Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Cold sore outbreak

Resolved Question:

Hello,

My girlfriend has had cold sore outbreaks (herpes around the lips, sometimes on the bottom of her nose) every once in a while for most of her life. We are usually very careful whenever she has an outbreak but this time I did get infected and I'm getting worried with the intensity.

(about 5 days since the first symptoms) - I have suffered from fever and headaches for about 3 days, which is finally (more or less) over, but the herpes sores are still developing. What scares me most is that as of today, my sinuses are packed with the yellow crust. I also have 2 sores on my chin, my gums are all red and swollen (it's become very difficult to eat) and I have painful white/grey spots in my mouth.

I have used a xylometazoline nose spray for a few days (before sleeping) for clearer airways. This weakens the tissue in my nose, so the virus probably found that area easy to settle in. Still I'm worried it could spread to my brain as clearly my body doesn't have control of the situation yet.

Is this intensity normal for a first herpes outbreak? Could I be in danger of Herpes encephalitis?

I'm a 23 year old male, otherwise healthy and I have no mentionable medical conditions or even allergies.

Thanks in advance!

Category: Family Physician-GP

Ask Your Own Question

Category: HIV- AIDS Specialist
 29 Doctors Online

Hello,

Thank you for choosing DoctorSpring.

It does seem that you are having a Primary Herpes outbreak. I understand that your symptoms are severe, but do not worry it is nothing out of ordinary. In many individuals primary infection can be quite eventful. This does not mean that you are going for complication like Herpes encephalitis.

The yellow crusts does not mean virus or colonisation. They are just dried up mucus. Do not worry about that. Its part of body immune reaction - which is a good thing.

You should consider taking antivirals if the symptoms persisting. (even though it is bit later for anti virals) You can also take OTC pain medication like Ibuprofen 400mg twice daily.

In case of Any usual symptoms - weakness of arms /legs / unsteadiness / vomiting / altered consciousness - you should get in touch with your Doctor.

Hope this helps
Feel free to ask followups.
Thank you


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news