Conversation: The conversation between human and AI assistant.
[|Human|] I have had a very itchy right eye (inside corner) for about a week.  A red itchy and now somewhat painful rash has developed on same side on bridge of nose.  Eye goes between itchy and painful and the rash has gone from 3 bumps to a darker rash in the area.  I visited the Dr and Opth. last Thur and while the Dr was a bit concerned about Shingles, the Opth. didnt think it was a herpes virus.  He preferred to just wait it out.  But it seems to be worsening, not improving.  Thoughts?
[|AI|]  Hi, I can understand your concern for itchy right eye with rashes on same side on bridge of nose. The history provided is too brief, but I can make a probable diagnosis of Herpes zoster or shingles. Its sudden appearance, pain, deep redness and further one-sided appearance in 4-5 days of period. It is not unusual to find such kind of picture in zoster with red areas and pain present on one side of body not crossing the mid-line. I suggest you to take a painkiller tablet such as paracetamol by mouth for two times a day after meals. This will reduce the pain intensity and if pain persists then you can take it for 3 times at a gap of 8 hours. For the itching part antihistamine tablet such as Loratadine (Clarity or forfeits) would be most appropriate to be taken in the same manner as for paracetamol. Oral antiviral may be required such as acyclovir for best coverage of the problem. If your symptoms are not matching above then you need to take second opinion and accordingly go for the investigations suggested by the doctor. Take care.