Painkillers and a pain relieving mouthwash may also ease the symptoms. There are also over-the-counter cold sore treatments your pharmacist can advise you about. Treatmentįacial herpes may be treated, and sometimes even prevented, with an antiviral drug, valaciclovir, which is available as tablets (you need a doctor's prescription). Massive cold sores can be a sign that another disease, pneumonia or HIV, for example, has weakened the body's defences. In patients who suffer from atopic dermatitis, in rare cases, the cold sores can spread to larger parts of the body. If the condition spreads to the eyes, in severe cases, it can damage vision. The cold sores may become infected by bacteria. The virus can spread until the cold sores are completely covered by scabs and the infection will usually be external. The cold sores eventually dry, scab over and heal without scarring after 8 to 10 days.The blisters burst and form clusters, leaving fluid-filled sores (cold sores).Slight swelling and the development of a number of fluid-filled blisters, which are often painful.They seem to become less frequent with age.Ī facial herpes outbreak has four stages: Some people have few or no further herpes outbreaks while others have regular recurrences. The herpes virus remains hidden in the nerves for the rest of the person's life and becomes active again from time to time. This first outbreak starts one to three weeks after the herpes virus has invaded the skin and subsides within a few weeks. Most patients also require painkillers or even local anaesthetics applied directly to the site, to ease the discomfort of the cold sores so that they can eat and drink. Gingivostomatitis should be treated with antiviral medicine. Initially, this can take the form of painful cold sores affecting the mouth, gum, throat and lips, which may last for more than 14 days if left untreated. Sores can develop inside the mouth as well as outside it and this is commonly called gingivostomatitis. Some people only have very mild herpes symptoms or none at all but others can experience considerable discomfort. The primary infection can progress in different ways. When a person is infected with herpes for the first time, the episode is called a primary infection. Potential herpes triggers include a fever (for example, a common cold), UV radiation (exposure to sunlight), extreme tiredness or lowered immune function. The herpes virus travels from the epidermis along the nerve paths to the trigeminal ganglion, a bundle of nerves close to the inner ear, where it lies hidden until it is reactivated. HSV invades the cells of the epidermis, the outer layer of the skin, causing fluid-filled blisters to appear.
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