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Chickenpox in Kids & Adults Explained: Causes, Symptoms, Treatment & Prevention

Chickenpox in Kids & Adults Explained: Causes, Symptoms, Treatment & Prevention
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By Dr. Ritesh Yadav in Internal Medicine

Sep 10, 2025

Chickenpox, also known as Varicella, is one of the most common viral infections worldwide. While it is usually mild in children, it can sometimes become serious in adults and pregnant women. With the availability of the chickenpox vaccine, cases have reduced significantly, but the infection still occurs in many communities, especially in areas with low vaccination rates.

In this blog, we’ll break down everything you need to know about chickenpox in kids and adults — its causes, symptoms, contagious period, treatment, complications, and prevention.

What is Chickenpox?

Chickenpox is caused by the Varicella Zoster Virus (VZV). It spreads very easily from person to person through:

  • Direct contact with chickenpox blisters.
  • Airborne transmission when an infected person coughs or sneezes.
  • Touching contaminated objects such as clothes, towels, or bedding.

Most people get chickenpox only once in their lifetime, and after recovery, the body usually develops lifelong immunity.

Chickenpox in Kids

Chickenpox is most common among children aged 2–10 years. It often spreads quickly in schools and daycare centers.

Symptoms in Children:

  • Mild to moderate fever 
  • Loss of appetite and tiredness 
  • Rash that turns into red, itchy blisters 
  • Rash spreads from chest and back to the entire body 
  • Irritability due to itching and discomfort 

Although chickenpox in children is generally mild, scratching the blisters can lead to infections and scarring. Parents should trim the child’s nails and keep them hydrated.

Chickenpox in Adults 

While less common, chickenpox in adults can be more severe than in children. Adults may experience: 

Chickenpox in pregnant women is particularly dangerous, as it may lead to complications for both the mother and unborn baby.

Stages of Chickenpox Rash 

The chickenpox rash appears in three stages: 

  • Red spots: small raised bumps. 
  • Fluid-filled blisters: very itchy and contagious. 
  • Scabs and crusts: healing stage when the risk of spreading decreases. 

The rash typically lasts 7–10 days and appears in waves, meaning new spots may develop as old ones heal.

Incubation and Contagious Period

  • Incubation period: 10–21 days after exposure.
  • Contagious period: 1–2 days before the rash appears until all blisters have scabbed over.

This means a person can spread chickenpox even before they know they have it.

Treatment of Chickenpox

There is no specific cure for chickenpox, but supportive care helps relieve symptoms. 

For kids: 

  • Paracetamol for fever (avoid aspirin as it can cause Reye’s syndrome). 
  • Calamine lotion or oatmeal baths for itching. 
  • Plenty of fluids and light diet. 

For adults: 

  • Antiviral medicines (acyclovir) may be prescribed by doctors. 
  • Rest, hydration, and fever management. 

For pregnant women and immunocompromised patients: 

  • Strict medical supervision is required.

Prevention of Chickenpox

The best way to prevent chickenpox is vaccination. 

  • Chickenpox vaccine (Varicella vaccine) is given in two doses: 
    • First dose at 12–15 months of age. 
    • Second dose at 4–6 years of age. 
  • Adults who never had chickenpox or vaccine should also get vaccinated. 

Other preventive tips: 

  • Avoid close contact with infected people. 
  • Keep infected children away from school until blisters heal. 
  • Maintain hygiene and wash hands frequently.

Key Facts from Popular Organizations

  • According to the World Health Organization (WHO), chickenpox is one of the most contagious viral diseases, with an infection rate of up to 90% among close contacts.
  • The Centers for Disease Control and Prevention (CDC) states that before vaccines, around 4 million cases of chickenpox occurred annually in the U.S.
  • The Indian Academy of Pediatrics (IAP) recommends two doses of the Varicella vaccine for complete protection.
  • UNICEF highlights vaccination as a cost-effective way to reduce school absenteeism due to chickenpox outbreaks.

FAQs on Chickenpox

What causes chickenpox? 

Chickenpox is caused by the Varicella Zoster Virus (VZV). 

How long does chickenpox last? 

Usually 7–10 days, from rash appearance to scab formation. 

Is chickenpox dangerous for adults? 

Yes, adults may develop serious complications like pneumonia and encephalitis. 

What are the first symptoms of chickenpox in kids? 

Fever, tiredness, loss of appetite, followed by red itchy spots. 

How does chickenpox spread from person to person? 

Through cough, sneeze droplets, direct contact with blisters, or contaminated objects. 

Can adults get chickenpox twice? 

It’s very rare, but people with weak immunity may get reinfected. 

When is chickenpox no longer contagious? 

When all blisters have dried and turned into scabs. 

Is there a vaccine for chickenpox? 

Yes, the Varicella vaccine is safe and effective for children and adults. 

How can itching be relieved during chickenpox? 

Cool baths, calamine lotion, and wearing soft cotton clothes can help. 

Can pregnant women get chickenpox? 

Yes, and it can be dangerous. Immediate medical care is required.

Final Thoughts

Chickenpox in kids and adults may sound like a harmless childhood illness, but it can be risky if left unchecked — especially for adults, pregnant women, and people with weak immunity.

The good news is that vaccination, good hygiene, and early medical care can keep you safe. If you or your child shows symptoms, consult a doctor immediately and avoid close contact with others until fully recovered.

Dr. Ritesh Yadav
Consultant • INTERNAL MEDICINE

Meet The Doctor

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