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Cold sore

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A cold sore is a small, painful sore that usually appears on the lip.

Herpes Labialis
Herpes Labialis

These sores are caused by the herpes simplex virus. Most people get them from a type called HSV-1. Sometimes, a different type called HSV-2 causes them too. About 2.5 out of every 1,000 people have an outbreak in a single year. Many people get the virus before they turn 20 years old. By that age, 80% of people have developed antibodies to fight it.

Once the virus enters the body, it stays there for life. It moves to a place called the trigeminal ganglion to hide. This is a group of nerve cells. When the virus is hiding, it is called being latent. Sometimes, the virus wakes up and travels down the nerves to the skin. This can be triggered by things like sunlight, fever, or stress. It can also happen because of a menstrual period or even dental surgery.

An outbreak usually happens in eight different stages. First, you might feel a tingling or itching sensation. This is called the prodromal stage. Next, the skin becomes red and swollen. Tiny, fluid-filled blisters called vesicles then appear on the lip. These blisters can merge into one big, open sore that is very painful. This open stage is also the most contagious part of the process. Finally, a golden or honey-colored crust forms as the sore heals.

Herpes Labialis
Herpes Labialis

It is easy to spread the virus to other people. You can spread it through direct contact, such as kissing. You can also spread it by sharing personal items. If you touch a sore and then touch your eyes, you can cause an eye infection. Some people even spread it to their fingers. This is called autoinoculation. To stay safe, it is important to wash your hands often and avoid touching the sore. Doctors can use blood tests to see if a person has the virus.

Herpes Labialis
Herpes Labialis

There is no cure for the virus, but there are ways to help. You can use special creams to make the symptoms easier. Some creams contain anesthetic to help with the pain. Other creams are antiviral, which means they help fight the virus. These can help the sore heal about 10% faster. Some people take medicine in pill form to have fewer outbreaks. Most sores will heal on their own within ten to fourteen days. After the sore is gone, a reddish area might stay for a little while.

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