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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Herpes Outbreaks. Tested Positive For HSV-1. Having A Sore Tail Bone, Difficulty In Sitting. Suggestions?

49 yr. old male. i have tested for herpes 7 weeks after exposure and 4 weeks after first outbreak . Small bumps no open sores gone in 4 days. I had the CAPTIA test done and it showed positive for HSV-1 Negative for HSV-2 . 7 weeks later another series of bumps gone in 4 days. Since the first outbreak I have had a sore tailbone and can barely sit. I know its related because of the timing, and i had no incident.
Wed, 26 Sep 2012
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Dermatologist,  's  Response
Hi there. It does appear that your tail bone pain & the herpes outbreak are linked. Did you take any treatment for either. Ideally, you would want to go to an orthopaedic to do n Xray or MRI scan of the hip/tail-bone region as you are 49 & would not want to miss any other problem that could be incidental. I would recommend a course of antivirals with famciclovir 250mg three times daily for a 5-7 day period coupled with some anti-inflammatory medication like ibuprofen 600mg twice/day with food. Alternatively, you could take a 400mg twice/daily dose of acyclovir for a longer period (3-9 mths) as per your attending physician/dermatologists' advice. They each have their benefits & pitfalls. For a more detailed discussion on your unique problem, please do feel free to use our premier 'ask-a-doctor' facility.
Cheers & Good Luck & wish you Good Health!
Dr Praveen Rodrigues MD

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Having Herpes Outbreaks. Tested Positive For HSV-1. Having A Sore Tail Bone, Difficulty In Sitting. Suggestions?

Hi there. It does appear that your tail bone pain & the herpes outbreak are linked. Did you take any treatment for either. Ideally, you would want to go to an orthopaedic to do n Xray or MRI scan of the hip/tail-bone region as you are 49 & would not want to miss any other problem that could be incidental. I would recommend a course of antivirals with famciclovir 250mg three times daily for a 5-7 day period coupled with some anti-inflammatory medication like ibuprofen 600mg twice/day with food. Alternatively, you could take a 400mg twice/daily dose of acyclovir for a longer period (3-9 mths) as per your attending physician/dermatologists advice. They each have their benefits & pitfalls. For a more detailed discussion on your unique problem, please do feel free to use our premier ask-a-doctor facility. Cheers & Good Luck & wish you Good Health! Dr Praveen Rodrigues MD