
What Are The Symptoms Of Herpes?

You will recall you previously helped me with my question about an initial herpes outbreak. Unfortunately, my question session with you closed yesterday and I was not able to reopen it or ask you about it directly through the app so I am using the computer. I asked a question this morning regarding something I saw this morning, but unfortunately got another doctor, not you, and his description of some things seems inconsistent with what you have said and what I have read. So I am writing you directly since you have a history and familiarity with my issue.
I noticed this morning a pink spot on the corner of my mouth. It is not raised and is not painful or sore. Absolutely no pain, which I would think important based on your prior advice about presentation and obvious pain. It does appear to be a minor cut of sorts, or an abrasion; if shallow, it is very minimal.. I do not see any vesicles like you described, though I can arguably see two little dots in the center of it. This spot is on the outer lip line and looks to run into the middle of the lip as well although that may be a fordyce spot on the inside lip.
No fever or other symptoms. I did have a bad case of diarrhea upon getting back from vacation, but I would presume this unrelated.
This appeared 13 days after possible exposure which I previously discussed with you. I confirmed with the girl that she does not have HSV or any history of outbreaks (though I know that assymptomatic still remains an option). No symptoms prior to that, except some minor tingling on all lips from being in the sun.
I'd be glad to post some pictures once you answer. Also, if possible, you can review our earlier thread this week to refresh yourself of my issue.
Thank you.
No sign of herpes. Relax completely.
Detailed Answer:
Hello young buddy,
Welcome again to the forum and thanks for posting your concern.
I do remember all the issues regarding the possibility of herpes and related concern. I very well temper that you didn't had any sort of lesion related to herpes till 8th day and was one of the best indicator as told before.
I have gone through the recent pictures and examined these closely ( thanks a lot for sending good resolution pictures).
After analyzing these with best clinical acumen I reassure you fully that there are no sign of herpes at all. The present discomfort and pink spot do not show any close proximity to herpetic lesions. There are neither vesicles as I generally see in herpes nor are the symptoms related to herpes.
So just relax completely and relieve all your stress for herpes. I'm with you to guide as long as you want.
My all best wishes for your good health.
With regards,
Dr Sanjay Kanodia
MD-DERMATOLOGY & Sexually transmitted diseases.


I attach a few more photos and note that since my original post, no change: no pain, no itching, nothing. In fact, the area has turned even more pink/skin color than red. And based on your earlier great advice, I knew that absent pain there likely was not cause for concern. Also, I know that it is unlike that it would change in appearance so quickly. And I was glad to confirm with the girl, so that even if she is asymptomatic, the possible infection would be very slim to none from shedding.
Looks like it is a cut or maybe some irritated hair follicles or fordyce spots. You can kind of see 2 distinct spot in a few of the pictures, but you can also see some bigger fordyce spots, hairs and sweat glands. What do you think?
Again, thank you for assistance with all this. I look forward to your response and
No sign of herpes. simple prominent Fordyce gland.
Detailed Answer:
Hello young fellow,
Welcome again and thanks for your swift response.
I'm really happy to know that you are relaxed and relieved of the anxiety of herpes by my simple suggestions.
I've gone through all the pictures along with the latest ones. I can se thar your Fordyce spot is becoming bit prominent in the picture. This might be due to sun exposure or irritation due to repeated touching.
I'm firm and confident with my diagnosis that you don't have any signs of herpes and would surely not show in future too.
Stop paying any undue attention in this area as because if the repeated self examination you are irritation g the soft and tender skin o lips. It may cause anxiety because I bit changed architecture of lip.
So just relax and enjoy the weekend. I hope you must be completely relaxed to know all the simple and scientific facts. I'll be glad to guide you any further.
With regards,
Dr Sanjay Kanodia
MD-DERMATOLOGY & Sexually transmitted diseases.


Also, what is this yellowish spot above lip? No pain, flat on skin, circular.
Thanks. I appreciate your guidance .
You can totally relax for the part of herpes.
Detailed Answer:
Hello young buddy,
Welcome again to the forum and thanks a lot for your follow up.
Good news for you !!! I am really happy to know that you do not have any sign of herpes till now. At this juncture of 15 days as you do not show any symptoms so makes you almost free form herpes.
I already told you that I am quite confident that you are free from herpes and therefore would not shoe any signs of the same.
Regarding the yellow spot- it is simple hue of the lip due to bit fold near the skin as well as a normal anatomical architecture of lip. There is nothing to be worried and therefore no attention is required in the same. You can totally relax for the part of herpes as well as any other thing.
My all best wishes for your healthy life.
With regards,
Dr Sanjay Kanodia
MD-DERMATOLOGY & Sexually transmitted diseases.


On the side of the previous pink spot, i noticed two small circular spots with white borders of skin. They tore very easily although i saw no pus, blood or fluid. First three pictures.
Then on other side i noticed a pink patch of skin as well. It has a small cut as well, circular next to a fordyce spot.
Im very concerned that something is developing after all this time we thought i was clear. Please explain for me . Also, I note that I had a sore throat for much of today and some swollen lymph nodes and some tightness in my chest about 12 hours before I noticed these spots.
Not able to find any sign of herpes.
Detailed Answer:
Hello young fellow,
Welcome again to the forum.
I have gone through all the pictures and analyzed these with my best clinical acumen. After analyzing all of these pictures I am not able to find any sign of herpes in any of these.
Herpes is an all or none phenomena. If one gets the lesion of herpes then within few hours there iis development of vesicles over a frankly red sore area. It doesn't take so long to develop the lesion. Within few hours we are able to see the XXXXXXX vesicles developing on red base.
I am not able to find any such picture in your case. Rest of all the apparance is quite normal and have no relationship with herpes at all.
For the part of sore throat and swollen lymph nodes with tightness in chest: Sore throat and tightness of chest are relative symptoms and are perceived variably form one person to other. On one side these are not related to herpes directly and on the other side are always accompanied more importantly by fever, malaise and other more significant symptoms in first episode of herpes. So do not worry and get panicky about these symptoms.
For the part of lymph node swelling: I very often counsel so many of my patients who come to me with great anxiety of swollen lymph nodes for one or the other reason. The swollen lymph nodes are basically swellings of more than 1 cm which are tender or painful and can be palpated by a specialist only. It is most often confused with muscles and bony prominences at various areas.
As told before if at all the swollen lymph nodes are present then are not the direct symptom of herpes before its occurrence. If occur then is quite a late sign due to secondary infection and appears after few days of onset of herpes lesion.
I hope you must be relaxed to know all the simple medical facts. I'll be glad to guide you any further.
With regards,
Dr Sanjay Kanodia
MD-DERMATOLOGY & Sexually transmitted diseases.


Again, not much pain though it tingles now. So few questions:
1) Is this chelitis? And if so, how is it distiguishable diagnostically for you to know not herpes? Youll notice a similar pattern on both sides and the prior doctor suggested it could be this which started unilaterally and become bilateral
2) Why are they bumps are clustered as such? And is there any treatment against their prominence?
Thanks. I appreciate your help. I'm sure i am driving you crazy with all these questions. I'm just very concerned especially reading about how some people can even miss a first outbreak. . Doctor,
Upon more examination, it seems like some of the bumps have a small hair, which would suggest not herpes. However, my concern is that I noticed small littler circular cuts, both now on the right side, yesterday on the left side. They cuts seems to scrape off very easy when I used my finger nail. No pus or liquid comes out, but I am concerned whether this just means they have ulcerated. For the most part, they are microscopic and have to be looked at closely in the mirror.
Obviously, I am concerned about this, especially since these issues are arising right after the 14 day mark. Also, I have read some things about herpes presenting as a single lesion and it is difficult -- in my mind since I am not a medical professional -- to distinguish between what is not a problem (like fordyce or hair follicle) or what may be.
I appreciate all the advice you can give to both these inquiries, as well as treatment. The more information the better to help me. Also, I am been applying some polysporin and aquaphor for my lips and irritated skin. I am going to stop both of those tonight to see how/if anything changes? Also, do you think I should blood test (iGg) again? Or is there no need in your mind? My absolute biggest fear would be transmission when I didn't know I had something.
Symptoms are not "miles close" to herpes.
Detailed Answer:
Hello young fellow,
Welcome to the forum. I have gone through your complete query and after analyzing the complete things let me reassure you again that your symptoms are not "miles close" to herpes. There is no correlation of small circular cuts or very tiny bumps with herpes.
First and foremost let you come out of the aura of herpes. I think you are overindulged in deep thinking of herpes every now and then. First of foremost let you relax about the issue of herpes. Alright even if it had been herpes (which is actually not) then how it could have affected your normal life. Herpes is one of the simplest viral infections. It has very simple manifestation which is very mush self limiting and never cause any problem in day to day life as well as not at endangering to life. The only part is that it is not completely curable. That is why there are lots apprehensions regarding this condition.
SO take it easy young buddy. Don’t just panicky. Secondly stop touching the area repeatedly or self examining the area. This is one of the most important causes of all the things which you are feeling or experiencing. WE all have bit changes in normal anatomy a surface of skin day to day basis. When we are relaxed we never ever pay attention to any of these changes. But when we are very much tensed about something then our mind always diverts all the things towards that particular entity.
So my dear fellow, not only as an expert but also as a brotherly thing I suggest you to first relax about any of these matter. Even if you are worried then can send the latest pictures of the area.
For IgG testing I suggest you to wait for another 2 weeks and then go for the testing. Though as per my clinical experience the test would be negative and I am pretty sure for the same. But on the part of academic thing you might be asking for an incubation period so if you want to go then wait for another 2 weeks.
So just relax yourself and do not repeatedly touch the area. DO not apply anything like neopsprin or other things as can irritate your skin.
My all best wishes for your healthy life.
With regards,
Dr Sanjay Kanodia
MD-DERMATOLOGY & Sexually transmitted diseases.


I have paid less attention to my lips and that has helped. Haven't noticed any other spots.
I guess part of my concern is the stigma and the possibility could transfer to someone else. Thus, even though not life threatening, it is concerning. Another problem is the literature is so inconsistent so it is nice to ask questions and get things cleared up.
Some people say only on lips; some say inside mouth too. Can it present as a single sore inside mouth like the attached picture?
Some say no one shows signs or so minor that people miss first outbreak, while others say that very prominent. It is all very confusing.
so, i am glad to be reassured. It sounds like you have run across and dealt with herpes diagnosis often, so you know more than others, which is reassuring.
Thank you again .
Just relax and don't get confused by internet.
Detailed Answer:
Hello young buddy,
Thanks for your further follow up.
Let me clear your queries:
This is really good that you have paid less attention on the lips. It is the sole most important factor which is causing the main apprehension. So I again reassure you that it is the over attention and unintentional repeated touching which is causing the main issues.
Now for the part of the stigma and the possibility of transfer to someone else: As I told you as that per best of my clinical experience you don't have any chances of herpes so accordingly do not just be apprehensive of passing to anybody else. I really appreciate your care and feeling for your partner but it is of no use to have undue and unnecessary apprehension for something which is not present.
Yes you are quite correct that the literature is very inconsistent and very much confusing. Don't just read anything on net now as you are presently talking to an expert. Literature on net is so vague that a person can get confused rather than getting proper knowledge. It neither present as single sore and nor does can be missed at-least in first episode. So don't get confused for one thing or the other.
I so often counsel your kind of cases where the person is really confused. But a proper clinical assessment and reassurance clears all the confusion.
I hope you must be relaxed to know all the simple facts. I'll be glad to guide you any further.
With regards,
Dr Sanjay Kanodia
MD-DERMATOLOGY & Sexually transmitted diseases.


I have read somewhere that they show up on the inside of mouth sometimes. Have you ever seen that? If so, do these pictures look like anything to be concerned about?
I promise i'm much calmer than i was. I just enjoy being able to ask questions without being judged or feeling like I am being too overwhelming.
Ideally, Ill be able to give you a final update on Sunday, which would be 21 days and when i know ill definitely be good to go even more .
"My all best wishes for your healthy life"
Detailed Answer:
Hello young buddy,
I am really happy to know that this discussion is fruitful to you and you are able to calm down yourself.
In my clinical practice I have never seen herpes manifesting inside the mouth alone. Mouth involvement is seen in severe case of herpes and is always preceded by lesions on the lips. In yourself it is even not the lip involvement so the part of involvement inside the mouth is beyond our discussion. Your pictures too are not indicative of any type of rarest possibility of herpes.
Just keep yourself calm and cool and keep yourself busy so that you pay less attention on this side. I am fully confident that you will give me a update of healthy status on Sunday also.
"My all best wishes for your healthy life"
With regards,
Dr Sanjay Kanodia
MD-DERMATOLOGY & Sexually transmitted diseases.


I appreciate all your help throughout this. Based on your advice, im just going to relax, not worry about it, not test and just move on. Ill be sure to refresh this topic if needed, but hopefully do not think i will have to .
Live a healthy and normal life; May God Bless you.
Detailed Answer:
My dear young buddy,
Right from the beginning of our discussion I was quite confident for no possibility of herpes. It is not only my duty but also my job and responsibility that each every query I read must be carefully analyzed and accordingly the suggestions should be given.
So I reassure you again that you don't have any possibility of herpes.
Now just come out of aura of herpes and live a healthy and normal life.
I hope you must be relaxed to know all the facts. I'll be glad to guide you any further or if you have no more queries then can close the query and rate the discussion. Kindly give a review about the discussion.
"Wish you good health"
Regards,
Dr Sanjay Kumar Kanodia
MD- Dermatology & Sexually transmitted diseases.

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