Hi..
Welcome to HEALTHCARE MAGIC.
I have gone through your query and can understand your concerns..
As per your complain the sores/ulcers inside the mouth that you are explaining seems to be more like canker sores and not cold sres caused by HSV-1..
It seems to be a case of Recurring Apthous
Stomatitis or Recurring Apthous Ulcers..
The sore over labia can be a HSV-2 infection but can be confirmed after a clinical examination and proper investigations..
As you are also on a number of medications that are used to treat anxiety and depressive disorders, the recurring ulcers can also be due to the side effect of any of these medications..
Cottony mouth can be due to oral
fungal infection known as
Oral Thrush while
dry mouth can also be a cause and culprit for ulcers and thrush.
Backache and fatigue also needs to be ruled out and you need to consult a Physician..
My suggestion would be that you need a proper consultation and evaluation by an Oral Physician and he can also advise you investigations depending upon the suspected cause..
In case if canker sores is ruled out then certain investigations like serum
vitamin b12 and
Hemoglobin % etc can be advised to you..
In case if cold sores is suspected then antigen antibody reaction,polymerase chain reaction and viral culture can help in confirmation..
Treatment can be advised only after a confirmatory diagnosis..
As of now you can take supportive treatment like Gargle with a numbing mouthwash containing Lignocaine to relieve pain..
Gargle with 1:1 solution of benadryl and
milk of magnesia..
Suck ice and do cold water rinses.
Continue taking multivitamins.
Avoid spicy food and drink plenty of water..
Limit intake of sour and tart candies and foods..
Hope this information helps..
Thanks and regards.
Dr.Honey Nandwani Arora.