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Suggest Treatment For Genital Herpes
Question: Hi, I am xxxxxxxxxxxx. I think you know my history. Doctor diagnosed me with Bacterial prostatitis. (E.coli) I was given Amikacin injection for a week . Now I have been started with Gen life's UTI REMEDE and REGULAR FLO.
I have a few question as per our last discussion.
1)I have been diagnosed with genital herpes by a dermatologist but according to IGg result it is positive but IGm result die atleast 2 times in a gap of 2 weeks is negative. Now another doctor said that it is a fungal infection for bactrim. So is it possible that there are fungal reaction in bactrim in the genital areas. I had cluster like lesion, But they were paining but were a bit mild. He gave me Valcoir and Onitraz both for a week and then it was settled.
2) I was planning for a baby with my wife . Now I am worried that if I do so I will in turn pass on the herpes. ?
3) Wat is the average number of outbreak if At all I have genital herpes.
4) how to take care of it without discussing with my wife.
5) Wat are the Research and Development going on in areas of curing genital herpes. Is there any cure may be Ayurvedic?
I have a few question as per our last discussion.
1)I have been diagnosed with genital herpes by a dermatologist but according to IGg result it is positive but IGm result die atleast 2 times in a gap of 2 weeks is negative. Now another doctor said that it is a fungal infection for bactrim. So is it possible that there are fungal reaction in bactrim in the genital areas. I had cluster like lesion, But they were paining but were a bit mild. He gave me Valcoir and Onitraz both for a week and then it was settled.
2) I was planning for a baby with my wife . Now I am worried that if I do so I will in turn pass on the herpes. ?
3) Wat is the average number of outbreak if At all I have genital herpes.
4) how to take care of it without discussing with my wife.
5) Wat are the Research and Development going on in areas of curing genital herpes. Is there any cure may be Ayurvedic?
Brief Answer:
Regarding genital herpes
Detailed Answer:
Hello. Thank you for writing to me.
1)Bactrim is an oral antibiotic and it can cause unhindered growth of candida/ yeast which can present as genital lesions and may mimic with herpes. However, this can be ascertained from patients history of drug intake and sexual contacts. In doubtful cases blood tests and PCR from active genital lesions can be confirmatory of genital hepes.
2) Yes, unprotected sexual intercourse does carry a risk of passing the virus to sexual partner. The risk of transmission is more during a clinical epsiode of genital herpes (so you should avoid sexual contacts during the epsiode) and less at other times. In addition to this, certain measures like using a condom regularly (not practical if you trying for a baby) and suppressive/ prophylactic oral antiviral therapy with valacyclovir further reduce the risk of transmission to sexual partners. Therefore you can consider regular antiviral therapy with valacyclovir.
I would also suggest screening of your wife for herpes infection to see if she is already infected.
3) Outbreaks of genital herpes are more frequent in a newly acquired infection and with HSV 2 infection (on an average 4-6 / year). Frequency of outbreaks reduces with time and they may vary from once or twice in year to once in many years. HSV type 1 cause less frequent and milder outbreaks which may go unnoticed.
4) At present herpes can only be prevented and an episode treated. The measures i suggested above would reduce risk of transmission. The virus stays inside the body for life and it may cause outbreaks from time to time.
Regards
Regarding genital herpes
Detailed Answer:
Hello. Thank you for writing to me.
1)Bactrim is an oral antibiotic and it can cause unhindered growth of candida/ yeast which can present as genital lesions and may mimic with herpes. However, this can be ascertained from patients history of drug intake and sexual contacts. In doubtful cases blood tests and PCR from active genital lesions can be confirmatory of genital hepes.
2) Yes, unprotected sexual intercourse does carry a risk of passing the virus to sexual partner. The risk of transmission is more during a clinical epsiode of genital herpes (so you should avoid sexual contacts during the epsiode) and less at other times. In addition to this, certain measures like using a condom regularly (not practical if you trying for a baby) and suppressive/ prophylactic oral antiviral therapy with valacyclovir further reduce the risk of transmission to sexual partners. Therefore you can consider regular antiviral therapy with valacyclovir.
I would also suggest screening of your wife for herpes infection to see if she is already infected.
3) Outbreaks of genital herpes are more frequent in a newly acquired infection and with HSV 2 infection (on an average 4-6 / year). Frequency of outbreaks reduces with time and they may vary from once or twice in year to once in many years. HSV type 1 cause less frequent and milder outbreaks which may go unnoticed.
4) At present herpes can only be prevented and an episode treated. The measures i suggested above would reduce risk of transmission. The virus stays inside the body for life and it may cause outbreaks from time to time.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi,
As per our last discussion , things changed completely. I got a severe pain in my right side kidney to urethra. The pain was unbearable. I had to be hospitalised for a night. In the morning the doctor performed a Sonography. He figured it out that there were 3-4 small calculus in both of my kidneys, the size was 3mm,4mm,&5mm. Then I performed CT KUB in the result which was ruled out 2.4 mm stone in my right side Urethra. Now my question arises
1) I had performed sonography on 18th October , so is it possible that the stones developed after that, or the person who checked the sonography couldn't figure out calculus?
2)My current urine report showed me RBC 80-100 and had FEW bacteria in my urine. So is this related to BACTERIAL PROSTATITIS. which the doctors had figured it out before. Or all was going on because of the stones in my kidneys.
3) Now is it possible that I don't have herpes and this might be due to the stones infection that My IGG report test positive and IGM negative. In my penis skin(which generally we pull up). There might be fungal infection.
4) If at all I have genital herpes , wat next time of outbreak I should expect wen the clinical outbreak was 14-11-2016.(date of exposure28-9-2016).
As per our last discussion , things changed completely. I got a severe pain in my right side kidney to urethra. The pain was unbearable. I had to be hospitalised for a night. In the morning the doctor performed a Sonography. He figured it out that there were 3-4 small calculus in both of my kidneys, the size was 3mm,4mm,&5mm. Then I performed CT KUB in the result which was ruled out 2.4 mm stone in my right side Urethra. Now my question arises
1) I had performed sonography on 18th October , so is it possible that the stones developed after that, or the person who checked the sonography couldn't figure out calculus?
2)My current urine report showed me RBC 80-100 and had FEW bacteria in my urine. So is this related to BACTERIAL PROSTATITIS. which the doctors had figured it out before. Or all was going on because of the stones in my kidneys.
3) Now is it possible that I don't have herpes and this might be due to the stones infection that My IGG report test positive and IGM negative. In my penis skin(which generally we pull up). There might be fungal infection.
4) If at all I have genital herpes , wat next time of outbreak I should expect wen the clinical outbreak was 14-11-2016.(date of exposure28-9-2016).
Brief Answer:
Answers to specific queries
Detailed Answer:
Hi.
1) I apologize for some delay in my reply. Certainly radiating pain is characteristic of calculus. However, it would be hard for me to comment on how quickly the stones could have formed. I think a urologist or a nephrologist would be able to answer it well.
2) Certainly, a higher number of RBC in urine report can be explained by urinary calculus.
3) Positive IgG titres for HSV is not possible because of urinary calculus. Antibodies to virus are specific and positive IgG tites indicate previous infection.
4) Its not possible for anyone to predict the next outbreak of herpes. It might happen soon or it might not happen for months.
Regards
Answers to specific queries
Detailed Answer:
Hi.
1) I apologize for some delay in my reply. Certainly radiating pain is characteristic of calculus. However, it would be hard for me to comment on how quickly the stones could have formed. I think a urologist or a nephrologist would be able to answer it well.
2) Certainly, a higher number of RBC in urine report can be explained by urinary calculus.
3) Positive IgG titres for HSV is not possible because of urinary calculus. Antibodies to virus are specific and positive IgG tites indicate previous infection.
4) Its not possible for anyone to predict the next outbreak of herpes. It might happen soon or it might not happen for months.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi,
1) Are bacterial prostatitits and Kidney stone co-related?
2) I am constantly getting watery loose motions.Is it because of the medication FOSIROL 3mg which I have to take one dose after every 3 days.?
3) Wat kind of treatment do you suggest for the kidney stone? Should I drink water or go for a laser treatment. Wat are the probabilities of operation being successful?
4) Right now I am drinking too much liquid , but still have to put pressure to urinate . So this might be related to Prostatitits??
Thank you
1) Are bacterial prostatitits and Kidney stone co-related?
2) I am constantly getting watery loose motions.Is it because of the medication FOSIROL 3mg which I have to take one dose after every 3 days.?
3) Wat kind of treatment do you suggest for the kidney stone? Should I drink water or go for a laser treatment. Wat are the probabilities of operation being successful?
4) Right now I am drinking too much liquid , but still have to put pressure to urinate . So this might be related to Prostatitits??
Thank you
Brief Answer:
Answers to specific queries
Detailed Answer:
Hi.
1.Bacterial prostatitis and kidney stones are not directly related however urinary calculus/ stone may predispose to recurrent urinary tract infection which in turn can lead to prostate infection/ prostatitis.
2. Yes, Diarrhea is one of the side effects of fosirol.
3. Treatment of kidney stones depends on the size and location of stones. Though small stones may pass gradually down the urinary tract however, for larger stones the doctor may suggest lithotripsy to break them down into smaller ones.
4. Pain while passing urine/ rectal pain, urge to urinate and urinary retention are symptoms suggestive of prostatitis. Together with these, pain on digital rectal examination and enlarged prostrate on transrectal ultrasound would be more suggestive of prostatitis.
Regards
Answers to specific queries
Detailed Answer:
Hi.
1.Bacterial prostatitis and kidney stones are not directly related however urinary calculus/ stone may predispose to recurrent urinary tract infection which in turn can lead to prostate infection/ prostatitis.
2. Yes, Diarrhea is one of the side effects of fosirol.
3. Treatment of kidney stones depends on the size and location of stones. Though small stones may pass gradually down the urinary tract however, for larger stones the doctor may suggest lithotripsy to break them down into smaller ones.
4. Pain while passing urine/ rectal pain, urge to urinate and urinary retention are symptoms suggestive of prostatitis. Together with these, pain on digital rectal examination and enlarged prostrate on transrectal ultrasound would be more suggestive of prostatitis.
Regards
Above answer was peer-reviewed by :
Dr. Remy Koshy
Hi,
How long does it take for E.coli in prostate to get cured? I have already been on 2 months medication.. still the symptoms prevail.. but have really become little less.. say around 50%. (CBP) is a probable.?
I am very much disturbed because I have 3 things at one time CBP,GHepres,Kidney stone!
dr. Please help me with some good guidance so I get rid of them. They are interrupting my everyday life.
Can a first outbreak of Genital herpes be mild?
Wat symptoms will I have or in general people face during recurrent outbreaks?
As the time may persist does the lesion or blisters become worse or spread? Do they first spread and then become less?
Sir My IGG positive report positive means I am a carrier ! but IGm is negative that means is the IGM result result is always unreliable?
How long does it take for E.coli in prostate to get cured? I have already been on 2 months medication.. still the symptoms prevail.. but have really become little less.. say around 50%. (CBP) is a probable.?
I am very much disturbed because I have 3 things at one time CBP,GHepres,Kidney stone!
dr. Please help me with some good guidance so I get rid of them. They are interrupting my everyday life.
Can a first outbreak of Genital herpes be mild?
Wat symptoms will I have or in general people face during recurrent outbreaks?
As the time may persist does the lesion or blisters become worse or spread? Do they first spread and then become less?
Sir My IGG positive report positive means I am a carrier ! but IGm is negative that means is the IGM result result is always unreliable?
Brief Answer:
Regarding genital herpes
Detailed Answer:
Hi.
I am not very sure about the time period to cure E coli infection of prostrate. I think a urologist would be a better person to ask. As far as hsv is concerned it can be an asymptimatic infection or a mild clinical episode which may go unnoticed. Positive IgG and negative IgM indicates that it is a past infection i.e at least 2-3 months old.
New infection with herpes virus usually causes frequent and florid outbreaks and as the infection gets older outbreaks become less frequent and milder with time. Moreover genital infection with hsv 2 causes more frequent and severe outbreaks as compared to genital hsv 1 which causes milder and less frequent outbreaks. An outbreak of herpes usually presents as painful genital sores along with burning sensation on urination. However a milder episode may go unnoticed.
IgM alone is unreliable. It appears transiently during a clinical episode. It indicates recent infection but its level can also get raised during a recurrence. Therefore though its presence indicates a new infection or recurrence, its absence does not rule out infection. IgG stays posituve throughout life and more reliable of herpes infection.
Regards
Regarding genital herpes
Detailed Answer:
Hi.
I am not very sure about the time period to cure E coli infection of prostrate. I think a urologist would be a better person to ask. As far as hsv is concerned it can be an asymptimatic infection or a mild clinical episode which may go unnoticed. Positive IgG and negative IgM indicates that it is a past infection i.e at least 2-3 months old.
New infection with herpes virus usually causes frequent and florid outbreaks and as the infection gets older outbreaks become less frequent and milder with time. Moreover genital infection with hsv 2 causes more frequent and severe outbreaks as compared to genital hsv 1 which causes milder and less frequent outbreaks. An outbreak of herpes usually presents as painful genital sores along with burning sensation on urination. However a milder episode may go unnoticed.
IgM alone is unreliable. It appears transiently during a clinical episode. It indicates recent infection but its level can also get raised during a recurrence. Therefore though its presence indicates a new infection or recurrence, its absence does not rule out infection. IgG stays posituve throughout life and more reliable of herpes infection.
Regards
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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