Tag Archives: Herpes simplex virus

Straight, No Chaser: About Cold Sores and Herpes

Genital/Urinary, Head/Eyes/Ears/Nose/Throat, Infectious Disease, Obstetrics and Gynecology, , , , , , ,

Some of you are consumed with fear. Maybe for some it’s stricken with guilt. In any event this topic is simply another example of not being adequately armed with the knowledge you need. I know exactly what you fear about the topic, so let’s clarify things for you. Let’s discuss cold sores, aka fever blisters. Since this can be bad news, I’ll answer 13 questions you either have or should have about cold sores. You’re welcome to ask more if you have any.

colsore

1. What are cold sores?
Cold sores are those painful little blisters you get on or near your lips. You may have single blisters or a small grouping of them.

katieholmescoldsore

2. What causes cold sores?
Cold sores are caused by herpes simplex viruses (HSV). Yes. Herpes. Let’s focus on this, and get it straight for you. There are two types of herpes viruses: HSV-1 and HSV-2.

  • HSV-1 is the usual cause of oral herpes (cold sores).
  • HSV-2 is the usual cause of genital herpes.

Yes, HSV-2 can cause cold sores and HSV-1 can cause genital herpes.
Let me repeat that. Both forms of HSV can cause oral and genital herpes, although that is not usually the case.

Kim Kardashian Returns From The Middle East Make-Up Free With Cold Sores

3. Why do I get cold sores?
Cold sores are transmitted from contact. That usually means kissing, but it could mean oral sex, mouth-finger-mouth contact, shared razors or utensils.

cold-sores-stages

4. Are there other symptoms I should expect to get with the cold sores?
There are two considerations here:

  • The cold sores themselves pass through stages, including tingling and itching, followed by blistering, followed by oozing and crusting.
  • Additional symptoms may include fever, headache, muscle aches, a sore throat and swollen lymph nodes in your neck.

5. How long do cold sores tend to last?
Even without symptomatic treatment, cold sores are likely to resolve within two weeks.
6. Can I get genital herpes from oral sex?
Yes. Consider using a dental dam or abstaining if you’re uncertain about your partner’s safety.
7. Is there a cure for cold sores?
No, but symptomatic treatment is available.

Cold-Sore triggers

8. What makes cold sores recur?
Some form of physical or psychological stress may prompt recurrences. Such stressors may include extreme fatigue, fever or infection, menstruation, mental stress and sun exposure.
Additional risk factors for recurrences and complications include severe burns, eczema, cancer chemotherapy, chemotherapy (i.e., anti-rejection drugs) for organ transplants and HIV/AIDS.
9. Can I have problems elsewhere on my body related to cold sores?
Herpes simplex viruses may also create symptoms on the brain, eyes, fingers, liver, lungs and across the skin, particularly in those with weakened immune systems.

rihanna-cold-sore

10. How can I tell if my partner has this?
You should assume that to be the case. Approximately 90% of adults across the world test positive for herpes simplex virus, which is not the same as saying everyone is in the midst of an active infection. Even still, the virus can be transmitted even when no blisters are present.  The presence of a cold sore is suggestive of at least the presence of an active HSV-1 infection.
11. What can I do at home to reduce my risk?

  • Avoid skin contact with those displaying the blisters of cold sore.
  • If you have cold sores, limit touching other parts of your body, and wash your hand frequently and thoroughly.
  • Avoid sharing items, particular those that involve the lips, such as lip balm and utensils.

 12. Are there over-the-counter medications and remedies available to help against cold sores?
Docosanol is an over-the-counter cream approved by the Food and Drug Administration for cold sore treatment. It may shorten the duration of symptoms by a day. Other remedies that have shown mixed results in the research include lemon balm, drying agents that include alcohol, lysine stress reduction and simple application of ice or cold water to the blistered area.

coldsoreJT

13. When should I seek medical assistance for cold sores?
The presence of prolonged (e.g., more than two weeks), especially painful or unusually frequent cold sores or the presence of blistering that occurs in other parts of the body are prompts for seeing your physician. The presence of cold sores, if you have a weakened immune system, is another prompt that should not be ignored.
Feel free to ask your SMA expert consultant any questions you may have on this topic.
Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!
Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
Copyright © 2018 · Sterling Initiatives, LLC · Powered by WordPress

Straight, No Chaser: STDs – Questions About Herpes

Genital/Urinary, Infectious Disease, Obstetrics and Gynecology, , , , , , ,

If you’re in a room, look around. Look to your left, then to your right. Look behind and in front of you. Then look deep inside yourself. Statistically, one of the people you’ve just viewed has genital herpes. Different studies suggest between 16-25% of people between ages 14-49 are infected.

Questions You Want Answered Regarding Genital Herpes

STD1herpes

1. How common is it? That’s actually a question with two answers. One of five or six individuals have herpes (well over 50 million Americans if you’re keeping count), but it’s estimated that just short of 800,000 new cases occur every year.
2. How do you get it? Herpes is transmitted sexually (genital, oral and/or anal contact) via someone already infected.
3. Can you really get it from a cold sore? Possibly and theoretically yes, but usually not. The Herpes Simplex Virus-1 (HSV-1) is usually found in oral blisters (i.e. ‘cold sores’ or ‘fever blisters’), and its family member HSV-2 is usually found on or near the genitalia, but both can be found in either. Although the Center for Disease Control and Prevention states that “Generally, a person can only get HSV-2 infection during sexual contact with someone who has a genital HSV-2 infection,” many (if not most) emergency physicians have diagnosed herpes based on transmission from oral as well as genital sex.
4. What are the symptoms? Most have no symptoms or symptoms that may be mistaken for the flu (fever, body aches and swollen and tender lymph nodes). The prototypical symptoms are a cluster of blisters (around your genitalia, mouth, fingers or rectum) or painful ulcers.
5. Does it really stay around forever? Yes. Fortunately, the frequency and severity of outbreaks decrease as you age (assuming your immunity is good). If you are immunocompromised, HSV infections can be devastating.
6. If I catch chickenpox or shingles, does that mean I’ll have genital herpes? No. There are many different herpes viruses. HSV-2 is the virus that causes genital herpes. Varicella zoster virus (VZV) is the virus that causes chickenpox and shingles. Varicella zoster does not cause genital herpes.
7. Is it true you can catch herpes in the eye? Yes. Wash your hands. Or else…
Herpes Simplex KeratitisHerpeticWhitlow

8. What was that last picture? That wasn’t just an eye, there was also a finger! Well, how did it get it from the genitals to the eye (Please don’t answer in the comments section…)? That’s called herpetic whitlow. Notice the common theme of grouped clusters of small blisters (vesicles) again. Regarding that eye infection (herpes keratitis), it can cause blindness.

9. Is it true that women get it more often? Some estimates suggest that 25% of American women and 20% of men have genital herpes. Transmission from males to females is easier than from females to males, but guys, I wouldn’t take any chances.
10. What about the babies? 80-90% of general herpes infections to newborns are transmitted during childbirth as the newborn passes through the birth canal. C-section is recommended for all women in labor with active symptoms or lesions of herpes.
11. How do you treat this anyway? Antiviral medications are used at first sign of outbreaks. These medications don’t cure you of herpes, but they do shorten the frequency and severity of outbreaks. Plus, you’ve got to let your sexual partner know about this. It’s criminal not to.
Overall, my best advice to you is prevention, knowledge about your status, recognition of symptoms and prompt treatment. It is very important to emphasize that many people live quite normal lives with herpes. That still doesn’t mean you should be cavalier or irresponsible about it.
I welcome your questions or comments.
Feel free to ask your SMA expert consultant any questions you may have on this topic.
Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!
Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
Copyright © 2018 · Sterling Initiatives, LLC · Powered by WordPress

Straight, No Chaser: About Cold Sores and Herpes

Genital/Urinary, Head/Eyes/Ears/Nose/Throat, Infectious Disease, Obstetrics and Gynecology, , , , , , ,

Some of you are consumed with fear. Maybe for some it’s stricken with guilt. In any event this topic is simply another example of not being adequately armed with the knowledge you need. I know exactly what you fear about the topic, so let’s clarify things for you. Let’s discuss cold sores, aka fever blisters. Since this can be bad news, I’ll answer 13 questions you either have or should have about cold sores. You’re welcome to ask more if you have any.

colsore

1. What are cold sores?
Cold sores are those painful little blisters you get on or near your lips. You may have single blisters or a small grouping of them.

katieholmescoldsore

2. What causes cold sores?
Cold sores are caused by herpes simplex viruses (HSV). Yes. Herpes. Let’s focus on this, and get it straight for you. There are two types of herpes viruses: HSV-1 and HSV-2.

  • HSV-1 is the usual cause of oral herpes (cold sores).
  • HSV-2 is the usual cause of genital herpes.

Yes, HSV-2 can cause cold sores and HSV-1 can cause genital herpes.
Let me repeat that. Both forms of HSV can cause oral and genital herpes, although that is not usually the case.

Kim Kardashian Returns From The Middle East Make-Up Free With Cold Sores

3. Why do I get cold sores?
Cold sores are transmitted from contact. That usually means kissing, but it could mean oral sex, mouth-finger-mouth contact, shared razors or utensils.

cold-sores-stages

4. Are there other symptoms I should expect to get with the cold sores?
There are two considerations here:

  • The cold sores themselves pass through stages, including tingling and itching, followed by blistering, followed by oozing and crusting.
  • Additional symptoms may include fever, headache, muscle aches, a sore throat and swollen lymph nodes in your neck.

5. How long do cold sores tend to last?
Even without symptomatic treatment, cold sores are likely to resolve within two weeks.
6. Can I get genital herpes from oral sex?
Yes. Consider using a dental dam or abstaining if you’re uncertain about your partner’s safety.
7. Is there a cure for cold sores?
No, but symptomatic treatment is available.

Cold-Sore triggers

8. What makes cold sores recur?
Some form of physical or psychological stress may prompt recurrences. Such stressors may include extreme fatigue, fever or infection, menstruation, mental stress and sun exposure.
Additional risk factors for recurrences and complications include severe burns, eczema, cancer chemotherapy, chemotherapy (i.e., anti-rejection drugs) for organ transplants and HIV/AIDS.
9. Can I have problems elsewhere on my body related to cold sores?
Herpes simplex viruses may also create symptoms on the brain, eyes, fingers, liver, lungs and across the skin, particularly in those with weakened immune systems.

rihanna-cold-sore

10. How can I tell if my partner has this?
You should assume that to be the case. Approximately 90% of adults across the world test positive for herpes simplex virus, which is not the same as saying everyone is in the midst of an active infection. Even still, the virus can be transmitted even when no blisters are present.  The presence of a cold sore is suggestive of at least the presence of an active HSV-1 infection.
11. What can I do at home to reduce my risk?

  • Avoid skin contact with those displaying the blisters of cold sore.
  • If you have cold sores, limit touching other parts of your body, and wash your hand frequently and thoroughly.
  • Avoid sharing items, particular those that involve the lips, such as lip balm and utensils.

 12. Are there over-the-counter medications and remedies available to help against cold sores?
Docosanol is an over-the-counter cream approved by the Food and Drug Administration for cold sore treatment. It may shorten the duration of symptoms by a day. Other remedies that have shown mixed results in the research include lemon balm, drying agents that include alcohol, lysine stress reduction and simple application of ice or cold water to the blistered area.

coldsoreJT

13. When should I seek medical assistance for cold sores?
The presence of prolonged (e.g., more than two weeks), especially painful or unusually frequent cold sores or the presence of blistering that occurs in other parts of the body are prompts for seeing your physician. The presence of cold sores, if you have a weakened immune system, is another prompt that should not be ignored.
Feel free to ask your SMA expert consultant any questions you may have on this topic.
Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!
Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
Copyright © 2017 · Sterling Initiatives, LLC · Powered by WordPress

Straight, No Chaser: STDs – Questions About Herpes

Genital/Urinary, Infectious Disease, Obstetrics and Gynecology, , , , , , ,

If you’re in a room, look around. Look to your left, then to your right. Look behind and in front of you. Then look deep inside yourself. Statistically, one of the people you’ve just viewed has genital herpes. Different studies suggest between 16-25% of people between ages 14-49 are infected.

Questions You Want Answered Regarding Genital Herpes

STD1herpes

1. How common is it? That’s actually a question with two answers. One of five or six individuals have herpes (well over 50 million Americans if you’re keeping count), but it’s estimated that just short of 800,000 new cases occur every year.
2. How do you get it? Herpes is transmitted sexually (genital, oral and/or anal contact) via someone already infected.
3. Can you really get it from a cold sore? Possibly and theoretically yes, but usually not. The Herpes Simplex Virus-1 (HSV-1) is usually found in oral blisters (i.e. ‘cold sores’ or ‘fever blisters’), and its family member HSV-2 is usually found on or near the genitalia, but both can be found in either. Although the Center for Disease Control and Prevention states that “Generally, a person can only get HSV-2 infection during sexual contact with someone who has a genital HSV-2 infection,” many (if not most) emergency physicians have diagnosed herpes based on transmission from oral as well as genital sex.
4. What are the symptoms? Most have no symptoms or symptoms that may be mistaken for the flu (fever, body aches and swollen and tender lymph nodes). The prototypical symptoms are a cluster of blisters (around your genitalia, mouth, fingers or rectum) or painful ulcers.
5. Does it really stay around forever? Yes. Fortunately, the frequency and severity of outbreaks decrease as you age (assuming your immunity is good). If you are immunocompromised, HSV infections can be devastating.
6. If I catch chickenpox or shingles, does that mean I’ll have genital herpes? No. There are many different herpesviruses. HSV-2 is the virus that causes genital herpes. Varicella zoster virus (VZV) is the virus that causes chickenpox and shingles. Varicella zoster does not cause genital herpes.
7. Is it true you can catch herpes in the eye? Yes. Wash your hands. Or else…
Herpes Simplex KeratitisHerpeticWhitlow

8. What was that last picture? That wasn’t just an eye, there was also a finger! Well, how did it get it from the genitals to the eye (Please don’t answer in the comments section…)? That’s called herpetic whitlow. Notice the common theme of grouped clusters of small blisters (vesicles) again. Regarding that eye infection (herpes keratitis), it can cause blindness.

9. Is it true that women get it more often? Some estimates suggest that 25% of American women and 20% of men have genital herpes. Transmission from males to females is easier than from females to males, but guys, I wouldn’t take any chances.
10. What about the babies? 80-90% of general herpes infections to newborns are transmitted during childbirth as the newborn passes through the birth canal. C-section is recommended for all women in labor with active symptoms or lesions of herpes.
11. How do you treat this anyway? Antiviral medications are used at first sign of outbreaks. These medications don’t cure you of herpes, but they do shorten the frequency and severity of outbreaks. Plus, you’ve got to let your sexual partner know about this. It’s criminal not to.
Overall, my best advice to you is prevention, knowledge about your status, recognition of symptoms and prompt treatment. It is very important to emphasize that many people live quite normal lives with herpes. That still doesn’t mean you should be cavalier or irresponsible about it.
I welcome your questions or comments.
Feel free to ask your SMA expert consultant any questions you may have on this topic.
Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!
Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
Copyright © 2017 · Sterling Initiatives, LLC · Powered by WordPress

Straight, No Chaser: About Cold Sores and Herpes

Genital/Urinary, Head/Eyes/Ears/Nose/Throat, Infectious Disease, Obstetrics and Gynecology, , , , , ,

cold_sores
Some of you are consumed with fear. Maybe for some it’s stricken with guilt. In any event this topic is simply another example of not being adequately armed with the knowledge you need. I know exactly what you fear about the topic, so let’s clarify things for you. Let’s discuss cold sores, aka fever blisters. Since this can be bad news, I’ll answer 13 questions you either have or should have about cold sores. You’re welcome to ask more if you have any.

colsore

1. What are cold sores?
Cold sores are those painful little blisters you get on or near your lips. You may have single blisters or a small grouping of them.

katieholmescoldsore

2. What causes cold sores?
Cold sores are caused by herpes simplex viruses (HSV). Yes. Herpes. Let’s focus on this, and get it straight for you. There are two types of herpes viruses: HSV-1 and HSV-2.

  • HSV-1 is the usual cause of oral herpes (cold sores).
  • HSV-2 is the usual cause of genital herpes.

Yes, HSV-2 can cause cold sores and HSV-1 can cause genital herpes.
Let me repeat that. Both forms of HSV can cause oral and genital herpes, although that is not usually the case.

Kim Kardashian Returns From The Middle East Make-Up Free With Cold Sores

3. Why do I get cold sores?
Cold sores are transmitted from contact. That usually means kissing, but it could mean oral sex, mouth-finger-mouth contact, shared razors or utensils.

cold-sores-stages

4. Are there other symptoms I should expect to get with the cold sores?
There are two considerations here:

  • The cold sores themselves pass through stages, including tingling and itching, followed by blistering, following by oozing and crusting.
  • Additional symptoms may include fever, headache, muscle aches, a sore throat and swollen lymph nodes in your neck.

5. How long do cold sores tend to last?
Even without symptomatic treatment, cold sores are likely to resolve within two weeks.
6. Can I get genital herpes from oral sex?
Yes. Consider using a dental dam or abstaining if you’re uncertain about your partner’s safety.
7. Is there a cure for cold sores?
No, but symptomatic treatment is available.

Cold-Sore triggers

8. What makes cold sores recur?
Some form of physical or psychological stress may prompt recurrences. Such stressors may include extreme fatigue, fever or infection, menstruation, mental stress and sun exposure.
Additional risk factors for recurrences and complications include severe burns, eczema, cancer chemotherapy, chemotherapy (i.e., anti-rejection drugs) for organ transplants and HIV/AIDS.
9. Can I have problems elsewhere on my body related to cold sores?
Herpes simplex viruses may also create symptoms on the brain, eyes, fingers, liver, lungs and across the skin, particularly in those with weakened immune systems.

rihanna-cold-sore

10. How can I tell if my partner has this?
You should assume that to be the case. Approximately 90% of adults across the world test positive for herpes simplex virus, which is not the same as saying everyone is in the midst of an active infection. Even still, the virus can be transmitted even when no blisters are present.  The presence of a cold sore is suggestive of at least the presence of an active HSV-1 infection.
11. What can I do at home to reduce my risk?

  • Avoid skin contact with those displaying the blisters of cold sore.
  • If you have cold sores, limit touching other parts of your body, and wash your hand frequently and thoroughly.
  • Avoid sharing items, particular those that involve the lips, such as lip balm and utensils.

 12. Are there over-the-counter medications and remedies available to help against cold sores?
Docosanol is an over-the-counter cream approved by the Food and Drug Administration for cold sore treatment. It may shorten the duration of symptoms by a day. Other remedies that have shown mixed results in the research include lemon balm, drying agents that include alcohol, lysine stress reduction and simple application of ice or cold water to the blistered area.

coldsoreJT

13. When should I seek medical assistance for cold sores?
The presence of prolonged (e.g., more than two weeks), especially painful or unusually frequent cold sores or the presence of blistering that occurs in other parts of the body are prompts for seeing your physician. The presence of cold sores, if you have a weakened immune system, is another prompt that should not be ignored.
Feel free to ask your SMA expert consultant any questions you may have on this topic.
Order your copy of Dr. Sterling’s new book Behind The Curtain: A Peek at Life from within the ER at jeffreysterlingbooks.com, iTunes, Amazon, Barnes and Nobles and wherever books are sold.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
Copyright © 2016 · Sterling Initiatives, LLC · Powered by WordPress

Straight, No Chaser: STDs – Questions About Herpes

Genital/Urinary, Infectious Disease, Obstetrics and Gynecology, , , , , ,

Herp_leg1herpes_2
If you’re in a room, look around. Look to your left, then to your right. Look behind and in front of you. Then look deep inside yourself. Statistically, one of the people you’ve just viewed has genital herpes. Different studies suggest between 16-25% of people between ages 14-49 are infected.

Questions You Want Answered Regarding Genital Herpes

STD1herpes

1. How common is it? That’s actually a question with two answers. One of five or six individuals have herpes (well over 50 million Americans if you’re keeping count), but it’s estimated that just short of 800,000 new cases occur every year.
2. How do you get it? Herpes is transmitted sexually (genital, oral and/or anal contact) via someone already infected.
3. Can you really get it from a cold sore? Possibly and theoretically yes, but usually not. The Herpes Simplex Virus-1 (HSV-1) is usually found in oral blisters (i.e. ‘cold sores’ or ‘fever blisters’), and its family member HSV-2 is usually found on or near the genitalia, but both can be found in either. Although the Center for Disease Control and Prevention states that “Generally, a person can only get HSV-2 infection during sexual contact with someone who has a genital HSV-2 infection,” many (if not most) emergency physicians have diagnosed herpes based on transmission from oral as well as genital sex.
4. What are the symptoms? Most have no symptoms or symptoms that may be mistaken for the flu (fever, body aches and swollen and tender lymph nodes). The prototypical symptoms are a cluster of blisters (around your genitalia, mouth, fingers or rectum) or painful ulcers.
5. Does it really stay around forever? Yes. Fortunately, the frequency and severity of outbreaks decrease as you age (assuming your immunity is good). If you are immunocompromised, HSV infections can be devastating.
6. If I catch chickenpox or shingles, does that mean I’ll have genital herpes? No. There are many different herpesviruses. HSV-2 is the virus that causes genital herpes. Varicella zoster virus (VZV) is the virus that causes chickenpox and shingles. Varicella zoster does not cause genital herpes.
7. Is it true you can catch herpes in the eye? Yes. Wash your hands. Or else…
Herpes Simplex KeratitisHerpeticWhitlow

8. What was that last picture? That wasn’t just an eye, there was also a finger! Well, how did it get it from the genitals to the eye (Please don’t answer in the comments section…)? That’s called herpetic whitlow. Notice the common theme of grouped clusters of small blisters (vesicles) again. Regarding that eye infection (herpes keratitis), it can cause blindness.

9. Is it true that women get it more often? Some estimates suggest that 25% of American women and 20% of men have genital herpes. Transmission from males to females is easier than from females to males, but guys, I wouldn’t take any chances.
10. What about the babies? 80-90% of general herpes infections to newborns are transmitted during childbirth as the newborn passes through the birth canal. C-section is recommended for all women in labor with active symptoms or lesions of herpes.
11. How do you treat this anyway? Antiviral medications are used at first sign of outbreaks. These medications don’t cure you of herpes, but they do shorten the frequency and severity of outbreaks. Plus, you’ve got to let your sexual partner know about this. It’s criminal not to.
Overall, my best advice to you is prevention, knowledge about your status, recognition of symptoms and prompt treatment. It is very important to emphasize that many people live quite normal lives with herpes. That still doesn’t mean you should be cavalier or irresponsible about it.
I welcome your questions or comments.
Feel free to ask your SMA expert consultant any questions you may have on this topic.
Order your copy of Dr. Sterling’s new book Behind The Curtain: A Peek at Life from within the ER at jeffreysterlingbooks.com, iTunes, Amazon, Barnes and Nobles and wherever books are sold.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
Copyright © 2016 · Sterling Initiatives, LLC · Powered by WordPress

Straight, No Chaser: About Cold Sores and Herpes

Genital/Urinary, Head/Eyes/Ears/Nose/Throat, Infectious Disease, Obstetrics and Gynecology, , , , ,

cold_sores
Some of you are consumed with fear. Maybe for some it’s stricken with guilt. In any event this topic is simply another example of not being adequately armed with the knowledge you need. I know exactly what you fear about the topic, so let’s clarify things for you. Let’s discuss cold sores, aka fever blisters. Since this can be bad news, I’ll answer 13 questions you either have or should have about cold sores. You’re welcome to ask more if you have any.

colsore

1. What are cold sores?
Cold sores are those painful little blisters you get on or near your lips. You may have single blisters or a small grouping of them.

katieholmescoldsore

2. What causes cold sores?
Cold sores are caused by herpes simplex viruses (HSV). Yes. Herpes. Let’s focus on this, and get it straight for you. There are two types of herpes viruses: HSV-1 and HSV-2.

  • HSV-1 is the usual cause of oral herpes (cold sores).
  • HSV-2 is the usual cause of genital herpes.

Yes, HSV-2 can cause cold sores and HSV-1 can cause genital herpes.
Let me repeat that. Both forms of HSV can cause oral and genital herpes, although that is not usually the case.

Kim Kardashian Returns From The Middle East Make-Up Free With Cold Sores

3. Why do I get cold sores?
Cold sores are transmitted from contact. That usually means kissing, but it could mean oral sex, mouth-finger-mouth contact, shared razors or utensils.

cold-sores-stages

4. Are there other symptoms I should expect to get with the cold sores?
There are two considerations here:

  • The cold sores themselves pass through stages, including tingling and itching, followed by blistering, following by oozing and crusting.
  • Additional symptoms may include fever, headache, muscle aches, a sore throat and swollen lymph nodes in your neck.

5. How long do cold sores tend to last?
Even without symptomatic treatment, cold sores are likely to resolve within two weeks.
6. Can I get genital herpes from oral sex?
Yes. Consider using a dental dam or abstaining if you’re uncertain about your partner’s safety.
7. Is there a cure for cold sores?
No, but symptomatic treatment is available.

Cold-Sore triggers

8. What makes cold sores recur?
Some form of physical or psychological stress may prompt recurrences. Such stressors may include extreme fatigue, fever or infection, menstruation, mental stress and sun exposure.
Additional risk factors for recurrences and complications include severe burns, eczema, cancer chemotherapy, chemotherapy (i.e., anti-rejection drugs) for organ transplants and HIV/AIDS.
9. Can I have problems elsewhere on my body related to cold sores?
Herpes simplex viruses may also create symptoms on the brain, eyes, fingers, liver, lungs and across the skin, particularly in those with weakened immune systems.

rihanna-cold-sore

10. How can I tell if my partner has this?
You should assume that to be the case. Approximately 90% of adults across the world test positive for herpes simplex virus, which is not the same as saying everyone is in the midst of an active infection. Even still, the virus can be transmitted even when no blisters are present.  The presence of a cold sore is suggestive of at least the presence of an active HSV-1 infection.
11. What can I do at home to reduce my risk?

  • Avoid skin contact with those displaying the blisters of cold sore.
  • If you have cold sores, limit touching other parts of your body, and wash your hand frequently and thoroughly.
  • Avoid sharing items, particular those that involve the lips, such as lip balm and utensils.

 12. Are there over-the-counter medications and remedies available to help against cold sores?
Docosanol is an over-the-counter cream approved by the Food and Drug Administration for cold sore treatment. It may shorten the duration of symptoms by a day. Other remedies that have shown mixed results in the research include lemon balm, drying agents that include alcohol, lysine stress reduction and simple application of ice or cold water to the blistered area.

coldsoreJT

13. When should I seek medical assistance for cold sores?
The presence of prolonged (e.g., more than two weeks), especially painful or unusually frequent cold sores or the presence of blistering that occurs in other parts of the body are prompts for seeing your physician. The presence of cold sores, if you have a weakened immune system, is another prompt that should not be ignored.
Feel free to contact your SMA expert consultant with any questions you have on this topic.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of 844-SMA-TALK and http://www.SterlingMedicalAdvice.com (SMA). Enjoy some of our favorite posts and frequently asked questions as well as a daily note explaining the benefits of SMA membership. Please share our page with your Friends on WordPress, on Facebook at SterlingMedicalAdvice.com and on Twitter at @asksterlingmd.
Copyright © 2014 · Sterling Initiatives, LLC · Powered by WordPress

Straight, No Chaser: STDs – Questions About Herpes

Genital/Urinary, Infectious Disease, Obstetrics and Gynecology, , , , ,

Herp_leg1herpes_2
If you’re in a room, look around. Look to your left, then to your right. Look behind and in front of you. Then look deep inside yourself. Statistically, one of the people you’ve just viewed has genital herpes. Different studies suggest between 16-25% of us between ages 14-49 are infected.

Questions You Want Answered Regarding Genital Herpes

1. How common is it? That’s actually a question with two answers. One of five or six individuals have herpes (well over 50 million Americans if you’re keeping count), but it’s estimated that just short of 800,000 new cases occur every year.
2. How do you get it? Herpes is transmitted sexually (genital, oral and/or anal contact) via someone already infected.
3. Can you really get it from a cold sore? Possibly and theoretically yes, but usually not. The Herpes Simplex Virus-1 (HSV-1) is usually found in oral blisters (i.e. ‘cold sores’ or ‘fever blisters’), and its family member HSV-2 is usually found on or near the genitalia, but both can be found in either. Although the Center for Disease Control and Prevention states that “Generally, a person can only get HSV-2 infection during sexual contact with someone who has a genital HSV-2 infection,” many (if not most) emergency physicians have diagnosed herpes based on transmission from oral as well as genital sex.
4. What are the symptoms? Most have no symptoms or symptoms that may be mistaken for the flu (fever, body aches and swollen and tender lymph nodes). The prototypical symptoms are a cluster of blisters (around your genitalia, mouth, fingers or rectum) or painful ulcers.
5. Does it really stay around forever? Yes. Fortunately, the frequency and severity of outbreaks decrease as you age (assuming your immunity is good). If you are immunocompromised, HSV infections can be devastating.
6. If I catch chickenpox or shingles, does that mean I’ll have genital herpes? No. There are many different herpesviruses. HSV-2 is the virus that causes genital herpes. Varicella zoster virus (VZV) is the virus that causes chickenpox and shingles. Varicella zoster does not cause genital herpes.
7. Is it true you can catch herpes in the eye? Yes. Wash your hands. Or else…
Herpes Simplex KeratitisHerpeticWhitlow

8. What was that last picture? That wasn’t an just eye, there was also a finger! Well, how did it get it from the genitals to the eye (Please don’t answer in the comments section…)? That’s called herpetic whitlow. Notice the common theme of grouped clusters of small blisters (vesicles) again. Regarding that eye infection (herpes keratitis), it can cause blindness.

9. Is it true that women get it more often? Some estimates suggest that 25% of American women and 20% of men have genital herpes. Transmission from males to females is easier than from females to males, but guys, I wouldn’t take any chances.
10. What about the babies? 80-90% of general herpes infections to newborns are transmitted during childbirth as the newborn passes through the birth canal. C-section is recommended for all women in labor with active symptoms or lesions of herpes.
11. How do you treat this anyway? Antiviral medications are used at first sign of outbreaks. These medications don’t cure you of herpes, but they do shorten the frequency and severity of outbreaks. Plus, you’ve got to let your sexual partner know about this. It’s criminal not to.
Overall, my best advice to you is prevention, knowledge about your status, recognition of symptoms and prompt treatment. It is very important to emphasize that many people live quite normal lives with herpes. That still doesn’t mean you should be cavalier or irresponsible about it.
I welcome your questions or comments.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of 844-SMA-TALK and http://www.SterlingMedicalAdvice.com (SMA). Enjoy some of our favorite posts and frequently asked questions as well as a daily note explaining the benefits of SMA membership. Please share our page with your Friends on WordPress, on Facebook at SterlingMedicalAdvice.com and on Twitter at @asksterlingmd.
Copyright © 2014 · Sterling Initiatives, LLC · Powered by WordPress

Straight, No Chaser: About Cold Sores and Herpes

General Health and Wellness, Head/Eyes/Ears/Nose/Throat, Infectious Disease, , , , , , , , ,

cold_sores
Some of you are consumed with fear. Maybe for some it’s stricken with guilt. In any event this topic is simply another example of not being adequately armed with the knowledge you need. I know exactly what you fear about the topic, so let’s clarify things for you. Let’s discuss cold sores, aka fever blisters. Since this can be bad news, I’ll answer 13 questions you either have or should have about cold sores. You’re welcome to ask more if you have any.

colsore

1. What are cold sores?
Cold sores are those painful little blisters you get on or near your lips. You may have single blisters or a small grouping of them.

katieholmescoldsore

2. What causes cold sores?
Cold sores are caused by herpes simplex viruses (HSV). Yes. Herpes. Let’s focus on this, and get it straight for you. There are two types of herpes viruses: HSV-1 and HSV-2.

  • HSV-1 is the usual cause of oral herpes (cold sores).
  • HSV-2 is the usual cause of genital herpes.

Yes, HSV-2 can cause cold sores and HSV-1 can cause genital herpes.
Let me repeat that. Both forms of HSV can cause oral and genital herpes, although that is not usually the case.

Kim Kardashian Returns From The Middle East Make-Up Free With Cold Sores

3. Why do I get cold sores?
Cold sores are transmitted from contact. That usually means kissing, but it could mean oral sex, mouth-finger-mouth contact, shared razors or utensils.

cold-sores-stages

4. Are there other symptoms I should expect to get with the cold sores?
There are two considerations here:

  • The cold sores themselves pass through stages, including tingling and itching, followed by blistering, following by oozing and crusting.
  • Additional symptoms may include fever, headache, muscle aches, a sore throat and swollen lymph nodes in your neck.

5. How long do cold sores tend to last?
Even without symptomatic treatment, cold sores are likely to resolve within two weeks.
6. Can I get genital herpes from oral sex?
Yes. Consider using a dental dam or abstaining if you’re uncertain about your partner’s safety.
7. Is there a cure for cold sores?
No, but symptomatic treatment is available.

Cold-Sore triggers

8. What makes cold sores recur?
Some form of physical or psychological stress may prompt recurrences. Such stressors may include extreme fatigue, fever or infection, menstruation, mental stress and sun exposure.
Additional risk factors for recurrences and complications include severe burns, eczema, cancer chemotherapy, chemotherapy (i.e., anti-rejection drugs) for organ transplants and HIV/AIDS.
9. Can I have problems elsewhere on my body related to cold sores?
Herpes simplex viruses may also create symptoms on the brain, eyes, fingers, liver, lungs and across the skin, particularly in those with weakened immune systems.

rihanna-cold-sore

10. How can I tell if my partner has this?
You should assume that to be the case. Approximately 90% of adults across the world test positive for herpes simplex virus, which is not the same as saying everyone is in the midst of an active infection. Even still, the virus can be transmitted even when no blisters are present.  The presence of a cold sore is suggestive of at least the presence of an active HSV-1 infection.
11. What can I do at home to reduce my risk?

  • Avoid skin contact with those displaying the blisters of cold sore.
  • If you have cold sores, limit touching other parts of your body, and wash your hand frequently and thoroughly.
  • Avoid sharing items, particular those that involve the lips, such as lip balm and utensils.

 12. Are there over-the-counter medications and remedies available to help against cold sores?
Docosanol is an over-the-counter cream approved by the Food and Drug Administration for cold sore treatment. It may shorten the duration of symptoms by a day. Other remedies that have shown mixed results in the research include lemon balm, drying agents that include alcohol, lysine stress reduction and simple application of ice or cold water to the blistered area.

coldsoreJT

13. When should I seek medical assistance for cold sores?
The presence of prolonged (e.g., more than two weeks), especially painful or unusually frequent cold sores or the presence of blistering that occurs in other parts of the body are prompts for seeing your physician. The presence of cold sores, if you have a weakened immune system, is another prompt that should not be ignored.
Feel free to contact your SMA expert consultant with any questions you have on this topic.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what  http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress, Facebook @ SterlingMedicalAdvice.com and Twitter at @asksterlingmd.
Copyright © 2014 · Sterling Initiatives, LLC · Powered by WordPress

Straight, No Chaser: 10 Questions You Want Answered About Genital Herpes

Genital/Urinary, Infectious Disease, Obstetrics and Gynecology, Public Health, , , , , , , , , , ,

Herp_leg1 herpes_2
If you’re in a room, look around. Look to your left, then to your right. Look behind and in front of you. Then look deep inside yourself. Statistically, one of the people you’ve just viewed has genital herpes. Different studies suggest between 16-25% of us between ages 14-49 are infected.

Questions You Want Answered Regarding Genital Herpes

1. How common is it? That’s actually a question with two answers. One of five or six individuals have herpes (well over 50 million Americans if you’re keeping count), but it’s estimated that just short of 800,000 new cases occur every year.
2. How do you get it? Herpes is transmitted sexually (genital, oral and/or anal contact) via someone already infected.
3. Can you really get it from a cold sore? Possibly and theoretically yes, but usually not. The Herpes Simplex Virus-1 (HSV-1) is usually found in oral blisters (i.e. ‘cold sores’ or ‘fever blisters’), and its family member HSV-2 is usually found on or near the genitalia, but both can be found in either. Although the Center for Disease Control and Prevention states that “Generally, a person can only get HSV-2 infection during sexual contact with someone who has a genital HSV-2 infection,” many (if not most) emergency physicians have diagnosed herpes based on transmission from oral as well as genital sex.
4. What are the symptoms? Most have no symptoms or symptoms that may be mistaken for the flu (fever, body aches and swollen and tender lymph nodes). The prototypical symptoms are a cluster of blisters (around your genitalia, mouth, fingers or rectum) or painful ulcers.
5. Does it really stay around forever? Yes. Fortunately, the frequency and severity of outbreaks decrease as you age (assuming your immunity is good). If you are immunocompromised, HSV infections can be devastating.
6. If I catch chickenpox or shingles, does that mean I’ll have genital herpes? No. There are many different herpesviruses. HSV-2 is the virus that causes genital herpes. Varicella zoster virus (VZV) is the virus that causes chickenpox and shingles. Varicella zoster does not cause genital herpes.
7. Is it true you can catch herpes in the eye? Yes. Wash your hands. Or else…
Herpes Simplex KeratitisHerpeticWhitlow

8. What was that last picture? That wasn’t an just eye, there was also a finger! Well, how did you get it got from the genitals to the eye (Please don’t answer in the comments section…)? That’s called herpetic whitlow. Notice the common theme of grouped clusters of small blisters (vesicles) again. Regarding that eye infection (herpes keratitis), it can cause blindness.

9. Is it true that women get it more often? Some estimates suggest that 25% of American women and 20% of men have genital herpes. Transmission from males to females is easier than from females to males, but guys, I wouldn’t take any chances.
10. What about the babies? 80-90% of general herpes infections to newborns are transmitted during childbirth as the newborn passes through the birth canal. C-section is recommended for all women in labor with active symptoms or lesions of herpes.
11. How do you treat this anyway? Antiviral medications are used at first sign of outbreaks. These medications don’t cure you of herpes, but they do shorten the frequency and severity of outbreaks. Plus, you’ve got to let your sexual partner know about this. It’s criminal not to.
Overall, my best advice to you is prevention, knowledge about your status, recognition of symptoms and prompt treatment. It is very important to emphasize that many people live quite normal lives with herpes. That still doesn’t mean you should be cavalier or irresponsible about it.
I welcome your questions or comments.
Copyright © 2013 · Sterling Initiatives, LLC · Powered by WordPress