Prodrome, dermatological or nothing

[John4440]

       For the past four years I have been getting an itch i the same spot on my lower left lip.  It seems in some ways to be like prodrome, which unfortunantely I am familiar with since getting cold sores as a kid, but a cold sore never actually comes.  Sometimes it is fleeting other times near constant for weeks or a month at a time.  I have hit it with all the a ton of cold sore medications out there but to seemingly no effect.  Those with analgesic make it feel better for a bit but  it won't go away and it is driving me mad thinking I am constantly contagious.  Although classic cold sores I only get a couple times a year i am very paranoid and upset by them and this is messing with my mind big time.  Also, if i get an itchy bump on the lip near the border of being inside my mouth that goes away in 2-3 days is that a minor cold sore or just a bump.  

[John4440]

Did you even read my question or cut and past your answer from someone elses?

[Kevin Pho, MD]

Obtaining a herpes blood test can help determine if the infection is due herpes labialis.  If so, preventive medications (i.e. antivirals) may be considered to help with the outbreaks.  

Otherwise, seeing a dermatologist and obtaining a possible biopsy of the lesion can be considered to give a more conclusive diagnosis.

This option can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patients education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
www.kevinmd.com