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What Causes Fluid Filled Lesions On Lips?

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Posted on Tue, 1 Sep 2015
Question: Hi Doctor,
my bro is suffering from the heperax ailment on the lips from last saterday.he is 39 and I inspected some bubbles was on his lips and now there is a small injuriy on the same place.since sunday he used herperax ointment and take 800g cyclovir tablets up to now.but not yet recoverd.normally he has faced this problem time to time .what is the reason and what to do for recover this ailment now please.
doctor
Answered by Dr. Charu Bansal (32 minutes later)
Brief Answer:
mupirocin 2 percent cream and oral acyclovir

Detailed Answer:
Hello. Welcome to Healthcaremagic.com.
I have read your query.
I understand your concern.
It seems that your brother is suffering from a condition called Herpes labialis. It is viral infection of skin caused by Herpes simplex virus 1 characterised by grouped fluid filled lesions on erythematous base associated with burning sensation or pain.
This is a highly recurring condition. The virus remains latent inside the ganglion and gets reactivated to produce lesions. The various predisposing factors for reactivation are immunocompromised state, fever, infection, seasonal change etc.
The blisters get burst open to form erosions in 2-3 days followed by crust formation.
I prefer to advise topical antibiotic cream like mupirocin 2 percent and oral antivirals like Acyclovir / Valacyclovir to my patients.
Your brother is appropriately taking the medications. The medications should be started within 24-48 hours of onset of ras so as to prevent recurrence and earlier healing.
in case of Diabetic patients or immunocompromised state, the healing may get delayed.
He should continue to take the medications till 1 week is completed.
I hope it helps.
Take care.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Charu Bansal (21 minutes later)
THANKS FOR UR GOOD ANSWER.DOCTOR CANT WE STOP THIS SITUATION COMPLETLY .I MEAN THAT MY BRO WILL FACE THIS SITUATION IN DUE COURSE.PL TEL ME THE LONG TREATMENT
doctor
Answered by Dr. Charu Bansal (6 minutes later)
Brief Answer:
suppressive therapy of Acyclovir is given orally

Detailed Answer:
Hello. Welcome back.
See if a person gets more than 6epispdes in a year then suppressive therapy of Acyclovir is advised. In such situation, long course of Acyclovir is given orally for 6months to years also depending on the response. If in case, acute episodes occur while on suppressive therapy, then the acute episode is treated and suppressive therapy is restarted.
you can share my opinion with your doctor.
I am sure that he would agree with this.
Take care.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Charu Bansal (17 minutes later)
YES.I CANT UNDERSTAND SUPPRESSIVE THERAPY.PL DISCIBE NORMALLY.HOW TO GET ACICLOVIR TABLETS FOR A DAY?WHAT IS THE BEST CREAM FOR THIS? IS IT HEPERAX OR MUPIROCIN? PL TELL ME SOON. THIS VIROUS IS A HERPIS?AND HOW TO CREATE FROM HIS BODY?
THANKS
doctor
Answered by Dr. Charu Bansal (1 hour later)
Brief Answer:
It is Herpes virus that remains in nerve bundles

Detailed Answer:
In suppressive therapy, dose of Acyclovir is different from the dose given for treatment of acute episode. In this, 400 mg of Acyclovir is given twice daily for months together.
Mupirocin is the an antibiotic. Herperax cream contains acyclovir so both are different. I prefer to advise mupirocin cream to my patients.
Yes this virus is Herpes Simplex virus that causes Herpes.
It cannot be removed from body. Once infected, virus remains in the nerves and reactivate to produce blisters.
For treatment, you should consult your doctor so that he can examine you and give you prescription as per body weight.
I hope I am able to solve your query.
Stay healthy.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Charu Bansal

Dermatologist

Practicing since :2010

Answered : 773 Questions

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What Causes Fluid Filled Lesions On Lips?

Brief Answer: mupirocin 2 percent cream and oral acyclovir Detailed Answer: Hello. Welcome to Healthcaremagic.com. I have read your query. I understand your concern. It seems that your brother is suffering from a condition called Herpes labialis. It is viral infection of skin caused by Herpes simplex virus 1 characterised by grouped fluid filled lesions on erythematous base associated with burning sensation or pain. This is a highly recurring condition. The virus remains latent inside the ganglion and gets reactivated to produce lesions. The various predisposing factors for reactivation are immunocompromised state, fever, infection, seasonal change etc. The blisters get burst open to form erosions in 2-3 days followed by crust formation. I prefer to advise topical antibiotic cream like mupirocin 2 percent and oral antivirals like Acyclovir / Valacyclovir to my patients. Your brother is appropriately taking the medications. The medications should be started within 24-48 hours of onset of ras so as to prevent recurrence and earlier healing. in case of Diabetic patients or immunocompromised state, the healing may get delayed. He should continue to take the medications till 1 week is completed. I hope it helps. Take care.