Discomfort on the up abdomen rad to the back, but showed high total bilirubin (1.5 mg/dL); low amylase (24 U/L), and low lipase (12 U/L).  What is it?

Valtrex (valacyclovir) Topical medicines don't work well at all, but oral medicines like Valtrex (valacyclovir) can help get cold sores to go away more quickly.
Gargle and avoid... Since you mouth is teeming with bacteria, and the sore is the result of a herpes reactivation to due the virus perceiving stress: 1. Reduce the bruden of bacteria near the wound by gargling with listerine or salt water 60seconds twice a day until the sores go away (the bacterial load near the sore may delay healing), and 2. Avoid sour, citrus, acidic, spicey foods which will irritate the sore.
Cold . Cold sores or fever blisters are caused by herpes simplex virus type 1 (hsv-1) and are extremely common. Most people become infected as an infant or small child when kissed or by sharing eating utensils with an adult who has the virus. The virus is most contagious when someone has a cold sore, but can still be passed along by someone who does not. Many people do not even know that they are infected because the virus can "hide out" in the nerve cells for very long periods of time - for some people it hides out forever and they never get a cold sore. For others, the virus can "wake up" at any time and that's when a cold sore happens. No one knows exactly what causes a cold sore to appear - sometimes stress, illness, fevers, colds, sunlight, cold weather, menstruation, certain foods, allergies, you name it! they usually last 7-10 days and are more of an annoyance than a danger unless you have a weakened immune system or contract a bacterial infection on top of the cold sore. There is no cure for cold sores but there are a few treatments for the symptoms: -over the counter ointments with topical Lidocaine can be used for pain, but will not shorten the course -applying ice and taking Acetaminophen or Ibuprofen can help with pain relief -do not pick at it or pop it since that can make it worse -antiviral medications such as valacyclovir are the only treatments known to reduce pain and shorten the course if taken as soon as you know an outbreak is coming. These are prescription medications, so you should discuss these with your doctor. Legal disclaimer: I am providing this general and basic information as a public service and my response to this question does not constitute a doctor-patient relationship. For any additional information, advice, or specific concerns, please speak with your own physician. The information provided is current as of the date of the answer entry.

Related Questions

Discomfort on the up abdomen rad to the back, but showed high total bilirubin (1.5 mg/dL); low amylase (24 U/L), and low lipase (12 U/L).  What is it?

Gall bladder? See your doctor have have a complete evaluation. Could also be gerd or many other things. Read more...
Many Possibilities. There are many unanswered questions, ei: characteristic of pain, relieving factors, precipitating factors and duration of pain to name a few. Having said this, the slightly elevated total bilirubin might suggest a gallbladder issue, ei:biliary colic from gallstones. See you primary doctor and answer the above questions, this will guide appropriate work up and treatment. Read more...