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Cold Sores

WHAT YOU SHOULD KNOW

Cold sores, also known as fever blisters, are caused by herpes (HER-peez) simplex 1 virus (HSV-1). This common virus can create painful blisters on the lips, gums, and mouth. It sometimes affects the sex organs, and in rare cases affects the eyeball.

Causes

The virus usually spreads through person-to-person contact. It can also be caught through contact with saliva, bowel movements, urine, or fluid from an infected eye. The blisters carry infection until they heal.

Signs/Symptoms

Typically, painful blisters develop around the mouth (and sometimes the sex organs). The blisters are yellowish in the middle with a thin red ring around them. If the eye is infected, it becomes red and painful, and may feel as though there is a foreign object in it. The eye may also be sensitive to light and produce copious tears.

Care

Use acetaminophen for pain. You may be given medicine to take by mouth or an antibiotic cream to put on your blisters if they become infected with bacteria.

WHAT YOU SHOULD DO

  • You may use acetaminophen to help relieve pain, but DO NOT TAKE ASPIRIN.
  • Don't touch the blisters or pick at the scabs. Until the blisters heal, don't touch your eyes without washing your hands first. Wash your hands often.
  • To help reduce discomfort, apply an ice cube or ice pack to your lip for 30 minutes or suck on frozen juice bars.
  • Apply rubbing alcohol to the blisters to reduce swelling and to help the sores dry up. Do this for 2 minutes, 4 times a day.
  • Protect your lips from the sun by using a sunscreen when you go outdoors.
  • Avoid close contact with other people, especially kissing or oral sex, until the blisters heal. The virus that causes cold sores usually is different from the one that causes sores on the genitals. However, cold sores may occur in persons who have oral sex with a partner who has genital herpes.
  • Hot or cold foods may hurt your mouth, and you may want to use a straw. Eating a well-balanced diet will help healing.
  • If an eye gets infected, don't use any type of eyedrops without first checking with your doctor. Certain eyedrops can make the herpes virus grow in the cornea.
  • To lessen the chance of getting blisters again, avoid direct sunlight and stress, and don't let yourself get run-down.

Call Your Doctor If...

  • Your eye feels irritated, or you feel like you have something in your eye.
  • You develop a fever, feel achy, or see pus instead of clear fluid in the sores. These are signs of a bacterial infection.
  • You get blisters on your genitals.
  • You develop new, unexplained symptoms.

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