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Wednesday, September 17th, 2008
CMV can cause serious pneumonia, eye infections, and hepatitis in AIDS patients and anyone with a suppressed immune system, especially transplant recipients.
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Disclaimer: This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.
Sunday, September 14th, 2008
Babies. Babies infected before birth who become sick with CMV have symptoms affecting many major organs including the liver, brain, eyes, and lungs. The baby may suffer from convulsions, lethargy, a rash that looks like tiny red pinpoints on the skin, and breathing problems. Surviving babies often have such permanent damage as mental retardation, small brain or water on the brain (micro- or hydrocephalus), hearing loss, eye inflammations, poor coordination, and liver disease.
Children. Young children have few, if any symptoms. They may experience a mild cold- or flulike illness with fever, but you can’t tell it apart from any other mild viral illness.
Adults. Very few adults, including pregnant women, have any symptoms. Symptoms will be so mild—achiness, a low fever, sore throat—that you won’t be aware you are sick.
Tests
Because the virus is excreted in blood, urine, saliva, cervical secretions, and breast milk, CMV can be grown in any of these samples. It is not difficult to grow the virus, and the test is available in most large hospital and commercial labs. The virus grows slowly, however, and you may wait from two to six weeks for results.
You can also have your blood tested for the CMV antibody. If you have the antibody, you’ve been previously infected with CMV, but this test won’t tell whether the virus is present in your blood, urine, or saliva.
Newborns with possible congenital CMV infection must have virus cultured from their urine, nose, eyes, or spinal fluid to confirm CMV as the cause of illness.
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Disclaimer: This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.
Wednesday, September 10th, 2008
Genital herpes is spread only through direct skin-to-skin contact or mucous membrane contact. It can be transmitted through penile-vaginal intercourse, anal intercourse, oral-genital sex, and other sexual body-to-body contact.
To reduce the risk of transmitting genital herpes, people who have the virus should avoid sexual contact from the time they first feel any symptoms until their lesions are completely healed. During times when there are no symptoms, using latex male condoms for genital-to-genital contact reduces the risk of transmission, according to the American Social Health Association. But condoms are only effective if they cover or prevent contact with the area of the body that has a lesion or active virus.
In one study of more than 400 monogamous couples in which one partner had genital herpes and the other didn’t, condoms were found to offer significant protection against HSV-2 infection in women, says study leader Anna Wald, M.D., medical director of the virology research clinic at the University of Washington in Seattle. Since women shed the virus from a wide genital area, condoms may be less protective for men than for women, says Wald, whose study was published in the June 27, 2001, issue of the Journal of the American Medical Association. However, more studies are needed to address how well condoms work for men, she says.
Lambskin or other natural membrane condoms should not be used for disease protection because the naturally occurring pores in the material are large enough to allow some viruses to pass through. The FDA recommends latex condoms or polyurethane condoms for those sensitive to latex.
Partners can be infected with different strains of herpes, but are highly unlikely to reinfect each other, says Ashley. Even if they did, each person’s symptoms are unlikely to change. “You’re not going to be suddenly having twice the attacks because you have [your partner’s] strain too.”
The virus is not transmitted through the air, nor are there any documented cases of a person getting genital herpes from an inanimate object such as a toilet seat or hot tub. “Herpes doesn’t do well in chlorinated water,” says Ashley. “The virus can be present in a hot tub, but it won’t be active.” The virus doesn’t survive well in the environment, even on a wet towel, says Ashley. However, she advises to avoid sharing razors, especially with someone who has an active cold sore. The virus can be transmitted from the razor to the skin. Other viruses, such as hepatitis C, also can be transmitted by sharing razors.
Spreading herpes from one part of your body to another (autoinoculation) is possible, but unusual. To be safe, wash your hands with soap if you touch a herpes sore.
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Disclaimer: This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.
Wednesday, June 25th, 2008
Genital herpes is a sexually transmitted disease (STD) caused by HSV (herpes simplex viruses). HSV type 2 (HSV-1) is the usual cause of genital herpes. Although, in some cases HSV type 1 (HSV-2) is also found responsible for this disease. Usually HSV-2 is responsible for oral herpes (herpes sores on the lips and in the mouth).
Many people have heard about the Herpes Simplex Virus (HSV). But very few people know what causes it. There are several kinds of herpes strains. We will talk about the Genital herpes in this article.
Herpes Simplex Virus 2 (HSV2) is also known as genital herpes because it affects the genital area. Common areas of infection are the cervix, labia, vagina, inner thighs, and anus of female and the shaft of the penis, scrotum, inner thighs and anus for men. As per the recent research approximately 86 million people worldwide are affected by this disease. The main cause of transmission of genital herpes is through sexual contact.
Getting Diagnosed
Think you have genital herpes? See your doctor for testing and treatment right away. Doctors can diagnose genital herpes by looking at visible sores or by taking a sample from the sore for testing in a lab. Blood tests can also be done to detect HSV-1 or HSV-2.Follow your doctor’s advice and finish all the medicine that you are given. It is very important to finish all the medicine even if the symptoms go away.
If you are not affected with genital herpes then abstinence from sex is the surest way to avoid getting genital herpes. The next way is to limit sex to one uninfected partner who only has sex with you. If you have a partner with genital herpes, do not have sexeven with a condom when he or she is affected with an outbreak.
Cure and Precautions
Unfortunately there is no cure for this disease; the virus will always be in the infected body. Certain drugs such as acyclovir, valacyclovir, and famciclovir can decrease the outbreaks, or stop them from happening. Your doctor can give you proper advice/medicine to cure the outbreaks and stop them from affecting you in future.
Always follow the following steps to stop frequent outcomes of the virus and to stop the transmission to another person.
1. Do not touch the sores with hands or with a cloth, in severe conditions one can use cotton, which can be thrown after use.
2. Wash hands after contact.
3. Clean the infected area and keep it dry.
4. Avoid sexual contact until the herpes are healed.
5. Avoid having any sexual activity while you have any symptoms of an outbreak. Be sure to tell your sexual partners, so they can also be tested. Genital herpes is a life long virus, which cannot be cured, get advice from your doctor in order to prevent the outbreak to happen and to prevent spreading of disease to any other person.
During an outbreak, there are different ways to relieve pain.
- Take warm bath. After bathing, carefully dry affected areas gently with cotton.
- Wear loose cotton clothes.
- Keep the area dry.
- Hold ice packs to the sores a few minutes, several times.
- Take aspirin, acetaminophen, ibuprofen or doctors prescribed medicine to relieve pain and fever.
It is very important for a pregnant woman that the outbreak of the herpes should be treated before giving birth. If the mother is affected by genital herpes while she is pregnant, she is more likely to pass the virus to her baby. If the outbreak is not the first one, the baby’s risk of getting the virus is very low. Babies born with herpes may be premature or may die, or they may have brain damage, severe rashes, or eye problems. Doctors may do a C-section to deliver a baby if the mother has herpes lesions near the birth canal to help prevent passing the virus. Also, acyclovir can help babies born with herpes if they are treated right away. It is not yet known if all genital herpes drugs are safe for pregnant women to take. Herpes is spread through contact with sores and can be dangerous to a newborn while breast-feeding if the sores are on sores on your nipple or areola. Breast-feeding should be stopped until the sores are healed.
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Disclaimer: This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.
Thursday, May 29th, 2008
* Genital herpes has a phase called prodrome. During this phase, you get sensations such as tingling, itching or some pain, etc. You then know that the herpes will break out in a few days - a day or two or more.
* Genital herpes can easily spread during this prodrome period or during active outbreak. It may also spread when no outward signs are present, because the virus remains active on the skin.
* Genital herpes commonly gets transferred through skin cuts or mucous membranes. Oral cavity, vagina, anus and glans penis are all covered with mucous membrane.
* Genital herpes does not cause serious health problems, but a person suffering from it is more susceptible to get HIV.
* Asymptomatic reactivation or asymptomatic shedding is the phase during which herpes can spread without any outward sign.
* Anti-viral therapy can reduce the probability of spread. Your doctor will tell you about it.
* Herpes is diagnosed with viral culture during active outbreaks. During dormancy (no visible signs), a blood test can be done. But these tests are not very accurate.
* If a person has cold sores and performs oral sex, his/her partner may get genital herpes with virus type 1.
* The herpes virus cannot live long on dead surfaces such as toilet seats, towels, etc. It is rare to contact herpes from these objects.
* Herpes is caused by viruses HSV1 and HSV2. HSV1 commonly causes oral herpes or cold sores and HSV2 normally causes genital herpes. However both these viruses can be found in oral cavity or near/on genitals.
* HSV2, which commonly causes genital herpes, may be present in the mouth but it rarely affects the mouth.
* Use of ointments or creams on genital herpes may slow down treatment. Speak to your doctor about this before using any thing.
* It is difficult for a mother to pass on herpes to her newborn unless she has contacted herpes during the last three months of pregnancy or if she has active herpes during delivery. In that case, doctors recommend cesarean section.
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Disclaimer: This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.
Monday, May 26th, 2008
Genital herpes is caused by herpes virus- HSV. HSV are of two types- HSV1 and HSV2. HSV1 causes more of oral herpes and HSV 2 causes more of genital herpes. But HSV1 can also affect the genital area and cause herpes. Genital herpes is contacted by sexual contact. Anybody who has genital herpes can pass on the virus to his/her partner through a cut in the skin or mucous membrane. If somebody has cold sores and performs oral sex, he/she can also transmit the virus and cause genital herpes in partner.
Once the virus enters the body, it multiplies rapidly. The herpes virus remains in the body and may either be active or inactive. During the active period, the virus travels to the genital area and causes sores. During inactive period, it remains dormant in the body. When genital herpes is contacted, virus shows up in the first episode of herpes and after that goes in to sleeping mode to recur again.
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Disclaimer: This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.
Saturday, May 24th, 2008
Genital herpes shows different symptoms in different people. Some may have severe problems while others may get the symptoms so mildly that they may miss it for something else.
Genital herpes begins its first episode within a fortnight of contact. Some people get severe symptoms of herpes in this episode while others may get very mild symptoms of herpes during the first episode. The main symptom is appearance of lesions. These may be pimples or blisters which will crust and heal within a month. Painful urination and headache may occur during the first episode. Some people also show flu-like symptoms during the first episode. Some other people may get very mild symptoms and take them as insect bites, rashes, ringworm, etc. As these symptoms resolve soon, people are left unaware of the fact that they have herpes. Then, blisters appear on the genitals and near genitals. The common areas are: on the vulva, penis, near anus, thighs, and inside vagina.
In the next episodes, the symptoms of genital herpes may appear like: ingrown hair, insect bites, pimples, spots, etc. If blisters form, they crust over in few days and resolve. Most of the following episodes resolve much quickly than the first episode. Symptoms mimicking hemorrhoids may also appear on the anus. If you get repeated fissures or any other symptoms near or on the genitals, you should get screened for genital herpes. On average, a person having genital herpes from HSV2 may have three to four episodes of recurrence every year. Many times, despite the virus being active near the genitals, one may show no symptoms. That is called asymptomatic shedding . Many people feel some pain, tingling or itching before active onset of genital herpes. Within a day or two, lesions appear on the affected area.
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Disclaimer: This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.
Friday, May 23rd, 2008
Just to be clear, HPV and herpes are not the same. Herpes Simplex Virus has two different types - I and II. Type I is typically oral and II is typically genital, but there’s a great deal of crossover.
HPV (Human Papilloma Virus) has scores of types. While the herpes virus (it seems) is a ‘forever’ type of thing, HPV sometimes disappears. Also, it is HSV (herpes) that creates cold sores, and HPV that can create warts or cancer, but these two viruses are distinct and do NOT cause the same complications.
Trusting partners can be very difficult when negotiating safer sex, particularly as everyone has different definitions of “safe.” Additionally, not everyone gets tested for the same infections (for example, it is not in a standard screening to test for herpes) so saying “I’ve been tested and I’m fine” can mean one thing for one person and another for another.
Really, this just emphasizes the importance of having really clear communication, particularly about something as emotional and body-related as sexual health. What have you been tested for? How long ago was that? When was the last time you had protected sex prior to that? Have you had sex after that? What does “protected” mean to you - does that include oral sex? What are the sexual practices of your current partners, and what are your safer sex practices with them? It can be a pretty in-depth and intense conversation, but it can be much better to go through that and get everyone on the same page than to risk disastrous miscommunication.
One last note on transmissibility: One can, in fact, have used latex barriers for every genital-genital and genital-oral contact and still become infected with either HPV or HSV. HPV is tricky because it can manifest outside of areas covered by condoms, as can HSV. Additionally, HSV most commonly infects the mouth, and how many people think to ask if someone has ever had a cold sore before kissing them? One must also note that someone can be infected with HSV or HPV and never ever have experienced symptoms (as is true with many sexually transmitted infections), so a partner might be entirely unaware of infection status, PARTICULARLY as these viruses are not typically tested for in a standard STI screening (which usually includes chlamydia, gonorrhea, HIV, and usually syphilis, though different communities have different trends and standards).
Bottom line: Talk with your partners, get all yerselves tested, and make sure everyone is on the same page regarding safer sex practices. If you feel you can’t trust a partner (or a partner’s partner) to keep to safer sex agreements, it might be a good indicator that you should reevaluate your relationships.
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Disclaimer: This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.
Thursday, May 22nd, 2008
The outbreak of active herpes can be controlled by anti-viral medications. It is easier to manage the outbreaks if you identify factors that trigger active herpes. What triggers the virus to cause active herpes again? It is believed that everyone has his/her own triggers. Over time, most of the herpes patients find out what triggers their herpes. The common triggers that you will be looking for are: stress (both physical and emotional), illness, steroids, sun exposure, poor diet, friction in the genital area because of obesity, tight clothing, etc.
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Disclaimer: This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.
Tuesday, May 20th, 2008
Q My new girlfriend has herpes, which is fine as we use condoms when we have sex. But I’m worried that I’ll catch it from kissing her. Is this possible?
A Herpes caused near-panic when the revolutionaries of the 1960s discovered that there was a sexually transmitted disease that couldn’t be cured or treated effectively. It seemed that an inflamed itchy skin that within 24 hours produced a crop of small blisters was retribution from the gods for the pleasures of less-inhibited sex.
Aids drove news stories about herpes off the front pages. Aids, potentially lethal if untreated, was new to human beings and to Europe, whereas doctors had known about the two herpes viruses, types 1 and 2, for generations. They are arguably second only to the common cold as a cause of human viral infections.
Fortunately, herpes is not a big deal for most people - and if the herpes is confined to your girlfriend’s genitalia, you are unlikely to catch it from kissing her. Ninety-five per cent of adults at some time of their lives, and 60 per cent of children by the age of 5, have been infected. Type 1 usually causes cold sores around the lips and mouth; type 2 usually attacks the genital organs, perineum or perianal area. But either type can affect either area.
The severity of attacks varies enormously. They usually start within four or five days of sex with an infected contact and may be so trivial - no more than a pink patch or an itchy spot - that the sufferer is unaware of its significance until a new partner develops sores. Or they may result in extensive painful ulceration. Most people develop a resistance once they have had an attack, but a minority continue to have recurrent bouts that are progressively less severe.
Tracing an attack’s origins may be difficult as the virus can be dormant for years until the patient’s immune system is impaired and troublesome symptoms recur. It is not always justified to assume that herpes has been contracted from a current partner; it may be a recurrence of a patient’s own dormant infection.
The good news is that herpes doesn’t have to be a painful nuisance, even if your immune system makes you liable to frequent attacks. Antiviral agents, which have been available for years, are remarkably effective. They can be used to treat an acute attack or, if normal life is disrupted by frequent bouts, taken in relatively small, regular doses.
As I’ve said, if your girlfriend’s herpes is confined to her genitalia, kissing is unlikely to spread any infection, but oral sex is risky if you haven’t any resistance to her type of herpes. There is a good chance that, unknowingly, you have had herpes types 1 and 2 before and are not susceptible to them.
Various factors, including exposure to too much sun - especially if there’s a drying wind as well - other medical problems, or continuing emotional strain or overtiredness, may cause trouble. I always used to recommend that my patients with a history of herpes took the appropriate antivirals if they went for a holiday involving sun, sea and sand, or if they went skiing and were exposed to sun and snow.
Many patients with dormant herpes find that it is reactivated with a new sexual partner; the combination of excitement, emotional tension and the rough and tumble triggered by initial lust is too much for their immune system.
Worrying about contracting genital herpes through kissing someone you have already had sex with is a bit like shutting the stable door after the horse has bolted.
Condoms don’t provide 100 per cent protection against any sexually transmitted diseases and the widely held belief that herpes can be transmitted only during an outbreak means that many couples use condoms only when the infected person shows symptoms.
This is a mistake because new research from the University of Washington, published in The New England Journal of Medicine, has found that asymptomatic people are just as infectious as those who have the symptoms. It is estimated that only one in five infected people knows that he or she is carrying the virus. In the Washington study, for example, scientists found 53 people who tested positive for type 2 herpes were unaware that they had it. And more than four out of five of those cases were infectious.Both type 1 and type 2 herpes look identical under the microscope, and either can infect the mouth or genitals.
During an outbreak some people feel generally unwell and experience painful blisters, ulcers or crusts in the genital area and the buttocks. After initial infection, genital herpes lurks without symptoms in nerves at the base of the spinal cord and it is only if the disease travels along the nerves to the skin that symptoms reappear. Some people have one outbreak and never have another, but others, as the Washington study demonstrates, never experience any symptoms in the first place.
The infection is almost impossible to contain. Scientists believe that most genital herpes is acquired from a person with no known history of infection and caution that the spread of the disease is likely to continue unabated unless everybody who carries the virus know that they are.
One in four Americans has herpes and although the figures are lower here, between 1997 and 2006 the number of reported infections rose by 31 per cent.
It would help if men took sexual health a little more seriously. A MORI poll in 2000 revealed that only half of the men polled knew that a genitourinary medicine clinic treated sexually transmitted infections; 6 per cent thought it treated elderly people; and 13 per cent that it tackled gum disease.
If you get tested - as you should - and find that you have the virus, the good news is that you cannot be reinfected. Living with herpes is indeed a pain but it is not the end of the world. Condoms with a spermicide provide good protection and outbreaks can be treated with acyclovir, a drug that eases symptoms, speeds healing and, in some users, helps to prevent recurrent attacks.
Relationships do become more complicated. A study by the American Social Health Association found that 18 per cent of herpes sufferers blame their divorce or other break-up on the disease.
And the temptation for herpes sufferers who are symptom-free to avoid sharing their condition with new partners must be enormous. That your girlfriend was honourable enough to tell you in advance is commendable.
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Disclaimer: This drug information is for your information purposes only, it is not intended that this information covers all uses, directions, drug interactions, precautions, or adverse effects of your medication. This is only general information, and should not be relied on for any purpose. It should not be construed as containing specific instructions for any particular patient. We disclaim all responsibility for the accuracy and reliability of this information, and/or any consequences arising from the use of this information, including damage or adverse consequences to persons or property, however such damages or consequences arise. No warranty, either expressed or implied, is made in regards to this information.