[Question #2731] Frightened of potential breakout

41 months ago
I apologize in advance for the lengthy question.
  About a week ago, I noticed a small red dot on my lip.  To be honest, it might have been there all along.  Only now it seemed to tingle a bit.  Given all of my recent health concerns, I immediately thought it might be HSV, and had a nurse at the local clinic take a look.  She did not seem to think there was much cause for concern, and suggested I watch it to see if it developed into something.  (She mentioned Abreva as a potential remedy, but this is located right on top of the bottom lip, so saliva would likely wash that away quickly.)
  A week later, the dot has not changed at all (a second nurse examined the mouth yesterday and found nothing of interest) but the occasional tingling remains.  It has not formed into an actual blister or cold sore.  Then this morning, I noticed what appears to be the beginnings of a blister on the nose, just next to the nostril.  Since I had picked up the Abreva anyway, I have been applying all day, and made an appointment to see the Dermatologist.  It appears to be on it's own (no cluster.)
  I'm not sure if you can help with this, but is there any way to determine what will happen to this?  Right now, it is relatively small, but in a prominent area.  I'm very concerned about it worsening.
  Any insight you can provide is more helpful than you know.
41 months ago
A few other points I forgot to mention, but I thought might be relevant.  The nose blister (if that is what this is, and not a pimple) does not have a tingle that is perceptible (although the Abreva tingles a bit.). The other point is I am experiencing a very mild urethra irritation, though this is not entirely uncommon for me.  Sorry for not including this earlier.  Any relevance?
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
I think it is an error to be treating this blister on your nose as it will interfere with any swab testing that might be done.  You might want to consider stopping it and if the blister changes, have it swab tested for herpes.  The nose is a location for oral/nasal outbreaks. 
What kind of sexual experiences make you worry here?

Terri
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41 months ago
The most recent activity was about 10 days ago.  Kissing (briefly) and received oral sex (briefly.). Could this have been the source?
41 months ago
I am so frightened to have made this mistake.  If I suffer a breakout I don't know how I would handle it.  I am so sorry.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
Brief kissing is unlikely to cause a new HSV 1 infection but it isn't impossible.  Let's just keep an eye on your nose and see what happens.  Did you kiss someone outside of a usual relationship? Is that why you are so worried about this?

Terri
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41 months ago
Yes it was someone I did not know.  I am not in any relationship.  I met this woman 9 weeks ago and we did have sex, unprotected, vaginal and oral.  It was a huge drunk mistake that I regret every day.  On top of that, I experienced symptoms in the weeks that followed that had me convinced I was HIV positive, which resulted in extreme anxiety.  Worse still is I was originally told it would be 3-4 months before I would know my HIV status.   I have been tested negative for all STDs since then, including a 4th Gen HIV at 6 weeks, but the tests did not include HSV.  Is it possible the infection would be from that earlier exposure?  I was so frightened after the first incident that I had to stay in touch with her to confirm that she had been tested.  (She had.). I should not have agreed to the additional contact, but I let myself down again.  I'm worried mostly because I'm supposed to see my Dad in a couple of days and now I'll have to cancel if I have visible symptoms.  My life is completely falling apart because of this.  I could lose my job, family & friends.  If only I could go back.  Please help.
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
You will not lose your family over this!  I know you are so scared but you've way over estimated the risk of this encounter.  Your dad is not at risk. You will not lose our job.  You won't lose your friends.  you need to scale back your panic if at all possible.  You thought you were HIV positive and you aren't. And you likely don't have herpes.  If I could, I would reach out and shake you!  Please try to gain some control over your emotions here, take a deep breathe and try to stop panicking. 

Terri
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