Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

Needs to be evaluated. Do consult.

Locally  apply alovera gel or honey.  Or ACYCLOVIR OINT TWO TIMES  BEST IS AT NIGHT  AS NO DUST NO SUNLIGHT. ITS RECURRENT. ITS SEEN AFTER HIGH FEVER  ALSO. IF EXTENSIVE TAB ACYCLOVIR 800, FOUR TIMES A DAY AFTER FOOD FOR TEN DAYS.

Cold sores are often due to herpes simplex infection. After infection once, the virus can be dormant and multiples, can be reactivated due to some stress, illness, hormones.

Please consult for further management

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-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as - -Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history. Please follow good life style as • take plenty of fluid and • take less spicy and fatty foods and • take home made food only and do exercise regularly with yoga and meditation and • keep positive attitude to fight any disease and any problem of your life .

If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.

Thank you for sharing your concerns about herpes simplex virus (HSV) and cold sores. Let me address your questions clearly: Understanding Your HSV Exposure: 1. Transmission Routes:    - HSV-1 (typically causing oral herpes) can spread through:      Non-sexual contact: Sharing utensils, towels, or cosmetics with someone shedding the virus      Childhood exposure: Likely from your grandmother via casual contact (kissing, shared items)    - HSV-2 (genital herpes) requires sexual contact 2. Your Case Analysis:    - Your 2019 outbreak could be HSV-1 reactivation from childhood exposure (common - 50-80% of adults have HSV-1 antibodies)    - The 4-month gap after intimacy makes sexual transmission less likely as first outbreaks usually occur 2-12 days post-exposure Key Facts About HSV: - After initial infection, the virus remains dormant in nerve cells and may reactivate due to:   • Stress   • Illness   • Sun exposure   • Hormonal changes Management Recommendations: 1. During Outbreaks:    - Apply topical antivirall (acyclovir cream)    - Use sunscreen on lips    - Avoid picking sores to prevent spread 2. Prevention:    - Don't share personal items during outbreaks    - Avoid oral contact when sores are present When to Seek Consultation: - If outbreaks are frequent (>6/year) - If you develop genital lesions - For confirmatory testing (though not routinely needed for typical cold sores) For personalized guidance on managing HSV or discussing antiviral options, I recommend a consultation. You can reach me on WhatsApp at eight zero zero nine eight two one three three two to schedule an appointment.

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Can help you, kindly consult and provide detailed history for proper diagnosis and further management