[Question #2732] Hello

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93 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 ? 
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Terri Warren, RN, Nurse Practitioner
93 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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93 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 . 
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Terri Warren, RN, Nurse Practitioner
93 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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93 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 ? 
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Terri Warren, RN, Nurse Practitioner
93 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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