Cold Sore in Babies 2025: Causes, Treatments, and Prevention Tips
Discover everything you need to know about cold sores in babies, including causes, symptoms, effective remedies, and how to prevent them in 2025.

Babies have developing immune systems that are still learning how to defend their tiny bodies. Occasionally, viruses like the one responsible for cold sores can invade and cause discomfort.
Most adults and children have experienced cold sores at some point, and while rare, babies can also develop these painful blisters.
The virus behind cold sores usually resolves without intervention, but in infants under six months, it can sometimes cause serious complications requiring medical care.
Here’s an updated guide for 2024 on cold sores in babies, including causes, symptoms, treatments, and prevention strategies to keep your little one safe.
What Are Cold Sores?
Cold sores, also known as fever blisters or oral herpes, are caused by the herpes simplex virus (HSV). Despite the name, they are unrelated to the common cold but may cause fever in babies.
HSV-1 is the primary cause of cold sores in children and adults, and many people carry the virus without symptoms. Approximately 20-40% of those infected experience cold sore outbreaks.
While HSV-2 is more commonly linked to genital herpes, it can also cause cold sores in adults.
When to Seek Medical Attention for Cold Sores in Newborns
Neonatal herpes is a serious but uncommon condition that newborns can contract during vaginal delivery if the mother has an active genital herpes infection, especially if it’s her first outbreak.
Young infants are particularly vulnerable, so immediate medical care is essential if your baby shows symptoms such as:
- High fever
- Refusal to feed
- Excessive sleepiness or lethargy
- Difficulty waking up
- Rapid breathing
- Blue-tinged skin or tongue
Prompt evaluation by a healthcare professional can be life-saving.
How Do Babies Catch Cold Sores?
The herpes simplex virus is highly contagious and often acquired between ages 1 and 5. It spreads through saliva and direct skin contact, making kissing, hugging, or sharing utensils common transmission routes.
Babies can contract the virus from caregivers or siblings through close contact or contaminated objects like toys and cups.
Recognizing Cold Sore Symptoms in Babies
Cold sores appear as small blisters—white, pink, or red—usually around the mouth and lips but can also affect the nose, chin, and cheeks.
These blisters may ooze clear fluid before crusting and typically heal within one to two weeks.
Babies might develop a rash resembling eczema or acne, but cold sores are generally larger and more raised.
Other symptoms in babies can include low or high fever, irritability, lethargy, and poor feeding, all of which require urgent medical assessment.
In rare cases, the infection can spread to the eyes, potentially causing HSV keratitis, which may threaten vision if untreated.
Safe Home Remedies for Cold Sores in Babies
Unlike adults, babies have weaker immune defenses, so treatment often requires medical supervision.
At home, you can help soothe discomfort with cold compresses or cool liquids, but always consult your pediatrician before applying any topical treatments.
Potential remedies to discuss with your doctor include:
- Aloe vera gel
- Cold compresses or wrapped ice
- Lemon balm
- Infant-safe pain relievers
- Antiviral medications prescribed by a pediatrician
Antiviral injections may be necessary for infants under six months or those with severe symptoms to support their immune response.
Preventing Cold Sores in Babies
Prevention is key, especially for newborns and babies younger than six months with developing immune systems.
If you or anyone around the baby has a cold sore, avoid kissing or close contact with the infant’s face or hands.
Additional precautions include:
- Not sharing utensils or cups with the baby
- Washing hands thoroughly before touching the baby or breastfeeding
- Covering any cold sores to prevent virus spread
- Keeping the baby’s hands covered to prevent scratching
- Cleaning any oozing blisters gently with sterile water and cotton swabs
Summary
Cold sores are common in all age groups but less frequent in babies. While most cold sores in infants heal without complications, those under six months require careful monitoring and possible medical treatment.
If you suspect your baby has cold sores or has been exposed to the virus, contact your pediatrician promptly. Early intervention and preventive measures can ensure your baby’s health and comfort.
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