Sexually Transmitted Diseases/Follicultitis or Cold Sore

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Question
Corner of lower lips
Corner of lower lips  
Hi Doctor,
I noticed this morning that I developed a bump on the cover of my lower lip. I tried to squeeze it this morning and some white pus came out. It is now a red bump and it doesn't hurt to touch. It itches a little and it comes and goes.  It does not tingle though

I'm afraid that it is a cold sore.....  I have never had a cold sore in my life.  However, I have kissed several new partners recently in the past 6 weeks.  No intercourse. Just kissed and licked upper body

any advice?

I went to see the doctor and he told me to take Elovax as a precaution as it does no harm.   But how can I tell the difference between folliculiitis vs cold sores?  I know time will tell which one is which, but I'm a bit anxious.

Thanks

Answer
Jazee,

Those are Fordyce's spots. They are genetically inherited cysts, so it's a skin trait for lack of a better explanation. They do not go away to my knowledge although they can reduce in number on their own, but they can come back as well. I have them myself along with a great number of other clients on this site. Some people have differing amounts of the problem and although they mostly appear in the genital area, they can also appear around the mouth. It's nothing to be ashamed or alarmed about. From what I've researched, you can consult with a dermatologist regarding possible laser surgery to remove some of them, but I hear it's expensive. Let me know if you need follow up.

Cheers,

John

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John Brice

Expertise

Educated and certified in STI information, HIV and AIDS, and trained in comprehensive sex education for teens and young adults. Providing counseling in sexuality, sexual interests, and sexual orientations, pregnancy prevention, safer sex initiatives, and teaching health education seminars to adults ages 18-65 for the past 3 years. Serve underserved clients in homeless shelters, workplace readiness programs, and detention centers. Three term AmeriCorps domestic service volunteer and Peace Corps nominee for Health Service to Lesotho and Rwanda. Providing services to the GLBTQIA populations of which I am a member.

Experience

3 years as a volunteer Emergency Medical Technician (Advanced) for 3 years and comprehensive sex educator for 3 years and parenting educator for 3 years. *North Carolina State Certified Emergency Medical Technician, #P083512 *Certified Health Education Specialist, #22589

Organizations
*American Public Health Association *National Commission on Health Education Credentialing

Publications
American Public Health Association, Student Assembly, Quarterly Newsletter 2012-2014

Education/Credentials
*Doctor of Education (candidate), K-12 Teacher Leadership; Capella University *Master of Public Health, Social and Behavioral Sciences; Capella University *Master of Education, Curriculum and Instruction; Concordia University-Portland *Bachelor of Arts, Psychology and English; East Carolina University

Awards and Honors
Graduated with Distinction from Capella University AllExperts, Top Experts of 2014 (One and Multiple Categories)

Past/Present Clients
*Over 180 clients, lasting 30 sessions, in 5 locations during Florida service. *Over 150 clients, lasting 18 sessions, in 2 locations during South Carolina service.

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