HomeAnswersDermatologyherpesI am getting a boil like thing on my lips. Is it herpes?

I am getting a boil like thing on my lips. Is it herpes?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At August 18, 2018
Reviewed AtJuly 26, 2023

Patient's Query

Hello doctor,

I am starting to get a boil kind of thing on my lips. Picture attached. How can I stop it? I hope it is not herpes.

Hi,

Welcome to icliniq.com.

I am sorry the picture is slightly blurred (attachment removed to protect patient identity). I am not able to make out if the lesion is a bump or blister or a pustule. It is very important for me to have a clear view of the lesion.

Can you please attach clear pictures that focus more on the lesion?

This can be:

  1. Herpes labialis.
  2. Folliculitis.
  3. Acne.

Can you please answer these questions as well so that it helps me narrow down to the most precise diagnosis.

  1. Since how many days do you have this?
  2. Is it painful?
  3. Did you have a fever before this lesion appeared?
  4. Any history of a psychologically stressful episode?
  5. Any recent hospitalization? Surgery?
  6. Are you using any cream?
  7. Are you on any medication?
  8. Is this for the first time you are experiencing this?

Patient's Query

Thank you doctor,

It is paining now and looks like herpes to me. But normally, I get herpes if I have fever but I did not have any fever this time. I took Vitamin C 500 mg today. I am attaching another picture for reference. I want to stop it from growing. Is it possible?

Hi,

Welcome back to icliniq.com.

Herpes is recurrent. This is herpes. It flares up whenever there is stress. The stress can be fever, emotional stress, excessive physical activity, prolonged sun exposure, etc. Herpes is a viral infection, once infected the virus stays in the nerves and it gets activated when there are triggers. It is not curable but can be controlled with antiviral medicine. Herpes starts with a tingling sensation. Whenever there is tingling sensation I suggest you take tablet Valacyclovir 1 g, two tablets in the morning and two tablets at night on that day. It is a single day treatment with 4 g of Valacyclovir, that is two pills of 1 g twice a day. Valacyclovir is an antiviral. It prevents the development of blisters. Consult a specialist doctor, discuss with him or her and start taking the medicines with their consent.

Patient's Query

Thank you doctor,

Should I take it now? I hope it does not have too much side effects. Secondly, can it be taken on an empty stomach or after food? Can I take it as syrup or as a tablet only?

Hello,

Welcome back to icliniq.com.

You can take it today, two tablets in the morning and two tablets at night after food. Valacyclovir should be taken after food. Any oral medicine can have side effects. Valacyclovir can cause nausea, stomach upset if taken on an empty stomach. There can be skin rash in people who are allergic to it. Topical antiviral creams are not much effective in herpes. However, you can use Calamine lotion to help with pain.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ashwini. V. Swamy
Dr. Ashwini. V. Swamy

Venereology

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