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						 These are
    blisters which form around the mouth and inside the nose; often appearing towards the end
    of a  
						cold. 
    What to look for   
    
      itching or tingling in
        the skin in the affected area 
       
      a number of blisters
        usually occur in the one spot filled with a yellowish or white fluid red, painful sores on
        or near the mouth, or on fingers. 
       
      swollen, sensitive gums
        of a deep red colour. 
       
      a fever, flu-like
        symptoms 
       
     
    Cold sores, are a painful
    infection caused by the  
	herpes simplex virus.
    They may show up anywhere on your body but are most likely to appear on your gums, the
    outside of your mouth and lips, your nose, cheeks, or fingers. 
    Blisters form, then burst
    within 2 to 4 days and then start to heal by drying up. A crust develops and eventually
    falls off, revealing new skin underneath. The cold sore will heal itself usually within 14
    days.  
    Although cold sores
    generally are not serious, the infection may be life-threatening for anyone who has  AIDS or whose immune system is depressed by other disorders or
    medications. In infants, who usually contract the virus during birth, the infection may
    spread to other organs, causing serious complications or even death.  
    Blindness can be the result
    if the infection from a cold sore spreads to the eye.  
    Causes  
    Cold sores are caused by
    the herpes simplex virus, which is transmitted by such forms of contact as kissing an
    infected person or sharing eating utensils, towels, or razors. A person with a cold sore
    who performs oral sex on another person can give that person  genital herpes.  
    Sores may develop as late
    as 20 days after exposure to the virus. Once the virus enters your body, it may emerge
    years later at or near the original site of entry. The herpes virus remains hidden in the
    skin lying dormant between attacks. The virus may be triggered by certain foods,  stress, fever,  
	colds,  allergies, sunburn, and menstruation.  
    Traditional Treatment 
    You can't cure a cold sore,
    but you can relieve the pain with over-the-counter products. Also it is wise to avoid
    spicy or acidic foods.  
    If your cold sore is
    especially painful or irritating, your doctor may prescribe a stronger medication.  
    Alternative/Natural
    Treatments 
    Several alternative
    therapies may help to speed healing and prevent sores from coming back.  
    Aromatherapy -
 
    Applying  
						geranium (Pelargonium
    odoratissimum) or  
						eucalyptus (Eucalyptus
    globulus) oils to cold sores every hour may help reduce pain and speed healing of the
    sores. Aromatherapists also strongly recommend that  
						tea tree oil (Melaleuca spp.) with its
    antiseptic properties be used.  
    Herbal Therapies
    -  To dry up a cold sore, herbalists recommend applying witch hazel (Hamamelis
    virginiana). Herbalists also recommend applying extracts of   echinacea (Echinacea spp.),   nettle (Urtica dioica),   
						goldenseal
    (Hydrastis canadensis), and   
						myrrh (Commiphora molmol) to
    speed healing. To dry up a cold sore, herbalists recommend applying witch hazel
    (Hamamelis virginiana). Herbalists also recommend applying extracts of   echinacea (Echinacea spp.),   nettle  (Urtica dioica),   
						goldenseal
    (Hydrastis canadensis), and   
						myrrh  (Commiphora
    molmol) to
    speed healing.   
    Dietary Considerations 
    Avoid eating nuts,
    chocolate, brown rice, oats, alcohol, caffeine, sugar and seeds. Instead, eat foods high
    in lysine, such as kidney beans, split peas, and corn.  
    If you have more than three
    cold sores a year, take 500-mg lysine supplements every day. Double the dosage when you
    feel yourself developing another sore.  
    At-Home Remedies  
    
      Apply ice to relieve
        pain. 
       
      Apply  vitamin E oil to help sores heal. 
       
      Avoid becoming too
        stressful 
       
      Use Number 15 lip balm
        sunscreen. 
       
      Cover your cold sore with
        petroleum jelly.  
       
     
    Prevention  
    
      Don't kiss someone who
        has a cold sore or use the same utensils, towels, or razors. 
       
      Wash your hands after
        touching a cold sore. 
       
      Don't rub your eyes after
        touching your cold sore; you could develop corneal herpes, which may lead to blindness if
        left untreated. 
       
      Don't touch your genitals
        after touching your cold sore; you could develop genital herpes. 
       
      Replace your toothbrush.  
       
      take lysine supplements. 
       
     
    When to seek further
    professional advice  
    
      
     
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