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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
This forum is for questions regarding Dermatology issues, such as: skin rashes, acne, birthmarks, skin infections, rosacea, and general skin care.

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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