[Question #2014] Oral Herpes or other STD?

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83 months ago

Hello, I am a 24 yr. old virgin man. I kissed a girl for the first time a few weeks back.  One week after said exposure I started getting itching sensation in different parts of my body like neck, thighs, hands, face and even eyes. By the end of the second week (around 12-14 days after initial exposure), I had a tingling sensation in my cheeks, lips, etc. and noticed a small white pimple form over the border of my upper right lip. It transformed to a white head, shrunk and disappeared within 3 days, but the itching continued. (I had applied a bit of over the counter Framycetin Sulphate skin cream)

One week after that I had some severe itching and tingling around the foot of my nostrils and next day noticed a similar red pimple under my left nostril. It appeared raised but soon developed a whitehead and then shrunk to disappear. I could still see a red inflammation around it which later crusted over. The whole process may have taken a week and started approximately 3 weeks after initial exposure. The itching and tingling still continued, mostly around the left side of the face and largely around the nostrils and thighs, along with itchy eyes at times.

After about 5 weeks of exposure, I saw a tiny white pimple appear on my right  lip-line which disappeared overnight. The itching of mainly nostrils and right thigh and eyes still continues.

Are the pimples or the continuous itching and tingling a symptom of Herpes or any other STD? 

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Terri Warren, RN, Nurse Practitioner
83 months ago
Have you had little whiteheads near your lip in the past?  Is this something completely  new for you?
The timing of symptoms is very long to be new herpes - most often, new herpes would show up within 2-10 days, with 10 days being pretty darn long.  You are talking 21 days, right?  I'm not as concerned about the itching and tingling as I am about your description of something "crusting over".  Can you tell me more about that?
Honestly, I think it is extremely unlikely that you would acquire oral herpes the first time you kiss someone in your whole life.  And your symptoms sound very short and minor for new herpes as well.

Terri
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83 months ago
Thanks for your reply.
About the crusting over, I probably may have altered what actually happened to suit some descriptions I read off the internet. However, even after the pimple disappeared, there was some small red inflammation around the hole where the pimple originally was, in a few days I could see some whitish-yellow coverings over the hole which later disappeared.  Maybe I am looking too closely into it.

1.) I may have had cuts, wounds inside my mouth and the girl has kissed many others before. Would that have increased my risk of catching Oral Herpes, even though I kissed for the first time?

2.) I may have had pimples over my lip sometimes, because I shave frequently, but never had one on the lip line itself. Is it possible for herpes blisters to have whiteheads and recur within a few days to a week from the previous one? Because this is something I have not heard of.
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Terri Warren, RN, Nurse Practitioner
83 months ago
1.  A lot of the mouth is mucous membrane, so the herpes virus wouldn't need a cut or wound to get into your body so no, that doesn't increase the chances of you becoming infected. 
2.  Pimples and herpes do truly look very different.  Pimples have a white head, can be popped and resolve in a few days.  Herpes lesions blister, like water blisters, and often come in groups.  After they blister, they break open, make ulcerations in the skin and then develop a crust.  Obviously I can't know for sure, I never saw it, but this just doesn't sound like a case of new herpes to me.  I assume you've looked online to see pictures of oral herpes? 

Did you see a clinician about this at all?

Terri
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83 months ago
I did see a clinician about this the first time I had a whitehead above my lip. However, the whitehead disappeared by the time I had my appointment. So there was not much to talk about. I was told, oral herpes, even if it occurs, is not a very serious condition and can be resolved by over the counter medicine.

However,

1.) I now see a similar whitehead in the skin below my right eye. Just below the eyelashes, this is freaking me out. What can it be?

2.) Most of these whiteheads occur in different regions of the mouth and within a few days to a week of the last one. Can herpes reoccur within a few days or weeks in a new place or does it take more than that?   
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Terri Warren, RN, Nurse Practitioner
83 months ago
Herpes normally does not present as a whitehead, as I mentioned, so I am not concerned about the one below your eye.  Have you never had whiteheads on your face before?  Herpes normally does not present at something that comes, stays a few days as a whitehead and then shows up in a new place a week or so later, no, not at all.  If you are still worried, you should be seen when you have one of these and get a medical opinion rather than trying to guess. 

Terri
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