[Question #1863] Freaking out.

42 months ago
I sincerely apologize to keep returning and freaking out over the same situation, but I am having real life symptoms and need advice on the current situation.

Just a recap- on 1/27 I had protected sex and unprotected oral sex (from me to my partner). I do not recall seeing any bumps, and I did inspect his penis. This sexual exposure happened on a Friday, and 2 days prior I came down with a cold. Fast forward- 2 days after giving oral to my partner I came down with a sore throat and white spots on my tonsils, but NO symptoms on the outside of my mouth. I went to the doctor and got Amox and the sore throat went away after a day & a half on the meds.

I do have hsv 1 orally, but am afraid I contracted hsv 2 orally from the incident on 1/27. I've had 2 cold sores in the past, both under my nose. Last night I noticed small blisters/bumps under my nose.. they seemed to be better this morning. However, this morning I woke up with 3 little blisters that are numb on my lip. I'm freaking out because I've never had a cold sore on my lip, only underneath my nose, which makes me worried that this is hsv 2. My lip doesn't burn or itch, but the bumps do resemble the blisters I've had under my nose :( I'm going to the gyno on Monday to have it swabbed to determine if it's hsv 1 or 2. This is the first "symptom" I have gotten since the incident on 1/27. I did not have hsv 2 prior to this incident because I was tested. I've also been sick with bronchitis and a cold for almost a month now. I'm only barely beginning to feel better. 

1) do you believe this is hsv 2? This is the only symptom I've gotten since the incident, unless you believe the white spots on my tonsils was an outbreak. 

2) if this was hsv 2, would I be getting my first symptoms 7 weeks later? 

3) is it possible that this is hsv 1, even though the cold sore is in a different location? It's on my lip, instead of under my nose like usual. 


Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
1.  I don't believe this is HSV 2, no.  I think it's likely a recurrence of your already know HSV 1 oral infection, just  slightly lower on your face.
2.  No, I think that it is highly unlikely that your first symptom of HSV 2 oral infection would be bumps under your nose just slightly lower than normal.  Highly unlikely!
3.  yes, I think this is the mostly likely answer

Did you take antiviral medicine?  Did you have a clinician swab test this area on your link before starting antiviral therapy>

Terri
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42 months ago
Thank you,  Terri! I sincerely appreciate your patience and advice.

Yeah, the blisters started under my nose and then spread to my top lip. The blisters are all on the same side- the right side of my lip and a little underneath my right nostril. I'm pretty sure this is the beginning of a cold sore. My whole family gets cold sores and when they looked at it, they said this was a very subtle outbreak compared to the cold sores they get. You can only notice the blisters if you look up close- there's several. I'm paranoid because this outbreak is different.. it's very subtle and not very itchy or burning. I didn't even know I had a cold sore until I looked in the mirror and saw the tiny blisters. 

I have not taken antivirals yet, and don't think I will. I rarely get cold sores, which is why I don't take antivirals. I put abreva on my cold sore.. will that mess with the results of a swab? I only applied it once. 

I have not had it swabbed yet- I plan on doing that Monday! 

1) I've never had a cold sore on my lips.. could you explain to me how to properly take care of one? For example, I used chapstick today.. would I need to throw away my chapstick now or can I still reuse it after my cold sore is gone? 

2) is it normal for people to get cold sores in different spots? Like I said, my cold sores are always under my nose. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
42 months ago
Yes, Abreva could interfere with a swab test
So if you don't get cold sores on your lip, are they always in your nose? 
You should take care of this cold sore but keeping it clean and dry and if you want to take antiviral medicine, do so.
You don't need to throw your chap stick away, but just leave it uncapped and it will be fine in a few days to use again or whenever your cold sore is gone. 
So you mention that you get them under your nose usually, but isn't this under your nose?  it is VERY normal for them to vary in their location - I get them on my top lip bottom lip in my nose, all those places at varying times.  I remain convinced that this is just a normal cold sore, in a very slightly different location.

Terri
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41 months ago
Terri,

I went to the gyno today to have her swab my cold sore and she refused. She said that if I have hsv 2, then it's in my body and it doesn't matter where the infection site is. I strongly disagree because if I have hsv 2, I would like to know where my infection site is. She said that 90% of cold sores are hsv 1. She requested a blood draw though for hsv 2 and all other stds. 
she also checked me vaginally to make sure I had no lesions or sores, and didn't find anything.

So, the cold sore started under my nose. I got 3 small little blisters that barely itched or burn. Then the next day I woke up with 3 small blisters on my top lip. So, currently I have a small patch under my nose and on my top lip. This worries me a little because I've never had 2 cold sores at once.. I know they are only inches from each other and on the right side of my lip/nostril, but still. I am a worrier and I just can't help but think this is an hsv 2 outbreak, although the timing is weird. The sexual encounter happened on 1/27 and it's now March. However, this is the most subtle outbreak I've ever gotten. It's barely noticeable, with limited symptoms.

1) would the abreva affect my hsv 2 test results? I know this is a dumb question and the obvious answer to me is no, but I'm also not a medical doctor.
2) will my current cold sore affect the hsv 2 blood work results if it is in fact hsv 1? 
3) I am very worried and anxious awaiting my results. Is there any advice you can give to me to comfort me while I await my results? I know you've stated countless times that you don't think this is hsv 2, which is comforting.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
Wow, I don't agree with your doctor at all about this - but if you end up positive for HSV 2 by antibody test,  we would normally assume it is genital. 
I think you are making too much of the different location of these lesions, perhaps.  It is very normal for lesions to vary in their location somewhat. 

1.  No, it would not
2.  No, it would not
3.  I don't believe this is HSV 2, no, I'm not sure how else to reassure you here.  You know this test is too early for an accurate result, right?  We like 12 weeks from incident to testing, but if this is negative, that's a very good sign indeed.

Terri
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41 months ago
I completely understand that you can acquire hsv 2 even when using a condom, but the sexual encounter on 1/27 was protected vaginal intercourse and I did not get any genital symptoms afterwards. I made sure that my conform used a condom at all times. The only symptoms I have had are orally, which is now.

Would you still assume the hsv 2 is genitally if I come back positive, given my symptoms and situation? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
Well, since you were tested and were negative before this event (is that correct?) and your contact was only oral, then yes, I would agree that your infection with HSV 2 would be only oral. 

Good job with the condom, by the way. 

Terri
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