How to prepare for a video visit about Cold Sores (Herpes Labialis)

Audience: adult

Cold sores, also known as herpes labialis, are common small blisters that usually appear on or around the lips. They are caused by the herpes simplex virus and can be uncomfortable and contagious. Preparing well for a video visit about cold sores helps you get the most from your time with your healthcare provider. During the visit, you can discuss your symptoms, ask questions about treatment options, and learn how to manage outbreaks. This guide will help you understand what to expect, how to prepare, and when to seek urgent care. Remember, telemedicine can provide useful advice and guidance, but it is not a substitute for in-person medical evaluation when needed.

Red flags — go in person / ER

• Sores lasting more than 2 weeks without healing — seek in-person medical evaluation.
• High fever, severe pain, or swelling around the mouth — get urgent care.
• Spreading sores beyond the mouth or signs of infection such as pus or increased redness — seek prompt medical attention.

What telemedicine can do

• Initial assessment of cold sore symptoms.
• Advice on symptom management and prevention.
• Guidance on when to seek in-person care.

What telemedicine cannot do

• Severe or complicated infections requiring physical examination.
• Persistent sores not healing after standard treatment.
• Emergency symptoms like difficulty breathing or swallowing.

What are Cold Sores?

Cold sores are small, fluid-filled blisters that usually appear on the lips or around the mouth. They are caused by the herpes simplex virus (HSV), most often HSV-1. Cold sores often start with tingling or itching before blisters form. These sores typically heal on their own within 1 to 2 weeks but can be painful and may recur over time.

Preparing for Your Video Visit

Before your video visit, find a quiet, well-lit space where you can show your healthcare provider the affected area clearly. Have a list of your symptoms ready, including when they started and any treatments you have tried. Write down any questions you want to ask about managing cold sores, preventing spread, or treatment options. Make sure your device is charged and your internet connection is stable for a smooth visit.

What to Expect During the Video Visit

Your healthcare provider will ask about your symptoms, medical history, and any previous cold sore outbreaks. You may be asked to show the sores on camera so the provider can assess them visually. The provider will discuss possible treatments, such as antiviral creams or pills, and ways to reduce discomfort and prevent spreading the virus to others.

When to Seek In-Person Care

While many cold sore cases can be managed through telemedicine, seek in-person care if you experience severe pain, sores that do not heal within two weeks, spreading sores beyond the mouth area, signs of infection like pus or fever, or if you have a weakened immune system. Immediate care is important if you have difficulty swallowing, breathing, or severe swelling.

Managing Cold Sores at Home

To help ease symptoms, avoid touching the sores, keep the area clean and dry, and use over-the-counter pain relievers if needed. Applying a cold, damp cloth may reduce discomfort. Avoid sharing utensils, lip balm, or towels to prevent spreading the virus. Practice good hand hygiene, especially after touching the affected area.

How to prepare for your tele-visit

• Choose a quiet, well-lit area for your video visit.
• Ensure your device is charged and connected to the internet.
• Have a list of your symptoms and their timeline ready.
• Prepare questions about your condition and treatment options.
• Be ready to show the affected area clearly on camera.

After your tele-visit

• Follow the treatment plan and advice given by your healthcare provider.
• Monitor your symptoms and note any changes or worsening.
• Avoid touching or picking at cold sores to prevent spreading.
• Practice good hygiene to reduce transmission risk.
• Schedule a follow-up visit if symptoms do not improve or worsen.

FAQs

What causes cold sores?

Cold sores are caused by the herpes simplex virus, usually type 1 (HSV-1). The virus stays in your body and can reactivate, causing new sores.

Are cold sores contagious?

Yes, cold sores are contagious, especially when blisters are present. The virus spreads through close contact like kissing or sharing items like utensils or towels.

Can cold sores be cured?

There is no cure for the herpes simplex virus, but antiviral treatments can help reduce the severity and duration of outbreaks.

How can I prevent spreading cold sores to others?

Avoid close contact with others when you have active sores, do not share personal items, and wash your hands frequently.

When should I see a doctor in person?

Seek in-person care if your sores last more than two weeks, if you have severe pain or swelling, signs of infection, or if you have a weakened immune system.

Sources

1. Cold Sores — MedlinePlus, U.S. National Library of Medicine.
2. Herpes Simplex Virus Infections — Centers for Disease Control and Prevention (CDC).
3. Cold Sores (Herpes Labialis) — Mayo Clinic.
4. Herpes Simplex Virus — National Library of Medicine.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you have severe symptoms or emergency signs, seek immediate medical attention.