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Hi...Welcome to Just Answer. I am Dr. Sumanth Amperayani and I am here to help you today. I have 16 years of experience in the field of Medicine at a tertiary care referral hospital.
Skin conditions are always best diagnosed and treated after seeing them directly. May I request you to upload some images please.
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Please hold on.
Have you ever tested positive for genital herpes?
Is there any itching or burning or tingling sensation?
Did this start after any unprotected sexual intercourse?
Is there any personal or family history of autoimmune disorders?
This does not look like classical Herpes, with history - it is, yes.
The look plus with the past history, it does.
The bubbles would usually be larger and with red rim, but as it is not the first time, they are not classical.
Yes this looks like a Herpes outbreak getting better.
The medicines work best when people start them soon after an outbreak starts.
Choice of treatments -
Acyclovir - 800 mg three times daily for two days; or 800 mg twice daily for five days; or 400 mg three times daily for five days.
Famciclovir - 1000 mg twice daily for a single-day duration; or 125 mg twice daily for five days; or 500 mg once, followed by 250 mg twice daily for two days.
Valacyclovir - 500 mg twice daily for three days or 1000 mg once daily for five days.
To reduce the pain during an outbreak, you can, use a "Sitz bath" where you can sit in warm water for about 20 minutes. Your bathtub could also work.
Add ½ to 1 tablespoon (5 mL to 15 mL) of baking soda or 1 to 2 teaspoons (5 mL to 10 mL) of salt to the water in the plastic sitz bath. Swirl the water until the baking soda or salt dissolves. Carefully sit down in the plastic sitz bath and soak your bottom area for 10 to 15 minutes.
Avoid bubble baths. Keep the genital area clean and dry, and avoid tight clothes. Take over-the-counter pain medicine such as Tylenol or Advil.
But avoid Aspirin.
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