Get your Health question answered in 3 easy steps

161 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suffering from herpes labialis and feeling fatigue. How to treat this?

Answered by
Dr. Kalpana Pathak


Practicing since :2006

Answered : 2015 Questions

Posted on Fri, 22 Mar 2013 in Skin Hair and Nails
Question: I had been suffering from herpes labialis ie blisters outside the lips, also known as cold sore I believe. The blisters have now fallen off 2 days back,and now dont have any other problem, but still feel a lot of fatigue and head a bit light sometimes. Waht should be done regarding this.
Answered by Dr. Kalpana Pathak 27 hours later
Thanks for writing to us.
Herpes labialis is a viral infection caused by helper simplex virus.
It is a recurrent infection that is once the infection has been acquired by an individual it will keep on recurring as the virus remains dormant in nerves.

Usually the first episode of infection is characterised by multiple fluid filled blisters and severe systemic manifestations like fever, malaise, body aches, tender lymph nodes etc and these subside once the infection phase is over.

Recurrences of infection occur in cold weather, with fever, dental procedures, pregnancy, menses, stress , low immunity or with medicines like steroids. Recurrent infection usually begins as tingling and numbness at site of development of cold sore and are usually not associated with systemic symptoms like fever malaise etc. However in some people these might be present.

To treat the infection
A course of oral antiviral like acyclovir or valaciclovir can be given esp if symptoms are severe.
Whenever prior to development of lesion if you feel dryness, itching, numbness or tingling at the site of development of lesion, you may apply acyclovir cream five times in a day to prevent lesion from developing.

To answer your question specifically,
If you are facing weakness, malaise right now due to an episode of herpes, kindly take tablet paracetamol to alleviate the symptoms.
Whenever you develop a next episode of herpes, make it a point to take oral antiviral drug as early as possible to prevent herpes infection symptoms from developing or for early resolution of disease.

I would like to know if this was your first episode of herpes labialis or you have had such episodes in past( if yes, how many episodes you had in an year).This would help me in assisting you in a better way.

Hoping to hear from you soon.
Take care.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Kalpana Pathak 9 minutes later
Thank you Dr. Kalpana for the detailed reply.

In response to your question - This was my first episode of herpes labialis, atleast what I know of.
Answered by Dr. Kalpana Pathak 39 minutes later
Usually with first or primary episode of herpes simplex virus infection, such systemic symptoms of fever,malaise , headache, bodyache is common. The treatment offered for these is basically symptomatic and hence I would advise you to take tablet paracetamol twice to thrice in a day to alleviate symptoms. Within few days these symptoms would resolve. As the lesions of herpes have already fallen off, there is no point taking oral antiviral drug. Take a well balanced diet along with adequate hydration and rest to get over these systemic symptoms.

As far as recurrence is concerned it could just be a single episode in an year to multiple episodes. If t is just a single episode of small sore without any other manifestation, local application of antibiotic cream to let the lesion dry and prevention of development of lesion with topical acyclovir cream is enough.
But if episodes are multiple in number or are associated with fever, bodyaches etc, you will require a course of oral antiviral drugs along with symptomatic treatment( paracetamol, Brufen etc).

In nutshell, take paracetamol right now and be watchful for the next episode which may or may not develop as further course of treatment depends upon the severity and number of recurrence one faces.

Hope that answers your query.
Wish you a speedy recovery.

PS should there be no other query, we may close the discussion.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,  
Drug/Medication ,   ,  

Recent questions on  Aciclovir

doctor1 MD

Am querying current line of thinking by several consultants. Admitted to hospital May 2011; lumbar puncture showed elevated CSF protein of 1088 mg/L with 228 white cells, 95% lymphocytes. The working diagnosis was viral meningitis, and I was discharged after 2 days aciclovir. Negative for herpes simplex virus 1 and 2. Developed infection in leg early October 2011, followed by painful groin, then ulcers either side of scrotum - non painful, and diagnosed as shingles. Mid October 2011, following tinitus, buzzing , hearing different frequencies, then vertigo, admitted for 2 weeks in ID ward...CSF showed 614 white cells with 90% lymphocytosis. CSF protein raised at 1335 mg/L. Tested for everything under the sun, incl. HIV, syphillis, Lyme disease, Cat scratch fever (leg infection thought to have been through an insect bite). All negative, incl. ANA. Chest x-ray, MRI scan of brain and whole spine also negative. Admitted again 26th December 2011, aciclovir for seven days, now back home feeling well, if a little tired. Current thought is Mollarets meningitis, but more recently, rheumatology dept. thinking Behcets syndrome, as I suffer from mouth ulcers. My contention is this; I have sufferd from mouth ulcers since a teenager taking exams at school. If I have a job interview, I will get mouth ulcers after @ 48 hours. Dentist thinks stress induced, as do I. I have no aching joints and no eye irritation, also, just found out that HLAB51 negative. I am a 42 year old British male and caucasian. I can t help feeling there s a square peg being pushed into a round hole here. What about migraine; the tinitus, buzzing and vertigo? Also, I took a non-steroidal (Ibuprofen) prior to the first two episodes. Bickerstaff s encephalitis sounds just as plausible as Behcets...or am I in denial? I would appreciate any advice, even if it s to simply face the music . Thank you for your time.

doctor1 MD

I was diagnosed with HSV-1 in my genital area and since I was diagnosed I have had issues with constipation. Also, the lips of my vagina are pretty red as well and my groin area seems to be red as well. Doctor thought it may be a yeast infection. I have tried stool softeners and ansoul suppositories because of the constipation and hemmrhoids. I also tried nystatin for on the lips of my vagina too.
I'm still having some discomfort around the anus area and havent had a regular bowel movement for some time.

Im also taking daily treatment for the HSV-1. 400 mg of Acyclovir 1 time a day.
Someone, please help me feel back to "normal"

doctor1 MD

I ve had cold sore on my lip for 2 months and it hasn t been treated yet. I ve consulted doctor a couple of times and they prescribed me Acyclovir and Valtrex. They helped a bit didn t completely treat the problem. Any advice would be greatly appreciated.

doctor1 MD

4 days ago I woke up with red rash on my right arm. Went to VA Doctor and he said it was shingles. he called in a rush order of VALACYCLOVIR HCL 1GM TAB. That was Wednesday and the drug is still not here. I expect it will be Monday before it is in my mail. In teh mean time the rash is getting worse and spreading to insides of my fingers, which is quite uncomfortable as I am right handed. What can I do for the next 48 hours to help with the rash and pain until the anti viral meds arrive. Also now that it will be 5 days since getting this how well will the drugs work?

doctor1 MD

Hi, I have a cluster of blisters that is surrounded by a reddened area. They started presenting symptoms of considerable burning. Burning has continued and gotten worse tonight.

doctor1 MD

Noticed small clear liquid filled blisters on penis. Help? I have uploaded two pictures.

doctor1 MD

I had this cluster of 3 spots underneath the shaft of my penis! I popped them and water came out and it didn't ooze out, it shot out like a rocket and looked like water. I didn't know if it's from my gf and I having intense sex and made my penis raw.