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Can't tell if this is another outbreak. Need advice


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I have genital hsv1 for 6 yrs now. Only had 2 outbreaks to my knowledge, last one being about 4 years ago. I get them just outside my anal area, just one sore. Recently I have been constipated and have had pain while going #2 and at times small amount of blood on the toilet paper.  I looked in the area and see swelling and raised areas of skin and also these tiny (and I mean only seen with magnification tiny) cuts in that area. They don't hurt to touch, the area itches a small bit though. The tiny cuts went away then maybe a few days to a week later I saw more of them again. It's been like this for about a month now. My outbreak before never looked like this or was in that area (these cuts are inside anal canal). Also they were painful and these don't bother me only while going to the bathroom. And have never lasted this long. Is this consistent with a recurrent outbreak? The spots I have now don't blister or scab they just disappear and reappear. I've never had that happen with my outbreaks before. Any advice would help. Thanks

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That seems like a long time for an outbreak to be around, especially since you've had hsv1 for such a long time. Did you take medication? Did it help? 

Could this be related to hemorrhoids or excessive cleaning or an allergy to a new soap? Since you says it's inside the anal canal, it sounds like hemorrhoids to me. You could get some wipes or cream and see if that helps.

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I don't have meds because I don't get outbreaks so I don't see it to be necessary. It has been quite some time which seems unusual for an outbreak and how they give me no pain either. Hemorrhoids would make sense but I wonder if they can cause tiny cuts?

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I learned that fiber is major now with ghsv 1! I just started taking some sort of fiber once or twice a week to keep regular. Bad enough hurting because of obs, then issues from not being regular is just added pain.

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