Cold sores are small, painful bumps or blisters on the outer lip. They happen only on one side of the mouth and appear in a cluster. Just before a cold sore develops, you may feel a tingling or burning on the outer lip at the same place where you had cold sores before.
Cold sores are caused by the herpes simplex virus. The sores happen for the first time after you have had contact with someone with herpes. Thereafter, the virus lives in the sensory nerve and can cause cold sores again. About 20% of adults have recurring cold sores. The sores come back because of sunburn, fever, friction, stress, injury during dental procedures, or physical exhaustion.
The blisters will rupture, scab over, and dry up. The whole process takes 10 to 14 days. The sores do not cause scars. If started early, treatment with antiviral pills can shorten the course by many days.
If you feel tingling in the usual place but the blisters are not yet present, apply an ice cube or ice pack continuously for 20 minutes. This may stop the infection from progressing.
Once you get fever blisters, start applying a special cold sore ointment as soon as any small bumps appear. Docosanol (Abreva) is an example of one nonprescription cream. If you don't have a special ointment, cover the fever blisters with petroleum jelly to reduce the pain. Reapply it 4 times a day.
Give acetaminophen or ibuprofen for pain relief. Once you get fever blisters, you usually can't make them heal faster unless you have antiherpes pills and start them as soon as any small bumps appear. These require a prescription. Antiherpes ointments do not make the sores heal faster.
Since fever blisters are often triggered by exposure to intense sunlight, prevent them in the future by using a lip balm containing sunscreen with an SPF of 30.
Infection is spread through contact with fluid from the blisters. Avoid spreading this germ to another person's eye, because an eye infection can be serious. Therefore, don't pick at the sore, and wash your hands frequently. Since the condition is contagious, avoid kissing other people during this time.
If you are going skiing or to the beach and have had frequent herpes flare-ups in the past, despite careful use of sunscreen, call your healthcare provider. Taking prescription antiherpes pills before such outings can prevent most flare-ups.
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