It could be herpes, though unlikely, and I'm curious about if it was swab tested by the person who prescribed the acyclovir? That could have given you the answer you seek. Cold sore virus (HSV 1) doesn't cause canker sores, canker sores are caused by reasons we don't know. HSV 2 infection rarely occurs in the mouth, though it is possible. You wouldn't get new HSV 1 infection since you have it already. It could be canker sores, but they rarely occur in the throat.
Your new partner could have herpes and not know it, yes, certainly.
I think the best strategy here is to have your partner get an IgG type specific antibody test and see what her status is. If she is negative for HSV 2, then you don't have HSV 2 in your throat. You already have HSV 1 (the recurrent cold sores), so that isn't a worry. Do you think she would consent to being tested for herpes via blood test?
Thanks for the response. Went to STD clinic today to be tested. Throat swab was taken of the ulcers and I get the results in a week. I have no other symptons but the clinic specialist said "it looks herpetic". I'm confused because you said "unlikely". The acyclovir has been taken for 3 days now and the site of ulcers shows no sign of improvement. Is this a sign it might not be herpes?
Could it be throat cancer is my other worry?
Hi, sorry, one other symptom actually is that my tongue feels very tingly towards the back and almost like it has little cuts on it, very irritable and swollen almost. Does this come with herpes?
Terri. Please could you answer this question. I'm into my fourth day of taking acyclovir. The ulcers are the same, pain is the same and my Tongue is very irritable, swollen feeling, feels almost like it's got cuts at back of it.
How long does the acyclovir take to start working? If it is herpes should it have lessoned things by now? I only have a five day course, should I go back and get more?
I've personally never seen herpes only on the tongue. A very common condition for the tongue is called geographic tongue, where there is swelling in various areas and not in others and often redness and tenderness. Also, there can be fungal infections of the tongue. Throat cancer would not be present as an acute problem, and especially not just on the tongue. If this continues, I would recommend that you see your dentist. They would be perhaps a better resource than the STD clinic. I'm sorry I can't help you more with this question.
The person who I had the sexual encounter with has had their blood test results back and is double positive (both HSV1 and HSV2). I get my results on Monday.
She was IgG negative and IgM positive (or whichever way round that the doctor said it wasn't acute and was asymptotic).
I have had cold sores previously in my life, so this acute outbreak I have had would suggest I have a rare case of HSV2, correct?
I have questions, as this person is not my partner and I am single. Please could you let me know your thoughts on:
- if exhibiting no symptons orally, can I still spread HSV2 by kissing or by oral sex (cunningligus)
- can this spread to my genitals or is this unlikely given outbreak (acute) has been in my throat?
- I now have lost the ulcers at back of throat but my gums (well not technically my gums, the are above by gums) is very sore, painful and swollen/inflammed. It also feels very dry. My tongue continues to tingle at tip (but no sign of ulcer). Is this gum inflammation an effect of HSV2 or is this likely to be something else?
Thanks in advance for your help!
If she is IgM positive, that isn't significant. If she is HSV 2 IgG positive, that means she is infected.
So did you end up having a swab of these lesions to know that you are HSV2 positive? Did I miss something here?
If you know that you have HSV 2 orally, then it will not spread to the genital area, no.
Again, if you have had a positive HSV 2 test from the throat, the related symptoms coud be herpetic, but it just doesn't sound like it to me.
Did you end up getting an antibody test?