Home remedies for swelling arthritic knee,how to get rid of cat piss smell on concrete patio,how to soothe a sore throat from coughing remedies,does vinegar get rid of dog urine smell ketosis - Review

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Bee stings are either exasperatingly painful or deadly – depending on whether the victim is allergic to the venom. Localized – a localized reaction results in swelling that normally spreads further than the sting site.
Normally severe reactions that are allergic in nature aren’t common, but when they do happen they can cause shock, unconsciousness and cardiac arrest in approximately 10 minutes. Severe allergic sting reactions should be treated with epinephrine or adrenaline, either administrated by a medical professional or self-injected.
Calamine lotion with an analgesic or Caladryl can calm the pain and itching of a bee sting within approximately 45 minutes. Maximum strength hydrocortisone cream reduces the symptoms in about an hour and should be used every 3 or 4 hours.
This website is for informational purposes only and Is not a substitute for medical advice, diagnosis or treatment. These pictures are shown as "Mosquito Hawk Bites", however, Mosquito Hawks are actually Crane Flies, and they do not bite humans, and they do not eat Mosquitos.
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Ankle swelling is a serious problem which is faced by many people at some point of time in life.
An individual may not be able to move his or her leg due to pain and swelling in the ankle.
The above discussion clearly reveals the most common factors responsible for ankle swelling. If plaque is allowed to accumulate then it corrodes the gum tissues and leads to inflammation, tenderness, pain and bleeding. This remedy is also a helpful cure for releasing the tension in the temporomandibular joints and relaxing the muscles. To get more information related to effective home remedies for health problems, go to our main Home Remedies page. VKool encourages comments, but please remember: Play nice, keep it clean, stay on-topic, and avoid promotional content.
One of the most effective treatments to reduce swelling is applying ice cold water on the swollen area.
You can use a clean cloth and soak it in hot water, wring it and then apply on the swollen part. The astringent apple cider vinegar (ACV) helps to remove fluid retention in the body and initiates healing process quickly.
If the swelling is caused by excess salt in your body, then cut down salt from your diet at the earliest.
Wearing compression stockings, sleeves or gloves accordingly will help reducing the swelling in limbs. It is true that your edematic condition is the result of water retention in the tissue, but however, you need to drink enough liquids to bring down the swelling.
If it is accompanied by fever, shortness of breath, skin disfiguration or weight loss or gain, you should seek immediate medical attention. Sometimes these blisters lead to skin infections that can cause more pain, swelling and a fever.Sunburn blisters often can be treated with some simple and easy home remedies. PotatoRaw potatoes help cool the skin, reduce the pain and also speed up the healing process.Rinse one raw potato thoroughly and cut it into thick slices. Pimples are an inflammation of the skin in which the sebaceous glands (oil glands) become infected with bacteria, swell up, and fill with pus.Excess sebum secretion by the oil glands is the primary cause behind this problem. GarlicGarlic is an antiviral, antifungal, antiseptic and antioxidant agent that can help in the fast treatment of pimples. Any kind of injury in the ankle should not be ignored and reported to the doctor immediately, so as to prevent the ankle to swell. Gout is a condition associated with excessive build up of uric-acid crystals inside the ankle’s fluid. This problem occurs due to improper flow of blood in both legs. Chronic ankle swelling is mostly observed in people suffering from peripheral edema.
Improper blood flow causes blood clotting, which eventually leads to swelling in the ankle and the foot. The understanding about the ankle swelling causes would help to treat the problem in an effective way.
People tend to eat refined starches and sugars and junk food indiscriminately which are very harmful for the teeth.
They release toxic substances that harm the gums and infect them therefore it is important to floss and brush your teeth regularly. Mustard oil will not only inhibit the formation of plaque but it will also eliminate the swelling and pain and stop the bleeding. You accept that you are following any advice at your own risk and will properly research or consult healthcare professional. Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA. It is especiallyA rich in magnesium which is an essential mineral for the health and boostA of the muscles. For best results, you can apply an ice packA on the troubled area aimed at numbing the sensation of pain as well as relieving the inflammation.
To obtain expected results, you should take a garlic supplement every day for instant relieve. Apply hot compress a couple of days after the cold compress as heat dilates the blood flow and improves circulation. Dilute ACV with water in the 1:3 ratios respectively and apply on the affected part with a cloth. Too much salt can result in water retention in the body. Eat a low sodium diet and avoid high salted junk food, especially wafers, chips, pretzels or other crackers. This is because the compression wears help in keeping extra pressure on the affected limbs thereby avoiding then chance of water retention in the tissue and encouraging softening of the fluid-swollen areas. Drinking water will remove excess toxins in the body and has various therapeutic effects as well.If you cannot drink too much water, ensure you eat fruits and vegetables loaded with water such as watermelon,cucumber, celery and the like. Other remedies like grape seed extract, garlic oil capsules and barley water also works best in bringing down swelling. If you get pineapples, you have found your remedy. Also, if you eat food rich in carbohydrates, sometimes mild condition of edema might develop. Different parts of your body may become swollen because of an injury or something as simple as wearing something that is too tight.
Put them in a blender to make a paste.Apply the paste to the blisters and allow it to dry on its own. Also, I was drinking the whole time I was there, so I probably oozed what makes one so attractive to bugs.
It helps in improving blood circulation to the affected area, and in tightening the skin pores and removing dirt and oil accumulated on the skin. It is important to treat the swelling and inflammation in the ankle as soon as possible, so that the problem does not aggravate.
At times, an individual may also suffer from a fracture in the ankle due to stress and tension, consequently resulting in swollen ankle. Obesity and pregnancy are the two major factors resulting in peripheral edema, eventually resulting in swollen ankles.
With the help of using ankle wraps, exercising the ankles in a gentle way, eating nutritious foods and applying cold packs on the ankle, ankle swelling would be treated to a great extent. If you use a hard toothbrush and brush aggressively there are chances that the gum tissues which are very delicate get injured.
In addition to swollen and inflamed gums, these diseases also cause foul breath, tender and bleeding gums and receding gums.
Castor oil has superb antibacterial and anti-inflammatory properties. It will destroy the bacteria and curb the infection.
Rinse your mouth with this solution after every meal. Lemon has powerful anti-inflammatory and cleansing properties which will reduce the swelling and will keep your teeth and gums free from bacteria. 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. For best results, you can massage all the areas around the neck, jaws and shoulder blades in order toA decrease the tensionA and tightness.
However, for some individuals,A using a warm compressA will have a better result on controlling pain. Alkalizing the body is also necessary for curing TMJ symptoms because it assists replenish the body.
Cold helps to contract the blood vessels, which reduces swelling. The same applies with hot water compress as well.
You can gently massage the area with the oil or soak the mustard seeds in water and use the solution to massage the affected area. The fruit has a high content of bromelain that helps in hindering the compounds that result in causing water retention in the body.
Pregnant women tend to get swollen as well as people suffering from certain medical conditions. Anyway, I'm not sure if these were sand flies or mosquitos or something else, but within a few days I was covered in bites, especially on the feet and lower legs. Though not a critical condition, pimples can make a person feel miserable due to their appearance.There are a lot of lotions and medicines on the market to treat pimples but they can take time.
In order to treat the swelling in ankle, it is first important to learn about the causes of ankle swelling. The gums and bone which support the teeth also become severely weakened and may result in tooth loss. Ginger has powerful anti-inflammatory and antibacterial properties. Salt and ginger will reduce the painful swelling.
On top of these unhealthy foods, if you don’t brush your teeth then the bacteria multiply rampantly and infect the gums causing them to swell and become painful. Trends in HSV Types and Genital HerpesGenital herpes can be caused by either HSV-2 or HSV-1. Do you want to know which home remedy will help you treat of pain and swelling symptoms of TMJ? Mustard oil also contains anti-inflammatory qualities thatA get rid of the pain and decrease the rigidity of the bones, jaws and muscles. After studying the writing of top 10 home remedies for TMJ symptoms: pain and swelling, hope that this article will help you find out the best solution to deal with TMJ symptoms fast and effectively. You can bring down the swelling by raising your leg for few minutes. Remember that the exact cause behind the swelling is to be identified first. Whatever the cause of your swelling, there are some easy ways to treat it that will help you feel better in no time. I don’t have severe blisters but I have many tiny pimples around my stomach caused by the sun.
LemonAnother quick way to get rid of pimples is the use of lemon juice, which is rich in vitamin C. To use it for treating TMJ symptoms, you can take warm mustard oil and then massage the area around the jaws, shoulder blades and neck.
However, the writing is solely for the informational purpose, so you need to get advice from your doctor before applying any home remedy. Aloe VeraAloe vera is known to be a very effective natural cure for minor burn injuries including sunburn blisters. In recent years, HSV-1 has become a significant cause in developed countries, including the United States.
If you have any question or comment, please leave them below, I will respond you as soon as possible. Please help!Alexis Grasser June 5, 2013 at 11:00 am ReplyYou can dip a towel in cold water, squeeze out excess water, and put cloth on the area of blisters. I couldn't scratch all of the areas that itched fast enough because when I started scratching one bite, another three would be screaming to be scratched. Cut Down Your Sodium IntakeAs delicious as salt may be to some people, it does have a tendency to cause swelling in the body when you overdo it. VinegarBoth white vinegar and apple cider vinegar are helpful in treating sunburn blisters.Dilute some vinegar with cold water, dip a soft cloth into the solution and apply it gently on the sunburn blisters. However, it is not intended to give medical advice and it is solely for the informational purpose.
If you’re experiencing some general swelling and just so happen to be one of those people that loves salt, it is in your best interest to cut down on your sodium intake immediately.This includes all foods that contain extra sodium, and if you’re prone to reading your food labels you know this is a lot! The risk of infection is highest during outbreak periods when there are visible sores and lesions. Processed foods are also ridiculously full of sodium and cutting them out of your diet is highly recommended. It has antibacterial properties that help fight the bacteria that cause these skin problems.Plus, its soothing properties help reduce the redness and inflammation of pimples.
You don’t need it, your taste buds have just become accustomed to it, and with time your cravings for extra sodium will diminish.The average person should only be consuming 2000mg of sodium daily at the most, but many of us get much, much more than this. It also helps dry out blackheads and whiteheads.Just dip a cotton ball in tea tree essential oil and dab it on the affected area.


SymptomsWhen genital herpes symptoms do appear, they are usually worse during the first outbreak than during recurring attacks. Rinse your face after 15 to 20 minutes.Another option is to mix a few drops of tea tree oil in 1 tablespoon of aloe vera gel.
Cut down your intake and drink more water and you should see a reduction in your swelling after no time at all.2. For better results, you can add rose petals to the bath water.Another option is to wrap one cup of ground oatmeal in a cotton or muslin cloth and boil it in water for a few minutes. Soak in an Epsom Salt BathAn Epsom salt bath will not only feel amazing, but will take away swelling as well. June 20, 2013 at 3:54 pm ReplyMy children and I were playing on our secluded beach in Santa Cruz, CA and we got BADLY sunburned! ToothpasteThe toothpaste that you use every morning to clean your teeth also can be used to treat pimples quickly.
Herpes, Pregnancy, and Newborn InfantsHerpes can pose serious risks for a pregnant woman and her baby. Epsom salt is a tried and true remedy to help with swelling caused by tired and overworked muscles.
The risk is greatest for mothers with a first-time infection, because the virus can be transmitted to the infant during childbirth. It is the magnesium in the Epsom salts that helps to reduce swelling, which is something that helps to combat inflammation. Leave it on for about a half an hour and then wash it gently with cold water.Repeat the remedy of your choice once daily until the blisters are gone. I did the black tea remedy (20 black tea bags in a bathtub of cool water) and it eased the pain. Got works Christmas do this weekend and my chin has chosen this time to have a massive breakout. Guidelines from the American Academy of Pediatrics recommend using specific diagnostic tests for women in labor to determine the risk of transmission. Adding Epsom salts to a hot bath is one of the oldest, easiest, and most relaxing ways you can reduce general swelling in your body.To reduce swelling you may want to soak your entire body in a nice, hot Epsom salt bath. Been using sudocreme as a face ask before bed every night but this doesn’t seem to be helping much demos December 29, 2013 at 8:17 amany kind of tooth paste ? Babies born to mothers infected with genital herpes are often treated with the antiviral drug acyclovir, which can help suppress the virus. SteamSteaming is wonderful for your skin at any time, but particularly when you have pimples. Hopefully these remedies help thanks!Cara June 26, 2013 at 3:15 pm ReplyGlad to know that I’m not the only one that learned that you still need to wear sunscreen on cloudy days the hard way! Soak in the tub as you normally would and you should see swelling greatly reduced when you get out.If you don’t have a tub at home, you can still reap the benefits from an Epsom salt soak. This helps get rid of oils, dirt and bacteria trapped in the pores that can cause infection or inflammation. 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).
This method is another that works extremely well and is recommended if you don’t have a tub to soak in.3. I have blisters on my shoulders and they hurt so bad, I am going to try these remedies, hopefully they go away soon, I have a party Saturday night, and my friend birthday party Sunday, and it’s a pool party.
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. Try Tonic WaterDrinking tonic water isn’t going to reduce your swelling, but if you soaking the swollen area of your body in it could do wonders.
I will definitely use sunblockSkye* June 30, 2015 at 1:39 am ReplyYah i hate using sunscreen bc i want to get a tan.
But when i do put it on i keep forgetting to reaply it every 30 min and i got a huge face sunburn and i love to impress. The usual cause of oral herpes (herpes labialis), which are commonly called cold sores or fever blisters.
Pour some tonic water into a bowl or tub and simply soak the swollen area of your body for 15-20 minutes.
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). It is very important to wear loose fitting clothing, especially if there’s an area on your body that has become swollen. 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.
If you wear clothes that are too tight when you’re already swollen, you are just going to make matters worse. 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.
Blood flow restriction to somewhere that is already swollen can seriously complicate matters and make your swelling much more painful and serious. The risk for infection is highest with direct contact of blisters or sores during an outbreak.
Adjust your clothing to fit loosely around the swollen area of your body and take precaution when wearing pantyhose or stockings.5. 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. Take a Magnesium SupplementIf you’re suffering from general swelling having a magnesium deficiency has the potential to make things a lot worse.
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. Get a MassageWhile swelling generally doesn’t feel good, massaging the affected area certainly does. During this time, the virus can infect other people if it is passed along in body fluids or secretions.
Gently massaging the swollen area of your body will help increase blood flow and reduce swelling. Viral shedding may be accompanied by noticeable symptoms (outbreak) but it can also occur without causing symptoms (asymptomatic shedding).
A professional massage is always recommended, but if you can’t make it to the masseuse you can still reap the benefits of a massage at home. 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. When you massage the swollen area yourself, make sure to focus the movement pushing upwards rather than downwards, and use grapefruit seed oil to help quicken up the reduction in your swelling. Try Some Low-Impact ExerciseExercise may seem counteractive to reduce swelling, but it is actually very good for general cases of swelling, especially if you’ve been refraining from movement for an extended period of time.
Certain triggers can wake up the virus from its dormant state and cause it to become active again.
Participating in some low-impact exercise will help out, as will getting up and moving around periodically throughout the day. In general, recurrent episodes of herpes cause less severe symptoms than the primary outbreak. Too much exercise can strain the swollen area even more and should be avoided, especially in cases of injury.Treating Swelling Caused By InjuryAnyone who’s had an injury knows that swelling is a natural reaction to stressed bones and muscles.
Whether you’re suffering from a sprained ankle or a broken wrist, you’re going to be swollen and it’s going to be uncomfortable. It’s important to treat swelling caused by injury with tender care as not to further complicate your already complicated injury. HSV-1 is the most prevalent form of herpes simplex virus, and infection is most likely to occur during preschool years.
Trying some of the following will help to greatly treat swelling when its caused by an unseen injury.1. I wish they would be superadded better because it’s hard to tell which ones are just to help with pain, and which ones are for actually helping it heal.
Using a cold compress on the swollen area will help reduce pain, swelling, and inflammation. This is a highly recommended remedy to reduce swelling that is caused by injury and has helped countless people through the 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. There are a few different ways to apply a cold compress to a swollen area and any can be used depending on what works the best for you.• Ice Towel Using an ice towel that you can wrap around the swollen area of your body is a great idea and will considerably reduce the swelling you’re experiencing.
People can get HSV-2 through genital contact or HSV-1 through mouth-to-genital contact with an infected partner.
Next, place the wet towel in a plastic bag and stick it in the freezer for about 15-20 minutes. Remove the towel from the bag and either wrap it or place it on the area that is causing you pain. Keep it on until it has thawed out.• Ice Pack Another really easy way to apply a cold compress is by the use of an ice pack.
People with active symptoms of genital herpes are at very high risk for transmitting the infection. You can either buy an icepack from the store or make your own at home with about a pound of ice and a Ziploc bag.
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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