It never fails. Every time you have a big meeting coming up or an important presentation to give, you develop an unsightly cold sore
on your lip. You wake up with a small cluster of tiny,
harmless-looking, white blisters, which quickly explode into a painful
sore the size of Rhode Island. (OK, so maybe it just looks that big to
you.)
Many people get confused about
whether they have a cold sore or a canker sore. But that confusion is
easily cleared up. Cold sores, also called fever blisters, are caused by
the herpes
simplex virus type 1, which is usually acquired in childhood through
contact with infected saliva. The type 1 virus is believed to lie
dormant in certain nerve cells of the body until it is activated by
stress, anxiety, a cold or excessive exposure to the sun. It causes
sores on your external lip or near your mouth or nose that last anywhere
from seven to 14 days. (Herpes simplex virus type 2, on the other hand,
is transmitted through sexual contact and causes sores and ulcers in
the genital area.)
Although many people use the
terms "cold sore" and "canker sore" interchangeably, they're different.
Unlike cold sores, canker sores are bacterial infections inside the
mouth that are characterized by small, round, white areas surrounded by a
sharp halo of red. And while cold sores are highly contagious, canker
sores are not. (For more on canker sores, see Home Remedies for Canker Sores.)
You can't cure cold sores, and
they like to keep coming back, usually to the scene of a previous visit.
Fortunately, you don't have to suffer in silence with cold sores. In
the next pages, we'll look at simple home remedies to ease the
discomfort of cold sores and and hasten the healing process.
Cover the Cold Sore
Covering a cold sore
with petroleum jelly will speed healing and help protect it from
secondary infection with bacteria. Putting a local anesthetic ointment
containing benzocaine on the cold sore can also help numb the pain
temporarily. However, attempting to camouflage a cold sore with makeup
often aggravates the problem, as the chemicals in makeup can make the
sore worse. And don't share your lipstick or makeup, either.
Get a new toothbrush after the blister has formed and again after the attack has cleared up. Toothbrushes can harbor the virus. Consult your health care provider if you have frequent or severe cold sores. In some cases, an antiviral medication called acyclovir can be prescribed.
Applying sunscreen
to your lips may help prevent sun-induced recurrences of cold sores.
Look for a sunscreen designed especially for the lips that has an SPF of 15 or higher. Or, choose a lipstick that contains sunscreen.
Don't Touch It
Don't squeeze, pinch or pick a cold sore.
These actions can cause bacterial infection. Also, because cold sores
are extremely contagious, avoid kissing and sharing cups, towels or
other such items. Wash your hands
frequently, especially after touching the cold sore. And take care not
to touch your eyes or genitals immediately after touching the sore. It's
a good idea to have hand sanitizer with you in case you accidentally
scratch your cold sore and there's no wash basin handy.
Try Painkillers
Image Credit: Steve Wisbauer/Photodisc/Getty Images
Reach for aspirin,
acetaminophen, ibuprofen or other over-the-counter painkillers when
cold sores are painful. See this list of precautions to take when using over-the-counter analgesics.
Avoid Triggers
When a cold sore's not making
itself a huge lip ache, it's snoozing in the nerves below your skin,
just waiting for a reason to wake up. And what sets off its alarm clock?
To help avoid some of these triggers, practice stress-busting techniques
like exercise, meditation, yoga or reading. Avoid acidic and salty
foods like potato chips or citrus fruits as they can further irritate
cold sores and add to the pain.
Licorice
Studies show that glycyrrhizic acid, an ingredient in licorice, stops the cold sore virus
cells dead in their tracks -- so try chewing a licorice whip. Just be
sure it's made from real licorice, as most "licorice" candy in the
United States today is flavored with anise. If the ingredient list reads
"licorice mass," the product contains real licorice. You could also try
buying some licorice powder and sprinkling it on the sore, or mix up a
cream with a pinch of licorice power and a smidgen of pure vegetable
shortening, then apply to the sore. Remember, though -- don't go
overboard! Just as with any medicine, real licorice's medicinal effects
can cause serious side effects if used in large amounts over long
periods of time.
If you ice
a cold sore when it first arrives, you may cut down on the amount of
time it hangs around. Ice packs and cold compresses will provide some
temporary relief. A tasty popsicle will feel good, too, but skip the
juice bars. Their acid content may irritate that major irritation even
more. Super-cold drinks, such as slushes or smoothies, are another tasty
way to provide comfort.
This remedy doesn't involve drinking. Soak a cotton ball in milk and apply it to the sore to relieve pain.
Better yet, if you feel the tell-tale tingling before the cold sore
surfaces, go straight to the cold milk. It can help speed the healing
right from the beginning.
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