This article was medically reviewed by Ian Kroes, MD and by wikiHow staff writer, Janice Tieperman. Dr. Ian Kroes is a board-certified Family Medicine Physician and the Founder of Peninsula Doctor, a concierge medical practice in Menlo Park, California. With over 20 years of professional experience, Dr. Kroes specializes in Primary Care, which encompasses care for the entire family. In addition, Dr. Kroes has a deep interest in longevity care that focuses on ways to optimize patients' health. This includes attention to nutrition, fitness, and preventative testing. Dr. Kroes received a B.S. in Applied Physical from UC Berkeley and has earned a medical degree from Stanford University.
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Most people have experienced uncomfortable nose sores. Sores may be caused by allergies, inflammation, exposure to a dry climate, or irritation from wiping your nose, or they may result from a viral infection (also called cold sores). Cold sores are tiny, fluid-filled blisters, which are contagious. Nose sores caused by allergies and dryness can be itchy, dry, and usually don't contain fluid. Most nose sores will heal on their own within a few weeks, but treating your sores may help them heal faster and can reduce any pain or discomfort.[1]
Steps
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Treat your nose sore with prescription medication. Your doctor will more than likely be able to make a quick diagnosis just by looking at your cold sore. There are a number of antiviral medicines available that your doctor can prescribe that will have you on your way to being cold sore-free within 7-10 days.[2]
- For example, your doctor might prescribe a Penciclovir or Acyclovir cream or tablets to help relieve pain and speed up the healing process. It's best to start using the treatment as soon as you feel the early symptoms of a nose sore.
- Most prescription medications used to heal nose sores are common treatments that can be taken with your other medications. Always tell your doctor or pharmacist if you are taking other prescriptions so they can advise of any potential side effects.
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Apply a cool compress or ice to ease the pain and reduce swelling. Dampen a clean rag or small washcloth with cold water, slip it into a plastic bag, and place it in your freezer for 15 minutes.[3] The longer it's left in, the colder it will be. Place the compress on the affected area for 5-10 minutes at a time and repeat as often as needed to relieve redness and temporarily reduce pain.[4]
- Don’t apply a cold compress for more than 20 minutes at a time.[5]
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Try a topical over-the-counter cold sore medication. There are a wide variety of topical creams available for cold sore pain and treatment. The active ingredient in most of these options is usually alcohol or another type of drying agent that can help speed up the healing process.[6] You can dab the cream onto your sores up to 5 times a day to relieve pain and prevent drying.[7]
- Make sure you dab the cream—don't rub it into your sore.
- For example, you can buy Abreva over-the-counter to treat your cold sores.
- If you’re unsure which option is best for you, check with a pharmacist or pharmacy technician for a recommendation.
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Purchase pain-relieving cream containing lidocaine or benzocaine. If your cold sore is especially bothersome because it’s causing you discomfort or pain, a cream with these active ingredients may offer some relief. If you are using a different over-the-counter cream, check the label for potential drug interactions. Most cold sore creams will already include lidocaine or benzocaine and an additional cream for pain relief may not be needed.[8]
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Try using a variety of home remedies. Keep in mind that with all alternative medicine, there is very little scientific evidence that supports its medical use. Your doctor can also provide details on what home remedies could be effective in your particular case. Common home remedies include:[9]
- The amino acid lysine. This is available as an oral supplement or topical cream and is widely used as a treatment for cold sores.[10]
- Propolis. Also known as synthetic beeswax, propolis can be purchased as a 3% ointment cream. For best results, it is recommended to begin using it as soon as you start to notice sores develop. It can be applied as often as needed to shorten the duration of the breakout.
- Reduce stress where you can. Some people find their cold sores can be triggered by frequent stress. Practicing simple relaxation or performing mindfulness techniques may help reduce how often sores occur For tips on relieving stress, visit How to Relieve Stress.[11]
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Utilize home remedies to speed up the healing process. Like with cold sores, home remedies can be an incredibly effective treatment. There are a variety of approaches available to help speed up the healing process and alleviate pain. Remember that home remedies and alternative treatments offer little scientific evidence to support their use for medical purposes.
- Try a steam treatment to soothe nasal passages. Steam inhalation is an easy option to open up sinuses and reduce nasal pain. Fill a medium-sized bowl with water and fill it with freshly boiled water. Remove the bowl and carefully place it on a counter or table surface. Be careful, as the water will be extremely hot. Once the bowl is set, drape the towel over your head and lean over the bowl keeping your nose above from the water. Slowly inhale and exhale for 10-15 minutes. Repeat as often as necessary.[12]
- A warm washcloth can be used to reduce pain.[13]
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Try prescription antibiotics if your sore is caused by an infection. For sores caused by other types of bacterial infections, oral antibiotics will most likely be recommended for best results. Your doctor will provide you with the best antibiotic treatment based on your specific symptoms.[14]
Expert Q&A
Reader Videos
Tips
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Avoid person-to-person contact while you are having a cold sore outbreak.[15]Thanks
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Don't use rough tissues to wipe your nose, as they can cause irritation.Thanks
References
- ↑ https://www.mayoclinic.org/diseases-conditions/cold-sore/symptoms-causes/syc-20371017
- ↑ https://www.mayoclinic.org/diseases-conditions/cold-sore/diagnosis-treatment/drc-20371023
- ↑ https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=85&contentid=p00918
- ↑ https://www.mayoclinic.org/diseases-conditions/cold-sore/diagnosis-treatment/drc-20371023
- ↑ https://www.sja.org.uk/get-advice/first-aid-advice/how-to/how-to-use-a-cold-compress/
- ↑ https://www.mayoclinic.org/diseases-conditions/cold-sore/diagnosis-treatment/drc-20371023
- ↑ https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=bf02c8c5-af60-41f1-a202-38a97491a720
- ↑ https://www.mayoclinic.org/diseases-conditions/cold-sore/diagnosis-treatment/drc-20371023
- ↑ https://www.mayoclinic.org/diseases-conditions/cold-sore/diagnosis-treatment/drc-20371023
- ↑ https://www.drugs.com/mtm/lysine.html
- ↑ https://www.mayoclinic.org/diseases-conditions/cold-sore/diagnosis-treatment/drc-20371023
- ↑ https://www.nhsfife.org/media/e9dp0vw1/steam-inhalation-leaflet.pdf
- ↑ https://www.uhhospitals.org/blog/articles/2021/02/cold-sores-best-treatments-to-ease-the-pain
- ↑ https://my.clevelandclinic.org/health/diseases/24928-nasal-vestibulitis#management-and-treatment
- ↑ https://www.mayoclinic.org/diseases-conditions/cold-sore/symptoms-causes/syc-20371017