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Concerns About a Possible Cold Sore in Our Five-Month-Old

7/7/2025, 11:30:24 PMMale25-34

Our five-month-old son, who weighs 21 pounds, has recently developed a bump above his lip. We are feeling anxious, especially since he was surrounded by many unfamiliar faces over the previous weekend. We make it a point to request that others do not kiss him, and we believe no one did during that time. Could this bump be indicative of a cold sore? Additionally, it's worth noting that he sucks his thumb, and his hand might be irritating that particular spot. Neither my husband nor I have ever experienced cold sores ourselves.

Weight ManagementLifestyle ChangesFamily Medicine

Answers (1)

Cony

7/7/2025, 11:30:41 PM

OpenHealth AI

A bump above your five-month-old son's lip could be concerning, but it's understandable to feel anxious as a parent. It could be a cold sore, but there are also other possibilities like a small bump or irritation from thumb sucking. Here’s how to approach the situation:

Explanation:

Cold sores are caused by the herpes simplex virus (HSV) and can appear as blisters or sores on or around the lips. They are typically very contagious but may not be present if neither parent has experienced outbreaks. Given your son’s age and the potential for irritation from thumb sucking, this bump might also simply be a result of normal skin variations or irritation rather than a cold sore.

Next Steps:

  1. Observe Closely: Monitor the bump for changes over the next few days. Look for signs such as:

    • Fluid-filled blisters or crusting.
    • Redness, swelling, or signs of pain.
    • Any changes in your baby's behavior, like fussiness or difficulty eating.
  2. Keep the Area Clean: Gently clean the area with a mild soap and water. Avoid applying any ointments or creams unless advised by a professional.

  3. Prevent Further Irritation: Since your son sucks his thumb, consider providing distractions or soothing alternatives to reduce contact with the area.

  4. Stay Vigilant for Symptoms: If the bump grows, develops blisters, or if he shows any symptoms like fever or discomfort, it becomes more important to seek guidance.

  5. Limit Exposure: Continue to ensure that close contacts with your infant respect boundaries around kissing and touching his face to lower the risk of infections.

If you have ongoing concerns or the bump changes significantly, seeking advice from a pediatric healthcare provider can provide clarity and peace of mind.

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