HSV1&2 Esophagitis

[AlsoWondering]

A few months ago I was diagnosed with Herpetic Esophagitis via endoscopy.  Biopsy revealed HSV1 and HSV2.  I am not immune compromised and have an otherwise clean bill of health.  My doctor prescribed Acyclyvir (400mg) and I have not had any subsequent "outbreaks".  Furthermore, I have not had any sores or blisters on my lips or genitals.

Will future outbreaks be limited to my esophagus (local to the original outbreak site)?  Or is there potential for outbreaks elsewhere?  I'm also interested in information on transmission of HSV (1 & 2) in cases of herpetic esophagitis. Can I spread the virus while performing oral sex? Or through genital contact?  

I am also concerned about spreading it to my family when kissing them on the cheek.

[Fleetwood20]

It isn't possible to answer as it is highly uncertain this is HSV1/2. It must be tested using PCR or culture. A microscope is no good. I would not trust the diagnosis at this time.

[Fleetwood20]

A biopsy is not accurate and struggles to tell the difference between HSV and Zoster let alone type. Did your result say something like HSV1, HSV2, Zoster?

Obtain the full test results for the biopsy.

Have you had HSV antibody blood testing?

[Fleetwood20]

I'd focus on the diagnosis a little more.

A biopsy cannot distinguish between HSV1 and HSV2 or even Zoster for that matter! You need to learn more about the diagnosis and what was the exact test performed on your biopsy (I assume some tissue was removed?)

Why did you need to have the endoscopy?

What blood tests have you had for HSV1/2?

[AlsoWondering]

Thanks for your reply.  The endoscopy was scheduled because swallowing and eating had become excruciatingly painful. In addition to blood work, I had a Cytopath Fl Non-Gyn Smear, ImmunoHistoChemistry , Special Stains Group 1, and Tissue Exam by Pathologist.

I trust the doctor's diagnosis. If you could provide any information regarding the original questions I posted, it would be appreciated! Thanks!