Is my partner at risk of chronic transmission of cold sores?

Question

Hi doctor,

I had a bad cold sore 8 weeks ago on my top lip and a bit of the skin above it. I used Zovirax externally for two weeks course and Acyclovir for two weeks course to treat it. The actual sore improved, the blister stopped weeping, and the scab formed and flaked off within three weeks but the redness is still lingering. I rang the doctors that put me through a pharmacist who told me to use Hydrocortisone 1 % cream. I used it for a week as he recommended but it still did not go away. That was two weeks ago.

I also had a new flare-up three days ago. Also, the top of my lip is symmetrical on both sides. It looks different from a cold sore in that it was some redness and skin flaking.

Home remedies I have tried so far: aloe vera (not much help), tea tree oil (irritated it), manuka oil (helps heal where the sore is but seem to irritate the new flare-up), coconut oil (irritated it), and almond oil (seems to soothing it at the moment). I am worried that this is still unresolved herpes/cold sore and can be transmitted to my partner who does not have herpes.

Is it contagious and am I able to kiss my partner?

Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

As per the current picture sent by you, it does not look like a cold sore as of now (attachment removed to protect patient identity). Also, I would advise to stop all ongoing treatment (including the Hydrocortisone) and just leave it alone for a week. Apply Dologel only. It contains Choline salicylate along with certain other ingredients that help to heal.

No application of any lipstick or any other ointments or creams to the region. I would not advise kissing for two more weeks at least till things resolve to prevent spread. Also, limit alcohol intake if you are currently consuming alcohol. Avoid spicy foods too to promote healing.

I hope this helps.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I would like to maintain my answer as dermatitis with respect to the current scenario. Probably some allergic dermatitis to all the stuff you have been using. By limiting the spread means spread to your partner or kids first followed by counter spread by your partner or kids to you.

I hope this helps.

Thank you.