Recurrence
A number of individual keep on getting recurrent herpes sores. As to why some individuals get it and some do not, is a medical mystery. But we do know that some conditions can increase the chance of recurrence. The recurrence may be in the same location around the mouth or in a different site. The recurrence rate is variable. There may be one recurrence a month, or several a month or once a year.
Secondary herpes is due to a local reactivation of the virus that produces a cold sore. Unlike the primary infection, recurrent herpes sores are not as painful. Most individuals claim that the pain is much less severe and tolerable. However, the unsightly cosmetic nature is no different compared to the first episode.
Diagnosis
The diagnosis of herpetic sores requires a simple physical examination. No other blood work or x rays are required. In the very rare case, small amount of fluid may be obtained to confirm the diagnosis. In the era of modern medicine, where money factors a lot into a physician’s income, unnecessary testing is common.
This may include testing the blood for antibodies- redundant tests which do not affect therapy.Confirmation of the herpes virus may be of an issue in hospitalized patients who are sick. For the average individual, a simple physical exam will suffice.
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