Persistent Lip Wound and Oral Sores: Seeking Solutions for Healing

There is a sore in the mouth that is expanding, and a wound on the lip that has not healed for two years?

Hello Dr.
Huang: My mother is 57 years old and has had a wound on her lip for about 0.5 centimeters that often scabs over and then reopens, bleeding occasionally.
This has persisted for two years without healing.
Sometimes she has to use a spoon to eat to avoid touching the wound.
Additionally, she has sores inside her mouth, and when she saw the doctor yesterday, he mentioned that the wound has enlarged again, but my mother didn't notice it herself.
She said it doesn't hurt unless she presses on it with her tongue (it doesn't hurt, but it makes me a bit scared).
She has been consistently using medication and taking antibiotics, but her condition hasn't improved.
I am very worried; what could this be? I want to take my mother to a large hospital for an examination, but which department should we see? How can I help my mother? Recently, I bought kiwis for her to eat one in the morning and one at night, and I was wondering if she should also take vitamin B or C?

Li Xiaobei, 30~39 year old female. Ask Date: 2016/05/25

Dr. Huang Zhicheng reply Dentistry

Hello, based on the symptoms mentioned, it is advisable to avoid overly stimulating foods (hot, spicy, oily, salty).
However, an actual diagnosis is necessary, so I recommend taking your mother to a major hospital for an examination in the oral surgery department.
Apply an oral ointment first before arranging the hospital visit, supplement with vitamin C, and ensure plenty of rest.
Wishing you safety and health.
Sincerely, Dr.
Huang Chih-Cheng, Director of Dentistry, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2016/05/25

More Info

It sounds like your mother is experiencing a complex and persistent issue with her lip wound and oral sores, which has been ongoing for two years. Given the duration and the nature of the symptoms, it is crucial to approach this situation with a comprehensive understanding of potential underlying causes and appropriate treatment options.

First and foremost, the fact that the wound on her lip has not healed and is prone to reopening suggests that there may be an underlying condition affecting her healing process. Chronic wounds can be caused by a variety of factors, including but not limited to:
1. Infection: Persistent infections can prevent wounds from healing. If there is a bacterial or viral infection, it may require specific treatment beyond general antibiotics.

2. Autoimmune Disorders: Conditions such as lupus or pemphigus can lead to chronic sores in the mouth and on the skin. These conditions often require specialized treatment from a dermatologist or rheumatologist.

3. Nutritional Deficiencies: Deficiencies in vitamins, particularly B vitamins (like B12 and folate) and vitamin C, can impair wound healing. While kiwi is a good source of vitamin C, it may be beneficial to ensure she is getting a balanced diet rich in all essential nutrients.

4. Systemic Conditions: Conditions like diabetes can significantly affect healing. If your mother has any underlying health issues, they should be managed appropriately.

5. Oral Hygiene and Care: Maintaining good oral hygiene is crucial. If she is unable to clean her mouth properly due to pain or discomfort, this could exacerbate the problem.

Given the complexity of her symptoms, I recommend that you take your mother to a specialized clinic where she can be evaluated by an oral and maxillofacial surgeon or a dermatologist. They can perform a thorough examination, possibly including a biopsy of the lesion if deemed necessary, to determine the exact cause of the non-healing wound and the oral sores.

In the meantime, here are some steps you can take to help your mother:
- Maintain Oral Hygiene: Encourage her to gently rinse her mouth with a saline solution or an alcohol-free mouthwash to keep the area clean.

- Dietary Adjustments: Continue to provide her with nutritious foods, including fruits and vegetables rich in vitamins. You might also consider consulting a nutritionist for a tailored diet plan that supports healing.

- Avoid Irritants: Ensure she avoids spicy, acidic, or rough-textured foods that could irritate her mouth further.

- Monitor Symptoms: Keep a close eye on her symptoms. If the sores worsen or new symptoms arise, seek medical attention promptly.

- Follow-Up Care: Ensure that she follows up with her healthcare provider regularly to monitor her condition and adjust treatment as necessary.

In conclusion, while it is understandable to feel concerned about your mother's condition, seeking specialized medical advice is the best course of action. A thorough evaluation will help identify the underlying cause of her persistent wounds and sores, leading to a more effective treatment plan.

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