Brief Answer:
Please find detailed answer below
Detailed Answer:
Hi XXXXX,
Thanks for writing in with an update.
What usually happens with
herpes is that the disease gets controlled but you cannot say when it may erupt again and in which form. As for the
esophagitis, please do not worry as he is getting appropriate treatment. Vaccines are available for prevention but since your brother is suffering from common variable
immune deficiency, giving he a vaccine can get XXXXXXX as it can manifest disease complications.
I do not think you have herpes in your
esophagus as your immunity is normal. Please do not worry on that. Regarding
endoscopy, you have no obligation to declare that you have herpes unless there is an ulcer and then he may want additional information on any disease condition that you might have. Unless there is a significant finding in endoscopy, there is no obligation to discuss your herpes from the sexual contact (
oral sex incident) point of view. Even if there is any suspicious finding in endoscopy, you always have the choice to discuss that you have got tested recently and have just found that you are infected with herpes.
I reassure you that your endoscopy is least likely to reveal herpes esophagitis.
Please do write back if you have any doubts.
Regards,
Dr.Vivek