3 doctors weighed in:

I have Herpes Type II. For a month now Ive had tingling & burning sensation & lip quivering on my upper lip but no cold sore has appeared. Ive taken valacyclovir 1 g for 14 days but has not relieved symptoms Am I having an outbreak? Or something else

3 doctors weighed in
Dr. Hunter Handsfield
Internal Medicine - Infectious Disease
2 doctors agree

In brief: Not herpes

First, let's be clear on terminology.
It's HSV2, not II (roman numerals). HSV2 is the virus, not the disease. Genital herpes can be caused by either HSV1 or 2, but HSV2 infrequently infects the mouth -- i.e. most people with genital HSV2 never get cold sores from it. Herpes doesn't cause "tingling and burning" without visible sores, and non-improvement on valacyclovir confirms it's not herpes.

In brief: Not herpes

First, let's be clear on terminology.
It's HSV2, not II (roman numerals). HSV2 is the virus, not the disease. Genital herpes can be caused by either HSV1 or 2, but HSV2 infrequently infects the mouth -- i.e. most people with genital HSV2 never get cold sores from it. Herpes doesn't cause "tingling and burning" without visible sores, and non-improvement on valacyclovir confirms it's not herpes.
Thank
1 comment
Dr. J. Lawrence Dohan
Episodic treatment for herpes prodrome, type 1 or 2, is a single dose of valacyclovir 2Grams [2 pills].
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