
What Causes Recurring Lesions On Side Of Mouth?

Details required.
Detailed Answer:
Hi
Thank you for query. It is Dr Bharatesh answering for your query.
It is not clear about the morphology of lesions .So please send a photo of the same. You can upload the pictures using the site's uploader (upload reports) provided on this page. To get clarity on whether it is recurrence or other infection.
Stievamycin is a combination of tretinoin and erythromycin. It may cause more irritation to you than help because of tretinoin component if it is recurrence of herpes.
It is not clear how long and what dosage of valrex you are on. Are you taking as per advice of Doctor. Can you confirm this?
Please also see that diabetes is under control as it can exacerbate any infection. The drugs you are on for diabetes is not clear.
Please do not pluck pull or irritate lesions as it get secondarily infected more so in diabetics.
Please get back with details for clarifications.
I will try to help you.
Thank you
Dr Bharatesh


some suggestions.
Detailed Answer:
Hi,
The following are my comments:
1. It is good that your diabetes is under control. Please maintain it.
2. The dosage Of valacylovir seems to be OK.
3. Herpes lesions usually reduce in frequency in later stages of disease and will be less severe. Some people do get herpes episodes of in spite of suppressive therapy. Therefore use of valtrex is not a ground to exclude herpes.
4. If Valtrex is taken too long probably you might have caused resistance. Discuss with your treating doctor.
5. You can use topical antivirals also. Please consult your doctor whether to change medications.alternatives like other acyclovir substitutes, or cidofovir or foscarnet may be considered based on resistance or severity.
You can get back for further clarifications or else close the discussion.
Thank you
Dr Bharatesh.


Some more suggestions
Detailed Answer:
Hi,
Thank you for follow up query.
It would have been better if there were Holiday periods in between the 5 years of treatment to see for the recurrence. It is sometimes required for body immune system to take over to prevent recurrence.
Now if investigation is available we can check for resistance of Valacyclovir, if so we may need to change the drug. The options as I said is Cidofovir or foscarnet. Cidofovir is available as ointments is effective as per some studies. Now recently even LASERS are found to be effective.
Please take precautions regarding partner infection and treatment if lesions present.
Please have a discussion with your doctor regarding the possibilities and take suitable decision.
You can get back for any clarifications else please close the discussion
Thank You
wish you good health
Dr Bharatesh


Drug sensitivity testing.
Detailed Answer:
Hi
Thank you for follow up query.
You can ask your doctor if they do any drug sensitivity testing(for herpes) in any of the approachable centres.It may be done in specialised centres and may be costly.
You can always have the information and if possible can undergo it.
You can ask for clarifications if any else please close the discussion.
Thank you
Dr Bharatesh

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
