Clinical Specialization | Cold Sores
Introduction
Cold sores are small, fluid-filled blisters that typically appear on or around the lips, although they can also develop in other areas, such as the nose or inside the mouth. They are caused by the herpes simplex virus (HSV), usually HSV-1, although HSV-2 (the virus that causes genital herpes) can also lead to cold sores.
Symptoms
Tingling or Itching: You may feel a tingling or itching sensation around your lips before a cold sore appears.
Blisters: Small, fluid-filled blisters form on or around your lips.
Pain: The blisters can be painful and sensitive to touch.
Oozing: The blisters may burst and release clear fluid, which makes the cold sore contagious.
Crusting: The sore dries up and forms a scab, which can be itchy.
Healing: The scab eventually falls off, and the skin heals, usually in about 7–14 days.

Why You Should Get It Treated
Cold sores are contagious, especially when the blisters are open, and they can spread through close contact, like kissing, or by sharing personal items like towels, razors, or eating utensils.
The first outbreak of cold sores may be more severe, and after that, the virus typically remains dormant in the body. Stress, illness, or a weakened immune system can trigger the virus to reactivate, causing cold sores to appear again.
How We Treat Cold Sores
- Antiviral Medications – Oral antiviral pills (like acyclovir or valacyclovir) can stop the virus from spreading, helping cold sores heal quicker. Topical antiviral creams (like Abreva) can be applied directly to the sore to reduce healing time and discomfort.
- Pain Relief – We may recommend creams or ointments with lidocaine to numb the pain. Cold compresses can also help soothe the area.
- Preventing Future Outbreaks – For frequent cold sores, we might suggest daily antiviral medication to stop outbreaks. Tips like using lip balm with sunscreen and managing stress are also helpful.
- Laser Treatment – Sometimes, laser therapy is used to help heal cold sores faster by improving blood flow.
- Steroid Creams – In severe cases, we might prescribe steroid creams alongside antivirals to reduce inflammation.
For Consultations Call us at (727) 528-0321
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