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Signs herpes outbreak is coming

The most common places that herpes simplex lesions appear can be found around the mouth and lips. Once infection begins, the virus enters nerve cells and begins its journey to the ganglion, where it lies dormant. HSV-1 infections are contagious and the virus can be spread from person to person; the most common way of transportation is saliva, as in a kiss or when an infected person shares a drink with someone else. The first attack can sometimes be joined by fever, bleeding of the gums and swollen glands along with the painful sores or blisters, symptoms normally lasting a few days to up to six weeks. Over-the-counter medication or topical ointments are also available, which are generally effective. Pain relievers, such as Tylenol can assist in relieving any pain caused by the infection, as well as manage other symptoms during a primary outbreak. Chances are fairly good that you will contract HSV-1 at some point in your life -- one 2004 study found that as many as 57.7% of Americans were infected with HSV-1. Oral herpes, commonly referred to as mouth herpes, is a viral infection of the mouth and gums primarily by the Herpes simplex virus type 1 (HSV-1) but may also be due to the genital variant (HSV-2). Ask a Doctor Online Now!Oral herpes is also known commonly as cold sores and fever blisters but is different entity from oral canker sores although canker sores may sometimes be associated with HSV infection. This can occur at any time in life but tends to recur in young adults and presents as a mild cold sore. Other signs and symptoms are usually absent in a recurrence unless the person has a co-existing infection like the flu (seasonal influenza). Ask a Doctor Online Now!The pictures below were sourced from the Dermatology Atlas, courtesy of Samuel Freire da Silva, M.D. Ask a Doctor Online Now!Please note that any information or feedback on this website is not intended to replace a consultation with a health care professional and will not constitute a medical diagnosis. Oral herpes is easy to diagnose when a patient has visible sores or ulcers, but early stages of herpes on the face and mouth as well as on the genitals are harder to diagnose. Herpes should be distinguished from herpes zoster, chicken pox, impetigo, and drug eruptions.
Herpetic sores are classified as heat sores in TCM because the lesions are red and follow febrile disease conditions. As with all treatment protocols, be sure to tailor and modify the basic treatments below to fit your patient's specific constitution, root cause, and symptoms.


Treatment principle: Drain Spleen and Stomach damp heat, nourish yin, drain deficient heat .
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Most people infected with this virus will periodically notice a painful blister that appears near the area where the virus originally entered the body. Type 1 is also called herpes labilis and is responsible for most infections above the waist, most commonly cold sores. The blisters will dry up very quickly and leave scabs that can lasts for days or even weeks; this of course depends on the severity of the cold sore.
Not everyone will experience a severe primary attack -- some will be infected with no symptoms at all.
Frequent hand washing and cool-moist compresses on the infected area help reduce the pain associated with a cold sore.
Abreva, a prescription medication, can reduce the healing time of the cold sores and blisters. The virus HSV-1 may be transmitted by droplet spread – direct contact with saliva or even respiratory droplets.
This is known as the incubation period and is the time during which the virus multiplies profusely.
The exact reason why the infection may recur is poorly understood but it appears to be associated with one or more of the following factors. During active disease phases there are blisters on the skin which contain the infectious virus. Even when there is no signs of blisters, the area can “shed” the virus.  Discuss with your doctor, and your partner ways of not spreading the disease. Although the additional symptoms may be uncomfortable to say the least, they are a result of your body's production of antibodies to fight the herpes virus. However some topical ointments offered over-the-counter may just relieve the pain of the cold sore or blister.
The infection of the mouth typically causes small fluid-filled blisters known as vesicles on the roof of the mouth (palate), inside of the cheeks (buccal muscosa), tongue, gums and even the lips (herpes labialis).


These droplets must make contact with broken skin or the mucous membranes in order to infect a person. Accompanying symptoms may include high fever and swelling of tenderness of the lymph nodes.
This process will help reduce the recurrence of herpes and make future breakouts mild, if they occur at all.
It may also occur on the skin around the mouth and extend to the nose and into the nasal cavity.
Most of the time HSV-1 causes mouth symptoms and in a minority of cases it may also be responsible for genital symptoms. This arises as the virus starts destroying cells at the site and causes intense localized inflammation. Crusting of the lesions begins after three to four days of onset and complete healing within three weeks. The opposite is true for HSV-2 – it causes genital symptoms in the majority of cases while only a few cases of HSV-2 infection will result in mouth symptoms. These small vesicles or sometimes the larger bullae may either burst resulting in ulcer or heal completely with no scarring. Viruses are transported along the sensory nerves to the nerve cell bodies where they go dormant and reside as long as the host is alive. HSV-1 infection may be seen in all ages, including children, but when genital herpes is seen in children, sexual abuse needs to be a consideration. They may come out of dormancy because of a variety of triggers (one of which is immunosuppressant drugs). When it becomes active the virus multiplies, travels along the axon of the neuron to the nerve terminals in the skin and releases the virus particles.



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