OpenHealth Q&A

Get answered by medical professionals

Concern About Possible Cold Sore

7/25/2025, 4:40:22 PMMale25-34

Greetings, I'm a 19-year-old female experiencing some anxiety over what seems to be a cold sore. Today, I discovered a tiny group of white bumps near the edge of my upper lip. They are accompanied by a tingling or numb sensation, making it difficult for me to determine whether this is simply due to dry lips or indeed an indication of a cold sore. If this indeed points to a cold sore, what steps should I take? I consider myself quite young and have never engaged in sexual activity; I’ve only kissed two individuals back in eighth grade. I'm perplexed about how I could be facing this issue now.

Skin AllergiesDermatology

Answers (1)

Cony

7/25/2025, 4:40:37 PM

OpenHealth AI

It sounds like you may be experiencing the early signs of a cold sore, which is caused by the herpes simplex virus (HSV). Cold sores often start with tingling, numbness, or itching around the lips, followed by the appearance of small blisters. It's important to remember that the virus can be transmitted even with minimal contact, and many people are infected without knowing it.

Here’s what you can do:

Explanation

  • Symptoms: The tiny white bumps and tingling sensation you described align with the early stages of a cold sore. Cold sores typically develop after an initial outbreak, which may be triggered by stress, illness, or even exposure to sunlight.
  • Contagion: Cold sores are contagious, especially when blisters are present. It’s possible to contract the virus through kissing or sharing utensils, even if you have not been sexually active since your eighth grade interactions.

Next Steps

  1. Start Treatment: Over-the-counter antiviral creams (like docosanol) can help speed up healing if applied at the first sign of a cold sore. Follow the instructions on the packaging closely.
  2. Avoid Triggers: Keep your lips moisturized and avoid known triggers like stress or excessive sun exposure.
  3. Practice Good Hygiene: Avoid sharing personal items like towels or lip products, and wash your hands frequently to prevent spreading the virus.
  4. Monitor Symptoms: Keep track of how the bumps progress. If they worsen, cause significant discomfort, or become recurrent, reconsider your treatment options or lifestyle adjustments.

If you have more concerns or experience symptoms like fever or swollen glands, consider further exploring your options. Let me know if you need more details or support with self-care strategies!

Related Questions

Should I Be Worried About This Recent Skin Growth?

I am a 32-year-old male, standing at 6 feet 1 inch and weighing 220 pounds, of Caucasian descent. Recently, I discovered a peculiar raised growth on my back that has developed over the past month. It has a somewhat firm texture when touched. I have scheduled an appointment with a dermatologist, yet I can't help but feel anxious about the possibility of it being nodular melanoma. How serious does this look?

Skin AllergiesDermatology
Male25-34
15 minutes ago

Unexplained Bruising After Walking

Age 29, female, weighing 150 pounds, standing 5 feet 10 inches tall, non-smoker, drinks socially perhaps twice a year, currently taking only d-mannose and cranberry supplements, along with occasional digestive enzymes with meals. Recently, I have been noticing unexpected bruises on my legs. The largest one measured about 3.5 inches, while the others have been smaller, appearing in shades ranging from blue to purple or green, often in solid colors. I typically have no more than four visible bruises at one time. During the two weeks I was stuck at home and unable to walk due to having company, these bruises healed up completely. However, just last week, after going for three walks, bruising has returned. There is absolutely no chance these marks are from any sort of injury. I don’t keep my phone on me while walking, nor can I track my steps precisely, but my usual route covers at least a mile. It seems odd that while I was sedentary all day long, I had no bruises, but now that I've started walking again, I’m experiencing them once more. I’m curious if this is a known issue and whether it’s something I should investigate further. I've reached out on this platform previously, and I don’t have a primary care physician, which makes me reluctant to pay for an appointment just to discuss this bruising. Therefore, I’m seeking insights from here to determine if this might point to a specific condition or if I’m just uniquely prone to this issue. My mother also has a significant bruise on her foot from merely bursting a blood vessel during a foot massage, so maybe it’s a genetic predisposition where our blood vessels are unusually delicate. Who can say? Thank you for your input!

Skin AllergiesDrug AllergiesAllergy & Immunology
Male25-34
4 hours ago

What Does a Bone Scan Result Indicate About Cancer?

Late Friday night, I received a concerning report that has left me feeling anxious, especially since I couldn't reach anyone for clarification. As a nearly 40-year-old woman standing 5'4" and weighing 145 pounds, I lead an active lifestyle. I've been using Wegovy for the past month and had a bone scan due to persistent joint pain. My medical history includes controlled psoriasis, which raised my concerns about the possibility of psoriatic arthritis. The joint discomfort primarily affects my hands, wrists, and feet, prompting my rheumatologist to recommend the bone scan. This is my first experience with such a test, and the results are perplexing: they mention "Impression: progression of metastatic pattern." How can there be a pattern if this is the very first assessment? Additionally, in the past year, I have undergone numerous pre-operative blood tests related to cosmetic procedures, and each time, the results were normal. The report concludes with: FINDINGS: Bones: Calvarial activity appears stable. There is worsening involvement in the spine and ribs along with a newly detected sacral lesion. Joints: No signs of arthritis present. Soft tissues: Normal physiological distribution. This has left me bewildered and frightened. It seems contradictory for the report to note "worsening" and a "new lesion" when I have never had a previous scan. I am at a loss about what this could mean for my health!

AsthmaAllergy & ImmunologyDermatology
Male25-34
6 hours ago

What Could Be Happening in My Mouth?

A 34-year-old White woman from New York, standing at 5 feet 3 inches and weighing 123 pounds, seeks some advice regarding her troubling symptoms. She is currently taking multivitamins and Zoloft. Her relevant medical background includes a recent course of antibiotics and steroids, which she completed roughly two weeks prior to the emergence of her current issues. It all began about five days ago when she noticed a sore throat. However, this pain felt distinctly different from her usual experiences with strep throat and tonsillitis—this time, it was more intense and localized at the upper back part of her throat. As she observed no noticeable swelling or redness, she assumed it might be a viral infection that would resolve on its own. Fast forward to three or four days ago, she began to experience a burning sensation on her tongue, almost as if a taste bud had become inflamed or irritated. This discomfort gradually spread towards the tip, making it feel as though several taste buds were affected, akin to burning the entire tongue. Yesterday, she noticed that the pain had expanded to the sides of her tongue and the roof of her mouth. Slight swelling appeared on the edges of her tongue, along with red spots on the palate and her uvula. After a visit to urgent care, she was tested for strep throat, which was ruled out; however, she was diagnosed with thrush despite the absence of noticeable white spots. The doctor prescribed her a lidocaine rinse along with a ten-day course of fluconazole. Despite these measures, the pain has become extremely severe since yesterday—over-the-counter medications like Tylenol and Advil have proven ineffective. She is struggling to eat, drink, or even speak, and has now observed new spots resembling blisters on her tongue as of today. She has several inquiries: - Does this appear to be oral thrush to others? She expresses worry about treating potential misdiagnosis since she doesn’t see any white patches. Could her symptoms be indicative of hand, foot, and mouth disease, particularly since she has no rash elsewhere on her body? - With the evolving nature of the blister-like spots, is this an indication of healing or could it suggest that her condition is worsening? She appreciates any insights that others may provide!

Drug AllergiesPet AllergiesDermatology
Male25-34
8 hours ago

Persistent Headache Mystery

I’m 38 years old, standing at 6 feet tall and weighing 280 pounds. My health profile includes well-managed high cholesterol and major depressive disorder, both of which I am addressing with Vilazodone (40 mg daily) and Rosuvastatin (40 mg daily). Please bear with me as I share a comprehensive account of my health challenges. Over the past five years, I have undergone regular blood tests, which have produced unremarkable findings, highlighting issues like low levels of HDL cholesterol and slightly decreased testosterone (approximately 300). For over five years, I have grappled with unrelenting headaches, which initially developed gradually without any identifiable trigger. The pain level tends to hover around a 3, occasionally escalating to a 6, but never falling below a 2. These headaches are often accompanied by dizziness, a sensation of lightheadedness, cognitive fog, challenges with word retrieval and concentration, along with faint tinnitus. Fortunately, I do not experience heightened sensitivity to loud noises, bright lights, or strong smells. Lying down does offer slight relief, but only minimally. During this period, I've also experienced sporadic vertigo episodes, the duration of which ranges from a few seconds to a couple of days, with three notable occurrences over the last five years. Coincidentally, the onset of my headaches coincided with a pinched nerve in my neck, likely caused by sleeping awkwardly. Physical therapy alleviated the related tingling in my arm. I consulted a neurologist regarding the pinched nerve, who ordered MRIs of my brain and spine. The findings were largely inconclusive, aside from a mildly herniated disc and the pinched nerve. Following this, a different neurologist experimented with various medications to alleviate the headaches, including topiramate, NSAIDs, sumatriptan, CGRP treatments, and Botox—none of which provided any significant relief. The neurologist suggested that my symptoms might be linked to the dual antidepressants I was on at the time (Effexor and Wellbutrin). After tapering off these medications under psychiatric supervision, I did not notice any change after six months, leading me to resume a newer antidepressant due to a considerable deterioration in my depression. A cardiologist was then consulted to rule out conditions like POTS, with normal results from an ultrasound, but a stress test indicated vascular syncope while testing negative for POTS. At this juncture, my psychiatrist speculated that my symptoms could be tied to anxiety. I joined an outpatient support group, where I realized that although I relate to some anxiety symptoms, mine are relatively mild. As a next step, the psychiatrist attempted to enhance my focus with Adderall, which interestingly was the most effective medication for alleviating my symptoms. However, the side effects—including insomnia and irritability—were challenging to manage. Eventually, I secured a referral to a large academic medical center where I consulted with five different neurologists specializing in various aspects of neurology. From there, I was directed to a headache clinic that recommended I cut back on my caffeine intake from three cups daily to two or possibly less, but again, there was no improvement. The headache clinic suggested conducting a sleep study, which revealed mild sleep apnea. I was prescribed a CPAP machine, which I diligently used for over a year, yet this still did not result in any symptom relief. Further, I was referred to a specialist investigating spontaneous CSF leaks. After preliminary home assessments, this physician recommended we explore more invasive imaging through a CT myelogram with contrast and suggested potential treatment involving an epidural blood patch. Despite negative imaging results, the physician mentioned the possibility of a CSF leak not visible in the scans, referencing a few areas that were concerning. Consequently, I underwent four separate blood patch procedures to attempt to seal those questionable regions. While I did experience some temporary improvement following recovery—which required lying flat—these benefits were fleeting and did not last long-term. Additionally, I was referred to an Otolaryngology specialist for vestibular function tests that demonstrated minor deficiencies. Following this, I undertook about six months of vestibular rehabilitation, but it provided little to no symptom improvement, and conditions like BPPV and vestibular migraines were dismissed as possibilities. I may be overlooking other tests or treatments from this extensive journey. After a lengthy period of treatment and numerous appointments that left me feeling drained and directionless, I took a six-month hiatus. Now I feel ready to seek further help and wish to explore ways to enhance my quality of life despite my ongoing symptoms (currently practicing cognitive behavioral therapy) or to seek genuine answers to improve my condition. My primary inquiry is: what should my next steps be? Should I return to the headache clinic at the academic center, consult with a neurologist again, or look for alternate resources?

AsthmaAllergy & ImmunologyDermatology
Male25-34
11 hours ago