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01.03.2015

Oral hsv 1 treatment, world health organisation definition of complementary and alternative medicine - Reviews

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There are two types of HSVs, namely the herpes simplex virus 1 and the herpes simplex virus 2, HSV-1 and HSV-2. HSV is divided into two groups: HSV-1, which usually affects the lips and areas around the mouth or nose, and HSV-2, which causes sores to form around the genitals or rectal area.
HSV-1 is transmitted via saliva, and can be spread through kissing or oral sex or by sharing eating utensils, drinking glasses or toothbrushes. Without a cure, treatment of both types of herpes is aimed at lessening symptoms, including relieving pain and speeding healing time.
Herpes is a very common infection caused by a virus, called the herpes simplex virus, or HSV.
HSV-1 is typically spread via infected saliva and initially causes acute herpetic gingivostomatitis in children and acute herpetic pharyngotonsillitis in adults. Although genital herpes is usually caused by HSV-2, it can also be caused by HSV-1 (for instance by contact of a mouth lesion on genital skin of a non-infected person). The good news is that a person who already has antibodies to HSV-1 because of a prior infection with oral herpes causes a milder effect of genital HSV-2 and protects against acquiring HSV-1 in the genital area. To infect people, the herpes simplex viruses (both HSV-1 and HSV-2) must get into the body through broken skin or a mucous membrane, such as inside the mouth or on the genital area. In the past, genital herpes was mostly caused by HSV-2, but HSV-1 genital infection is increasing.
Oral herpes (herpes labialis) is most often caused by herpes simplex virus 1 (HSV-1) but can also be caused by herpes simplex virus 1 (HSV-2). People with compromised immune systems, notably patients with HIV, are at very high risk for HSV-2. Recent studies have suggested that male circumcision may help reduce the risk of HSV-2, as well as human papillomavirus (HPV) and HIV infections. Some doctors recommend anti-viral medication for pregnant women who are infected with HSV-2.
Herpes meningitis, an inflammation of the membranes that line the brain and spinal cord, occurs in up to 10% of cases of primary genital HSV-2. The majority of patients with HIV are co-infected with HSV-2 and are particularly vulnerable to its complications.
At this time, doctors do not recommend screening for HSV-1 or HSV-2 in the general population.
Other conditions that may be confused with oral herpes include herpangina (a form of the Coxsackie A virus), sore throat caused by strep or other bacteria, and infectious mononucleosis.
In a few cases, HSV-2 may occur without lesions and resemble cystitis and urinary tract infections. Acyclovir (Zovirax), valacyclovir (Valtrex), and famciclovir (Famvir) -- the anti-viral pills used to treat genital herpes -- can also treat the cold sores associated with oral herpes.


Penciclovir (Denavir) heals herpes simplex virus 1 (HSV-1) sores on average about half a day faster than without treatment, stops viral shedding, and reduces the duration of pain. Docosanol cream (Abreva) is the only FDA-approved non-prescription ointment for oral herpes.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.
Oral breakouts are often preceded by tingling or burning in the affected area (usually the lips) prior to the emergence of blisters.
In addition to oral and topical medications, our doctor may recommend the use of warm baths to relieve the pain associated with HSV-2 or warm compresses for discomfort that may occur with HSV-1. If the primary (initial) oral infection causes symptoms, they can be very painful, particularly in small children. Women are more susceptible to HSV-2 infection because herpes is more easily transmitted from men to women than from women to men.
These individuals are at risk for herpes gladiatorum, an unusual form of HSV-1 that is spread by skin contact with exposed herpes sores and usually affects the head or eyes. It is almost impossible to defend against the transmission of oral herpes since it can be transmitted by very casual contact. Aggressive treatment with antiviral medication is required, but may not help systemic herpes.
However, recurrences of genital herpes, and viral shedding without overt symptoms, are much less frequent with HSV-1 infection than herpes simplex virus 2 (HSV-2). National Institutes of Health has been conducting the Herpevac Trial for Women to investigate a vaccine for preventing herpes in women who are not infected with HSV-1 or HSV-2. A meta-analysis to assess the efficacy of oral antiviral treatment to prevent genital herpes outbreaks.
A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions.
As in oral herpes, each outbreak starts with a feeling of pain or burning at the site, followed by a localized patch of vesicles that can be very painful. Until recently, the general rule was to assume that HSV-1 infections occur in the oral cavity (mouth) and are not sexually transmitted, while HSV-2 attacks the genital area and is sexually transmitted. HSV-1 is the most prevalent form of herpes simplex virus, and infection is most likely to occur during preschool years.
There are some differences in frequency of recurrence depending on whether HSV-2 or HSV-1 causes genital herpes. Oral herpes can be provoked within about 3 days of intense dental work, particularly root canal or tooth extraction.
During that period, the body mounts an immune response to HSV, and in most healthy people recurring infections tend to become progressively less severe and less frequent.


Centers for Disease Control and Prevention, at least 45 million Americans age 12 and over, about 1 in 5 teenagers and adults, are infected with HSV-2. HSV-2 infection increases HIV levels in the genital tract, which makes it easier for the HIV virus to be spread to sexual partners. It is important for doctors to determine whether the genital herpes infection is caused by HSV-1 or HSV-2, as the type of herpes infection influences prognosis and treatment recommendations. PCR identifies HSV in cerebrospinal fluid and gives a rapid diagnosis of herpes encephalitis in most cases, eliminating the need for biopsies.
The infection may recur after treatment has been stopped and, even during therapy, a patient can still transmit the virus to another person. HSV-1 is typically spread by contact with infected saliva, while HSV-2 is usually spread sexually or via the mother's genital tract to her newborn baby. As in oral herpes, genital herpes also causes vesicles to form, which can appear on vagina, labia, buttocks, or even the cervix in women, and on the penis, scrotum, buttocks, thighs, and even urethra in men. Barrier protection such as with a condom can help prevent spread of genital herpes, but some HSV ulcers can occur outside o the area protected by the condom and still be transmitted. HSV is one of the most difficult viruses to control and has plagued mankind for thousands of years. While HSV-2 remains the main cause of genital herpes, in recent years the percentage of cases of genital herpes caused by HSV-1 has significantly increased because of of oral-genital sex.
Natural condoms made from animal skin do NOT protect against HSV infection because herpes viruses can pass through them. Fortunately, rapid diagnostic tests and treatment with acyclovir have both significantly improved survival rates and reduced complication rates. For a recurrent episode, treatment takes 1 - 5 days depending on the type of medication and dosage. HSV-1 more commonly affects the area around the mouth, while HSV-2 is more likely to affected the genital area, but both viruses can affect either region. In fact, HSV-1 is now responsible for up to half of all new cases of genital herpes in developed countries.
However, by the time Americans of all economic backgrounds reach age 60, about 60 - 85% have become infected with HSV-1. In fact, studies indicate that 10 - 25% of people infected with HSV-2 are unaware that they have genital herpes.



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