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White spots on teeth are indication of loss of mineral content from the surface of your teeth that you know as enamel. Dry mouth- When your mouth is dry, it doesn’t have enough saliva to keep the pH level of your mouth neutral.
Having acidic foods- Foods having high acidic content like sour candies and those made with lemon and vinegar can cause white spots on teeth. Poor Oral Hygiene- If you don’t take enough care to clean your mouth, plaque will build up there on your teeth. Fluorosis or excessive fluoride- While fluoride is one of the essential minerals to keep teeth healthy, excessive fluoride leads to white spots and cavities on teeth. Teeth whitening strips- Teeth whitening strips are strips made up of such material as plastic.
Celiac disease- This is an autoimmune disease that shortens the lifespan of those affected. If you go to your dentist, he will first diagnose the condition of the white spots on your teeth and the possible causes behind them.
This homemade remineralizing toothpaste contains such basic elements as calcium that is undoubtedly needed for stronger and healthier teeth and its enamel. Now add coconut oil to this and keep stirring while adding the oil till you get your required consistency.
If you are not that fond of tooth pastes and have always used powder to brush your teeth, there’s a recipe for homemade reminerlazing tooth powder as well. Nuts – Nuts like almonds, cashews and walnuts are one of the richest sources of phytic acid.
Whole grains – These have very high amount of phytic acid as most of the phytic acid in grains is found in the outer bran layer. Seeds- Sesame, linseed, flax seed, rape seed, sunflower seed kernels and even seeds of soy plant, the soybeans have phytic acid.
Beans and legumes- All types of beans including kidney, pinto, black and navy beans, dry cow peas as well as legumes have high content of phytic acid. Having foods rich in vitamins and minerals is essential simply because you need to give your body all the minerals that it requires to function. Have raw dairy products like raw grass fed cow milk, kefir, cheeses that are raw and butter from milk obtained from grass fed animals. This is important because Vitamin D plays an important role in the formation and remineralization of tooth. Green tea has polyphenols like flavonoids, gallic acid, chlorogenic acid and caffeic acid that helps provide essential minerals and nutrients needed to remineralize teeth.
Green tea also contains catechins that have antibacterial effects against Streptococcus mutans. Therefore, if you want to get rid of white spots on teeth, start rinsing your teeth with green tea. In the morning, after waking up, take the coconut or sesame oil, whatever you are using and add the essential oil to this if using. You may or may not brush your teeth now, preferably with a remineralizing tooth paste or tooth powder (like the ones discussed earlier in this article).
While oil pulling is sufficient to do once a day, if you want better results, you may also do it twice- once in the morning and then at night before going to bed. Drink water or rinse your mouth with water after you have coffee, tea, soda or any flavored drink.
While remineralization of teeth is an effective way to remove white spots on teeth, taking preventive measures will make you get rid of white spots on teeth permanently. How rid oily skin naturally hira beauty tips, For all of those who complain about the oily skin, join the league, because i was a sufferer too.
How rid keratosis pilaris - white bumps, How rid keratosis pilaris - white bumps arm. Other than the above mentioned remedies, you can also use apple cider vinegar or beetroot on your lips as they are also bleaching agents and can return the natural color of your lips. Another alternative is applying the moisture of glycerin and rose petals to your lips before retiring for bed. This means that you have enough water so that the body (inclusive of the lips) stays hydrated throughout the day, avoid hot foods because high temperatures tend to exacerbate the black color of the spots on your lips. Using a Chapstick is a great way to ensure that you do not frequently lick or bite your lips. If those dark spots on your lips have been caused by prolonged tobacco chewing or smoking, it is best you abstain from both activities. If the above mentioned remedies do not work over a long duration, you need to consult a dermatologist or dentist. It is also known as skin abscess.Boils can occur on the inner thighs as well as on the face, armpit, back of the neck, throat, groin and buttocks. Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA. When pH level is not right, bacteria grow and survive to attack your teeth with their acid.
Plaque can be understood as the sticky, colorless film of bacteria and debris that forms on your teeth just after you finis eating carbohydrates that mean all the sugars and starches you have.
When you consume excessive fluoride you are making your teeth prone to develop white spots.
However if you do not practice good dental hygiene while wearing your braces, you will certainly get white spots on teeth.
It also increases the risk of developing other autoimmune diseases like multiple sclerosis, eczema, rheumatoid arthritis and osteoporosis.
Accordingly, he may use different techniques to remove white spots on teeth such as micro-abrasion, bleaching, or even capping the teeth with a white filling or applying a porcelain veneer. The Diatomaceous Earth in it has various trace minerals and thus very useful in remineralization of the teeth with white spots. This tooth powder uses Bentonite Clay as its main ingredient along with more or less the similar ingredients that are being used in making remineralizing toothpaste. Wheat bran, rice bran, oats, barley and wild rice all have higher concentration of phytic acid but they are rather healthy to avoid altogether. When it is just warm enough that can be tolerated by your mouth, take some of this tea in your mouth and swirl it all around for about 30 seconds to 1 minute. However, only remedies won’t do, you should also know preventive measures to take when it comes to white spots on teeth. Sugar (and also carbohydrate rich foods) makes your mouth’s environment highly acidic. While fluoride is essential to reduce the acid and balance the pH level of your mouth, it is detrimental when in excessive amounts. Use floss, may be with hard ends, to thread under your braces easily after brushing your teeth.
It will seem to heat up the area to which it is applied, but do not be scared, it doesn’t burn. Those who have them are normally very conscious about them especially since it affects their physical appearance. Rose petals have been known to be effective in removing the tinge found on your lips normally caused by smoking. Keep the lips moisturized and soft at all times by applying lip gloss, clarified butter or cold creams. The doctor will do some tests to determine the main cause of the spots thus recommend the most suitable treatment. Simply put, boils are small bumps with white or yellow centers that can spread to other skin areas. Warm CompressThe easiest way to quickly get rid of a boil on your inner thigh is to use heat applications.
Apply this paste on the affected area and leave it on for at least 30 minutes before rinsing it off. Usually white spots on teeth are cosmetic issue but sometimes, they can lead to tooth decay too and thus it becomes essential to remove white spots on teeth. The high acidic content in these foods and drinks removes the teeth’s enamel and other natural minerals leading to white spots on teeth. These bacteria then feed on these sugars and produce acid that damage your teeth’s enamel causing white spot and then tooth decay. If you have been using these strips for teeth whitening, they may be the cause behind your teeth’s white spots, especially if you leave them on for longer periods. This is because plaque builds up on those hard to reach places behind braces where you are not able to brush your teeth well. Bentonite clay has excellent capability to draw out heavy metals and toxins out of your mouth, not to talk about the bacteria that produces acid in there and give white spots on teeth. This phytic acid when bind to other minerals like manganese, zinc or iron, both of them form a compound called phytate. Having small amounts of meat, fish or poultry with such beans and legumes also increases the rate of mineral absorption from beans.
Once you lack in minerals and get white spots on teeth, remineralization by providing extra supply of minerals will ensure removal of these white spots. This milk and its products also have sufficient calcium than the milk which comes from a cow feeding on grain. Not only this, to use calcium, body needs vitamin D. Therefore, get enough sunshine during the day so that you do not become deficient in Vitamin D. Not only does this removes toxins and bacteria from your mouth but also is miraculously effective in whitening teeth. Apple Cider VinegarApple cider vinegar is mildly acidic and can help prevent toenail fungus from spreading. For some, the occurrence of black spots on the lips feels unattractive while others find it embarrassing.
Take some lemon juice and apply it on the black spots for a few nights before going to bed will in time lighten the patches. Collagen aids in building of new tissues and so if the lips are chopped and stained, the old tissues will get replaced with new evenly colored skin.
It causes, among other things, angular cheilitis that's characterized by cracking and inflammation of the corners of your lips and may result in fungal infection. This is caused by thyroid imbalance is known to cause dry lips and in the long-run black spots on lips. Old lipstick may contain products that are harmful to the lips hence causing the black spots. Visit your dentist to determine whether the fixtures are the ones causing the black spots on lips. Dry lips cause chipping of the top skin of the lips which leaves room for infections on the lips. They tend to become painful and increase in size in a few days when pus builds up.They are mostly caused by the staphylococcal bacteria. These unnaturally bright spots on teeth may or may not indicate decay of your teeth depending upon the underlying cause.
Fluorosis is a major cause of white spots on teeth, especially in children whose teeth’s development is under process.
These strips are highly acidic and thus capable of de-mineralize your tooth’s enamel to give you white spots on them. Not only white spots on teeth, this disease can lead to undersized teeth, yellow teeth or teeth with grooves or pitting. It is a way to naturally fill in the microscopic holes that give white spots their bright appearance.
Baking soda will subtly give you the abrasion that is needed by your teeth to remove white spots along with balancing the pH levels of your mouth. Additionally, it is alkaline in nature that balances the pH level of your mouth to further restrict bacteria from developing there.
Therefore, have those foods that are good sources of calcium, phosphorous, magnesium, Vitamins K2 and D3 as well as fat soluble vitamins. All these minerals are crucial for the formation and remineralization of your teeth. However, when you don’t have the opportunity to get sunshine, ask your doctor to recommend some Vitamin D supplement. It has anti-septic effects if you use such an essential oil as tea tree oil or clove oil with the coconut oil which is widely used for oil pulling.
At the same time, it kills bacteria and fungi.Mix equal parts of apple cider vinegar and water. There are several factors that can cause discoloration of the lips including modern lifestyles, certain medications and eating habits. It is also advisable to check the kind of medication you're taking as it may have caused the black spots as a side effect. If they are, they can be fixed to fit properly and the spots and be removed using laser surgery.
Plus, factors like a damaged hair follicle, weak immune system, infected sweat glands, harsh chemicals, poor hygiene, poor nutrition and chronic diseases, such as diabetes make you more susceptible to developing boils. Therefore, before you get to know how to get rid of white spots on teeth, you must know what causes them. So, when the enamel of your tooth shows opaque color in a spot, it may be a sign that the cavity is starting to form at that place. There are many minerals like calcium, magnesium and silica present in this clay that provides good nutrition to your teeth in order to remineralize it and remove white spots. Tea Tree OilTea tree oil is an excellent natural remedy for boils on inner thighs because of its strong antiseptic, antibacterial antifungal properties.Soak a cotton swab in tea tree oil. At this point, you should consult your dentist to know the cause of white spots on your teeth. Coconut oil in it makes this remineralizing toothpaste anti-bacterial while other essential oils give it some flavor. This tooth powder also uses alkaline baking soda and calcium powder to provide extra calcium and magnesium to your teeth. While a little phytic acid gives you certain health benefits, more of it can be a health hazard as it will block all the minerals that could be used by your body. Epsom SaltEpsom salt helps bring a boil to the head and speed the drainage of the bacteria.
Clove and cinnamon powder used in it have antibacterial properties apart from a naturally sweet taste though you can use Xylitol optionally to make it some more sweeter. It will not only make you get rid of white spots on teeth but will strengthen your teeth and gums considerably. When used daily for a few weeks, you will notice improvement very quickly.Another option is make an antifungal exfoliating scrub by some coarsely ground rice flour with a few spoons of apple cider vinegar.
Do this a few times daily until the boil is healed.Another option is to mix a few drops of tea tree oil in a bowl of warm water.
Plus, being highly absorbent, it helps draw out toxins and impurities from the skin.Dissolve ? cup of Epsom salt in 2 cups of warm water.


If you don’t want to either toast them or soak them, eat nuts with those foods that are higher in vitamin C, like strawberries and oranges. Soak a washcloth in the solution and use it as a compress on the affected skin for about 10 minutes.
The yeast grows because the Lacillus bacteria that should naturally dominate your lower regions got killed off by all the antibiotics modern people use. Repeat a few times daily until the boil begins to drain.Alternatively, take a sitz bath in warm water mixed with a cup of Epsom salt. Tea Tree OilTea tree oil has antiseptic as well as antifungal properties that help a lot in the treatment of toenail fungus.
TurmericThe antiseptic and anti-inflammatory properties of turmeric can speed up the healing process of a boil on your inner thigh.
The compound curcumin in turmeric also helps relieve pain.Mix some turmeric powder and enough water to make a thick paste. Oil of OreganoOil of oregano has antiseptic, antibacterial, antiparasitic, antiviral, analgesic and antifungal properties. If you shave there you might have cut yourself but my sister used baby powder and hers went away. OnionOnions have antiseptic properties that help fight skin infection and speed up the healing process.
When the juice of the onion comes in contact with the infected area, it acts as an irritant as well as an antimicrobial agent. Listerine MouthwashListerine mouthwash, which kills bacteria and germs in the mouth, can also be used to treat toenail fungus. NeemDue to its natural antiseptic and antibacterial qualities, neem, also known as Indian lilac and margosa, is another effective natural cure for boils on inner thighs. Please helpDeigh Paugh May 20, 2013 at 6:02 pm ReplyHave you tried adding pro and pre biotic to your diet? You need to buy Ezzeac {notice the spelling} plus cat’s claw 16 oz bottle tea extracts. There are 6 blood cleansing herbs that will kill parasites, fungus,bacteria,and many disease causing agents.
It may take more then one bottle, up to three or four, I suggest buying a case, they come 6 16 oz bottles. One more thing and this is Important: When suffering from these symptoms, this is no small thing.Colostrum must be taken in conjuration with the Acidophilus, doing this helps the Acidophilus to stick in the intestines!
In time it will weaken the intestinal tract allowing toxins from the food to enter in the arteries form the lower intestines into the bodies blood stream.
Overnight, it went from pea sized and not even painful, to a large grape size and painful as hell!!
I will definitely be trying the remedies you say you did, and hopefully this thing will be gone soon. I got home last night around 7pm, took a shower, and applied the tea tree oil then the ichtammol ointment.
It’s sometimes called chicken skin, since it looks a little like chicken skin or goose bumps.
I going to try it ?? Rainey November 26, 2013 at 1:08 am ReplyMustard works great for boils!Crystal May 31, 2014 at 6:27 pmit does?
I finally bought a sitz bath and kept very hot water in it with Witch Hazel (which is an astringent) I also didnt want to go to the Dr bc I had to have one lanced before. So I put scalding compresses on it for about 30 minutes to at least get the skin soft, then I layed a piece of ice on the cyst and lanced it myself. I woulnt recommend doing this yourself BUT, I had a sterile scalpel and it busted all over my bed but then I put the hot rag back on it then squeezed until the core came out which was about the size of a grape!!
I thought I was going to pass out but I kept the erea VERY clean and covered until it healed and knock on wood I havent had one since then (about 13 years ago) If you dont get the core out, they will just keep coming back! Also my father cured skin cancer by substituting freshly made carrot juice for all his cups of tea or coffee, and using foods high in nitrilosides, such as almonds.
Dot July 15, 2014 at 7:30 am ReplyEvery summer I start to get a boil where my panties elastic rubs against my groin.
A friend of mine owns a nutrition store and she was telling me how she used golden seed on her boil but said that tree tea oil should help.
So what I found helps prevent recurring boils is to use antiperspirant on those areas before walking or exercising.
I suggest to all of you to try the fast way… I Tried the sulfur cream and it 100% help me feel relieved.
CotaJos August 29, 2015 at 9:58 pm ReplyI went to the clinic 2 times for the same problem, but it kept coming back, however my girlfriend adviced me to check on the Internet for home Remedies, I found my self on this site.
I may dilute the oil, I may just use ichthammol ointment, or I may attempt to just hot compresses. Ive been mashing bloody watery infection out of it n last night i gave it one big mash n what looked like to be infection eggs came out there is still bloody watery infection coming out of it what do i do?ciro June 10, 2013 at 5:47 pm Replyi also have been suffering from this problem for 3 years now,i always seem to have them in my inner thigh and buttocks, they produce black scars after they heal. First it was on my buttocks, for the past 4 years I have been getting them on my upper thigh. I used to go to the doctor and they would lance it which would hurt horribly and then they would always come back. ER Doctor say have something called a track and would have to have surgery to get track removed and until then will always come back. I have taken all the prescription medications and the oils she has given me for the last year with absolutley no results.
I just wanted to verify that I can store the soak in a covered bowl to use as I go so I won’t have to continually have to make a new batch and just how frequently you actually applied this to your toes?
For the first time I’m actually excited that I just might get rid of this junk I got from getting a pedicure that I will NEVER allow myself to indulge in ever again. Then peel the thin layer from the insde of an eggshell, some aloe from her aloe plant, apply it to the area, and the cover it with a bandaid. I even took a sample clipping to the Doctor (as asked) but they couldn’t find out what it was.
When I woke up the boil burst and the pain was gone.Awesome May 27, 2014 at 1:04 am ReplyJUST WANTED TO LET YOU KNOW SOAKING IN THE HOT WATER WITH THE EMPSOM SALTS REALLY DOES GIVE YOU SOME RELIFE!
IT BUST MY BOIL ALOT OF SKIN CAME OFF IN THE TUB THAT WAS SCARY BUT I HAD RELIFE AND I USE SOME BENZOCAINE OINTMENT AND TRULY THAT WAS GOOD FOR ME AND I CAN SLEEP.
Out of desperation, I got a cotton wool ball and taped it to my toe, then drenched it in Cider Vinegar, taped it over and left it all night. Then I set about my toe determinedly filing with an emery as close as I could get (without hurting myself) I spent around half an hour, filing, filing, filing. Then, having filed away as much as you can – make sure you use the preparation REGULARLY as instructed. Of course, it had to be the big toe, and the nail on that seems even thicker due to the fungus, I think it expands the nail as it is very hard to file. So every couple of weeks I just resign myself to sitting for a long time, gently and carefully filing off as much as I dare.
If I run out of preparation I tape some cotton wool and cider vinegar to it and leave it on all night, if I wake during the night I top it up so it remains soaked. Anyway, good luck, it is a pig of a thing to get rid off, takes a lot longer than the medication suggests. Instead of using a load in a basin, try taping cotton wool to your toe instead, then throw it away. Kristi July 19, 2013 at 4:23 am ReplyI have been looking for safe and effective ways to treat and cure toenail fungus.
I have an infant that I breast-feed and so I have to be careful of what I ingest, so prescriptions are out of the question.
I decided to try the vinegar and water, it’s only been 2 days, but already 2 of my toenails have fallen off. I will post my end results and hopefully everyone finds an answer to what they’re looking for.
Pen Breath February 5, 2014 at 9:49 pm ReplyI have a boils on each of my fingertips and 13 around both of my anuses.
I asked a meowing giraffe to fart on my left nostril and me boils flew away, right through the wall, through a passing car, and into the mailbox of the guy across the street.
He then checked his mail and was delighted, and proceeded to call his neighbors to invite over for a barbecue.billy March 23, 2014 at 9:24 pm Replynow that was funny!!!!!!!!!!!!! Its very helpful in cleansing ur system from inside so dat these boils dont reoccur Sunshine April 9, 2014 at 12:50 pm ReplyI have a boil for 2 weeks on my inner leg, but the pain last night was killing me.
I washed it with antibacterial soap and applied solid coconut oil on it and calm down so that I can sleep. I am thinking maybe I can make the mixture and pour some in a spray bottle and use that mid day you think that helps?
Thanks Nuri Leigh October 20, 2013 at 7:31 pm ReplyI have a toe that has been swollen for over two weeks now presumably from toenail fungus infection. It not only took the pain away immediatly but it open it up and soften the hardest in just a few hours. Or have a solution?Julie November 2, 2013 at 4:26 am ReplyNuri Leigh, It sounds like you may have an ingrown toe nail. HSV-1 can also cause genital herpes. Herpes simplex virus 2 (HSV-2) is the most common cause of genital herpes, but it can also cause oral herpes.
Trends in HSV Types and Genital HerpesGenital herpes can be caused by either HSV-2 or HSV-1. In recent years, HSV-1 has become a significant cause in developed countries, including the United States. The risk of infection is highest during outbreak periods when there are visible sores and lesions. SymptomsWhen genital herpes symptoms do appear, they are usually worse during the first outbreak than during recurring attacks.
Herpes, Pregnancy, and Newborn InfantsHerpes can pose serious risks for a pregnant woman and her baby. The risk is greatest for mothers with a first-time infection, because the virus can be transmitted to the infant during childbirth. Guidelines from the American Academy of Pediatrics recommend using specific diagnostic tests for women in labor to determine the risk of transmission. Babies born to mothers infected with genital herpes are often treated with the antiviral drug acyclovir, which can help suppress the virus. Herpes viruses include human herpes virus 8 (the cause of Kaposi sarcoma) and varicella-zoster virus (also known as herpes zoster, the virus responsible for shingles and chickenpox).
The word "herpes" comes from the Greek word "herpein," meaning "to creep." This refers to the unique characteristic pattern of all herpes viruses to creep along local nerve pathways to the nerve clusters at the end, where they remain in an inactive (dormant) state for variable periods of time. The usual cause of oral herpes (herpes labialis), which are commonly called cold sores or fever blisters. HSV-1 can also cause genital herpes, which is a sexually transmitted disease (STD). Herpes simplex virus 2 (HSV-2). Until recently, the general rule was to assume that HSV-1 caused oral herpes and HSV-2 caused genital herpes. It is now clear, however, that either type of herpes virus can be found in the genital or oral areas (or other sites).
In fact, HSV-1 is now responsible for more than half of all new cases of genital herpes in developed countries. The Disease ProcessHerpes is transmitted through close skin-to-skin contact. To infect people, the herpes simplex viruses (both HSV-1 and HSV-2) must get into the body through tiny injuries in the skin or through a mucous membrane, such as inside the mouth or on the genital or anal areas.
The risk for infection is highest with direct contact of blisters or sores during an outbreak. But the infection can also develop from contact with an infected partner who does not have visible sores or other symptoms. Once the virus has contact with the mucous membranes or skin wounds, it enters the nuclei of skin tissue cells and begins to replicate. The virus is then transported from the nerve endings of the skin to clusters of nerve cells (ganglia) where it remains inactive (latent) for some period of time. However, at some point, the virus wakes up and travels along nerve pathways to the surface the skin where it begins to multiply again. During this time, the virus can infect other people if it is passed along in body fluids or secretions. Viral shedding may be accompanied by noticeable symptoms (outbreak) but it can also occur without causing symptoms (asymptomatic shedding).
In either case, a person is infectious during periods of viral shedding. Symptoms may appear as multiple small red bumps or patches that develop blisters. Certain triggers can wake up the virus from its dormant state and cause it to become active again. In general, recurrent episodes of herpes cause less severe symptoms than the primary outbreak. HSV-1 is the most prevalent form of herpes simplex virus, and infection is most likely to occur during preschool years. In addition, because HSV-1 can be passed in saliva, people should also avoid sharing toothbrushes or eating utensils. Transmission of Genital Herpes Genital herpes is transmitted through sexual activity. People can get HSV-2 through genital contact or HSV-1 through mouth-to-genital contact with an infected partner. People with active symptoms of genital herpes are at very high risk for transmitting the infection. Unfortunately, most cases of genital herpes infections occur when the virus is shedding but producing no symptoms. Most people either have no symptoms or do not recognize them when they appear. In the past, genital herpes was mostly caused by HSV-2, but HSV-1 genital infection is increasing.
There is also evidence that children today are less likely to get cold sores and become exposed to HSV-1 during childhood.
Centers for Disease Control and Prevention (CDC), about 1 in 6 Americans ages 14 to 49 years have genital herpes. While HSV-2 remains the main cause of genital herpes, HSV-1 has significantly increased as a cause, most likely because of oral-genital sex.
African-American women are at particularly high risk. People with compromised immune systems, such as those who have HIV, are at very high risk for genital herpes.
Drugs that suppress the immune system, and organ transplantation, can also weaken the immune system and increase the risk for contracting genital herpes. It is almost impossible to defend against the transmission of oral herpes, because it can be transmitted by very casual contact, including kissing.
Still, you can help reduce the risk of transmitting oral herpes by not sharing objects that touch the mouth, such as eating and drinking utensils, toothbrushes, and towels. It is best to refrain from any type of sex (vaginal, anal, or oral) during periods of active outbreak. However, herpes can also be transmitted when symptoms are not present (asymptomatic shedding). Although condoms may not provide 100% protection, they are proven to significantly reduce the risk of sexual disease transmission, including herpes.


Natural condoms made from animal skin do NOT protect against HSV infection because herpes viruses can pass through them. Use a water-based lubricant.
Lubricants can help prevent friction during sex, which can irritate the skin and increase the risk for outbreaks. Only water-based lubricants (K-Y Jelly, Astroglide, AquaLube, and glycerin) should be used. However, it is best not to use condoms pre-lubricated with spermicides. Do not use spermicides for protection against herpes. Nonoxynol-9 can cause irritation around the genital areas, which makes it easier for herpes and other STDs to be transmitted. Use a dental dam or condom for oral sex. If you have any symptoms of oral herpes, it is best not to perform oral sex on a partner until any visible sores or blisters have healed. Limit the number of sexual partners. The more sexual partners you have, the greater your chances of becoming infected or infecting others.
It is very unlikely to transmit or contract genital herpes from a toilet seat or bath towel. Studies suggest that male circumcision may help reduce the risk of HSV-2, as well as human papillomavirus (HPV) and HIV infections. However, herpes can cause significant and widespread complications in people who don't have a fully functioning immune system. The CDC recommends that all people diagnosed with herpes simplex virus 2 (HSV-2) get tested for HIV. Most people with HIV are co-infected with HSV-2 and are particularly vulnerable to its complications. HSV-2 infection increases HIV levels in the genital tract, which makes it easier for the HIV virus to be spread to sexual partners. Herpes and PregnancyPregnant women who have genital herpes due to either HSV-2 or HSV-1 have an increased risk for miscarriage, premature labor, inhibited fetal growth, or transmission of the herpes infection to the infant in the uterus or at the time of delivery. Herpes in newborn babies (herpes neonatalis) can be a very serious condition. Fortunately, neonatal herpes is rare. Although about 25 to 30% of pregnant women have genital herpes, less than 0.1% of babies are born with neonatal herpes.
The baby is at greatest risk during a vaginal delivery, especially if the mother has an asymptomatic infection that was first introduced late in the pregnancy. The risk for transmission also increases if infants with infected mothers are born prematurely, there is invasive monitoring, or instruments are used during vaginal delivery. Transmission can occur if the amniotic membrane of an infected woman ruptures prematurely, or as the infant passes through an infected birth canal.
This risk is increased if the woman is having or has recently had an active herpes outbreak in the genital area. Very rarely, the virus is transmitted across the placenta, a form of the infection known as congenital herpes.
Also rarely, newborns may contract herpes during the first weeks of life from being kissed by someone with a herpes cold sore. Infants may get congenital herpes from a mother with an active herpes infection at the time of birth. Aggressive treatment with antiviral medication is required. Most infected pregnant women do not have a history of symptoms, so herpes infection is often not suspected or detected at the time of delivery. Fortunately, if a woman does have genital lesions, rapid diagnostic blood tests can quickly determine her chances of transmitting the virus to her baby during delivery.
Some women with new or recurrent herpes may also be prescribed antiviral medication during pregnancy. A woman with herpes can usually safely breastfeed her baby, as long as she does not have a lesion on her breast or nipple.
Neonatal herpes can spread to the brain and central nervous system, causing encephalitis and meningitis. Herpes can also spread to internal organs, such as the liver and lungs. Infants infected with herpes are treated with acyclovir, an antiviral drug. They usually receive several weeks of intravenous acyclovir treatment, often followed by several months of oral acyclovir.
It is important to treat babies quickly, before the infection spreads to the brain and other organs.
Fortunately, rapid diagnostic tests and treatment with acyclovir have significantly improved survival rates and reduced complication rates. Nearly all who recover have some impairment, ranging from very mild neurological changes to paralysis. Like encephalitis, meningitis symptoms include headache, fever, stiff neck, vomiting, and sensitivity to light. Fortunately, herpes meningitis usually resolves after about a week without complications, although symptoms can recur. Herpes Eye ComplicationsOcular herpes is a recurrent infection that affects the eyes. Ocular herpes is usually a simple infection that clears up in a few days, but in its more serious forms, and in severe cases, it can cause blindness.
It only affects the upper layer (epithelium) of the cornea and heals with scarring. Stromal Keratitis. Iridocyclitis is another serious complication of ocular herpes, in which the iris and the area around it become inflamed.
Herpes Skin ComplicationsEczema Herpeticum A rare form of herpes infection called eczema herpeticum, also known as Kaposi varicelliform eruption, can affect people with skin disorders and those with a weakened immune system. Untreated, this condition can be extremely serious and possibly fatal. Gingivostomatiti Oral herpes can cause multiple painful ulcers on the gums and mucus membranes of the mouth, a condition called gingivostomatitis. Children with gingivostomatitis commonly develop herpetic whitlow (herpes of the fingers). Herpetic Whitlow A herpetic whitlow is an infection of the herpes virus involving the finger, often around the fingernail.
In children, this is often caused by thumb sucking or finger sucking while they have a cold sore. It can also occur in adult health care workers, such as dentists, because of increased exposure to the herpes virus. The use of latex or polyurethane gloves prevents herpes whitlow in health care workers. SymptomsHerpes symptoms vary depending on whether the outbreak is initial or recurrent. The primary outbreak is usually worse than recurrent outbreaks, with more severe and prolonged symptoms. In fact, studies indicate that 10 to 25% of people infected with HSV-2 are unaware that they have genital herpes. The first signs are a tingling sensation in the affected areas (genitalia, buttocks, and thighs) and groups of small red bumps that develop into blisters.
The sores may sometimes itch, but itching decreases as they heal. About 40% of men and 70% of women develop other symptoms during initial outbreaks of genital herpes, such as flu-like discomfort, headache, muscle aches, and fever. Some women may have difficulty urinating and may, occasionally, require a urinary catheter.
Women may also experience vaginal discharge. Recurrent Genital Herpes Outbreak In general, recurrences are much milder than the initial outbreak.
The virus sheds for a much shorter period of time (about 3 days) compared to an initial outbreak of 3 weeks. Women may have only minor itching, and the symptoms may be even milder in men. On average, people have about four recurrences during the first year, although this varies widely.
There are some differences in frequency of recurrence depending on whether HSV-2 or HSV-1 caused genital herpes. HSV-2 genital infection is more likely to cause recurrences than HSV-1. Symptoms of Oral HerpesOral herpes (herpes labialis) is most often caused by HSV-1, but it can also be caused by HSV-2. It usually affects the lips and, in some primary attacks, the mucus membranes in the mouth. A herpes infection may occur on the cheeks or in the nose, but facial herpes is very uncommon. Primary Oral Herpes Infection If the primary (initial) oral infection causes symptoms, they can be very painful, particularly in children. The sores last 10 to 14 days and can be very uncomfortable. Blisters that may be preceded or accompanied by sore throat, fever, swollen glands, and painful swallowing. Recurrent Oral Herpes Infection A recurrent oral herpes infection is much milder than the primary outbreak. It usually manifests as a single sore, commonly called a cold sore or fever blister (because it may arise during a bout of cold or flu). The sore usually shows up on the outer edge of the lips and rarely affects the gums or throat.
Recurrences of genital herpes are more likely with HSV-2 infection than with HSV-1 infection. The outbreak of infection is often preceded by a prodrome, an early group of symptoms that may include itchy skin, pain, or an abnormal tingling sensation at the site of infection.
Recurrent outbreaks feature most of the same symptoms at the same sites as the primary attack, but they tend to be milder and briefer. Occasionally, the symptoms may not resemble those of the primary episode, but appear as fissures and scrapes in the skin or as general inflammation around the affected area. They include sunlight, wind, fever, physical injury, surgery, menstruation, suppression of the immune system, and emotional stress. Oral herpes can be triggered within about 3 days of intense dental work, particularly root canal or tooth extraction. Timing of Recurrences Recurrent outbreaks may occur at intervals of days, weeks, or years. For most people, outbreaks recur with more frequency during the first year after an initial attack. The good news is that in most healthy people, recurring infections tend to become progressively less frequent, and less severe, over time.
However, other conditions can resemble herpes, and doctors cannot base a herpes diagnosis on visual inspection alone.
These tests include: Virologic tests (viral culture of the lesion) Serologic tests (blood tests that detect antibodies) The CDC recommends that both virologic and serologic tests be used for diagnosing genital herpes. People diagnosed with genital herpes should also be tested for other sexually transmitted diseases.
At this time, experts do not recommend screening for HSV-1 or HSV-2 in the general population. Genital herpes can be caused by either HSV-1 or HSV-2. It is important to determine which virus is involved, as the type of herpes infection influences prognosis and treatment recommendations. Recurrences of genital herpes, and viral shedding without overt symptoms, are much less frequent with HSV-1 infection than with HSV-2. False-negative (testing negative when herpes infection is actually present) or false-positive (testing positive when herpes infection is not actually present) results can occur.
Your health care provider may recommend that you have a test repeated. Virologic TestsViral culture tests are made by taking a fluid sample, or culture, from the lesions as early as possible, ideally within the first 48 hours of the outbreak.
PCR tests are much faster and more accurate than viral cultures, and the CDC recommends PCR for detecting herpes in spinal fluid when diagnosing herpes encephalitis. PCR can make many copies of the virus' DNA, so that even small amounts of DNA in the sample can be detected. However, many labs now use PCR for herpes testing because it is highly accurate. An older type of virologic testing, the Tzanck smear test, uses scrapings from herpes lesions. The scrapings are stained and examined under a microscope for the presence of giant cells with many nuclei or distinctive particles that carry the virus (called inclusion bodies). The Tzanck test is not reliable for providing a conclusive diagnosis of herpes infection and is not recommended by the CDC. Serologic TestsSerologic (blood) tests can identify antibodies that are specific for either HSV-1 or HSV-2.
When the herpes virus infects you, your body's immune system produces specific antibodies to fight off the infection. If a blood test detects antibodies to herpes, it is evidence that you have been infected with the virus, even if the virus is in a non-active (dormant) state.
The presence of antibodies to herpes also indicates that you are a carrier of the virus and might transmit it to others. Serologic tests can be especially useful for people who do not have active symptoms, but who have other risk factors for herpes (such as other STDs, multiple sex partners, or a monogamous partner who has genital herpes). Although glycoprotein (gG) type-specific tests have been available for many years, many of the older nontype-specific tests that cannot distinguish HSV-1 from HSV-2 are still on the market. Canker sores frequently crop up singly or in groups on the inside of the mouth, or on or underneath the tongue.
The drugs are used initially to treat a first attack of herpes, and then afterward to either treat recurrent outbreaks (episodic therapy) or reduce frequency of recurrences (suppressive therapy).
Drugs can, however, reduce the severity of symptoms, improve healing times, and prevent recurrences.
If people experience very severe disease or complications, they need to be hospitalized and receive an antiviral drug intravenously. Your health care provider will prescribe one of the three antiviral medications, which you will take for 7 to 10 days.
You should begin the medication as soon as you notice any signs or symptoms of herpes, preferably during the prodrome stage that precedes the outbreak of lesions. If taken during prodrome, episodic therapy may help prevent an outbreak from occurring or reduce its severity. Valacyclovir is taken once a day. Suppressive treatment can reduce the frequency of outbreak recurrences by 70 to 80%.
It is generally recommended for people who have frequent recurrences (6 or more outbreaks per year). Because herpes recurrences often diminish over time, you should discuss annually with your health care provider whether you should stay with drug therapy or discontinue it. While taking any suppressive therapy for genital herpes, it is still important to regularly use latex condoms and to avoid any sexual activity during recurrences.
A new form of acyclovir (Sitavig) is administered orally as an adhesive tablet; it is applied to the gum region of the mouth, where it dissolves during the course of the day. In addition, acyclovir is available in topical form, as is the related drug penciclovir (Denavir). Topical TreatmentsThese ointments or creams can help shorten healing time and duration of symptoms.
However, none are truly effective at eliminating outbreaks. Penciclovir (Denavir) heals HSV-1 sores on average about half a day faster than without treatment, stops viral shedding, and reduces the duration of pain. Ideally, you should apply the cream within the first hour of symptoms, although the medication can still help if applied later. Apply the cream 5 times a day, beginning at the first sign of tingling or pain. Over-the-counter topical ointments may provide modest relief. They include Anbesol gel, Blistex lip ointment, Campho-phenique, Herpecin-L, Viractin, and Zilactin. Some contain a topical anesthetic such as benzocaine, tetracaine, or phenol. Lip balm that contains sunblock, or sunscreen applied around the lips may help prevent sun-triggered outbreaks. Herbs and SupplementsGenerally, manufacturers of herbal remedies and dietary supplements do not need FDA approval to sell their products.
Just like a drug, herbs and supplements can affect the body's chemistry, and therefore have the potential to produce side effects that may be harmful. There have been several reported cases of serious and even lethal side effects from herbal products. Always check with your provider before using any herbal remedies or dietary supplements. Many herbal and dietary supplement products claim to help fight herpes infection by boosting the immune system.
There has been little research on these products, and little evidence to show that they really work.
Epidemiology, clinical presentation, and antibody response to primary infection with herpes simplex virus type 1 and type 2 in young women. Seroprevalence of herpes simplex virus type 2 among persons aged 14 - 49 years -- United States, 2005-2008.
Guidance on management of asymptomatic neonates born to women with active genital herpes lesions. Genital shedding of herpes simplex virus among symptomatic and asymptomatic persons with HSV-2 infection.



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