Dealing with Cold Sores Symptom? Know Causes & How to Heal

Written by Medicover Team and Medically Reviewed by Dr Anusha Nagral Reddy

Cold sores, known as fever blisters, are common viral infections. They are very tiny, fluid-filled blisters that are found around the lips. Patches of these blisters can frequently develop together. A scab that lasts for a few days develops after the blisters burst. Cold sores typically go away in two to three weeks without leaving a mark.

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Types of Cold Sores

Cold sores can show up in different forms, depending on how severe they are:

  • Mild Cold Sores: These are small, usually single blisters that heal in a few days. They may be painful, but are less troublesome.
  • Severe Cold Sores: Larger, more painful blisters that take longer to heal. These might spread more and cause more discomfort.
  • Recurring Cold Sores: Some people experience cold sores repeatedly. This usually happens when the immune system is weak or under stress.

Causes of Cold Sores

Cold sores are caused by the herpes simplex virus (HSV-1). This virus spreads easily, especially through close contact. Once the virus enters your body, it stays there for life, and cold sores may appear when the virus becomes active again.

Cold sores are commonly spread by:

  • Kissing someone with a cold sore
  • Sharing eating utensils, razors, or towels with an infected person
  • Coming into contact with an infected person’s saliva, skin, or secretions

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Conditions that Cause Cold Sores

Certain conditions or lifestyle factors can make cold sores more likely. Some of these include:

  • Weak Immune System: People with weakened immunity (due to illness or treatments like chemotherapy) may be more prone to cold sores.
  • Hormonal Changes: Changes in body chemicals during periods or pregnancy can cause cold sores to appear.
  • Stress and Fatigue: High levels of stress, lack of sleep, and feeling run down can cause cold sores to appear.
  • Skin Conditions: People with conditions like eczema may be more likely to get cold sores.

Symptoms of Cold Sores

Cold sores generally go through different stages:

  • Tingling and Itching: Before the blisters appear, you may feel a tingling or burning sensation around your lips or mouth.
  • Blister Formation: Small, fluid-filled blisters will appear, often grouped together.
  • Bursting and Crusting: After a few days, the blisters will burst and form a scab, falling off as the wound heals.
  • Healing: Most cold sores heal within two to three weeks without leaving any permanent scarring.

When to See a Doctor?

You should consult a doctor if:

  • The cold sores are extremely painful or keep coming back.
  • They do not heal within three weeks.
  • You have a weak immune system (due to illness or medication)
  • The cold sores cause eye pain or vision problems.
  • You experience severe symptoms like fever, or the sores spread to other areas of the body.

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Diagnosis of Cold Sores

Cold sores are usually diagnosed by looking at them. If needed, a doctor may take a sample from the blister to test for the herpes virus. A blood test can help find the virus if the cold sores don’t look usual.

Treatment and Management of Cold Sores

Cold sores usually go away on their own, but treatment helps them heal faster:

Antiviral Medications

Medicines called antiviral drugs can help cold sores go away faster these include:

  • Acyclovir
  • Valacyclovir
  • Famciclovir
  • Penciclovir

Applications Need to be Used

Some topical treatments that may help include:

  • Acyclovir cream: Helps reduce the duration and pain
  • Petroleum jelly: Keeps the sore soft and prevents cracking
  • Witch hazel: Natural soothing effect

Early Ways to Heal Cold Sores

Cold sores typically go away on their own in five to fifteen days. Antiviral medication speeds up the healing process by one day. Dermatologists are among the medical professionals who can recommend oral or topical antiviral drugs.

Prevention of Cold Sores

To prevent cold sores:

  • Avoid sharing personal items like lip balm or utensils.
  • Keep your lips safe by applying lip balm with sun protection.
  • Manage stress and eat a healthy diet.
  • Get enough sleep and stay hydrated.

Lifestyle Changes for Cold Sores

You can make small changes to your lifestyle that may help prevent cold sores or symptoms:

  • Eat soft, warm foods to avoid irritation
  • Avoid spicy or salty foods.
  • Stay away from foods that trigger outbreaks (like citrus fruits, tomatoes, or soda)
  • Practice good hand hygiene.

Home Remedies for Cold Sores

Some simple home treatments include:

  • Cold compress: Reduces swelling and discomfort
  • Aloe vera gel: Soothes the sore and supports healing
  • Honey: Natural antibacterial properties
  • Turmeric paste: Helps fight infection and inflammation
  • Vitamin C and E-rich foods: Boosts immunity and skin repair.
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Frequently Asked Questions

Salt water may help dry up a cold sore by disrupting the virus's growth environment, but it can also cause discomfort for the skin. Petroleum jelly may help to soften the skin and provide a protective layer against infection, but it will not shorten the healing time of the cold sore.

Yes, cold sores are very contagious. You can spread them by kissing, sharing food, or touching the sore and then touching other parts of the body.

You may feel a tingling, burning, or itching sensation before the blister appears. Then, small blisters form and later turn into scabs.

Cold sores usually heal on their own in 7 to 15 days. Some may go away faster with antiviral creams or medicines.

Yes, stress can weaken your immune system, making it easier for the herpes simplex virus to become active and cause cold sores.

Cold sores usually appear outside the lips, but in rare cases, they can develop inside the mouth, usually on the gums or roof of the mouth.

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