White Bumps on Lips: Causes and Treatments - Dermatology

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White bumps on the lips can be concerning, especially when they persist for two weeks without improvement. These bumps can arise from various causes, and understanding their nature is crucial for determining the appropriate treatment. Here are some common causes of white bumps on the lips:
1. Milia: These are small, white cysts that often appear on the skin, including the lips. They are caused by keratin trapped beneath the skin's surface and are common in both adults and children. Milia typically do not require treatment and often resolve on their own.

2. Fordyce Spots: These are small, painless, pale bumps that are actually enlarged sebaceous glands. They are a normal anatomical variant and are harmless. Fordyce spots do not require treatment unless they cause cosmetic concerns.

3. Canker Sores (Aphthous Ulcers): While canker sores are usually painful and can appear white or yellow with a red halo, they can sometimes be mistaken for bumps. They typically resolve within one to two weeks but can be recurrent.

4. Herpes Simplex Virus (HSV): Cold sores caused by HSV can appear as white or blister-like bumps on the lips. They are often accompanied by pain, itching, or burning sensations. Antiviral medications can help manage outbreaks.

5. Allergic Reactions: Allergies to certain foods, cosmetics, or dental products can lead to the formation of white bumps or swelling on the lips. Identifying and avoiding the allergen is key to treatment.

6. Oral Lichen Planus: This is a chronic inflammatory condition that can cause white patches or bumps in the mouth, including the lips. Treatment may involve topical corticosteroids to reduce inflammation.

7. Sebaceous Cysts: These are small lumps that can occur when sebaceous glands become blocked. They are generally harmless but may require removal if they become infected or bothersome.

Given that your white bumps have persisted for two weeks, it is advisable to consult a healthcare professional for a proper diagnosis. A dermatologist or an oral health specialist can perform a thorough examination and may recommend a biopsy if necessary to rule out any serious conditions.


Treatment Options
1. Observation: If the bumps are diagnosed as milia or Fordyce spots, no treatment may be necessary. They often resolve on their own.

2. Topical Treatments: For conditions like oral lichen planus or canker sores, topical corticosteroids or other anti-inflammatory medications may be prescribed to alleviate symptoms.

3. Antiviral Medications: If the bumps are due to a herpes simplex virus infection, antiviral medications can help reduce the duration and severity of outbreaks.

4. Surgical Removal: In cases of sebaceous cysts or if the bumps are bothersome, a healthcare provider may recommend surgical removal.

5. Avoiding Irritants: If an allergic reaction is suspected, identifying and avoiding the irritant can help resolve the bumps.


Conclusion
In summary, while white bumps on the lips can be benign, their persistence warrants a professional evaluation to determine the underlying cause. Early diagnosis and appropriate treatment can help alleviate any discomfort and prevent potential complications. If you notice any changes in size, color, or if the bumps become painful, seek medical attention promptly.