Health Information | Bourn Surgery

Health Information | Bourn Surgery

Herpes simplex eye infection is caused by a type of herpes simplex virus. You should have been there. Bad breath, also known as halitosis, can be caused by a number of things, poor dental hygiene, having food stuck between your teeth, dry mouth, infections, certain medications, and even having acid reflux. And those germs can lead to an eye infection called conjunctivitis, better known as “pink eye,” says Dr. Treatment will depend on the cause of the ulcer. Salt water eye drops may be used to remove sticky yellow drainage. Type 1 is the usual cause of cold sores around the mouth, and herpes simplex infection in the eye.

The discovery explains how foreign DNA fragments, and specifically, DNA of latent viruses, cause most major diseases. It rarely causes cold sores or eye infections. The first time you are infected is called the primary infection. Many people become infected with this virus, often during childhood. But when the only points of reference are endless blue sky and little wisps of cloud, that white leather sphere is gonna shoot straight through my up-stretched hands every time and whack me right in the kisser. It is commonly passed on by close contact such as kisses from a family member who has a cold sore. As for how the trend got started, it’s unclear.

In many people, the virus remains permanently inactive and causes no problems. In some people, the virus activates and multiplies from time to time. Virus particles then travel down the nerve to cause episodes of active infection with symptoms: In most of these cases, the virus travels down a branch of the nerve to the mouth to cause cold sores. (See separate leaflet called Cold Sores for details.) In some of these cases, the virus travels down a branch of the nerve to the eye to cause episodes of active eye infection. In most cases, the infection is just in the top (superficial) layer of the cornea. This is called epithelial keratitis. Sometimes deeper layers of the cornea are involved.

So, as Willy told (medically speaking) tall tales about chicken pox and dormant viruses, and Gene regained his composure and returned to the jocular offensive, I stole a private moment. This is more serious, as it is more likely to cause scarring of the cornea. The thin lining of the eyelid (the conjunctiva), called conjunctivitis. The eyelids, called blepharitis. Sometimes, deeper structures, such as the retina or the iris. The retina is a layer of the eyeball, found on its back wall. The iris is the coloured part of the eye.

Who gets herpes simplex infections of the eye? About 1-2 people in 1,000 will develop at least one episode of active herpes simplex eye infection at some stage in their life. The most common time for a first active infection is between the ages of 30 and 40. Now he can tell you down to the tenth of a penny how much Acyclovir costs per pill. Herpes simplex eye infections may also be more common in people who wear contact lenses. Redness of the eye – mainly around the transparent front part of the eye (the cornea). Ache or pain in the eye.

Discomfort when opening the eyes in bright light (photophobia). Watering of the eye. Blurring of vision. A doctor will usually examine your eye with a magnifier. They may also put some stain on the front of your eye. This is used to show up any irregular areas on the transparent front part of the eye (the cornea). He had to have been a virgin when he married my mother, doctor.
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The typical ulcer which develops is called a dendritic ulcer. Dendritic means branching. The ulcer is not round with a smooth edge but like a tree with many finger-like branches. If your doctor suspects a herpes eye infection you will usually be referred urgently to an eye specialist (ophthalmologist). A specialist will do a detailed magnified examination of the eye. This is to confirm the diagnosis and to determine whether the infection is in the top layer of the cornea (epithelial keratitis), or if the deeper layers are involved (stromal keratitis). Before you start to use any eye drops or ointment, your eye specialist (ophthalmologist) may gently scrape away some of the infected cells from the surface of your eye.

They will numb your eye with anaesthetic drops before the procedure. This procedure is called debridement. Treatment is with antiviral eye ointment or drops (such as aciclovir ointment or ganciclovir gel). These do not kill the virus but stop it from multiplying further until the infection clears. You should take the full course exactly as prescribed. This is often several times a day for up to two weeks. The aim is to prevent damage to the transparent front part of the eye (the cornea).

Treatment is similar to epithelial keratitis (above). In addition to the antiviral eye ointment or drops, your specialist may add in some steroid eye drops. This helps to reduce inflammation. Note: steroid eye drops must only be used under close supervision of an eye specialist. He or she will prescribe the correct strength and dose in conjunction with antiviral treatment. Used wrongly on their own, steroid drops cause more harm than good. These infections will usually settle on their own in 1-3 weeks.

No treatment may be advised. You are likely to be kept under review, until the infection clears, to check that the cornea does not become infected. Some people develop repeated (recurring) episodes of active infection. As mentioned above, these occur if the virus reactivates from time to time – similar to cold sores. A recurrent infection may occur any time between a few weeks and many years after the first active infection. At least half of people who have one episode of active infection will have a recurrence within 10 years of the first. Recurrences occur more often in some people than others.

If recurrences are frequent or severe, your eye specialist (ophthalmologist) may advise that you take antiviral tablets each day to prevent episodes of active infection. Studies have shown that, on average, the number of recurrences is roughly halved in people who take regular antiviral tablets. Some people say that episodes of active herpes infection may be triggered by strong sunlight. So, wearing sunglasses may also help to prevent recurrences. It is also possible that active infection may be triggered if you are run down or unwell for another reason. However, the evidence for this is limited. Some women find that they get recurrences around the time of their period but again there is limited evidence to support this.

The main concern with corneal infection (keratitis) is that it can cause scarring of the transparent front part of the eye (the cornea). With scarring, the normally clear cornea can become like frosted glass. This may sometimes seriously affect vision. Epithelial keratitis tends to settle and go away within a few weeks. It has a good outlook and often causes little or no scarring. Stromal keratitis is more likely to result in corneal scarring and loss of vision. Recurring episodes of active infection can make any existing scarring worse.

Prompt treatment with antiviral eye ointment or drops helps to minimise damage during each episode of active infection. Overall, good vision remains in about 9 in 10 eyes affected by herpes simplex infection – that is, vision good enough to drive. However, severe and recurrent herpes simplex eye infections may lead to serious scarring, impaired vision and even severe sight impairment in some cases. If severe sight impairment does develop, a corneal transplant may be the only option to restore vision.

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Health Information | Bourn Surgery

Health Information | Bourn Surgery

If you experience symptoms when first infected, they usually appear four to seven days after you have been exposed to the virus. The infection is often caused by something that upsets the natural balance of bacteria or yeast in your vagina, such as washing inside the vagina, or it may be sexually transmitted. In women, chlamydia can cause pain or a burning sensation when urinating, a vaginal discharge, pain in the lower abdomen during or after sex, and bleeding during or after sex or between periods. Two women that are both menstruating are at a higher risk, too. Blood tests will show whether you have been infected and you’ll be able to decide what action to take. A narrow passage called the cervical canal (or endocervical canal) goes from your vagina to the inside of your womb. A swab is a small piece of absorbent material, such as gauze or cotton, which is attached to the end of a stick or wire.

Symptoms include pain when passing urine, pelvic pain for women, and pain in the testicles for men. Herpes symptoms in men and women can last up to 3 weeks after which the sores eventually heal without leaving any scar tissue. Most people who are infected with HIV experience a short, flu-like illness that occurs two to six weeks after infection. They include pain when you pee and small, painful red blisters around the genital or anal area that burst, leaving open sores, as well as tingling or itching in the genital or anal area. There are also some tiny glands in the lining of cervical canal which make fluid called mucus. Some women will not have any symptoms at all. Other possible symptoms are soreness, swelling and itching around the vagina, and pain when passing urine.

In men, gonorrhoea can cause pain or a burning sensation when urinating, a white, yellow or green discharge from the tip of the penis, and pain or tenderness in the testicles. Read more about thrush. HIV-positive mothers can pass on the virus through breastmilk. It can be gently rubbed on your cervix to obtain samples. Check-ups and treatments for STIs at GP surgeries and GUM clinics are completely confidential. About 50% of women and 10% of men with gonorrhoea have no obvious symptoms. Any of the following symptoms of a genital HSV infection can occur in a man or a woman: Oral herpes is an infection caused by the herpes simplex virus.

Know your HIV status and that of your partner. The most common symptom for both conditions is itching in the affected area, which is worse at night. Inflammation of your cervix is called cervicitis. The most common symptom in women with cervicitis is vaginal discharge. Never clean your vagina with anything strongly perfumed. When you first develop HIV, you may experience a flu-like illness with a fever, sore throat or rash. Some cases of bacterial vaginosis clear without treatment, whereas others can be treated with a course of antibiotic medication.
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The first dose is given within 24 hours of birth, and two more doses are given at one and two months, with a booster dose at 12 months. Polyps occur in around 4 out of 100 women and are most common in women in their 40s and 50s. They can also occur in pregnancy. Some women have more than one polyp. They are not cancerous and do not change into cancer. They often cause no symptoms and are usually only noticed when you have a cervical smear or are examined by a doctor or nurse for an unrelated reason. If they do cause symptoms then these are most likely to be vaginal discharge or vaginal bleeding after sex (intercourse) or in between your periods.

When a polyp has been noticed then you are usually recommended to have it removed. This is a simple procedure that does not cause pain. It is either done by your doctor or by a specialist who treats medical conditions affecting women and their reproductive organs (a gynaecologist). The itching can be in your genital area, but it also often occurs between your fingers, on wrists and ankles, under your arms, or on your body and breasts. Some women may have freezing treatment or laser treatment after their polyp is removed. Your baby can be tested for hepatitis C and, if your baby is infected, he or she can be referred for specialist assessment. Endometriosis is a condition in which the endometrium grows outside the lining of your womb (uterus).

The endometrium is the tissue which makes up the inside surface of your womb. An area of endometriosis can occur on the neck of your womb (cervix) and usually won’t cause any symptoms. It can sometimes cause bleeding after sex (intercourse). Most people with endometriosis in their cervix do not need any specific treatment. Cervical ectropion (or erosion) is a harmless change. The thin layer of gland cells normally lining the inside of your cervical canal appears on the outside of the neck of your womb (cervix). These cells are more fragile causing vaginal discharge or bleeding, especially with having sex (intercourse).

It is related to a hormone called oestrogen and is therefore more common in young women, pregnant women and those taking oral combined contraceptive pills. It may cause no problems at all and often requires no treatment. However, sometimes you may experience increased vaginal discharge or bleeding. A blood test will establish if you are immune. It often causes you no problems at all and usually requires no treatment. It is not associated with cervical cancer. If it needs treatment, the usual treatment is to freeze the area or treat it with diathermy, so that the top layer of cells on your cervix is cauterised.

These treatments are done under a local anaesthetic in the outpatient department. Nabothian cysts are tiny cysts that form on the surface of the neck of the womb (cervix). Nabothian cysts are filled with fluid (mucus), which is secreted by the glands of your cervix. These cysts can range in size from just a few millimetres to four centimetres wide. They appear white or yellow in colour and are smooth. They are fairly common and do not usually cause any symptoms. They are usually discovered when you have an internal examination or a smear test.

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