Small White Bumps on Lips: Causes and When to Seek Help - Otolaryngology

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There are small white spots on the edges of the lips, and they feel a bit rough when licked?


I suddenly noticed some small white spots on the upper left side of my lip.
There aren't many, and they don't hurt, but when I lick a bit inward, I can feel something.
Is this because I'm too tired? If I need to see a doctor, which specialty should I consult? Will it heal on its own? Thank you, doctor.

Lin, 20~29 year old female. Ask Date: 2016/11/05

Dr. Li Jiaxuan reply Otolaryngology


Based on the images you provided, it appears to be gland inflammation.
It is recommended to visit an otolaryngology clinic if it does not heal within two weeks.
Wishing you good health.

Reply Date: 2016/11/05

More Info


The presence of small white bumps on the lips can be concerning, and it's understandable to seek clarity on what might be causing them. Based on the information provided, these bumps could be attributed to several potential causes, including mucoceles, Fordyce spots, or even oral thrush, among others.
1. Mucoceles: These are fluid-filled cysts that can occur when a salivary gland is blocked or damaged. They often appear as small, painless bumps and can sometimes resolve on their own. If they persist or become bothersome, a healthcare provider may need to evaluate them further.

2. Fordyce Spots: These are small, painless, pale bumps that are actually sebaceous glands without hair follicles. They are completely normal and do not require treatment. They can appear on the lips and are often mistaken for other conditions.

3. Oral Thrush: This is a fungal infection caused by an overgrowth of Candida yeast. It can lead to white patches or bumps in the mouth, including on the lips. If you experience symptoms such as pain, difficulty swallowing, or a burning sensation, it would be wise to consult a healthcare provider.

4. Allergic Reactions or Irritation: Sometimes, small white bumps can result from an allergic reaction to certain foods, lip products, or dental hygiene products. If you suspect this might be the case, avoiding the irritant and monitoring the symptoms can be helpful.

5. Infections: Viral infections, such as herpes simplex virus, can also cause lesions or bumps on the lips. If the bumps are painful, blister-like, or accompanied by other symptoms (like fever or swollen lymph nodes), it’s important to seek medical advice.

Given that you mentioned the bumps are not painful and you are experiencing a sensation when licking them, it may suggest that they are not immediately concerning. However, if they persist for more than a week, change in appearance, or if you develop additional symptoms (such as pain, swelling, or fever), it would be advisable to consult a healthcare professional.


When to Seek Help:
- Duration: If the bumps do not resolve within a week or two.

- Changes: If they change in size, color, or become painful.

- Additional Symptoms: If you experience swelling, fever, or other systemic symptoms.


Which Specialist to See:
If you decide to seek medical attention, you can start with a visit to a primary care physician or a dermatologist. If the bumps are suspected to be related to oral health, a visit to a dentist or an oral surgeon may also be appropriate.


Conclusion:
In summary, while small white bumps on the lips can often resolve on their own, monitoring their behavior and any accompanying symptoms is crucial. Maintaining good oral hygiene, avoiding irritants, and ensuring adequate rest can also help in promoting overall oral health. If you have any concerns or if the situation changes, do not hesitate to reach out to a healthcare professional for a thorough evaluation and appropriate management.

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