What happens after a telemedicine visit for Cold Sores (Herpes Labialis)

Audience: adult

Cold sores, also known as herpes labialis, are common and usually mild skin infections caused by the herpes simplex virus. After a telemedicine visit, you will typically receive guidance on managing symptoms and preventing spread. Treatment often includes antiviral medications that can help reduce healing time and discomfort. Your healthcare provider may recommend over-the-counter creams or pain relievers as well. You will also get advice on how to avoid triggering outbreaks and how to protect others. Follow-up care may be suggested if symptoms worsen or do not improve. Telemedicine offers a convenient way to get expert advice without needing to visit a clinic in person. However, if you experience severe symptoms or complications, in-person care may be necessary. This article explains what to expect after your telemedicine visit, how to care for cold sores, and when to seek urgent help.

Red flags — go in person / ER

• Sores spreading to eyes or causing vision changes — seek emergency care immediately.
• High fever lasting more than 3 days with cold sores — contact healthcare provider promptly.
• Difficulty swallowing or breathing during an outbreak — get urgent medical attention.

What telemedicine can do

• Initial evaluation of cold sores symptoms.
• Prescription of antiviral medications for mild to moderate cases.
• Providing advice on symptom management and prevention.
• Scheduling follow-up telemedicine visits for monitoring.

What telemedicine cannot do

• Severe or spreading infections requiring physical examination.
• Complications involving the eyes or other organs.
• Emergency symptoms such as difficulty breathing or swallowing.
• Diagnosis of other serious skin conditions that mimic cold sores.

Understanding Your Telemedicine Visit Results

After your telemedicine visit, your healthcare provider will explain whether your symptoms are consistent with cold sores (herpes labialis). They may prescribe antiviral medications such as acyclovir, valacyclovir, or famciclovir to help speed healing. You may also receive advice on symptom relief, such as using topical creams or pain relievers. The provider will discuss ways to prevent spreading the virus to others and how to avoid triggers that can cause outbreaks, like stress or sun exposure.

Managing Cold Sores at Home

Most cold sores heal on their own within 1 to 2 weeks. To care for them at home:

Following these steps can help reduce discomfort and speed healing.

When to Expect Improvement and Follow-Up

With proper care and medication, cold sores often begin to improve within a few days. Healing typically completes in 7 to 14 days. Your provider may suggest a follow-up telemedicine visit if symptoms worsen, new sores appear, or if you have frequent outbreaks. If you have underlying health conditions or a weakened immune system, closer monitoring may be necessary.

Red Flags: When to Seek Immediate Care

While cold sores are usually mild, certain signs require urgent medical attention:

If you experience any of these, seek in-person medical care promptly.

Preventing Future Outbreaks

Cold sores can recur, but you can reduce the risk by:

Your provider may discuss preventive antiviral therapy if you have frequent or severe outbreaks.

How to prepare for your tele-visit

• Have a list of your current medications and allergies ready.
• Be prepared to describe your symptoms in detail, including onset and severity.
• Ensure good lighting and a quiet environment for the video call.
• Have a camera ready to show the affected area if requested.
• Prepare questions or concerns you want to discuss with your provider.

After your tele-visit

• Follow the medication instructions carefully, completing the full course if prescribed.
• Use recommended over-the-counter treatments for symptom relief as advised.
• Avoid touching or picking at the sores to prevent infection.
• Practice good hygiene and avoid sharing personal items.
• Monitor your symptoms and contact your provider if they worsen or new symptoms develop.

FAQs

How long do cold sores usually last?

Cold sores typically heal within 7 to 14 days without scarring. Antiviral medications may help speed up healing.

Can I still spread the virus after the sores heal?

Yes, the herpes simplex virus can sometimes be spread even when sores are not visible, though the risk is lower. Avoid close contact during outbreaks.

Are cold sores contagious to children?

Yes, cold sores are contagious and can spread to children through direct contact or sharing items. Take precautions to prevent transmission.

Can stress cause cold sore outbreaks?

Stress is a common trigger for cold sore outbreaks. Managing stress may help reduce the frequency of episodes.

When should I see a doctor in person?

Seek in-person care if sores spread to your eyes, if you have severe pain or swelling, difficulty swallowing or breathing, or if sores do not heal within two weeks.

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: Causes and Treatment — Mayo Clinic.
4. Herpes Labialis (Cold Sores) — Merck Manuals Consumer Version.

This telemedicine education is for informational purposes only and is not a substitute for in-person medical care. If you have concerns about your health or symptoms worsen, please seek evaluation from a healthcare professional in person.