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Dermatology  (Expert Forum)
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Oral HSV?
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center Brookline - MA
Welcome to the DERMATOLOGY FORUM! Questions in this forum are answered by Dermatologists from St. Luke's Roosevelt Hospital, under the direction of Andrew Alexis, M.D., M.P.H.

Oral HSV?

by uplate829, Jun 27, 2009 03:01AM
Hello,

     As you no doubt can tell, I have a question about oral herpes.  A little background...  I performed oral sex on a girl I did not know very well (call it a one night stand).  Within the next day or so, I started to feel sick (not really bad, but a bit sleepy and my neck was stiff), and my lips and chin began to tingle (a bit on my nose too).  My lips got a bit dry the second day, but nothing a little chapstick couldn't fix.  They also get a little red now, from time to time (typically when I eat something hot like a banana pepper).  And once I woke up and the right side of my lower lip was swollen, but I put some ice on it and that went away.  That's pretty much the extent of it...  It's been 13 days now, and here I am, still with tingly lips/chin.  And yet, I've got nothing even approaching a blister...  I've read in other posts/forums that there "isn't" any "prodrome" for initial outbreaks; is this true?  Is it normal for the tingly feeling to last so long before a blister develops?  I had an appointment with my Doc (not really a doctor; more like his assistant, but that's all I could get on short notice) and they told me that they really couldn't say at that point whether it was or was not HSV.  I am wondering though, is there anything else that one could acquire via oral sex that would have such symptoms?  

Thanks...

by Alan Rockoff, MD, Jun 27, 2009 10:48PM
To: uplate829
Herpes is characterized by blisters.  if it's a first attack (no prior exposure, the kind you would contract from the sexual encounter you describe), herpes appears as high fever, swollen glands, and a mouth full of ulcers.  You don't have herpes on your lips.  You have herpes on your mind.  Your doctor should be able to corroborate this.

Best.

Dr. Rockoff
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