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

Audience: pediatric

After a telemedicine visit for cold sores (herpes labialis) in children, you will usually receive advice on how to care for the sores at home. The healthcare provider may suggest antiviral creams or medicines to help the sores heal faster and reduce pain. You might also get tips to avoid spreading the virus to others. Most cold sores heal on their own within 1 to 2 weeks. It's important to watch for signs that need urgent care, like high fever, severe pain, or spreading sores. Telemedicine can help you get quick advice and treatment recommendations without leaving home, but some situations may still require an in-person visit. Always follow the provider's instructions and reach out if your child's symptoms get worse or do not improve.

Red flags — go in person / ER

• High fever (above 38.5°C or 101.3°F) lasting more than 2 days — seek urgent care.
• Sores spreading rapidly beyond the lips or to the eyes — get immediate medical attention.
• Difficulty swallowing or drinking fluids — contact healthcare provider promptly.

What telemedicine can do

• Initial assessment of cold sores symptoms.
• Providing advice on home care and symptom management.
• Prescribing antiviral medications if appropriate.
• Answering questions about cold sores and prevention.

What telemedicine cannot do

• Physical examination to rule out other conditions.
• Treatment of severe or spreading infections.
• Emergency care for complications like dehydration or eye involvement.
• Laboratory testing or diagnosis confirmation.

What to Expect Right After Your Telemedicine Visit

After your visit, the healthcare provider will likely explain how to use any prescribed treatments and what symptoms to watch for. They may recommend over-the-counter pain relief and ways to keep the sores clean and dry. You will also get advice on how to prevent spreading the virus to others, such as avoiding close contact and not sharing personal items.

How to Care for Cold Sores at Home

Cold sores often heal without special treatment, but you can help by:

These steps can help the sores heal faster and prevent spreading.

When to Seek In-Person Care

If your child develops any of the following, you should seek in-person medical care:

These signs may mean the infection is more serious and needs urgent treatment.

How Telemedicine Helps with Cold Sores

Telemedicine allows you to quickly connect with a healthcare provider from home. It is useful for:

However, telemedicine cannot perform physical exams or tests that might be needed in some cases.

Preventing Future Cold Sore Outbreaks

Your provider may talk about ways to reduce future cold sore outbreaks, such as:

Following these tips can help keep your child comfortable and reduce outbreaks.

How to prepare for your tele-visit

• Have a list of your child's current symptoms and when they started.
• Prepare to show clear images of the cold sores if possible.
• List any medications your child is currently taking.
• Note any allergies or previous reactions to medications.
• Be ready to describe any recent illnesses or exposures.

After your tele-visit

• Follow the treatment plan and medication instructions given by the provider.
• Keep the cold sores clean and avoid touching them.
• Monitor your child's symptoms daily for improvement or worsening.
• Avoid close contact with others to prevent spread.
• Contact your healthcare provider if new symptoms develop or if red flags appear.

FAQs

How long do cold sores usually last in children?

Cold sores typically heal within 7 to 14 days without scarring. Healing time can vary depending on the child's immune system and treatment used.

Can my child go to school with cold sores?

Children with cold sores should avoid close contact with others until the sores have crusted over and started to heal, to reduce the risk of spreading the virus.

Are cold sores contagious?

Yes, cold sores are caused by the herpes simplex virus and are contagious, especially when sores are open and oozing. Good hygiene helps prevent spread.

What can I do to prevent future cold sore outbreaks?

Preventive steps include avoiding triggers like stress and sun exposure, using lip balm with sunscreen, and maintaining good hygiene practices.

When should I call the doctor after a telemedicine visit?

Contact your healthcare provider if your child's symptoms worsen, if new sores appear, if they develop a high fever, or if they have trouble eating or drinking.

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 information is for educational purposes only and is not a substitute for professional medical care. Telemedicine guidance cannot replace in-person evaluation when needed. Always seek immediate medical attention if your child's condition worsens or if you notice any emergency warning signs.