The spots start appearing around 1 to 3 weeks after you caught chickenpox.

Chickenpox in pregnancy

Most people get chickenpox during childhood, so it's rare to get chickenpox when you're pregnant.

If you do get chickenpox when you're pregnant, there's a small risk of your baby being very ill when it's born.

Go to 111.nhs.uk or call 111 if you have not had chickenpox before and you've been near someone with it.

The chickenpox vaccine

You can get the chickenpox vaccine on the NHS if there's a risk of harming someone with a weakened immune system if you spread the virus to them.

For example, a child can be vaccinated if 1 of their parents is having chemotherapy.

You can also pay for the vaccine at some private clinics or travel clinics. It costs between £120 and £200.

Shingles and chickenpox

You cannot catch shingles from someone with chickenpox.

You can catch chickenpox from someone with shingles if you have not had chickenpox before.

When you get chickenpox, the virus stays in your body. The virus can be triggered again if your immune system is weak. This causes shingles.

This can happen because of stress, certain conditions, or treatments like chemotherapy.

OutUK's A to Z of Gay Health continues and you can read this week's feature L: Laxatives. We have covered many subjects in this series and you can catch up with all of our Previous A to Z Features. If you want to find out more about this particular topic you can visit the Original article on the NHS website. If you are worried by any aspect of your health make sure you go and see your doctor or book an appointment at your local clinic.
Photos: LightFieldStudios and one of VladOrlov, Stockcube, darak77, ajr_images or rawpixel.com.