Cold sore

Very low urgency
--

A cold sore (herpes labialis) is the most common form of herpes.

It is caused by a highly contagious virus called herpes simplex (HSV).

The skin affected by a cold sore is tight, irritated and itchy. Small, often painful, inflamed blisters with pus appear on the lip, followed by scabbing. They are usually outside the mouth or on the lips or surrounding area. If they are inside the mouth, they are usually in the gums or on the palate.

They usually go away on their own within a few weeks. Antiviral medicines may help it to heal more quickly. Treatment is usually with creams.

Bibliographic references
  1. Robyn S Klein, MD, PhD. Clinical manifestations and diagnosis of herpes simplex virus type 1 infection. Uptodate. Nov 09, 2016.
  2. Robyn S Klein, MD, PhD. Treatment of herpes simplex virus type 1 infection in immunocompetent patients. Uptodate. Sep 25, 2015.
  3. Workowski KA, Bolan GA, Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep 2015; 64:1.
  4. Gilbert SC. Management and prevention of recurrent herpes labialis in immunocompetent patients. Herpes 2007; 14:56.
  5. PG, Porter SR. Herpes Simplex Virus Type 1 infection: overview on relevant clinico-pathological features. J Oral Pathol Med 2008; 37:107.
Copyright
© TeckelMedical 2026

Symptoms

    Rash on lips


    Vesicles grouped together with red rings around the area of the lips and/or mouth


    Vesicles are itchy and/or burn


    Rash made up of painful blisters


    Pain in mouth

Symptoms to watch out for

Fever (temperature higher than 38 ºC)
Reddened and painful ulcer in the affected area
Reddish sores that are itchy, break open, and ooze clear fluid or pus

Self-care

Use ointments to shorten the healing period.
Use creams and lip balms.
Apply cold compresses 3 times a day for 20 minutes to reduce the symptoms.
Check with your general practitioner about the prescription for antiviral treatment.