[Question #2732] Hello

41 months ago
On Setptember on the weekend of September 1-3rd I had 2 encounters with 2 different girls . One girl was just kissing . The other girl there was kissing and protected sex . 4 days later I wake up and the area above my lip was burning this lasted a couple days and no lesions or blisters formed. I then developed a little cold a headache and sore throat that lasted 2 days . I woke up yesterday and my gums and teeth feel weird they weren't burning but they kinda hurt. No blisters on my gums . And the area above my lip still kind of burns . Then today I've developed some pain in the right side of my face above my jaw . I'm scared . Do you think this sounds like I contracted oral hsv 1 . I'm freaking out I've been to urgent care centers and they told me km freaking out too much and there's no signs of cold sores . They told me I don't have a fever or swollen lymph nodes . But I know you can have hsv1 without symptoms or cold sores . Please help I'm freaking out . I've never had cold sores and always tested negative for hsv 1 . What does this sound like to you ? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
I think without a blister or sore on your lip, herpes is unlikely but not impossible.  Just keep observing the area but don't focus too much on it.  If you develop a sore, please have someone swab test it.  About 56% of the US population has HSV 1 infection, so if you kiss people, you are likely to kiss someone who has HSV 1 infection.  Also, the IgG test for HSV 1 misses 30% of infections compared to the gold standard western blot so it is possible that you are already infected and the test missed it.  I don't think there is anything to do about this unless a sore develops that you can swab test.

Terri
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41 months ago
Do that sound like herpes to you ? Can herpes cause pain in the side of The face above the jaw ? My lips haven't been tingling but there's been some burning over top of it . And yes no blisters have formed nor have I had a fever or Swollen lymph nodes . I've been going to urgent care places just about everyday . I'm scared. What's your knowledge on oral herpes ?  I know you are an expert . 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
What is my knowledge? I've specialized in diagnosing and treating both oral and genital herpes for 33 years. 
As I said, without a lesion, I think herpes is unlikely  
I would suggest that you stop going to urgent are unless or until a blister or sore develops. 

Terri
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41 months ago
Thank you ms warren. I guess I'm worrying too much . Have you everheard of Anyone with oral hsv to have pain in the side of their face ? What is the initial hsv 1 infection normally like ? I have not had a fever or swollen lymph nodes but pain in the facial area with no lesions . Do most people with hsv 1 get an outbreak of blisters on their face . My anxiety is killing me. I've been to so many urgent care places everyday . One of my doctors told me he likes me but I should see a physiatrist because of my anxiety and worrying too much . He has a cold sore himself he tried to tell me that everyone gets them and that it's ok .  Thanks . I'm just scared I'm infected can I test after 4 weeks ? 
Terri Warren, RN, Nurse Practitioner
Terri Warren, RN, Nurse Practitioner
41 months ago
Most people with new HSV 1 get an outbreak on their lips, not their face.  I also suggest that you consider counseling over this worry.  You should test at 12 weeks if you test at all again.

Terri
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