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Should herpes in the groin area be treated? - Online Doctor Chats

Date : 25-Mar-2014
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
User:I have herpes outbreak, do I need to get treatment or just wait and let it go away
Let me read your query for few minutes to be able to have a good discussion here.
Doctor:I have few questions now
Doctor:Where is the outbreak
Doctor:How long it is been?
User:I have some find bumps in the groin area
User:in the past 2 weeks
User:fine bumps...that is
Doctor:Is it itchy or redness?
User:well it's not itchy
User:and I really cant see the area
User:it's a small area, but I can feel them
Doctor:Did it start with body pain and fever 2 weeks back
User:no, no other symptoms
User:except I seem to be hypertensive, my blood pressure is in the 130's
Doctor:Do you take any other medicine?
Doctor:Did you had similar outbreak in the past?
User:I was diagnosed about 2yrs ago with hsv-2, but I never had an outbreak or treatment
Doctor:So the current rash is similar to the one you had two yrs back
User:I am just wondering if I should be treated at some point,
User:no, this is the first time I ever had a rash
Doctor:On what basis was diagnosis made 2 yr back?
User:a blood test
Doctor:That is not specific, every one would have HSV antibodies if they are sexually active
Doctor:Herpes is a clinical diagnosis and not come out of blood testss
User:ok, not sure I understand your question then
Doctor:Now I suspect if you really have a Herpes outbreak now because you never had any prodromal symptoms
Doctor:Rash non itchy, no fever, body pains, malaise is very common
Doctor:Let us suppose you have Herpes outbreak now, you may not need medicine as nothing will be effective after 48 hours after outbreak
Doctor:However you can apply CALADRYL lotion to reduce itching and redness
Doctor:and wait for scab
Doctor:to form
User:ok...there is no itching or redness
Doctor:I doubt your age preponderance hence was probing details
Doctor:I appreciate your patience
User:back to clinical diagnosis, not sure what you mean.... when you say herpes does not show in a blood test
Doctor:What I mean is, a blood test showing Herpes antibodies does not confirm a current infection
Doctor:So in summary I suggest you to wait out and let the scab form by itself
User:and in short , I don't need medicine on a continued basis to prevent outbreaks?
User:I am assuming, you mean, yes I do not?
Doctor:Vit C and Zinc supplements to boost immunity
Doctor:You do not need medicine to prevent outbreaks
User:ahh, thanks
Doctor:Keep the area dry
Doctor:Warm baths may help
User:does herpes outbreak, contributes to hypertension?
Doctor:Not heard of
User:I see
User:anything I can do to reduce the possibility of transmission other than wearing a condom
Doctor:Be stress free, good hygiene, Boost immunity by having rich food
Doctor:Restrict alcohol and smoking
User:ok...thank you much
Doctor:Did you follow what I said? Can you summarize our discussion?
User:Vitamin c, zn supplements, restrict alcohol and tobacco, eat healthy, stress free and practice good hygiene
Doctor:Good. Thanks for visiting me here. Bye for now.
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