Many people get confused about whether they have a cold sore or a canker sore. But that confusion is easily cleared up. Cold sores, also called fever blisters, are caused by the herpes simplex virus type 1, which is usually acquired in childhood through contact with infected saliva. The type 1 virus is believed to lie dormant in certain nerve cells of the body until it is activated by stress, anxiety, a cold, or excessive exposure to the sun and causes sores on your external lip or near your mouth or nose that last anywhere from 7 to 14 days. (Herpes simplex virus type 2, on the other hand, is transmitted through sexual contact and causes sores and ulcers in the genital area.)
Although many people use the terms "cold sore" and "canker sore" interchangeably, they are different. Unlike cold sores, canker sores are bacterial infections inside the mouth that are characterized by small, round, white areas surrounded by a sharp halo of red. And while cold sores are highly contagious, canker sores are not. (For more on canker sores, see Home Remedies for Canker Sores.)
You can't cure cold sores, and they like to keep coming back, usually to the scene of a previous visit. When a cold sore's not making itself a huge lip ache, it's snoozing in the nerves below your skin, just waiting for a reason to wake up. And what sets off its alarm clock?
- Fever
- Infection, colds, flu
- Ultraviolet radiation, such as a sunburn
- Stress
- Fatigue
- Changes in the immune system
- Trauma
- Food allergies
- Menstruation
- Dental work
For more information on conditions affecting the mouth, and helpful remedies for them, try the following links:
- To see all of our home remedies and the conditions they treat, go to our main Home Remedies page.
- Cold and canker sores can be a real nuisance, but, though they are caused by different conditions, they can both be treated with herbs. Learn how in Herbal Remedies for Cold Sores.
- Home Remedies for Canker Sores explains how canker sores differ from cold sores, and simple ways to treat them.
- To learn how to keep your mouth clean and healthy, see How Oral Hygiene Works.


