Skip to content
WebMD: Better information. Better health.
 
Other search tools:Symptoms|Doctors|Medical Dictionary

Information and Resources

Font Size
A
A
A

Oral Herpes

Oral Herpes Overview

Oral herpes is an infection caused by the herpes simplex virus. The virus causes painful sores on your lips, gums, tongue, roof of your mouth, and inside your cheeks. It also can cause symptoms such as fever and muscle aches.

  • The herpes simplex virus affects only humans. Mouth sores most commonly occur in children aged 1-2 years, but they can affect people at any age and any time of the year.

  • People contract herpes by touching infected saliva, mucous membranes, or skin. Because the virus is highly contagious, most people have been infected by at least 1 herpes subtype before adulthood.

  • After the herpes virus infects you, it has a rather unique ability to proceed to 3 stages.

    • Primary infection: The virus enters your skin or mucous membrane and reproduces. During this stage, oral sores and other symptoms, such as fever, may develop.

      • The virus may not cause any sores and symptoms. You may not know that you have it. This is called asymptomatic infection.

      • Asymptomatic infection occurs twice as often as the disease with symptoms.

    • Latency: From the infected site, the virus moves to a mass of nervous tissue in your spine called the dorsal root ganglion. There the virus reproduces again and becomes inactive.

    • Recurrence: When you encounter certain stresses, emotional or physical, the virus may reactivate and cause new sores and symptoms.

Oral Herpes Causes

Herpes simplex is a DNA virus that causes sores in and around your mouth. Two herpes subtypes may cause these sores.

  • Herpes simplex virus, type 1 or herpes-1, which causes 80% of cases of oral herpes infections
  • Herpes simplex virus, type 2 or herpes-2, which causes the rest

Oral Herpes Symptoms

Incubation period: For oral herpes, the amount of time between contact with the virus and the appearance of symptoms, the incubation period, is 2-12 days. Most people average about 4 days.

  • Duration of illness: Signs and symptoms will last 2-3 weeks. Fever, tiredness, muscle aches, and irritability may occur.

    • Pain, burning, tingling, or itching occurs at the infection site before the sores appear. Then clusters of blisters erupt. These blisters break down rapidly and, when seen, appear as tiny, shallow, gray ulcers on a red base. A few days later, they become crusted or scabbed and appear drier and more yellow

    • Oral sores: The most intense pain caused by these sores occurs at the onset and make eating and drinking difficult.

      • The sores may occur on the lips, the gums, the front of the tongue, the inside of the cheeks, the throat, and the roof of the mouth.

      • They may also extend down the chin and neck.

      • The gums may become mildly swollen and red and may bleed.

      • Neck lymph nodes often swell and become painful.

      • In people in their teens and 20s, herpes may cause a painful throat with shallow ulcers and a grayish coating on the tonsils.
1 | 2 | 3

WebMD Medical Reference from eMedicineHealth

Health Solutions From Our Sponsors

WebMD Video: Now Playing

Click here to wach video: New Year's Resolutions

Before you kick the year off with a new diet and exercise regimen, watch tips on how to do it correctly.

Click here to watch video: New Year's Resolutions

Popular Slideshows & Tools on WebMD

puppy eating
What you need to know.
Ra Management Get A Personalized Report
Assess your symptoms.
Xray of foot highlighting gout
Causes, symptoms and treatments.
Concentration Killers Slideshow
What's robbing your focus?
brain scan
Recognizing symptoms.
group beer toast
Do you know your suds?
Diabetic tools
Symptoms, causes, treatments.
thumbnail for fatigue slideshow
Causes, fixes for fatigue.
thumbnail for Brain Food slideshow
Foods that can help you focus.
Hot cup of coffee
The facts about that cup of joe.
Wendy’s Chicken Club
Double-fisted diet wreckers.

Women's Health Newsletter

Find out what women really need.