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Medical Forum / General / General / February 2004

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Cold sore coming back

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Bianca Blackstone - 20 Feb 2004 03:37 GMT
Hi,

I hope this is the appropriate group to post this in. I tried my best
to look for an appropriate topic and this is the closest I could come
up with.

Around this time last year, the area around my mouth --- specifically,
between underneath my lower lip and above my chin --- got really red.
My skin felt hot, itchy, and generally just irritable. This went on
for about a week before I finally went to the student health center on
my campus, and I was told that I had "non-sexual herpes", or in other
words, a cold sore. The guy gave me some kind of skin cream, although
I don't think that helped much because the cold sore/rash/whatever it
was sorta just went away on it's own after a while.

Well, as if on schedule, I think the sore is coming back. I'm not sure
if this is necessarily a yearly thing though, but it was this time
last year that this happened. (The guy at the health center also said
that it could be stress-related.) Also, I've started a new regiment
with my face. Before, I just used to haphazardly clean it with soap
every now and then. (Must be a guy thing...LOL.) But now, I've started
using St. Ives exfoliating cleansing cloths, astringent, and a
moisturizing lotion. And I can't help but think that this might have
led to the return of my cold sore?

My question is, is the sore curable, or will it just keep popping up
like this? Also, what kind of medication (if any) should I get for it?
I have since graduated college, so I can't go to the health center
anymore. I'm hoping there's something I can get over-the-counter at
Walgreens or Safeway, at least.

Thanks in advance.
Steven Bornfeld - 20 Feb 2004 03:59 GMT
> Hi,
>
[quoted text clipped - 28 lines]
>
> Thanks in advance.

    The herpes virus tends to reside in nerves.  Under stress it will flare
up and cause eruptions.
    There is no way to cure the infections, but keeping yourself in good
health will keep the flareups to a minimum.  There are prescription
medications that will decrease the severity and duration of flareups.
    BTW, most think that the distinction between type A and B herpes is not
important; certainly not in terms of determining how one was infected.
Either one can be contracted by either sexual or non-sexual contact.
    Take care not to touch the blisters or sores--you may innoculate
yourself or others.

Steve
anon - 20 Feb 2004 14:32 GMT
> Around this time last year, the area around my mouth --- specifically,
> between underneath my lower lip and above my chin --- got really red.
[quoted text clipped - 4 lines]
> I don't think that helped much because the cold sore/rash/whatever it
> was sorta just went away on it's own after a while.

The best topical agent for HSV is Denavir, but you have to start using
it as soon as you feel the tingling sensation. Cold sore outbreaks can
occur any time your immunity is "off the job", e.g., during an acute
illness, under stress, if you're not generally taking good care of
yourself and let yourself get "run down", etc. They're common, they're
incurable, they're contagious (although not highly), and they're more
annoying than dangerous. You don't *have* to treat them at all, as they
will resolve spontaneously in time. However, if topical agents don't
work, see your doctor about an oral medication for episodic treatment.
 
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