Cold sore or severe chapped lips?

[bcraw91]

I have been sick with strep throat now for about 4 days and my lips have been very chapped. I have a bad habit of pulling the dead skin off. I now have a roundish sore in the middle of my bottom lip and it hurts VERY bad, I keep Burts Bee chapstick on it, but I am worried maybe it is a cold sore, since it does have a circular shape. How can I tell the difference?

[Bhupinder Kaur, MD]

Hello,

The lesion that you have on your lips sound like chapped lips and manual irritation of the soft skin causing sores.Herpes sores are typical blisters and usually ulcerate.In my opinion,they don’t sound like cold sores.

Avoid licking the lips as saliva evaporates quickly resulting in them being drier than before. Drink plenty of water and take multivitamin supplements and do not apply lipstick or other cosmetic products for some days. Use a humidifier to moisturize the air in your home and apply shea butter or Vaseline on your lips.You can also use a homemade ointment mixed from 1 tsp glycerine, 1 tsp lemon juice and 1 tsp castor oil. Spread on lips overnight, refrigerating the leftovers for future use. Eat foods high in calcium, magnesium and flaxseed oil. If a week of compresses and emollients don't do the trick, you can add over-the-counter 1 percent hydrocortisone ointment to your regimen.

If the condition still persists or there is deep cracking in the region of your mouth,then pls consult your dermatologist.

I hope that helps. Please do keep me posted on how you are doing or if you have any additional queries. Kind regards.

[BhumikaMD]

Hi,

This could be a part of Cheilitis, which is a medical condition involving inflammation of the lip. Or a bad case of Chapped lips , a condition whereby the lips become dry and possibly cracked. It may be caused by the evaporation of moisture.

Lip balm can often provide temporary relief, though it should not be used extensively.  One should avoid licking their lips as saliva contains the enzyme amylase, which can damage the already compromised lip tissue.
Honey can be used on the lips as a natural remedy.


Cheilitis is associated with many conditions from Vitamin B12 deficiency, iron deficiency anemia, be a symptom of allergies.can also be caused by taking the (retinoid) drug Isotretinoin (brand name Roaccutane).

Applying protective paraffin-based ointment (such as Vaseline) or lip balms to the lips is normally very effective. Also take Vitamin B supplements.

If nothing works you can have a biopsy done to find out the cause.
ref:http://en.wikipedia.org/wiki/Chapped_lips

Some causes of the symptoms you mention, could be lip biting, lip licking, Vit.B2 deficiency, smoking, overexposure to sun and ill fitting dentures. In extreme cases, this could be due to bacterial or fungal skin infection.

You need to drink plenty of water daily – around 1.5 – 3 litres per day and eat a balanced diet. Do not keep your lips dry; apply lip balm which contains sunscreen – preferably a medicated one.

If the symptoms still persist, consult your skin specialist or dermatologist.

Let us know about how you are doing and if you have any other doubts.

Regards.