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Medical Forum / Diseases and Disorders / Herpes / October 2003

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Charles - 27 Oct 2003 20:34 GMT
About a week ago, I was kissing a girl that I had met a week earlier
on the train. The second I kissed her deeply, I felt an unusual
burning on my tongue. All we did was kiss, no more. At first I thought
it was just a reaction to her having a smoke beforehand, but the
morning after our first kiss I woke up with the burning still there. I
looked carefully in the mirror for cold sores, or something more
visible, but all I could see where tiny tiny slightly whitish bumps.
Feeling my tongue, it felt a little bit more bumpy as well. For the
time that followed, I didn't get any cold sores on my lips, tongue or
whatnot. But after getting some saliva near my genitals, i did notice
a few little tiny bumps down there too, but those bumps where
non-painful and may have always been there.

Incidentally, these bumps are barely visible, you've almost got to
search to see them. They haven't occured in clusters either, but all
over the place, fairly evenly spread out.

So a few days later I was prompted to go to the doctor to get looked
at. The doctor looked at my mouth and tongue with a light-magnifier,
and told me what i already knew. That if i had ever had a cold sore
before, then i had HSV-1, and that i shouldn't worry about this.
Unfortunately the doc didn't tell me what I _did_ have, which has
brought me here.

I haven't had any swollen lymph glands, but i have felt unusually hot
recently (at times), and been somewhat spaced out (this could be due
to midterms, bad sleep, etc).

It strikes me as uncharacteristic of herpes to not give me swollen
glands, and to have reacted almost instantly on contact. It also
strikes me as odd that i have gotten tiny blisters, but still a week
after no cold sores. The burning feeling in my tongue is still here,
but its slowly dissipating and the blisters are fading.

Does this sound like herp? Should I just continue my life as usual? Do
I wait a few years for my immune system to take care of the virus and
then resume having a healthy dating/sex life, or is that no longer
ever a possibility without spreading the virus to my partner
indefinately? Also, if I have already had a cold sore in my youth, and
therefore already had HSV-1, could this be an HSV-2 infection in the
mouth? (I thought this was a rare occurance?) and if not, then could
it be a "double dose" of HSV-1, or maybe it could be some kind of
allergic reaction?

Please help! this is really driving me mental, and I don't know how to
cope.

-C
Angela - 27 Oct 2003 20:41 GMT
Charles,

It sounds like you kissed this gal on the spur of the moment and immediately
developed this 'burning' feeling. That doesn't sound like herpes to me at
all. But, I will tell you a few things about herpes that you might not know.

You need to be tested for herpes in spite of your brief kissing encounter
with this gal because herpes is not included in the routine std testing
process. There are many people out there that have herpes and don't know it
because they don't get any signs or symptoms.

You need to read up on the differences between type-1 and type-2 because I
think you are a bit confused on how they work and where they reside:
http://members.cox.net/yoshi2me/Site-Type/Site-Type.htm .

Hang in there,

Angela
Charles - 28 Oct 2003 16:08 GMT
> Charles,
>
[quoted text clipped - 14 lines]
>
> Angela

Indeed, that's the trouble I am having, is that this feels like what
i'd imagine herpes feels like, and looks like it too. Here's another
problem im having. I've had a cold sore before. Therefore I've had
HSV-1 before. My cold sore never came with blisters though. And this
is just blisters, not grouped together, but spread out with no
accompanying fever or noticable gland swelling.

"ORAL HSV-2: It's rare to find someone who has oral HSV-2, but it can
happen. After recovery from a possible first episode, such an
infection is of little consequence in most cases, since oral HSV-2 is
not likely to reactivate and cause signs or symptoms." - from the site
u posted

If I have already built up an immunity to HSV-1 from childhood, and
HSV-2 rarely occurs orally (the only point of contact in this case)
then what do I have? Is it possible I've been re-infected with a new
strain of HSV-1?

-C
Tim Fitzmaurice - 28 Oct 2003 17:42 GMT
> problem im having. I've had a cold sore before. Therefore I've had
> HSV-1 before. My cold sore never came with blisters though. And this
[snip]
> If I have already built up an immunity to HSV-1 from childhood, and
> HSV-2 rarely occurs orally (the only point of contact in this case)

These two raise the point you are missing about Herpes simplex.

Its a chronic infection. You haven't 'had' HSV1 before. You HAVE HSV1. The
virus is a chronic lifelong infection. Having an immune response merely
keeps it under control to some extent and means that an outbreak is
generally going to be less of a problem than an equivalent primary
infection. The virus has evolved all sorts of defence mechansims to evade
the immune system as much as possible.

As such if this outbreak you have is HSV then its going to be a
reactivation - for some reason. Blisters can be a feature. Another
option, and by no means the only one, stepping outside of HSV is it could
be something impetigo like (bacterial), or hand,foot and mouth disease (a
coxsackie virus IIRC). Both of which are a case of commonish agents
floating round that can pass by contact - and I think that in both cases
they may cause no symptoms or possibly different symptoms in the other
person....so there are other options.

Tim
--
When playing rugby, its not the winning that counts, but the taking apart
ICQ: 5178568
M.L.S. - 28 Oct 2003 15:50 GMT
<snip>

>Does this sound like herp? Should I just continue my life as usual? Do
>I wait a few years for my immune system to take care of the virus and
[quoted text clipped - 5 lines]
>it be a "double dose" of HSV-1, or maybe it could be some kind of
>allergic reaction?

As you say, the instantaneous nature of the assault on your tongue
certainly isn't herpes, either 1 or 2.  Or at least it's extremely
unlikely.  You are closer, probably, wondering whether it's an
allergic reaction or some other kind of reaction to something in that
kiss, or a coincidence from something else you ran into around that
time.  If it goes away, however slowly, and doesn't come back, you'll
likely never know what it was.

Most people probably wouldn't concern themselves with worrying about
spreading a childhood-acquired oral HSV1, but if such things are a
concern to you, bringing up the subject before engaging in intimate
relations can be a nice segue to an exploration of each other's viral
and/or bacteriological histories.

Take care,

Mike
 
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