Hi..a cold sore would be genital herpes...highly communicable/contagious.
There are meds to help, but you must get checked out be a doc (swab).
I'm wondering if you might have a fistula? or possibly an infected fissure?
The fact that you're getting many herpes outbreaks on your face, please check out L-Lysine. I use it on my cat (upper respiratory virus which is herpes contracted from the humane society) for the past 6 months...OMG, what a change. Please consider it.
Let us know the outcome...I feel for you because ANYTHING around the anus that's inflamed is pure agony.
*Heather*Status: mini flare Dec 28... tapered to every 3rd night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....bromelain 1 - 2x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg; Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!