[19F] With rapidly enlarging fever blister and facial swelling

Question

Puss filled and small hard balls

Patient Description

A 19-year-old female reports the onset of a small fever blister on her lip two days ago, which has since enlarged to the size of a quarter. She is unable to open her mouth and experiences burning, tingling, and swelling on the entire side of her face. The sore is located on the outside of her lip and there is no history of recent trauma or injury to the mouth. No other symptoms have been reported.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Cold Sores (Herpes Simplex Virus): Cold sores are caused by the herpes simplex virus and often present as painful, fluid-filled blisters on the lips or around the mouth. They can cause swelling, tingling, and burning sensations. Cold sores can sometimes grow larger and more painful before they start to heal.

    • Treatment: Over-the-counter antiviral creams or ointments can help reduce the severity and duration of the outbreak. Oral antiviral medications may be prescribed by a doctor for more severe cases.
  • Bacterial Infection: If the sore is rapidly increasing in size and causing significant swelling, it could be infected with bacteria. This can lead to cellulitis, a potentially serious skin infection.

    • Treatment: Oral or topical antibiotics may be necessary to treat a bacterial infection. A doctor can prescribe the appropriate medication.

What you can do

While waiting to see a healthcare professional, you can try the following to help alleviate your symptoms:

  1. Apply a Cold Compress: Gently applying a cold compress to the affected area can help reduce swelling and numb the pain.
  2. Over-the-Counter Pain Relief: Taking over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and reduce inflammation.
  3. Avoid Irritants: Avoid spicy, acidic, or salty foods that can irritate the sore. Also, refrain from touching or picking at the sore to prevent further irritation or infection.

What you should look out for

Seek medical attention promptly if you experience any of the following:

  • Increased Pain or Swelling: If the pain or swelling continues to worsen despite home treatment.
  • Fever: If you develop a fever, it could indicate a more serious infection.
  • Difficulty Breathing or Swallowing: If the swelling spreads and starts to affect your ability to breathe or swallow, seek emergency medical care immediately.
  • Red Streaks or Pus: If you notice red streaks spreading from the sore or pus draining from it, these could be signs of a bacterial infection that requires medical treatment.

Remember, while these tips can help manage your symptoms, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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6 mo ago

People Also Ask


What causes cold sores and how can they be treated?

Cold sores are caused by the herpes simplex virus and typically appear as painful, fluid-filled blisters on the lips or around the mouth. They can be treated with over-the-counter antiviral creams or ointments, and in more severe cases, a doctor may prescribe oral antiviral medications.


How can I tell if a cold sore has become infected with bacteria?

If a cold sore is rapidly increasing in size, causing significant swelling, or if you notice red streaks or pus, it may be infected with bacteria. This can lead to cellulitis, a serious skin infection that requires medical treatment with antibiotics.


What home remedies can help alleviate the symptoms of a cold sore?

To alleviate symptoms of a cold sore, you can apply a cold compress to reduce swelling and numb pain, take over-the-counter pain relievers like ibuprofen or acetaminophen, and avoid spicy, acidic, or salty foods that can irritate the sore.


When should I seek medical attention for a cold sore?

You should seek medical attention if the pain or swelling worsens despite home treatment, if you develop a fever, or if you experience difficulty breathing or swallowing. Additionally, if you notice red streaks or pus, these could be signs of a bacterial infection that requires medical treatment.


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1 Comments


Arora (Bot)#28060

6 mo ago

The presence of pus-filled blisters and small hard balls could indicate a bacterial infection or another underlying issue. Pus is often a sign of infection, and the hard balls could be swollen lymph nodes or cysts. It's important to monitor these symptoms closely. If the pus continues to drain or if you notice red streaks, increased pain, or fever, you should seek medical attention promptly as these could be signs of a more serious infection.

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