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Herpes simplex

Synonyms: cold sores, fever blisters, herpes simplex

Overview

Herpes simplex, a common viral disease, is caused by two strains of the herpes simplex virus (HSV). The strains are referred to as herpes simplex virus-1 (HSV1) and herpes simplex virus-2 (HSV2). HSV can infect all surfaces of the body but most commonly the cavity of the mouth and the genital area. HSV1 causes most breakouts around the mouth and HSV2 causes the majority of genital or buttock lesions. The signs and symptoms of HSV differ between oral and genital infections.

Oral Herpes

Herpes treatment

The initial infection (primary stage) of oral herpes is generally asymptomatic and is acquired through person to person contact such as kissing. The virus then lies dormant in a nerve root. Reactivation of the virus may be caused by a number of events such as a fever, intense sunlight, intense cold, or stress. In the active (secondary) stage, individuals with oral herpes have "cold sores" around the mouth or on the face that may become painful ulcers. The early period immediately before the outbreak is referred to as the prodromal period and from this time to the end of the outbreak, the virus can be transmitted to another person by direct contact.

Genital Herpes

The stages of genital herpes are very similar to oral herpes with an initial stage that manifests with few symptoms and is less contagious. The secondary stage, which can occur unpredictably but is usually mediated by stress or sickness, shows lesions on the vulva or penis. The lesions are often painful and itchy may also be accompanied by difficulty urinating, lymph node enlargement with tenderness, and puss like discharge. The herpes virus is most contagious during the active periods but can spread immediately before the outbreak occurs.

For both genital and oral herpes, the dormancy period involves the virus "resting" within the nervous tissue around the initially infected area.

Diagnosis

Herpes is commonly diagnosed based upon the symptoms described above paired with frequent recurrence in the same area. Rapid tests have been developed to detect antibodies to the herpes virus. Positive results reveal that you have been exposed to HSV1 or HSV2 in the past. However, 90% of inner city populations carry HSV1 antibodies and about 35% carry HSV2. Presence of antibodies does not diagnose a current outbreak. In some instances, samples of representative lesions are taken and tested for the presence of the HSV1 or HSV2 virus.

Management

Once diagnosed with herpes, managing the disease includes caring for sores during outbreaks as well as preventing their recurrence. Several medications and dietary guidelines are outlined below as well as advice on how to prevent spread of the disease.

Treatment and Medication

While there is no cure for herpes, a few medications are available for control. Famvir™, Valtrex™ and acyclovir are currently used to treat and prevent cold sores and genital herpes. None of these drugs cure the disease but all help alleviate or prevent symptoms. In addition to medication, you should keep lesions as dry as possible to speed healing. Diet can also play in important role since the amino acid lysine, found in fish, chicken, beef, lamb, milk, cheese and beans, has been shown to reduce the recurrence of outbreaks. Some people feel that they can stop outbreaks by daily lysine supplementation. Condoms help prevent the spread of herpes among individuals.

Coping

Remember, if you have been infected with herpes, you are not alone. The disease affects many people who live normal lives. Especially with genital herpes, the ulcers are concealed and do not affect any daily activities. Open communication with partners is important so that both of you can practice safe intercourse. In the middle of an outbreak, you should avoid contact, and medications can mitigate symptoms.

Support Groups and References

Since genital and oral herpes are extremely common in the United States, with an estimate of 45 million people or one out of every five infected, there are many places to turn for support.

The website: http://www.herpes.com contains more information regarding the disease. A list of support groups by state is found on http://www.herpes.com/supportgroups.shtml. The Center for Disease control also contains information on herpes and other genital diseases at http://www.cdc.gov/std/herpes. If you suspect genital herpes speak to your physician about treatment options.

How can we help you?

SKIN

# of surveys: 3749
Last updated: 05/18/2017 4:45 PM,

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
0%

Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
0%

The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
very poor
0%

The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
very poor
0%

The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
0.02%

The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very poor
0.0%

Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
0.24%
very poor
0.08%

Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
poor
0.05%
very poor
0.05%

Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
very good
7.23%
good
1.85%
poor
0.05%
very poor
0%

What WE DID WELL

(Answers:674)

I liked all rthe art work that was hanging up in the hallways. I also liked how friendly everyone was. It seemed as though they all wanted to be here. Some times at otjher places the people at the counter can be disrespectful. Not here. The or was very caring and explained the treatment in terms that we could understand.

#12017-08-26

The friendliness of the staff, their attitude, their orange uniform..yessssss.

#22017-02-09

Clean, bright, well appointed office

#32017-08-31

The great service, short waiting time, and the doctor was super helpful!

#42017-05-20

Very Friendly

#52017-05-26

Punctuality - Perfect Sense of humor of staff

#62017-09-03

love the new office!!!!

#72017-04-23

The location and setting of the office.

#82017-07-03

Friendly, clean, and helpful.

#92010-11-29 14:01:40

This was an emergency appointment, and you all took wonderful care of me!!! Thanks so much!

#102017-04-28

What can we do better?

(answers:373)

I'm speechless!! I make a living at answering this very question but I can't recommend anything you can do to provide better service. You deserve a high score in all aspects of the practice. One minor detail - I have not yet seen the aesthetician and I have limited experience with you. Maybe patients could complete a survey after they've had a couple of appointments and contact with others. Some valuable feedback may be provided. Oops....I just heard an administrator use the word "cancellation" with a patient. May I suggest other terms like "change in the schedule" or "we'll make time for you". Wouldn't want to give patients the idea that it's ok to cancel. :-) Can you recommend a vascular specialist closer to the area than in Center City?

#12011-06-02 14:18:32

n/a

#22017-09-03

Can't think of anything, all was excellent.

#32011-05-03 10:51:30

Just continue your good work to keep your credibility in place.

#42010-10-12 10:33:59

uhmm.. you're office was too nice. It made me jealous.

#52017-04-21

every thing was great!

#62017-09-15

I can't think of anything.

#72010-08-25 14:18:06

You can't improve upon excellence.

#82017-05-19

don't change a thing!

#92017-09-29

I really am not sure how you could improve. The visit was actually relaxing.

#102017-06-24
Customer Rating : 4.3

Based on 33 ratings