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Harvey Simon, MD, Editor-in-Chief, Associate Professor of Medicine, Harvard Medical School; Physician, Massachusetts General Hospital. Shingles is caused by a virus called Herpes zoster virus (HZV), which also causes chicken pox. Herpes viruses can occur without symptoms in nerve ganglia, which are at the bases of nerve cells near the spine or throughout the face. HZV is trickier than most viruses because it is latent for long periods of time and because it can travel from one cell to another without ever leaving the internal environment of the cell. The most common direct treatment for herpes since early 1980s has been the prescription drug Zovirax. These drugs are very similar to some of the components of DNA, which is what our genes and the genes of herpes viruses are made of.
Zostavax is not approved for people younger than 60, and it is not recommended for those with immune systems weakened by disease or drug treatment, women who are pregnant (after 60?), people who have active untreated tuberculosis, or anyone who has a life-threatening allergic reaction to gelatin or the antiobiotic neomycin. Most people, and many doctors, don’t know enough about shingles to decide whether the vaccine might be helpful. Many natural approaches have been used over the years, such as lysine, Melissa oil, and creosote bush. The best of the best, in my experience, is an herbal preparation that I did the original research on in my laboratory, starting in 1995. How ironic that my university research on herpes in the mid-1990s has come full circle to benefit me personally.
That’s me in the photo, specifically my right side 8 days after I started having painful, untouchable skin, and 5 days after the outbreak actually appeared. The key amino acid, and the most abundant one in all of the HGH secretagogues, is L-arginine. Fortunately, another amino acid, called L-lysine, counteracts the herpes-inducing effects of L-arginine.
This episode gave me a chance to experience the benefits of the patented herbal formula that came out of my laboratory research in 1995. Although these viruses are out of reach from your immune system when they are latent and also when they are traveling through nerve fibers, this is a good time to boost your immunity in preparation for the outbreak that is coming. This is when the blisters and pain that normally characterize a shingles outbreak become apparent.
It is best to apply creams or lotions that contain antiviral herbs as soon as an outbreak begins, or even just before the first blister appears. Anti-inflammatory creams and oils that DO NOT contain warming ingredients (such as capsaicin) will help keep down the pain-causing inflammation. Check out this abstract from an article in the Journal of General Virology, January 2007, vol. Natural, aqueous extracts of Quillaja saponaria, the Chilean soapbark tree, contain several physiologically active triterpenoid saponins that display strong adjuvant activity when used in either human or animal vaccines.
So many products on how to control shingles with natural treatments flood the market that it sometimes seems impossible to sort out which ones are good and which ones are not. The most significant reference in my library that evaluates olive leaf is the German Commission E Monographs on herbal medicines. The good news is that olive leaf and its main active ingredient do, indeed, have an antiviral activity that will benefit you during the flu season.
You can have herpes infection in any season which actually occurs by the herpes simplex virus. The spread of the herpes simplex virus is mainly due to direct contact like sexual contact, kissing or touching a sore, or indirectly like sharing cigarette or drinking glass. Manuka honey which has antibacterial and antiviral substances is really a good home remedy. Herpes can be treated with Epsom salt at home as it dries up the blisters and decreases the itchiness.
Black Coffee As Home Remedy If you have herpes in your mouth, drinking black coffee will help you in a greater extent.
Noodles are a favorite among many but it is associated with a lot of oil and fat content too!
Tangerine essential oil is derived from citrus fruits and gets extracted through cold compression method. Herpes treatments or treatment can come in three stages: initial, intermittent and suppressive, which is why it is important that if you do have the virus that you understand the genital herpes symptoms and how it operates. Genital herpes treatment with antiviral drugs is quite common and it is indeed helpful for people who have frequent outbreaks.
After the Initial treatment, you need to work with your doctor in order to determine the best suited anti-viral therapy. These drugs are said to have mild after effects, but most health experts agree that these drugs are safe for long term use.
People who are undergoing suppressive therapy for extended periods should see their doctor once a year to decide on a future course of action. The information supplied in this article is not to be considered as medical advice and is for educational purposes only. Natural shingles treatment begins with the realization that herpes viruses inflict widespread suffering around the world.
Both of these properties enable this virus to escape notice by our immune system, at least until they burst out of the cells they have just killed and attract the attention of our antibodies. Until recently, when you visited most doctors for a problem with herpes, what you got was usually Zovirax and little else.
Because they are similar to, but not identical with such components, they cause normal DNA to become abnormal. You can find a bewildering array of advice on hundreds of websites, even some touting a cure.
The direction for this research was based on a study published that year that showed how certain ingredients extracted from the creosote bush (Larrea tridentata) could inhibit the replication of HIV. When I got my own personal outbreak (lucky me!), I did everything I knew to get rid of it fast and keep it from coming back. Although I don’t recommend that anyone experience this outbreak just to lend credibility to their expertise, this is exactly what I did (not on purpose!). However, I keep my immune system in good order with all kinds of great supplements, lifestyle, and diet. You can say that my research on shingles and other forms of herpes outbreaks came home to roost in a very personal way. Symptoms from the herpes zoster virus derive from outbreaks in the two primary tissues for herpes viruses -  nerve tissue and skin tissue.
They may start out feeling as though they have the flu – fever, chills, headache, and nausea. Many sufferers feel the need to wear loose clothing so as to keep anything from touching the skin. Creosote bush, soapbark tree, and lemon balm are generally available for such topical applications. In this paper, we describe studies that demonstrate a novel antiviral activity of Quillaja extracts against six viruses: vaccinia virus, herpes simplex virus type 1, varicella zoster virus, human mmunodeficiency viruses 1 and 2 (HIV-1, HIV-2) and reovirus. I’ll be digging into it further and coming with recommendations to get soapbark tree preparations. What I do is visit product sites, take a look at their claims, then go to PubMed and my various herbal medicine manuals and see what I can find about the activity of the ingredients.
This commission concludes that the effectiveness of olive leaf for the above claimed uses is not sufficient to support the claims. The bad news is that it has no activity against the only herpes virus that has been examined so far.
These drugs, even in their maximum dosages, had absolutely no benefit to healing or preventing my genital herpes outbreaks. During this time, some people will experience a second crop of lesions, and some will have flu-like symptoms, including fever and swollen glands, particularly in the lymph nodes near the groin. They mostly develop on your eyes, lips, mouth, face, genitals or sometimes on an anal area.
It is always advisable to show a doctor who can diagnose properly and give you the right medications. Having anti-inflammatory and antiviral substances, the black tea (Camellia sinensis) also consists of higher absorption of tannins. The swelling will lessen completely on implementing the lemon on those areas as it consists of anti-inflammatory and antibacterial substances that executes splendidly.
You have to take few drops of honey and straightaway apply it on the herpes area which will help mend the cold sores, herpes and wounds quickly.
It is advisable to take Epsom salt bath which will clean, alleviate and mitigate the itching. You may yourself feel weird when you have herpes in the mouth which becomes red and pains too. These antiviral drugs are effective and can decrease the duration and severity of flare up symptoms. During this stage, the sore or the infected area of the body is identified and then, diagnosed. These will definitely be antiviral and will be of great aid when there is a sudden outbreak of herpes. 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.
Nearly everyone will be affected by some type of herpes virus at some time in his or her life. They remain at this stage until something triggers them to move up the nerve fibers, enter healthy skin cells, and cause sores. This is why our immune system is helpful in fighting herpes outbreaks but is incapable of entirely eliminating herpes viruses from our bodies. This is somewhat obsolete, because replacements for Zovirax are currently being promoted heavily by the same company that manufactures it (called Glaxo Wellcome at that time).
Research leading up to its approval showed it to prevent about half of cases of shingles in adults 60 and older. And I became one of those lucky ones to have my old chickenpox virus come back in the form of shingles.
Briefly, certain amino acids in high amounts lead to increasing amounts of growth hormone (HGH) to be released from the pituitary gland. So all I have to do is keep my arginine to lysine ratio a little more even and shingles will become a thing of the past.
When a latent virus has the opportunity to bloom, even decades after the initial chickenpox outbreak, the primary symptoms show up in the ends of nerves just under the skin, then the skin itself. Antiviral drugs suppress the immune system, which makes them seem like a bad idea right when you want to get your body ready for the battle. The eruptive stage can continue for two weeks, during which time the blisters become filled with pus and then begin to  scab over. Antiviral drugs are ineffective for PHN because the virus is already gone by the time it sets in. A short list of these would include emu oil (YES – not an herb!), vitamin E oil, creosote bush lotion, and lemon balm cream. We demonstrate that microgram amounts of extract, while exhibiting no cell cytotoxicity or direct virucidal activity, prevent each of the six viruses tested from infecting their host cells. Nevertheless, modern supplement manufacturers have made quite a big deal of this application.
Since all members of the herpes family are so similar in their responses to antivirals, this does not bode well for the use of olive leaf against shingles. Right before an outbreak, many people experience an itching, tingling or painful feeling in the area where their recurrent lesions will develop. The virus infects that specific part of the body which turns reddish and pains too when the outbreak is severe. You can very easily treat your herpes at home, in your kitchen which is also cost-effective. You can also add some Epsom salt in a bowl of water and mix it well, and then immerse the affected areas with cotton for 10 to 15 minutes. So you can prepare a black coffee and when it turns cold you can sip it steadily as you stir it on the lips.
The doctor proceeds to recommend a concise course of certain antiviral therapies that last for 7-10 days. The recommended pills can be taken for 2 to 5 days after noticing the sore or when you are expecting a flare up.


For people having six outbreaks or more in a year, suppressive therapy can reduce the problem by 70 to 80 percent. Trends in HSV Types and Genital Herpes Genital herpes can be caused by either HSV-2 or HSV-1. Depending on the individual, some infections will be minimal and some will be drastic, even fatal. Typically, a familiar pain or itching precedes the formation of sores, signifying an oncoming outbreak that will result in the well-known fever blisters. Indeed, the company has taken unprecedented steps in promoting the main replacement, called Valtrex, by advertising on television for viewers to call a toll-free number to qualify for free-trial samples, by taking out full page ads in numerous magazines (also including the free-trial offer), and by arranging for the inclusion of glossy insert ads for college newspapers around the country.
Experiments did not address younger people, even though the incidence of shingles is reaching into earlier age groups more and more.
So, the long and short of it is that I probably attracted a shingles outbreak by taking high levels of L-arginine.
Shingles can be miserable, and I didn’t have to find out how bad it could be because I used my own natural shingles treatment.
Although blisters typically occur on just one side of the torso, they occasionally  encircle the body. In addition, the presence of residual amoutns of extract continue to block virus infection and render cells resistant to infection for at least 16 hours after the removal of the extract from the cell culture medium. The only study that I could find in support of it (Life Sciences 55: 1965-1971, 1994) showed that the active ingredient, oleuropein, decreased blood pressure and dilated arteries surrounding the heart. The right method of home care and safety measures will avert the outbreaks and transmission of herpes. Then you can place the warm bag in the portion of herpes or else you can straightly put the cold tea bag and hold for 5 minutes. You can also take out cube pieces from the refrigerator and apply on the infected portion directly.
You can implement with the black coffee two times per day.Therefore you can use the above home remedies for warding off the herpes! Topical treatment formulas aren’t really helpful and the doctors seldom recommend such formulas.
These therapies actually prevent the sore from spreading all across the body and getting worse. These sores usually heal themselves and disappear after a few days, but treatment can help with symptoms. Recent studies show that regular doses of antiviral drugs such as valacyclovir can help in protecting sex partners against infections. And depending on the particular type of herpes virus, the resulting disorder could be oral sores, genital sores, chickenpox, shingles, Kaposi’s sarcoma, and Epstein-Barr syndrome, to name only the most commonly known afflictions caused by this family of viruses. In reality, Valtrex is just a modified form of Zovirax that received a new patent when the Zovirax patent ran out. This is how antiviral drugs suppress our immune system, since the demand for new DNA in the rapidly dividing immune-generating cells of our intestinal lining and bone marrow is constant.
We demonstrate that a Quillaja extract possesses strong antiviral activity at concentrations more than 100-fold lower than concentrations that exhibit cell cytotoxicity.
The results of this study showed that none of the active ingredients from several plant species, including oleuropein, had any significant activity against HSV-1 (herpes simplex type 1) or Flu-A (influenza type A). Hey, Not been on in while but this has prompted me to post, Has anyone else had a secondary experience which was worse than the first? In this feature, we take a look at HSV- 1 and 2 to see how alike and different the two viral types really are.
If you are thinking of using the fresh Aloe Vera plant, then you have to cut a mass, and stroke the inner part of it on the herpes area. You can continue doing this process for 2 times per day and in few days you will see the positive results. In recent years, HSV-1 has become a significant cause in developed countries, including the United States. Internal blooms of HZV can instead cause unpleasant or even stabbing pains in nerves around the waist or spine. Extract concentrations as high as 100 micrograms per milliliter are not cytotoxic, but concentrations as low as 0.1 micrograms per milliliter are able to block HIV-1and HIV-2 virus attachment and infection. Oleuropein, however, showed significant antiviral activities against RSV (respiratory syncytial virus), and Para 3 (parainfluenza type 3), both of which cause infections of the lower respiratory tract.
Right now it is just one bump, but I would hate for it to get worse when I could have helped it by getting on antivirals. I have only had 2 outbreaks as I was only diagnosed 2 months ago, but itching does make it worse. A company headquartered in Houston, TX, now licenses the patents and manufactures the product line under the name of LarreaRx. Second day the tingling phase stopped, they erupted, and by the end of the 2nd day they were drying out.
The risk of infection is highest during outbreak periods when there are visible sores and lesions. I started taking acyclovir 2 days ago and I Already feel better my outbreak is 90 clear and so far no side effects.
The second time you have symptoms, they will usually hurt less and not be as bad as the first time. I have not had an outbreak for almost two years now, so I definitely feel like it’s working for me. If a woman has a genital herpes outbreak when she goes into labor, she may need a C-section (Cesarean delivery). Symptoms When genital herpes symptoms do appear, they are usually worse during the first outbreak than during recurring attacks. Since that episode, I have had three more, each worse than the prior and lasting longer, too. Herpes, Pregnancy, and Newborn Infants Herpes 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. For women afflicted with genital herpes, persistent life stress can be a predictor of recurrence.
Guidelines from the American Academy of Pediatrics recommend using specific diagnostic tests for women in labor to determine the risk of transmission.
Also, for many people with herpes, the first outbreak is the worst, and subsequent outbreaks come with milder symptoms (some people never have a second outbreak). A new study reported in the November 8 issue of the Archives of Internal Medicine shows that the greater a woman’s stress, the more likely it is that she will suffer an outbreak of the herpes lesions.
Babies born to mothers infected with genital herpes are treated with the antiviral drug acyclovir, which can help suppress the virus.
Skin-to-skin contact increases the risk of transmitting herpes to your partner, but the friction may also make your outbreak worse. To make matters worse, this infection coincided with my first herpes outbreak, and the two collided in a perfect storm of pain, fever, shame and heavy medication.
They 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). Resolve does not work, i think it made it worse i worked with company for 2 years taking there advice so countless treatments detoxes pills drops months on end and them reasuring me there stuff works, after two years i quit using there detox and started to not have as many outbreaks. 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.
HSV-1 can also cause genital herpes, which is a sexually transmitted disease (STD). Herpes simplex virus 2 (HSV-2) is the usual cause of genital herpes, but it can also cause oral herpes.
The first herpes outbreak is often the worst, and about half of all victims never have another. Until recently, the general rule was to assume that HSV-1 caused oral herpes and HSV-2 caused genital herpes. A second ray of hope lies in research which suggests that some herpes sufferers literally worry themselves sick.
It is now clear, however, that either type of herpes virus can be found in the genital or oral areas (or other sites). The first outbreak is usually the worst and most painful and occurs within 2-20 days after contact with the virus. 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.
Symptoms are usually worse during primary herpes, and are milder with flare ups (also called outbreaks).
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.
If you’ve ever had a herpes outbreak, the virus remains in your body and can become reactivated. 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. 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). Only water-based lubricants (K-Y Jelly, Astroglide, AquaLube, and glycerin) should be used. 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, 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. 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. 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.
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 Herpes Oral 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. 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. 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. 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. They usually heal within 2 weeks without treatment. Canker sores (Aphthous ulcers) are very common.
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, Camphophenique, 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. Epub 2013 Jan 28. Martin ET, Krantz E, Gottlieb SL, Magaret AS, Langenberg A, Stanberry L, et al. Genital shedding of herpes simplex virus among symptomatic and asymptomatic persons with HSV-2 infection.



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Symptome herpes yeux
  • ukusov, 04.02.2014 at 16:10:56
    Mertz GJ, Loveless MO, Levin cover.
  • Olsem_Bagisla, 04.02.2014 at 20:44:39
    Sufferers receiving VALTREX (valacyclovir hydrochloride) 1 gram twice daily for 10 days herpes simplex.