Lip Probelm

I have a white coating layer appearing on my lower lip inside mouth. It is sort of pasty and generally appears towards the sides of the lower lip only. When scraped off, its removing and coming again next morning iam a smoker please suggest me what will bwe the probelm

[Bhupinder Kaur, MD]

Hello,
The white coating is due to fungal infection called thrush or candidiasis. Thrush appears as white patches in the mouth. Usually they can be seen on the tongue, inside the cheeks, under the tongue, and in the back of the throat. I suggest you to get an examination done from your doctor and get a KOH examination of the scrapings done of these white coatings.

Nystatin (Mycostatin) liquid is used by swishing a bit in your mouth several times a day and then swallowing the medicine. Throat lozenges called Mycelex trouches can also be used. If the symptoms are severe then oral antifungals may be needed.

I hope it helps. Take care and regards.