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Cold sores on the lips - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Skin Hair and Nails
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   how can you tell if a mouth sore is a cold sore or a canker sore? I have what looks like a skin tag only its reddish and slightly painful in my oral vestibule, (infront of upper front teeth)
Doctor :   Hi
Doctor :   How can I help you ?
User :   I just put up my ques
Doctor :   Yes, I have just seen your query .
User :   the pimple or sore is inbetween the two front teeth... you know how you have a a normal piece of skin there that extends into the upper lip? Its like hanging and reddish
User :   what kind of doctor are you btw?
Doctor :   Ok, I am A General Physician.
Doctor :   May I ask you a few questions to help you better ?
User :   sure
Doctor :   Do you have any of the following symptoms ?
Doctor :   Fever, or
General discomfort or uneasiness (malaise), or
Swollen lymph nodes ?
User :   where are lymph nodes?
User :   I did feel tired with a slight runny nose yesterday
Doctor :   They are small nodules like glands which have WBC/Lymphocytes.
User :   don't think i had a fever
Doctor :   Which usually swell if you have an injury .
Doctor :   example you have swollen lymph nodes in armpits if you have a hand injury .
User :   so you talking throat
User :   don't think so
User :   I have been incredibly stressed out lately
User :   so I did sleep a lot yesterday
Doctor :   Yes.
Doctor :   And also under the jaw .
User :   fine
Doctor :   Do you have any abnormal or palpable ?
User :   palpable what?
Doctor :   Palpable lymph glands .
User :   don't think so
Doctor :   Ok.
User :   I did kiss someone 3 days after their cold sore healed.
Doctor :   How about the central part of teh sore , is it reddish or yellowish or white ?
User :   white -- its hard and hangs like a skin tag
User :   but sensitive
User :   not flat
User :   like a hard oblong ball
User :   reddish and white
User :   infront of my front teeth
User :   on the inner upper lip
Doctor :   Cold sores usually can be infective and ar caused by herpes, if you are sure you kissed some one with herpes , you have a chance but the incubation period is not 3 days but a bit longer.
User :   can i send you a pix?
Doctor :   Please send it
User :   and you can look at right away?
Doctor :   Yes, it may take 3-4 mins.
User :   ok -- hang on..
Doctor :   Ok.
User :   just took it
Doctor :   Ok.
Doctor :   Please send it across.
User :   just doing that now
User :   on phone
Doctor :   ok.
User :   did you get it
User :   ?
Doctor :   Waiting for it, it will take 1 min.
User :   ok you will see its pimple like
Doctor :   might be I will require more time to help you better.
Doctor :   Ok.
User :   you got it?
Doctor :   Got it.
I would say it is a cold
Doctor :   A cold sore.
Doctor :   please follow the following instructions : Doctor :   Instructions
Things You'll Need: Over-the-counter cold sore treatment Soap Towels Cotton swabs
Purchase an over-the-counter cold sore treatment as soon as you feel the tingling that indicates a cold sore is imminent. The treatment should contain docosonal or benzyl alcohol and will typically be packaged in gel or cream form. Abreva and Zilactin are common over-the-counter products that you can purchase at any drugstore or pharmacy.
Wash your hands, lips and face thoroughly with warm water and soap. Dry with a clean towel.
Apply a small amount of the cold sore treatment directly onto the cold sores on your lips and the surrounding area. You may use your finger or a cotton swab. Rub the gel or cream in thoroughly and avoid licking your lips as much as possible.
Reapply the treatment to your lips up to five times each day. Continue the treatment for 10 days or until your symptoms improve.
Wash your hands thoroughly after touching your cold sore. Avoid kissing other people and especially avoid contact with young children or elderly people. Cold sores are very contagious and can be spread easily.
Wash your towels, sheets and pillowcases often when you have cold sores to avoid spreading the infection to other areas of your body. Use the hottest heat setting available on your washing machine.
Doctor :   Thank you for consulting me.
Doctor :   Take care, bye for now.
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Diseases and Conditions
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