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Symptoms of hsv 1 in mouth: Herpes – oral Information | Mount Sinai

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Herpes – oral Information | Mount Sinai

Cold sore; Fever blister; Oral herpes simplex; Herpes labialis; Herpes simplex





Oral herpes is an infection of the lips, mouth, or gums due to the herpes simplex virus. It causes small, painful blisters commonly called cold sores or fever blisters. Oral herpes is also called herpes labialis.































This close-up view of an early herpes outbreak shows small, grouped blisters and a lot of redness.


Causes

Oral herpes is a common infection of the mouth area. It is caused by the herpes simplex virus type 1 (HSV-1). Most people in the United States are infected with this virus by age 20.

After the first infection, the virus goes to sleep (becomes dormant) in the nerve tissues in the face. Sometimes, the virus later wakes up (reactivates), causing cold sores.

Herpes virus type 2 (HSV-2) most often causes genital herpes. However, sometimes HSV-2 is spread to the mouth during oral sex, causing oral herpes.

Herpes viruses spread most easily from individuals with an active outbreak or sore. You can catch this virus if you:

  • Have intimate or personal contact with someone who is infected
  • Touch an open herpes sore or something that has been in contact with the herpes virus, such as infected razors, towels, dishes, and other shared items

Parents may spread the virus to their children during regular daily activities.












Symptoms

Some people get mouth ulcers when they first come into contact with HSV-1 virus. Others have no symptoms. Symptoms most often occur in kids between 1 and 5 years old.

Symptoms may be mild or severe. They most often appear within 1 to 3 weeks after you come into contact with the virus. They may last up to 3 weeks.

Warning symptoms include:

  • Itching of the lips or skin around the mouth
  • Burning near the lips or mouth area
  • Tingling near the lips or mouth area

Before blisters appear, you may have:

  • Sore throat
  • Fever
  • Swollen glands
  • Painful swallowing

Blisters or a rash may form on your:

  • Gums
  • Lips
  • Mouth
  • Throat

Many blisters are called an outbreak. You may have:

  • Red blisters that break open and leak
  • Small blisters filled with clear yellowish fluid
  • Several smaller blisters that may grow together into a large blister
  • Yellow and crusty blister as it heals, which eventually turns into pink skin

Symptoms may be triggered by:

  • Menstruation or hormone changes
  • Being out in the sun
  • Fever
  • Stress

If the symptoms return later, they are usually more mild in most cases.












Exams and Tests

Your health care provider can diagnose oral herpes by looking at your mouth area. Sometimes, a sample of the sore is taken and sent to a laboratory for closer examination. Tests may include:

  • Viral culture
  • Viral DNA test
  • Tzanck test to check for HSV












Treatment

Symptoms may go away on their own without treatment in 1 to 2 weeks.

Your provider can prescribe medicines to fight the virus. This is called antiviral medicine. It can help reduce pain and make your symptoms go away sooner. Medicines used to treat mouth sores include:

  • Acyclovir
  • Famciclovir
  • Valacyclovir

These medicines work best if you take them when you have warning signs of a mouth sore, before any blisters develop. If you get mouth sores frequently, you may need to take these medicines all the time.

  • Antiviral skin creams may also be used. However, they are expensive and often only shorten the outbreak by a few hours to a day.

The following steps can also help make you feel better:

  • Apply ice or a warm washcloth to the sores to help ease pain.
  • Wash the blisters gently with germ-fighting (antiseptic) soap and water. This helps prevent spreading the virus to other body areas.
  • Avoid hot beverages, spicy and salty foods, and citrus.
  • Gargle with cool water or eat fruit-flavored ice pops.
  • Rinse with salt water.
  • Take a pain reliever such as acetaminophen (Tylenol).












Outlook (Prognosis)

Oral herpes most often goes away by itself in 1 to 2 weeks. However, it may come back.

Herpes infection may be severe and dangerous if:

  • It occurs in or near the eye.
  • You have a weakened immune system due to certain diseases and medicines.












Possible Complications

Herpes infection of the eye is a leading cause of blindness in the United States. It causes scarring of the cornea.

Other complications of oral herpes may include:

  • Return of mouth sores and blisters
  • Spread of the virus to other skin areas
  • Bacterial skin infection
  • Widespread body infection, which may be life threatening in people who have a weakened immune system due to atopic dermatitis, cancer, or HIV infection












When to Contact a Medical Professional

Contact your provider if you have:

  • Symptoms that are severe or that don’t go away after 2 weeks
  • Sores or blisters near your eyes
  • Herpes symptoms and a weakened immune system due to certain diseases or medicines












Prevention

Here are some tips to prevent mouth sores:

  • Apply sunblock or lip balm containing zinc oxide to your lips before you go outside.
  • Apply a moisturizing balm to prevent the lips from becoming too dry.
  • Avoid direct contact with herpes sores.
  • Wash items such as towels and linens in boiling hot water after each use.
  • Do not share utensils, straws, glasses, or other items if someone has oral herpes.

Do not have oral sex if you have oral herpes, especially if you have blisters. You can spread the virus to the genitals. Both oral and genital herpes viruses can sometimes be spread, even when you do not have mouth sores or blisters.










DinulosJGH. Warts, herpes simplex, and other viral infections. In: Dinulos JGH, ed. Habif’sClinical Dermatology: A Color Guide in Diagnosis and Therapy. 7th ed.Philadelphia, PA: Elsevier; 2021:chap 12.

Schiffer JT,Corey L. Herpes simplex virus. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases.9th ed. Philadelphia, PA: Elsevier; 2020:chap 135.

Whitley RJ,Gnann JW. Herpes simplex virus infections. In: Goldman L, Schafer AI, eds. Goldman-CecilMedicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 350.

Last reviewed on: 7/19/2021

Reviewed by: Linda J. Vorvick, MD, Clinical Associate Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.


Herpes simplex: Signs and symptoms

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Herpes simplex – symptoms and diagnosis, prices for the treatment of herpes simplex in Moscow at the Hadassah clinic

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Herpes simplex (herpes virus type 1,2) is an infectious disease that manifests itself mainly in the appearance of blisters on the skin or mucous membranes. Symptoms occur mainly in the lips, eyelids or genitals. Herpes affects more women than men. Herpes simplex type 1 is the main cause of

blisters characteristic of this disease in the area of ​​the lips. Herpes simplex type 2 blisters appear mainly in the genital area. The disease of herpes simplex most often does not lead to death. It can be life-threatening for infants (if the virus enters the brain and causes encephalitis) and for patients with weakened immune systems.

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Symptoms of herpes infection

HSV-1 appears as clear and fluid-filled blisters. Herpes simplex virus type 1 rarely causes pimples on the genitals – mostly on the face. When initially infected with the virus, acne appears only in about 10% of patients 2-20 days after contact with an infectious person. There may be several wounds or one. Before the appearance of acne, there are such precursors as itching and burning of the skin.

A pimple may burst when struck or scratched and release fluid. After the wound heals, a crust remains on it, which dries up and leaves. The duration until recovery is about 10 days. At the end of the recovery, the skin usually recovers completely.

Even after the initial wound has healed, the virus remains in the body. It penetrates the nerve cells and remains in them in an inactive state until the right conditions arise. Any “awakening” can cause bubbles to appear in or near the same spot.

Primary infection with herpes simplex virus type 2 usually presents with blisters on the surface of the genitals, buttocks, or cervix 2 to 20 days after exposure to a carrier of the virus. Herpes simplex virus type 2 can cause symptoms to appear elsewhere, but it usually attacks below the waist. A second outbreak of the virus can cause the symptoms of a herpes infection, such as itching, painful pimples, fever, muscle pain, and burning when urinating.

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Causes of herpes simplex

The herpes virus is transmitted by direct contact of infected skin with the skin of a healthy person, in the mouth or genital area. The penetration of the virus is possible only through a skin defect (wound or scratch), mainly in the area of ​​the penis and vulva, rectum and cervix.

In most cases, herpes simplex type 1 infection occurs in childhood through close contact with peers or family members who are carriers of the virus. The infection can be transmitted with a kiss, through ordinary cutlery or lipstick.

Herpes type 2 infection usually occurs through sexual contact with a carrier of the virus. The virus is present in 20% of sexually active people. As far as we know, this form of infectious disease (genital herpes type 2) cannot be contracted through contact with objects such as a toilet seat, toilet paper or towel. This is because the herpes virus is very sensitive to environmental conditions and does not survive outside the body.

Among the predisposing factors activating the “dormant” virus in the body, it should be noted:

  • colds;
  • fever;
  • prolonged sun exposure;
  • menstrual cycle;
  • severe emotional stress;
  • injury to the skin or mucosa.

With both types of herpes simplex, the recurrence rate can vary. Pimples can spread to different parts of the body due to constant scratching.

Methods for diagnosing herpes virus 1.

2 type

Herpes is relatively easy to diagnose. Usually, the diagnosis of herpes type 1.2 is necessary for patients suffering from impaired immune function, those undergoing chemotherapy and patients with AIDS. The following diagnostic measures are recommended:

Laboratory tests

include microscopic and other tests of blood or fluid from the pimple to detect antibodies against the virus; some tests are valid only in the initial stages of the disease

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Treatments for herpes simplex

Existing technologies do not allow to clear the hereditary material of the virus from the DNA of nerve cells, and the displacement of the ganglia will cause much more acute side effects (for example, paralysis of the lips). That is why today the disease is incurable.

Treatment for herpes simplex is directed at controlling the symptoms and preventing complications. Antiviral drugs used to treat rashes are prescribed (Acyclovir, Gerpevir, etc.)

After stopping the acute process, a herpes vaccine is recommended, which allows achieving a stable remission. Among the physiotherapeutic methods of treatment, infrared and UV radiation, OCU therapy and laser therapy should be distinguished.

Treatment of herpes simplex in the Hadassah clinic

For the treatment of herpes types 1 and 2, please contact the Hadassah clinic in Moscow. We have doctors with extensive practical experience, we have modern equipment that simplifies the diagnosis.

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Shilov
Dmitry Yurievich

Allergist-immunologist, Ph.D.

Work experience: 17 years

Published: 07/06/2023

The information provided on the site is for reference only and cannot serve as a basis for making a diagnosis or prescribing treatment. Internal consultation of the expert is necessary.

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Primary appointment (examination, consultation) with an allergist-immunologist 6 500 ₽
Repeated appointment (examination, consultation) with an allergist-immunologist 5 500 ₽

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