[Question #2349] follow up for Terri.....

46 months ago
Sorry to bother you Terri... I know you guys don't like anxiety-driven, repetitive questions, and I don't consider this to be repetitive, I just wanted to pick your brain for some expertise......I still have the occasional sharp pains on the ventral side right under the rim of....you know....but it seems to be deep and may even be the veins, consistent with soft tissue or bruising.  the pains are decreasing in frequency.  My real question is this:  is it possible to have this level of symptomatology with HSV2 and NOT have any lesions?  I have been looking, and there are no clear signs of blisters or anything like it.  I don't want to obsess on small topographical anomalies, and am really looking for clear lesions, blisters, etc.  and I don't see any.  should this put the issue to rest?  can one have the pain without the blisters?   I promise I won't bug you more with this, but I was more curious and am starting to feel better.....thanks for your collegiality and professionalism, hopefully this will be my last communique'......thanks Terri!
46 months ago
Just want to follow up:  there is some poorly circumscribed redness but no blisters. The pain comes when my boxers tightly stretch the skin but I can't reproduce the pain manually and believe me I've tried...its somewhat random....
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
46 months ago
You aren't bothering me!  It's just fine to pick my brain.
This just doesn't sound herpetic to me.   While it is possible to have herpes and not recognize skin change, normally there ARE skin changes in the form of lesions, people just don't notice them (which I know is not the case for you) or they misinterpret them as something else.
Remind me - did you test?

Terri
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46 months ago
No I haven't tested (for this episode) but tested neg in past.... I "feel" i may be infected, but I'm looking for blisters and there are none.  There are no sores or open skin, and I have dark areas due to my middle eastern blood, making it hard to tell if there are dark areas vs natural discolorations....but no blisters or sores  just a raw skin feeling....
46 months ago
If I spread the skin I see a tiny fissure < 1mm in the sore spot. I'm officially  panicking. 
46 months ago
I'm going to pcp  for 400mg acyclovir bid for suppression.  I can't believe this happened but it's my own fault.  
46 months ago
PCP and arnp looked at it they are doubtful for hsv-2 but just to be safe ordered an IGG full panel STD and wrote me a week of Valtrex 1 gram q12.  I'll have the results within a week or two
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
46 months ago
I would strongly suggest that you wait to take medicine until you test as the medicine can influence the test

Terri
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46 months ago
Thanks Terry they already Drew so I'm going to start I hope to God this is nothing
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
46 months ago
I believe it likely is nothing, Justin

Terri
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