
September 20, 2025
Cold sores are small, painful blisters filled with fluid that usually appear on or around the lips, though they can sometimes occur on the nose, cheeks, or even inside the mouth.
They are caused by the herpes simplex virus type 1 (HSV-1), which stays in the body for life once you’ve been infected. The virus can “sleep” in your nerves and then reactivate from time to time, which is why cold sores tend to come back in cycles.
Key facts:
Appearance: Start as tingling, itching, or burning, then form blisters that burst and crust over.
Duration: Usually last 5–7 days, healing on their own.
Triggers: Illness (like a cold or flu), stress, fatigue, hormonal changes, and sun exposure.
Contagious: Yes — especially when the blisters are open and oozing. They spread through close contact such as kissing or sharing utensils.
Treatment: Antiviral creams or tablets (e.g., acyclovir) can shorten healing time if used early. Pain relief and good self-care help manage symptoms.
Once you get HSV-1, you can’t completely get rid of it — but you can reduce outbreaks and speed up healing with treatment and prevention strategies.

Cold sores can feel uncomfortable, embarrassing, and often misunderstood. In this episode of the Iconic Smiles Podcast with Dr. Gerdan Lamorell, we break down everything you need to know about cold sores in a clear and practical way. What exactly are cold sores? What causes them, and why do they keep coming back? How do they spread, and what triggers an outbreak? Most importantly, how can they be treated and prevented?
You’ll learn about the herpes simplex virus, why cold sores flare up during colds, stress, or even sunlight, and the best ways to manage symptoms with antiviral creams or preventive steps like sunblock. We also cover important FAQs—when to see your doctor, whether you can visit the dentist with an active sore, and how to protect your baby if you’re breastfeeding.
Let’s break the stigma, get the facts straight, and help you feel more confident in managing cold sores. Tune in for expert advice, practical tips, and a better understanding of this common condition.
If you've got a question that you'd like to submit to Dr. Lamorell please feel free to click on the button below and submit it to the show. Dr. Lamorell will answer your question on one of her upcoming episodes.
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