HSV-1 can spread through kissing or oral sex, while HSV-2 can spread through skin to skin contact with infected genitals. Be aware that HSV can have a long-dormant period. You may have contracted herpes long ago, but the virus may have stayed dormant in the nerve cells where it resides. Stress and lack of immunity (getting sick) are common triggers for activation of the virus from the dormant phase. Even if you can’t remember ever being in contact with someone with HSV-1, consider if you’ve ever had a cold sore or fever blister.
Fever Fatigue Unusual pain Numbness Tingling in the area[5] X Research source
Swelling, redness, and rash, with fluid filled vesicles around the area. [7] X Trustworthy Source National Health Service (UK) Public healthcare system of the UK Go to source The vesicles may rupture, and a white, clear, or bloody fluid will come out. These vesicles may merge and take on a black/brown color. Ulceration, or a break in the skin, may develop later. Symptoms can resolve from anywhere from 10 days to 3 weeks.
The doctor may want to test for herpes if you haven’t been diagnosed with it. They may analyze your blood for herpes antibodies, order a PCR test (for the detection of herpes DNA), and/or order a viral culture (to see if actual herpes virus is growing from your blood). [8] X Research source Other tests might include a viral culture, which can take 1-2 days and is usually more expensive, but is more accurate, and the Tzanck test which is not as common, but can be helpful in certain cases. [9] X Research source
Commonly prescribed medications include topical acyclovir 5%, oral acyclovir, oral Famciclovir or valacyclovir. Take the medications as advised by your doctor or pharmacist. Dosages will be adjusted for children, but the treatments will remain the same.
If you wear contacts, don’t wear them until the infection has resolved. Touching the contacts, then inserting them into your eyes, could infect the eye.
Children and teenagers with viral infections are advised not to take aspirin. There’s a risk of developing a multi-organ fatal condition known as Reye’s syndrome. Seek expert medical advice before taking over-the-counter pain meds for viral infections. Take all medications as described either by your healthcare provider or on the label. Be careful not to exceed the maximum daily dose.
The doctors will order a complete blood count with differential (to detect immune cells or white blood cells) if they suspect bacterial infection. The white blood cells will be high if you have a bacterial infection. They may reorder this test after you’ve completed your antibiotic course to check for normal levels of white blood cells. This isn’t always necessary if symptoms have calmed and they have no further suspicion.
Always follow your doctor or the label’s directions precisely. Make sure to complete the full course of treatment, even if symptoms seem to resolve.
Fill a container deep enough for the infected area with warm water. Soak the infected area for 15 minutes. Repeat as the pain reoccurs. When finished, wrap the area with a dry bandage wrap to prevent disease transmission.
Never apply ice directly to the skin and never for more than 15-20 minutes at a time. [18] X Research source
Meditation and yoga can also help some people to reduce stress.
