Cold Sores:
Causes, Symptoms and Treatments

Cold sores are a common nuisance that many people experience at some point in their lives. They often appear suddenly, can be uncomfortable, and tend to crop up at the most inconvenient times.

Beyond the physical irritation, they can also affect confidence and make everyday interactions feel a little more challenging.

While they usually clear up on their own, their recurring nature means that understanding them, and knowing how to manage them, can make a real difference to day-to-day comfort and peace of mind.

What Causes Cold Sores?

Cold sores, sometimes called fever blisters, are caused by the herpes simplex virus (HSV), which stays in the body for life once you’ve been infected.

Many people are first exposed in childhood without realising it, and after that first infection, the virus lies dormant in the nerves, waiting for a trigger to wake it up. When it does, the result is the familiar cluster of small, painful blisters around the lips or mouth.

How Long Do Cold Sores Last?

A cold sore usually announces itself before it becomes visible. People often describe a tingling, itching or burning sensation around the lips a day or two before any blister appears. This is called the prodrome stage, and it’s the best time to start treatment.

Within 48 hours, fluid-filled blisters appear, which then burst and scab over before healing completely. From start to finish, the whole process usually takes about ten days.

Are Cold Sores Contagious?

Yes, cold sores are contagious. They can spread from person to person through close contact, such as kissing, or by sharing items like cutlery, lip balm, or towels.

The risk of passing them on is highest when blisters are visible and oozing, but the virus can still be spread even when sores are not obvious. That’s why it’s important to be mindful around others during an outbreak and to avoid sharing personal items until the skin has completely healed.

How to Treat a Cold Sore

While there’s no cure that makes the virus go away completely once it’s in your system, there are lots of things you can do to reduce discomfort and speed healing.

If you’ve ever wondered how to treat a cold sore, the good news is that a combination of simple self-care steps and targeted remedies can help make outbreaks shorter and less disruptive. By managing symptoms early and supporting the skin as it heals, you can ease irritation, limit the impact on daily life, and feel more confident while waiting for the sore to clear.

Do:

Use antiviral creams or gels as soon as you recognise the tingling feeling, if possible. They may be less effective once blisters have already appeared.

Use over-the-counter creams or patches to protect the sore and ease pain.

Use a lip balm with SPF (15 or above) if you’re out in the sun.

Take pain relief if needed for discomfort/swelling.

Keep well hydrated.

Don’t:

Don’t touch the sore (apart from applying cream) as touching spreads the virus. If you do touch, wash hands before and after.

Don’t rub creams in hard; it’s better to dab gently.

Avoid acidic or salty foods if they irritate the sore.

Why Do I Keep Getting Cold Sores?

Once the virus is in your system, it can reactivate at any time.

Flare-ups often follow a familiar pattern and may be triggered by illness, a fever, or hormonal changes.

Some people find that stress or tiredness also play a role. Knowing your personal triggers can help you manage the condition and reduce the number of outbreaks.

Living with Cold Sores

Although you can’t remove the virus from your body, lifestyle choices can help limit how often cold sores appear. Protecting your lips with SPF, managing stress, and taking care of your general health can all make a difference.

blue®m Oral Gel and Cold Sores

If you’re putting together a cold sore care plan, you might consider adding blue®m Oral Gel as a supportive step alongside standard treatments.

It’s not designed to replace prescribed antiviral options, but it can be a helpful companion product for easing discomfort. The gel is formulated to create a soothing environment for the skin, which may reduce irritation and support the body’s natural healing process.

Many people also find that it helps wounds recover more comfortably, making cold sores feel a little less disruptive.

Cold sores can be frustrating and sometimes embarrassing, but they’re very manageable. With early treatment, sensible precautions, and a bit of self-care, most outbreaks pass quickly and without too much fuss.

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