What is the difference between a cold sore and a canker sore?
A canker sore occurs inside the mouth and is caused by bacteria; a cold sore typically appears around the lip area outside the mouth and is caused by a virus. If a cold sore appears inside the mouth, usually it appears on the non-movable parts such as the roof, rather than the tongue or softpalate.

What triggers a cold sore outbreak?
There may be long periods when the herpes virus remains inactive. The following factors can trigger cold sores:
• Illness, such as cold or flu
• Dental treatment
• Physical stress or fatigue
• Menstruation or pregnancy
• Mouth trauma
• An immune system deficiency
• Injury to the lips caused by sunlight exposure or ultraviolet lamps Food allergies

How are cold sores treated?
Topical anti-viral medications can reduce the duration and severity of an outbreak if used early. Antiviral drugs may also be prescribed.

Over the counter creams containing docosanol can inhibit the herpes virus. Medications with a numbing agent, such as benzyl alcohol, can help alleviate a cold sore's burning, itching and pain. Emollients can reduce cracking and soften scabs. Applying aloe vera balm three times a day to the cold sore also can help fight the infection and enhance healing.

If over the counter remedies don't help, ask your dentist for a prescription. A dentist also can accurately diagnose cold sores and base treatment on important factors such as your age, overall health, medical history and tolerance for specific medications.

What are the stages of a cold sore?
Day 1: Prodrome (tingle) stageBefore a cold sore has formed, you may feel a tingling, itching or burning sensation beneath the skin, usually around the mouth or the base of the nose. Applying anti-viral medications during this stage can help alleviate cold sore symptoms.

Days 2 to 3: Blister stage-An outbreak of fluid-filled blisters is the first visible sign of cold sore formation.

Day 4: Ulcer or weeping stageTypically, the most contagious and painful stage of cold sores is when blisters rupture, leaving a shallow reddish open sore.

Days 5 to 8: Crusting stage-After a few days, the blisters dry up and form a yellow or brownish crust, which eventually falls off. During this stage, it is important to care for the scab, which can crack or break.

Days 9 to 12: Healing stage-Usually a series of scabs will form on the lesion, which eventually flake off Each new scab will be smaller than the previous one, until the cold sore heals completely, usually without scarring.

What precautions should be taken?
To prevent transmission of the virus to another person, avoid:
• Intimate physical contact with others.
• Sharing eating utensils, toothbrushes,< towels and razors.
• Touching the blisters (Always wash your hands after applying medication).
• Avoid prolonged exposure to sunlight.
• Avoid spicy, acidic foods.