Thank you for your query at DoctorSpring.com
Can you kindly share a picture that shows the sores, and if possible the warts too?
I can help you further based on that.
Patient replied :
I am unable to provide pictures but I can tell you the out break I currently have looks very typical for HSV 1
Thanks for writing to us.
Persistent pain after herpes simplex infection is not commonly seen. Hyperaesthesia or persistent pain is more common in herpes zoster infection. However few cases of persistent pain have been reported with herpes simplex infection. In such cases, adding pregablin, gabapentin, amytrptilline helps. As these are prescription medicines, you need to consult a doctor to get a prescription of these medicines. As far as non healing herpes sores are concerned, it could be due to superceding bacterial infection. Apply a topical antibiotic like fusidic acid cream twice daily over affected area. Hopefully the lesion should resolve. If not much response is seen, a course of oral antibiotic should be added. I hope these sores are examined by your dermatologist as non healing sores could be syphilis, chancroid etc.
Imiquimod works well for genital warts. If not much response is seen, you may ask your doctor for few sessions of cryotherapy for faster resolution.