Burning sensation on my back, neuralgia, ob, or something else?

[Jdontknow]

Hi, I have oral hsv1 since I was a teen. Got diagnosed with ghsv2 in April and also most likely got oral hsv2 as well. My first OB got burning sensation on my genital area including the scrotum for over 1 month but with no sores, until I got acyclovir 400mg 2 times a day and the symptoms subsided after 1 week. But as it finished my mouth had an OB,burning tingling mouth but no sores other than just under the skin, then itchy nose, then itching and burning eyes, once one sensation subsides the other would start all while taking acyclovir. This lasted a month and just had another lip OB a few days ago and now no more pain. But like everything else now I have a burning sensation on my back, like a sunburn. It is happens either in my lower back or then in the middle back and the upper back so on and so forth. I try to check my back for any blister but hard to see and really do t see a rash. But really bothersome like having a sunburn for 2 days. I took Tylenol but have no help. Is anyone experiencing the same thing I am? Could this be neuralgia or actual outbreak? Just FYI my general practitioner will not give me antivirus I had to go to urgent care to have the doctor they're prescribed me antivirals. Could also acyclovir not be strong enough to stop these recurrences? Thank you in advance.

[auntiejessi]

Herpes infects nerve groups, and neither your genital or oral herpes would affect your back this way. You should see a doctor to see what's going on with your back. If you had neuralgia, it would be in the sacral ganglia area (generally, the area boxer shorts would cover) or the trigeminal ganglion area (generally, the face).

Even if this was neuralgia, antivirals don't treat this. You'd need to see a neurologist for other treatment. The antivirals would help keep future obs from happening, which can help keep the nerves in check, though.

It's also very rare to get oral hsv2. Hsv2 doesn't like the mouth area, so just because you got it genitally doesn't mean you got it orally, even if you performed oral during the same encounter that you got ghsv2. If you got an oral ob shortly after your genital one, it could be the stress your body was under fighting the ghsv2 that triggered the ohsv1 outbreak.

If your general practioner won't prescribe antivirals suppressively, you can try saying you have a negative partner and you want to reduce the chances of transmission and take them daily, or find a new doctor.