Posted by: Vuyo | 2012/09/10


Nasal herpes

Hi Paed my 9 yr old girl has a spattering of cold sores in one nostril, and they spread out from the nose a bit. They are so sore for her esp as she has allergic rhinitis and her nose is always runny, now to blow a nose full of sores. I''ve been using Acyclovir cream for the outbreak. She now has a painful swollen gland under her jaw, a pea-sized lump which I have interpreted as her body fighting the infection and nothing more serious than that. Is there cause for further concern or shd I take her to a doc? The blisters are approaching the crusting stage. Aside from ruining her overall mood and making nose blowing very painful, she is coping ok. Do you recommend further remedial measures or do we wait it out as one typically does with any virus? I myself had a horrendous outbreak about a month ago, my worst ever, it was on/under my bottom lip and fairly looked like coral growing on the mouth. It took over two weeks to heal and left hyperpigmentation under my lip :(

By the way may I ask what you would recommend for her rhinitis - I myself am a 10yr sufferer of chronic allergic rhinitis, the chief allergen (I think) being dust and dust mites, which is so hard to totally avoid. My daughter just in the last year has developed similar problems. The both of us have clear runny mucous the whole day long, we are quite a sight, clutching tissues wherever we go. Do you think we need specialist ENT intervention or should but some OTC corticosteroid spray/drops?


Expert's Reply



You have set your question out very well. As you know from your recent personal experience, having nasal herpes is very painful and distressing.Using the aciclovir cream alone will take ages to heal these sores. It would be best to take your daughter to see your doctor so that she can be given a course of Aciclovir tablets or syrup for 5 days to speed up the healing process.The dose is Aciclovir 400mg three times a day for 5 days.
Regarding the second part of your question,it would be in your daughter's best interests to take her to see a paediatric allergist. She needs to be tested to find out what is causing her nasal allergy and then started on effective and safe treatment. I would not advise the OTC rhinitis treatment route at this stage. This is the time to treat her correctly so that her rhinitis does not become a lifelong problem.

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