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About cold sores There are two types of HSV – HSV-1 and HSV-2.
Gingivostomatitis is a viral or bacterial infection of the mouth and gums that leads to swelling and sores. Causes Gingivostomatitis is common, particularly among children. Most cold sores are caused by HSV-1, whereas most genital sores (genital herpes) are caused by HSV-2. It may occur after infection with the herpes simplex virus type 1 (HSV-1), which also causes cold sores.
See: Herpetic stomatitis The condition may also occur after infection with a coxsackie virus.
Your health care provider may consider other conditions if there are signs of a cough, fever, or muscle aches. Normally, no special tests are needed to diagnose gingivostomatitis. However, the doctor may take a small piece of tissue from the sore to check for a viral or bacterial infection. A biopsy may occasionally be done to rule out other types of mouth ulcers. Treatment The goal is to reduce symptoms.
Even if there is bleeding and it is painful, thorough but gentle brushing of the gums is important to reduce the chances of additional infection from normal mouth bacteria. Antibiotics may be required.

The dentist may need to clean infected tissue (a process called debridement). Medicated mouth rinses may be recommended to reduce pain. Salt water (one-half teaspoon of salt in one cup of water) or over-the-counter mouthwashes like hydrogen peroxide or Xylocaine may be soothing. The diet should be well balanced and nutritious.
Soft, bland (non-spicy) foods may reduce discomfort during eating. Outlook (Prognosis) Gingivostomatitis infections range from mild and slightly uncomfortable to severe and painful. However, if they get worse, don’t improve within seven days, or you have recurrent outbreaks, see your GP for advice. This is a condition that can develop if the sores become infected with bacteria, causing them to become crusty and yellow. HSV can spread into broken skin (for example, eczema or dermatitis) and cause a serious skin infection. The infection is passed on through skin-to-skin contact, for example by kissing someone who has the virus or by sharing objects that have been in contact with the virus, such as a razor or a lipstick.
If you have any pain or discomfort, you can take over-the-counter painkillers, such as paracetamol or ibuprofen.
Always read the patient information leaflet that comes with your medicine and if you have any questions, ask your pharmacist for advice.

If you wear contact lenses, it’s particularly important to wash your hands before you touch them. If possible, you should also try to discourage your child from sharing anything that may have come into contact with the cold sores, such as cutlery. If, and when HSV becomes active again, your son is unlikely to have severe blistering in his mouth and on his gums again. Young children can develop herpetic whitlow from sucking their thumbs or fingers when they have a cold sore.
If your child has a cold sore, it’s good to try and encourage him or her not to touch it, or if they do, to wash their hands with soap and water straightaway.

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