Cold sores are caused by a strain of the herpes simplex virus (HSV-1). It is estimated that at least two-thirds of the UK population have this strain of herpes. An outbreak can be triggered, forming fluid-filled blisters usually around the mouth area. Whilst there is no cure for the herpes virus, cold sores are completely manageable with the right treatment.
Cold sores (labia herpes) are a common and contagious condition that causes small fluid-filled blisters, normally on the lips or around the mouth. They can also appear anywhere on the face, including the chin, cheeks and nose as well as the inside of the nostrils or inside the mouth. A small minority of individuals find that herpes simplex virus (HSV-1) can appear anywhere over the body, such as the fingers.
Outbreaks tend to clear up within 7-10 days and they may also be referred to as "fever blisters". Once the blisters burst, they form scabs until the infection has healed without scarring.
The strain of herpes simplex virus that causes cold sores is the type 1 strain (HSV-1). Type 2 (HSV-2) causes genital herpes. Both result in similar symptoms, and one can also cause the other (typically through oral sex).
When you initially become infected with herpes simplex virus, symptoms aren't always noticeable but most will find the first outbreak occurring within 20 days. Outbreaks generally last between a few days and 2 weeks. The rest of the time, there are no symptoms; this is known as being "dormant".
When cold sores begin to form you may feel "prodomes", meaning a number of smaller symptoms occurring before the main symptom. In this case, the prodome is the actual blisters/sores. This includes itching, tingling and/or burning sensation around the soon-to-be infected area. Fluid-filled sores will then appear, usually around the edges of the lips.
In order to successfully diagnose cold sores a qualified doctor will simply examine the cold sore. Occasionally, he or she may decide to take a swab from them but this isn't usually required.
Yes. The virus called herpes simplex causes cold sores, and all viruses stay within your body for the entirety of your life. This is the same for any viruses, including influenza (flu).
This doesn't mean you will have continual cold sores or blisters, but the virus will lay dormant for the majority of time. You may find certain triggers prompt an outbreak, and over time these tend to become easier to handle.
It is possible to be just a carrier of the herpes simplex virus. This means you will never experience an outbreak but you may pass it onto others. It is also possible to experience one outbreak and never have any others in the future because your body has efficiently created the antibodies to fight off the virus with the first try.
It is more common to be diagnosed with herpes simplex as a child than an adult.
One of the most common ways to be exposed to cold sores is, in fact, a family member. Cold sores can be transferred to children and babies through kissing relatives. If you have a cold sore present, or feel the initial tingling sensation, it's important to avoid kissing and close contact with children. This will not only pass the infection to the child who will then have the infection for life, but this can be dangerous in babies (neonatal herpes).
Cold sores are highly contiguous and can be passed through skin-to-skin contact – often kissing - as well as sharing appliances and items such as toothbrushes, razorblades and kitchen utensils. The risk of getting cold sores through shared items is quite low, however, you may wish to take additional precautions. It is also possible to contract cold sores from oral sex from an individual with genital herpes.
The most likely time to contract the virus is if you come into contact with a visible sore/blister. It is also possible, although less likely, to contract the herpes virus when the blisters have dried, or even through skin that looks unaffected as the virus lies within the surface of the skin and in saliva.
Pinpointing a trigger can certainly help subdue cold sore bouts in the future. It's also worth noting that there may not be any triggers at all:
The virus targets individual nerve cells and travels up to the 'ganglion' (a group of nerve cells) where it will remain dormant the vast majority of the time as our body effectively fights off any outbreaks. Blisters begin to form when this virus begins to multiply and reaches the surface of the skin. This is why tiredness and cold bugs tend to trigger cold sores; your immune system is not in top condition to combat the virus multiplying.
A primary infection in adults is rare as most people develop cold sores during childhood, however you may have the following symptoms for the first outbreak:
The initial outbreak tends to be the worst in symptoms as well as length. Recurrent cold sore infections usually last for a shorter time, between 6-10 days, and are more controllable with less troublesome effects. They tend to have limited symptoms such as the tingling sensation and the visible sores, but without the more serious symptoms listed under the first outbreak.
The process for recurrent outbreaks:
It is common not to notice any symptoms when you first become infected with herpes simplex virus, however when the first outbreak comes, it is often the most intense. Recurrent infections will be far more manageable. Symptoms can vary between adults and children, as well as in recurrent infections.
In children, the primary infection can include a sore throat and swollen glands, high temperature, nausea, headaches, irritated gums and possibly dehydration.
The number of times you experience cold sores will vary between each individual. If you've found that certain triggers prompt outbreaks, avoiding these may mean the virus is continually dormant. Others may experience cold sores on a monthly basis (continual preventative treatment is an option here) or just once or twice in a year.
The best way to prevent the herpes simplex virus is to avoid contact with the infection, however if you have already contracted HSV-1 there are simple ways to manage it. Whilst the frequency and severity ranges from person to person, you can follow these methods to help to prevent an outbreak of cold sores:
As all strains of herpes are a virus, there isn't a cure, but there are treatments are available that can stop the spread of the virus and speed-up recovery. Over-the-counter treatments are available and these offer relief from a range of symptoms. If you wish to also speed up recovery, antiviral prescription options offer a stronger solution and these should be taken a number of times a day as per doctor instruction and the patient leaflet.
These oral prescription treatments treat the virus directly in order to improve recovery time and should be taken within 48 hours of an outbreak for maximum effectiveness when treating cold sores.
When using creams, it's important to gently dab the area, and not to vigorously rub the cream in. Then wash your hands with soap and warm water after application to avoid spreading the virus further. If you wish to be extra cautious, you can wear rubber gloves, which are easy to purchase online.
If you're prone to experiencing frequent bouts of cold sores or genital herpes, it is possible to be prescribed a continual preventative treatment. It is also advised to keep your preferred cream available in your medicine cabinet (be sure to check the expiry date before each use).
There are certain techniques you can use to help alleviate any discomforting cold sore symptoms, and speed up recovery.
The likelihood of you contracting the herpes virus (cold sores) through shared items such as towels and cutlery is very small, however you may want to remain on the safe side.
Cold sores take time to heal and once you begin using a cream and managing triggers, you should begin to see an improvement within 10 days. If there are no improvements within that time, you can arrange to see your GP.
If you believe the cold sore to be out of the usual, large, particularly painful or think it may be something else, you can also arrange a visit to your doctors.
If you have a weakened immune system for whatever reason (for example, if you have diabetes) or are pregnant, you should contact your doctor. There is an increased risk of babies contracting neonatal herpes, which will need to be monitored.
If you have children with cold sores, and their symptoms are particularly bad (swelling, trouble breathing, etc), you must visit a medical service as soon as possible.
You can buy treatments for cold sores after completing a quick and confidential online consultation form. This consultation will include questions regarding your medical history, in particular which, if any, medications you are currently taking. This online consultation is reviewed by one of our doctors who will then approve your order if they deem your selected medication as suitable for your particular set of requirements when treating your case of cold sores. Once approved, you will be provided with a prescription. This prescription is then sent to our UK pharmacy who will then package and dispatch your chosen antiviral medication for delivery to the address you've allocated.
Your chosen medication will be delivered via our next day delivery service. All of the treatments we provide are delivered in plain and discreet packaging in order to uphold your privacy.
With our next day delivery service for all of the medications we offer, you will have your medication before the worst of the symptoms appear.