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Cold sores, sometimes called fever blisters, are groups of small blisters on the lip and around the mouth.
Oral herpes, commonly referred to as mouth herpes, is a viral infection of the mouth and gums primarily by the Herpes simplex virus type 1 (HSV-1) but may also be due to the genital variant (HSV-2).
Oral herpes is also known commonly as cold sores and fever blisters but is different entity from oral canker sores although canker sores may sometimes be associated with HSV infection.
This can occur at any time in life but tends to recur in young adults and presents as a mild cold sore. Other signs and symptoms are usually absent in a recurrence unless the person has a co-existing infection like the flu (seasonal influenza). Ask a Doctor Online Now!The pictures below were sourced from the Dermatology Atlas, courtesy of Samuel Freire da Silva, M.D.
Ask a Doctor Online Now!Please note that any information or feedback on this website is not intended to replace a consultation with a health care professional and will not constitute a medical diagnosis. The virus HSV-1 may be transmitted by droplet spread – direct contact with saliva or even respiratory droplets.
This is known as the incubation period and is the time during which the virus multiplies profusely.


The exact reason why the infection may recur is poorly understood but it appears to be associated with one or more of the following factors.
The infection of the mouth typically causes small fluid-filled blisters known as vesicles on the roof of the mouth (palate), inside of the cheeks (buccal muscosa), tongue, gums and even the lips (herpes labialis). These droplets must make contact with broken skin or the mucous membranes in order to infect a person. It may also occur on the skin around the mouth and extend to the nose and into the nasal cavity.
Most of the time HSV-1 causes mouth symptoms and in a minority of cases it may also be responsible for genital symptoms. This arises as the virus starts destroying cells at the site and causes intense localized inflammation.
Not just the small ones that supposedly go away in a week, but the nuclear sized ones that make it impossible to breathe without pain and last for a month.
The opposite is true for HSV-2 – it causes genital symptoms in the majority of cases while only a few cases of HSV-2 infection will result in mouth symptoms. These small vesicles or sometimes the larger bullae may either burst resulting in ulcer or heal completely with no scarring.


I have tried gels, patches, and even had my dentist prescribe me aphthasol, which is the only FDA approved prescription for canker sores to my knowledge. HSV-1 infection may be seen in all ages, including children, but when genital herpes is seen in children, sexual abuse needs to be a consideration.
The only thing that used to work for me was to have my doctor put a stick of silver nitrate on the sore to cauterize it, which they are reluctant to do now. But nope, a few weeks later I again applied it to canker sore, this one on the gum line which has always been notoriously hard me to treat.This stuff is very fluid out of the bottle so be careful as it stains. But the nice thing is, you don't have to make sure the surface is "completely" dry like I did with the aphthasol paste. The paste was pretty much worthless to me because it took at least five minutes for it to melt into the sore and form a barrier. Canker-Rid will film up even over a moist area.Bottom line is, if you have tried everything else, what do you have to lose?



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