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What Does My Blood Test Report Indicate?

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Posted on Mon, 9 Nov 2015
Question: Hello, I had a blood test which indicates that I have HSV-1. I have never had a cold sore on my lip, however, I sometimes get a bump or two on the inside of my mouth or on my tongue. And, these bumps are not clusters of bumps from what I can see. Years ago I used to only get a bump under my nose, however, 3 years ago I let a doctor inject cosmetic filler into my face, causing trauma to the tissue, and have been having breakouts ever since. My first question is: 1) Are these canker sores or definitely herpes (HSV-1)? I have the breakouts when I am stressed or not getting enough rest. 2) Is it possible that the trauma caused the virus to permanently relocate from under the nose to the mouth area, 3) What is the best treatment for this, 4) is a cure being developed and 5) is it safe for me to kiss my boyfriend or is this contagious? Thank you and regards, XXXXXXX
doctor
Answered by Dr. Shoaib Khan (1 hour later)
Brief Answer:
I hope things are a little more clear now XXXXXXX

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. I have gone through your scenario and here are my responses to your individual questions ma'am:

1. Most probably HSV-1 related

This is clearly also associated with herpes; or how it presents (i.e. during a state of immunosuppression, that can easily be caused by stress, lack of adequate sleep or nutrition, during some infection, etc.)

2. Procedure cannot cause relocation; but there could be other factors involved that could be causing the outbreaks (e.g. state of immunosuppression, medications causing immunosuppression, instruments or other factors used during the procedure in fact being the source of the infection, etc.)

3. Anti-viral drugs (e.g. acyclovir)

4. Cure for herpes does exist ma'am

5. Kissing can in fact cause transmission, especially if you do have a sore around the oral cavity

I hope I have explained things in a manner best understood by you. Please do not hesitate to write back to me for any further clarifications, I am always here to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (14 minutes later)
Hello Dr. XXXXXXX

You write that there is a cure for herpes. What is the cure, and where can I obtain it? Also, with regard to kissing. I do not get any sores on my lips, however, occasionally get one or a few bumps in my mouth. Therefore, is it best that I do not kiss as herpes can be transmitted through the saliva? (This I have read on-line.) Thank you,
doctor
Answered by Dr. Shoaib Khan (12 hours later)
Brief Answer:
Sorry for the delayed response; better to avoid kissing; anti-viral meds

Detailed Answer:
Hello once again ma'am.

Yes, there is treatment but we cannot really call it a cure for herpes. You can take anti-viral medications and suppress the symptoms, and take a few steps to prevent any future outbreaks.

The most commonly used medication is acyclovir, and you can obtain it at any pharmacy but only with a doctors prescription which you need to obtain at a doctors office.

As you do get the bumps, I would recommend against it until you are on the medications or have completed the course. I would also recommend the course for your partner as he may have been exposed to it from you. Yes it can be transmitted through kissing, especially if there are oral sores or ulcers.

I hope this makes things more clear for you. Please do not hesitate to write back to me for any further clarifications, I would always be happy to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (48 minutes later)
Hello Dr. XXXXXXX

Thank you for the advice. I was really hoping that you would tell me that there is a cure for herpes.

How long do you think it will be before there is a cure?
XXXXXXX

Dr. XXXXXXX I was reading, on-line, that there is a cure in Russia for herpes.

"The new vaccine Vitaherpavac to treat chronic recurrent herpetic infection of various localizations. Vitaherpavac has been registered in the Russian Federation and permitted for medical application".

If so I would greatly appreciate more information about this vaccine.

Thank you, XXXXXXX
doctor
Answered by Dr. Shoaib Khan (2 hours later)
Brief Answer:
Still time before we can get our hands on this and use it safely

Detailed Answer:
Hello once again ma'am.

There is no cure for herpes, but medications can help suppress symptoms and make the individual non-contagious. I would recommend the following treatment regimen:

+One 400 mg tablet of acyclovir to be taken 3 times a day for 14 days

As for a cure, there is nothing being done towards curing the infection completely as the virus becomes part of the system, making it difficult to cure the infection once inherited.

As for the Vitaherpavac vaccine, I am currently residing in Russia (a city called Kursk) and I have read about the vaccine in a few journals, but have not really seen it being used here. But I do think there is promise for this vaccine, but it may take time before it is approved by the FDA for use in other countries.

For now, why don't you go about taking the anti-viral medication and let us wait for a little more information to come out about the vaccine. You should know that any medication goes through 4 levels of trials; the first 3 are conducted before the drug can be released into the market for use; the last level observes long term effects of the medication. So let us wait till we have a few results on the 4th level and then we shall look into pursuing this.

I hope you find my response helpful. Please feel free to write to me anytime, I am always here to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (1 hour later)
Hello Dr. XXXXXXX

When should I do the treatment you prescribe, "One 400 mg tablet of acyclovir to be taken 3 times a day for 14 days". Anytime or when I have an outbreak?

Also, please keep me informed about the Vitaherpavac vaccine. I would gladly fly to Russia, for the vaccine, if it will cure me of herpes. I have taken the XXXXXXX of providing you with my email address, YYYY@YYYY

Thank you so much.

Regards,
XXXXXXX
doctor
Answered by Dr. Shoaib Khan (1 hour later)
Brief Answer:
You can take a course now, and even during any outbreaks

Detailed Answer:
Hi ma'am.

You can go ahead and take your course even now, which should help suppress any outbreaks in the near future. You can also take the course if at all you do experience an outbreak in the future due to an immunosuppressed state.

As for the vaccine, I shall check with my hospital pharmacy tomorrow itself. If at all I can get my hands on it, I cannot promise you anything, but if I do then I can mail it to you and you may not have to fly all the way here for it.

Please keep in touch with me and I would be more than happy to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (25 minutes later)
Thank you so much. Do you think that a doctor, here in the U.S., would be willing to administer the vaccine to me if you can get it and send it to me? XXXXXXX
doctor
Answered by Dr. Shoaib Khan (51 minutes later)
Brief Answer:
Not too sure about that ma'am

Detailed Answer:
Hi XXXXXXX

I think the medical system is quite difficult and strict in the U.S. so I cannot really be sure of that, unless you know a doctor personally who can do that for you.

Dr. Shoaib Khan
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. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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What Does My Blood Test Report Indicate?

Brief Answer: I hope things are a little more clear now XXXXXXX Detailed Answer: Hello ma'am and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. I have gone through your scenario and here are my responses to your individual questions ma'am: 1. Most probably HSV-1 related This is clearly also associated with herpes; or how it presents (i.e. during a state of immunosuppression, that can easily be caused by stress, lack of adequate sleep or nutrition, during some infection, etc.) 2. Procedure cannot cause relocation; but there could be other factors involved that could be causing the outbreaks (e.g. state of immunosuppression, medications causing immunosuppression, instruments or other factors used during the procedure in fact being the source of the infection, etc.) 3. Anti-viral drugs (e.g. acyclovir) 4. Cure for herpes does exist ma'am 5. Kissing can in fact cause transmission, especially if you do have a sore around the oral cavity I hope I have explained things in a manner best understood by you. Please do not hesitate to write back to me for any further clarifications, I am always here to help. Best wishes.