[Question #22] hsv1 on the gums

41 months ago
I was visually diagnosed with genital herpes which i believe is hsv1 (the guy gets cold sores on his mouth). Im waiting on the culture results but am certain thats it. I will be getting blood work done today to confirm hsv1. I have not had the normal outbreak on my mouth. I do however have an area above a tooth on my gum that i believe is hsv1 which im getting cultured today. My question is- if this is hsv1 on my gum- how is it transferred to another person?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
Herpes does not normally cause lesions inside the mouth.  It can be shed (giving off) from the mouth, but most often sores in the mouth are canker sores particularly if they are recurrent.  Cold sores are normally defined as being on the edge of the lip or in the nose or on the chin.  It is possible, certainly, with a first infection to get sores in the mouth so it will be good to await swab test results.  Also, if this is new infection, your antibody test will not be positive yet.  It takes a while to make antibody (which is what the blood test is looking for).  You don't get antibody from someone else - you have to make it.  You get virus from another person and then you make your own antibody.  Also, according to a study we are just analyzing, the HSV 1 antibody test misses 25% of infections of HSV 1 so it isn't great.  Let's wait for your test results, then post them for me and we will sort them out.  How does that sound for a plan?  If you do have HSV 1 orally (along with 56% of the US population between 14 and 49 who have HSV 1 somewhere on their body), it can be transmitted via and kissing and giving oral sex.  But once a person has it they don't get it again.  So if you do have HSV 1 orally, you can certainly have contact with someone else with HSV 1 without concern about transmission.  but that's tough to know for sure because the antibody test is so poor.  It's circular, kind of.  Let me know when you get your test results back.

Terri
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41 months ago
Thank you for your response. It makes me feel a little better. Also, this is my first time using this site-do i get 2 additional questions on this thread(without this one being used as 1)?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
You definitely do get two more.  No worries, I will not use that as one ;-)
Terri

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19 months ago
I'm in worse shape than I was when I last posted. The culture on my gums came back negative, I still have my concerns but that's just the devil trying to convince me otherwise that I'm ruined because of this. I try not to let it affect me mentally, but I have bad days. Yesterday my daughter (5) was visually diagnosed with hsv1 orally by her pediatrician, I asked the doctor if I was the one who could have transferred it to her(Ghsv1)and his response was a very small chance and I'm still not convinced. I will probably always think it was me because I wasn't careful. I really just want some clarification and here's the situation. I am not on any meds and I'm not sure how often I have outbreaks, I feel like it's there all the time but this is probably me just being paranoid. I feel like I breakout every month on my period (Iud-so typically just period symptoms, sometimes small spotting) I will notice the tingling but any sores (same spot) are hardly even noticeable, typically only an issue when wiping. I read inquiries when I was first diagnosed and from what I gathered it is for the most part a skin to skin transfer. I still had my doubts and even more because my daughter has it now. I'm concerned I gave this to her. Obviously, not from skin to skin. Could she have gotten it by touching my washcloth( wet or dry) or towel (to dry -damp in areas) with or without an outbreak and would it have to be immediately after I was done using washcloth or towel? I don't want her to have the complex I have about it and me thinking I gave it to her only intensives it.   
19 months ago
I forgot to add in my question/rephrase that if she put the washcloth/towel to her mouth and not immediately. Typically we don't shower and we don't share towels. But I'm not going to say she's never picked up a towel and blown her nose on it, ues gross bit she's seen me do it. I feel like the worst mother in the world.
19 months ago
I've continued to read posts on here and I'm not sure if they are helping me. I read that sharing chapstick (because it is moist) can transfer the virus. I use babywipes often and remember her using one to wipe her mouth (typically not done) but could it have been transferred that way and can you elaborate with scenarios like you have with other questions? The scenario that comes to mind first is that I examined myself (typically I don't do this as it really doesn't bother me) and I then wiped with a babywipe and possibly touched the next one, then she used that same baby wipe to wipe her face either immediately or 5 mins after as two examples, as I don't see how normal wiping I would touch a sore. 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
19 months ago
The thing is, none of the scenarios you list is a reasonable or even semi-reasonable way of transmitting herpes to another person.  People with genital herpes do not transmit it to their children though many people worry that they will. 
How was your daughter diagnosed with oral herpes?  What did the sores look like?  Did the doctor do a swab test to be certain?   What took you in to the doctor with this?
I think  you should obtain a herpes western blot to find out if you even have HSV 1 infection.  What do you think?
You are actually out of questions here - but you can renew if you wish.  I just think you both should be certain of your diagnoses.

Terri
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