About 2 weeks ago my boyfriend was diagnosed with hsv1 genitally and had a severe initial outbreak. I had a small cold sore on my mouth that I thought was chapped lips and am assuming that he got it from me. After a round of acyclovir he looks and feels better but now about 3 days ago started complaining about the roof of his mouth being sore. Today he is saying that the roof of his mouth is swollen and red and throbbing and hurts so badly he has a headache and can hardly eat. My question is, do you think this is another outbreak now orally? I don t have any sores anywhere. On a side note he has been having bad stomach problems the last 2 weeks which he thought was reflux but has on 2 occasions this week vomited up some blood. He s a heavy smoker also. Could any of that be causing the mouth issues or is it definitely oral herpes? He says he sees white spots up on his palate also but I havnt seen them myself...
Hello, Thanks for the concern. According to history he is a heavy smoker with stomach problem and 2 times vomiting having blood. So it might be some intestinal and also lung infection.  Moreover, he had white spots on palate with sore throat additionally he had history of herpes infection before 2 weeks but had taken acyclovir. But still he might have oral herpes may be due to low immunity (smoker + lung and intestinal infection) But I think he should immediately consult the treating physician as he got multiple infection in body and must be thoroughly investigated.  Take care