Cold sores are a common and often frustrating skin issue. While they may look like harmless blisters, cold sores are actually caused by the herpes simplex virus (HSV).

What Causes Cold Sores?

Cold sores are caused by the herpes simplex virus (HSV), which comes in two types: HSV-1 and HSV-2.

HSV-1 is the primary cause of cold sores, usually appearing around the mouth.

HSV-2 generally causes genital herpes but can also lead to cold sores.

While the appearance of cold sores caused by both HSV-1 and HSV-2 can look similar, their locations tend to differ. However, it is possible for HSV-1 to cause sores on the genitals and for HSV-2 to appear on the mouth.

How Do Cold Sores Spread?

Cold sores are highly contagious and can spread easily. The virus can be passed on through:

• Kissing or skin contact
• Sharing food, drinks, or cosmetics (such as lip balm)
• Oral sex, which can spread both cold sores and genital herpes

Even when a cold sore isn’t visible, the virus can still be spread through close contact. This makes prevention and management key to reducing outbreaks and the risk of infecting others.

Once someone contracts HSV, it stays in the body for life. While the virus remains dormant most of the time, it can reactivate and cause new sores, especially during periods of:

• Stress
• Illness
• A weakened immune system

Unfortunately, there’s no cure for the herpes virus, but the symptoms can be managed.

Symptoms of Cold Sores

Cold sores don’t just appear out of nowhere. Before the sore is visible, you may notice a tingling or burning sensation around the lips or face, which can occur several days before the sore forms. This is the best time to begin treatment to shorten the outbreak.

When a cold sore does appear, it often looks like a red, raised blister filled with fluid. The blister can be painful to touch, and there may be more than one. Cold sores usually last around two weeks and are contagious until they crust over and heal.

The Five Stages of a Cold Sore

Cold sores go through distinct stages as they develop and heal:

• Tingling and itching: You may feel these symptoms about 24 hours before the blister appears.
• Blisters: Small, fluid-filled blisters form, typically around the mouth.
• Bursting: The blisters burst and form painful sores.
• Scabbing: The sores dry out, scab over, and may itch or crack.
• Healing: The scab falls off, and the cold sore heals.

Risk Factors for Cold Sores

Certain factors can trigger the reactivation of HSV, leading to cold sores. These include:

• Infection, fever, or cold
• Sun exposure
• Stress
• Menstruation
• Dental work or injury
• Weakened immune system due to conditions like HIV/AIDS, eczema, or chemotherapy

Managing and Treating Cold Sores

There’s no cure for cold sores, but several treatments can ease the symptoms and help manage outbreaks.

Topical Ointments and Creams

Over-the-counter antiviral creams like docosanol (Abreva) or prescription ointments like penciclovir (Denavir) can help reduce the duration of an outbreak, especially if applied at the first sign of a cold sore.

Oral Medications

Prescription antiviral medications like acyclovir, valacyclovir, and famciclovir can also help, particularly for people who have frequent or severe outbreaks. Your doctor may recommend taking these medications regularly to prevent future outbreaks.

Home Remedies

There are also some home remedies that may provide relief, such as:

• Applying ice or a cold washcloth to the sore
• Using aloe vera gel or lemon balm lip balms
• Applying petroleum jelly to ease discomfort

Canker Sores vs. Cold Sores: What's the Difference?

While cold sores and canker sores may seem similar, they are quite different:

Cold sores are caused by the herpes virus, appear around the mouth, and are contagious.

Canker sores are not contagious and appear as ulcers inside the mouth or throat.

Preventing the Spread of Cold Sores

To avoid spreading cold sores:

• Wash your hands frequently
• Avoid close contact with others during an outbreak
• Don’t share food, drinks, or personal items like lip balm

Cold sores can be a persistent issue, but with proper care and management, you can reduce the frequency of outbreaks and prevent spreading the virus to others.

High ammonia levels in the Yamuna, along with reduced water supply from Haryana via the Munak Canal, have triggered a water shortage across several parts of Delhi. Seven out of the city’s nine water treatment plants have been impacted. Delhi’s largest facility at Wazirabad, which normally supplies around 140 MGD (million gallons per day), has been shut down entirely. Meanwhile, the Chandrawal plant is operating at only half its capacity and is supplying close to 100 MGD to the capital.

Delhi Water Crisis

Localities facing disruptions include IGI Airport, Dwarka, Shalimar Bagh, Sultanpuri, Raja Garden, Rajouri Garden, Karala, Bawana, Prashant Vihar, Madhu Vihar, Mangolpuri, Paschim Vihar, Mayapuri, Janakpuri, and nearby areas. In a statement, the Delhi Jal Board (DJB) said, “To make up for the diversion, Haryana is supplying water to DJB. Residents are advised to use water carefully during this period.” Officials have indicated that the water crisis could persist until February 4, 2026.

What Happens When Water Has High Ammonia Content?

Elevated ammonia levels in drinking water can pose serious health concerns, especially when concentrations cross safe limits such as 0.5 ppm (parts per million). Here’s how excess ammonia can affect the body.

1. Respiratory Issues

Ammonia can irritate the airways, leading to symptoms like coughing, a runny nose, chest discomfort, and difficulty breathing if consumed or inhaled from contaminated water. People with asthma or existing lung conditions may experience aggravated bronchitis or face a higher risk of pneumonia.

2. Neurological Effects

Ammonia acts as a neurotoxin and can enter the bloodstream, interfering with normal brain function. This may result in headaches, dizziness, confusion, or trouble concentrating. In cases of heavy exposure, it can cause nausea, vomiting, or poisoning accompanied by breathing distress.

3. Organ Damage

Long-term exposure to ammonia can strain the kidneys by increasing their workload, which may eventually impair function. It can also raise nitrite and nitrate levels in the body, increasing the risk of vascular problems, and has been linked to reproductive concerns such as infertility or low birth weight.

4. Skin and Eye Irritation

Direct contact with water containing high ammonia can irritate the skin, eyes, and mucous membranes, sometimes causing rashes or conjunctivitis. Children, pregnant women, and older adults are especially vulnerable and should be extra cautious.

How To Check For Ammonia In Water At Home?

There are a few simple ways to identify possible ammonia contamination at home without laboratory testing.

Indicators

Ammonia gives off a sharp, pungent smell often compared to fish or household cleaning agents, which can be noticeable even at low levels of 0.5–1 mg/L. The water may also taste bitter, earthy, or moldy. If you notice these signs, avoid using the water. Checking the pH can also help, as ammonia can push pH below 7, making the water more acidic. pH test strips are an easy option for this.

Chlorine Residual Test

When ammonia reacts with chlorine, it forms chloramines, which lowers free chlorine levels to below 0.4 mg/L. You can test tap water using pool test strips or chlorine kits. Low readings may point to the presence of ammonia and serve as a useful indirect indicator in treated water supplies.

Safety Tips And Precautions

If you live in an area at risk of ammonia contamination, taking precautions is essential to reduce health issues such as irritation, nausea, or neurological symptoms. Here are some practical steps to follow.

1. Use Certified Filtration

Install reverse osmosis (RO) or activated carbon filters that are certified to remove ammonia and chemical contaminants, such as those meeting NSF/ANSI 58 standards. These systems are effective at trapping ammonia ions, unlike basic filters, and make drinking water safer for daily use.

2. Avoid Boiling Alone

While boiling kills bacteria, it can cause ammonia to vaporise, concentrating it in the remaining water and steam. Avoid inhaling the vapours or relying on boiling alone. If boiling is unavoidable, combine it with proper filtration or allow the water to cool uncovered in a well-ventilated space so gases can dissipate before storage.

3. Safe Handling

Always test water if contamination is suspected. In case of exposure, rinse skin or eyes with lukewarm water for 15–30 minutes and seek medical attention if there are burns or if the water has been ingested. Keep ammonia-based cleaning products away from food preparation areas and out of children’s reach to prevent accidental mixing or exposure.

A GP has warned that people can catch Covid more than once in a short span, including while they are still unwell from a previous infection. In some cases, this may even involve picking up two strains of the virus at the same time, a situation doctors are calling “double Covid”.

Doctor Warns of ‘Double Covid’ as UK Cases Rise

New figures from the UK Health Security Agency show confirmed Covid cases have risen by 11 per cent. In the week leading up to January 9, 51 deaths were recorded and more than 500 people were in hospital with the virus.

Can You Catch Covid Twice at the Same Time?

Speaking to the BBC, GP Dr Nish Manek said it is possible to be infected again while still dealing with ongoing symptoms, including long Covid. She explained that having long Covid does not provide immunity against reinfection.

According to Dr Manek, protection from a previous infection or vaccination reduces over time. New variants are also better at evading the immune system, making repeat infections more likely.

Why Long Covid Does Not Protect You

As a result, someone managing long Covid symptoms may still catch Covid again. A fresh infection can trigger a relapse of symptoms or slow down recovery.

She added that a positive test may reflect either the same strain or a new variant. In both cases, it is still Covid and should be taken seriously.

Vaccines Still Reduce Severe Illness

Dr Manek stressed that vaccination remains important. While vaccines may not fully prevent infection, they significantly reduce the risk of severe illness and hospitalisation.

She said Covid continues to change and remains present in the community. Simple protective steps still matter, including testing when unwell, wearing masks in crowded indoor settings, and staying up to date with vaccinations.

Which Covid Variants Are Circulating Now

Latest Covid Symptoms to Watch For

Doctors say symptoms linked to current variants often affect the upper respiratory tract and can feel similar to a bad cold or flu.

Commonly reported symptoms include a very painful sore throat described as feeling like razor blades, a hoarse voice with swollen glands, blocked or runny nose, sneezing, and extreme tiredness. Fever, a persistent cough, and body aches are still widely seen.

Loss of taste or smell is now reported far less often than during the early stages of the pandemic.

Who Is Eligible for a Covid Vaccine in the UK

The UK has moved to a targeted vaccination approach, focusing on those most at risk of serious illness.

The current winter vaccination programme is coming to an end. The final date to receive this dose is January 31, 2026. You are eligible if you are aged 75 or over, live in a care home for older adults, or are aged six months or older and immunosuppressed due to medical treatment or long-term conditions.

A spring booster programme has been confirmed for 2026. Appointments are expected to open in late March, with vaccinations starting from April 13. Eligibility criteria remain the same as the winter programme.

How To Book Your Covid Vaccine?

Doctors continue to urge those eligible to get vaccinated while doses are still available.

A lace-like pattern appearing on the skin may sometimes point to blocked arteries. Health experts warn that this netted discoloration can, in certain cases, be linked to damage in tissues and organs.

Heart and circulatory diseases remain the leading cause of death worldwide, claiming close to 18 million lives every year. This group includes serious conditions such as stroke, coronary artery disease, and heart failure.

An Unusual Skin Pattern That Could Signal Artery Blockage

In the UK, cardiovascular disease is responsible for around one quarter of all deaths. Because of its scale and severity, recognising warning signs early can save lives.

Most people are familiar with common symptoms like chest pain. What is less widely known is that heart-related problems do not always announce themselves clearly. Some signs are subtle and can appear in unexpected places, including the skin.

What Is Livedo Reticularis?

The American Academy of Dermatology highlights one particular skin pattern that may be linked to heart and blood vessel problems. A blue or purple, net-like discoloration on the skin can sometimes indicate reduced blood flow or a blocked artery.

This condition is known as livedo reticularis. It is believed to occur when small blood vessels near the skin tighten suddenly or when circulation close to the skin becomes uneven.

When the Pattern Is Usually Harmless

In many cases, livedo reticularis is not a cause for concern. Cold temperatures are a common trigger, and the pattern often fades once the skin warms up. Certain medications can also produce this effect without posing a serious health risk.

According to the dermatology body, some people notice the pattern when they feel cold, only for it to disappear as their skin warms. When medication is responsible, it is generally considered harmless.

When It May Point to a Serious Condition

In some situations, the same skin pattern can be linked to a condition known as cholesterol embolisation syndrome. This happens when tiny arteries become blocked by cholesterol particles.

Such blockages can interfere with blood supply and lead to damage in tissues and organs. For this reason, experts stress the importance of medical evaluation to rule out any underlying or undiagnosed disease.

When to See a Doctor

The Mayo Clinic advises seeking medical advice if the mottled skin does not fade with warmth or if it appears alongside other worrying symptoms. You should also consult a doctor if painful lumps or sores develop in the affected area, if you already have a condition that affects blood flow to your limbs, or if you have a connective tissue disorder and notice new skin changes.

Doctors also caution that a similar-looking condition, called livedo racemosa, is more often linked to serious underlying illnesses.

Other Warning Signs of Heart Disease

Skin changes are only one possible clue. Other symptoms linked to heart disease include chest discomfort, pain or weakness in the arms or legs, shortness of breath, irregular heartbeats, dizziness, unusual tiredness, and swelling in the limbs.

If any of these symptoms feel concerning or persistent, it is important to speak to your GP for further advice.