Chickenpox

Chickenpox is a vaccine-preventable illness characterized by a unique rash and fevers. While many healthy children recover without long-term problems, chickenpox can sometimes lead to severe symptoms or even serious complications.

If you have questions about your child’s symptoms or want to make sure your family is up to date on vaccinations, our team at Bootin and Savrick Pediatric Associates in Houston, Texas, is here to help. We have experience treating children with a wide range of common infections and can guide you through prevention, diagnosis, and treatment. Contact our office today to schedule an appointment.

A child with small red spots all over her body and a high fever has been diagnosed with chickenpox and is resting in bed in Houston, Texas.

Topic at a Glance

  • Chickenpox is a highly contagious disease caused by the varicella zoster virus.
  • The illness typically begins with mild other symptoms before a distinctive chickenpox rash appears.
  • Most healthy children recover well, but some may experience severe illness or serious complications.
  • The chickenpox vaccine is safe, effective, and the best way to prevent chickenpox.

What is Chickenpox?

Chickenpox is an infection caused by a virus called varicella zoster. The chicken pox virus spreads easily from person to person through respiratory droplets or direct contact with fluid from the rash.

Before the vaccine was widely available, most children would get chickenpox at some point. Today, far fewer children develop chickenpox because routine immunization has significantly reduced infection rates.

After someone recovers, the virus remains dormant in nerve tissue. Years later, it can reactivate as shingles, another condition caused by the same virus called varicella zoster.

How Does Chickenpox Spread?

Chickenpox spreads when a child comes into contact with an infected person. It can be transmitted through:

  • Coughing or sneezing
  • Touching fluid-filled blisters
  • Direct contact with a chickenpox rash
 

An infected person is contagious one to two days before the rash appears and remains contagious until all blisters have crusted over. This is why outbreaks can quickly spread in schools and daycare settings. Since it is so contagious, children who are not vaccinated are at a higher risk of getting chickenpox if exposed.

Chickenpox Symptoms

The illness often begins with mild, flu-like symptoms, such as:

  • Low-grade fever
  • Fatigue
  • Headache
  • Decreased appetite
 

Within a day or two, the rash begins. The classic chickenpox rash develops in stages:

  1. Small red spots appear.
  2. Spots turn into fluid-filled blisters.
  3. Blisters break open and crust over.
 

New spots may continue forming for several days, so it’s common to see lesions in different stages at once.

When to See a Doctor

Contact your pediatrician if your child:

  • Develops a high or persistent fever
  • Shows signs of severe symptoms
  • Appears unusually drowsy or confused
  • Has difficulty breathing
  • Develops redness, warmth, or swelling around blisters
 

Immediate medical care is especially important for infants, adolescents, and adults who develop symptoms or children with underlying medical conditions.

At Bootin and Savrick Pediatric Associates, we have experience treating children with chickenpox and other common childhood illnesses. When needed, we coordinate treatment in cooperation with specialists to ensure comprehensive care.

Diagnosis of Chickenpox

In most cases, pediatricians diagnose chickenpox based on the appearance of the rash and a child’s symptoms. The pattern of the rash and its progression are usually distinctive.

Occasionally, laboratory testing may be used to confirm infection with varicella zoster virus (VZV), especially in atypical or complicated cases.

Chickenpox Treatment

There is no cure that eliminates the virus immediately, but treatment focuses on symptom relief and preventing complications.

In certain cases, doctors may prescribe antiviral medication or antiviral drugs. These medications can reduce the severity and duration of illness, particularly if started early. They are more commonly recommended for:

  • Adolescents and adults
  • Children with a weakened immune system
  • Those at risk for severe complications
 

If signs of severe illness appear, prompt medical evaluation is essential.

Supporting Healthy Children Through Prevention and Protection

Chickenpox is a vaccine-preventable disease. It is highly contagious and can lead to serious complications and risk of chronic pain with viral reactivation in older adults, known as zoster. Staying informed, recognizing symptoms early, and keeping vaccinations up to date are powerful steps you can take to protect your child’s health.

If your child has symptoms of chickenpox, has been exposed to an infected person, or needs to get the chickenpox vaccine, our team at Bootin and Savrick Pediatric Associates in Houston is here to support you. We have experience treating children across every stage of development and are committed to providing thoughtful, evidence-based care.

Schedule an appointment with our office today to ensure your child stays healthy, protected, and thriving.

Medically reviewed by Dr. Monica McGrann

FAQs About Chickenpox

1. Can my child get chickenpox more than once?

It is uncommon, but possible. Most children who develop chickenpox gain long-lasting immunity.

An infected person can spread chickenpox one to two days before the rash appears and until all blisters have crusted over.

Yes. The vaccine has been extensively studied and is considered safe and effective for healthy children.

Contact your pediatrician. Vaccination within a few days of exposure may help prevent or lessen the illness.

Adolescents and adults are more likely to experience severe illness and complications compared to younger children.