Lip Infections: Symptoms and When to Seek Help - Dermatology

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Is there an infection in the lips?


Hello doctor, I recently noticed a long, white patch on the inner side of my upper lip (https://imgur.com/tidX0tb) and several small white bumps near the corner of my lower lip (https://imgur.com/NKgRfXB).
Are these normal? Is it possible that they could be a candidal infection? Should I see a dermatologist or an oral specialist? Thank you, doctor.

Niming, 20~29 year old female. Ask Date: 2020/06/23

Dr. Wu Yuxin reply Dermatology


Medical regulations state that "a physician must personally examine a patient before providing treatment or prescribing medication..." Therefore, online diagnosis is also not permitted.
If you are experiencing significant distress, it is advisable to seek medical attention promptly.

Reply Date: 2020/06/23

More Info


When it comes to lip infections, particularly those presenting as white patches or bumps, it is essential to consider various potential causes, including fungal infections like candidiasis (thrush), viral infections, or other dermatological conditions. The symptoms you describe, such as the elongated white patch on the inside of your upper lip and the small white bumps near the corner of your lower lip, warrant careful evaluation.


Symptoms of Lip Infections
1. White Patches or Bumps: These can be indicative of several conditions. In the case of candidiasis, the white patches are often creamy and can be scraped off, revealing a red, inflamed surface underneath. The small white bumps may also suggest a viral infection, such as herpes simplex, or could be a sign of a benign condition like Fordyce spots, which are small, painless, pale bumps that are normal sebaceous glands.

2. Pain or Discomfort: Infections often come with symptoms such as pain, burning, or itching. If you experience these sensations, it could indicate an active infection.

3. Swelling or Redness: Inflammation around the affected area can also be a sign of infection.
4. Bleeding or Cracking: If the skin on your lips is cracked or bleeding, this could suggest a more severe infection or a reaction to irritants.


When to Seek Help
You should seek medical attention if you experience any of the following:
- The white patches or bumps persist for more than a week without improvement.

- You develop additional symptoms such as fever, increased swelling, or pus.

- You experience significant pain or discomfort that interferes with eating or speaking.

- There are signs of systemic infection, such as fever or chills.


Diagnosis and Treatment
To determine the exact cause of your symptoms, a healthcare provider will likely perform a physical examination and may take a swab of the affected area for laboratory analysis. This can help identify whether the infection is fungal, viral, or bacterial.

- Candidiasis: If diagnosed with a yeast infection, antifungal medications, either topical or oral, may be prescribed.

- Viral Infections: If the cause is viral, such as herpes simplex virus, antiviral medications may be recommended.

- Other Conditions: If the bumps are benign, no treatment may be necessary, but monitoring is essential.


Which Specialist to See
For your symptoms, you may consider visiting either a dermatologist or an oral medicine specialist. Dermatologists specialize in skin conditions, including those affecting the lips, while oral medicine specialists focus on diseases of the mouth and surrounding areas. If you are unsure, starting with a general practitioner can also be a good option, as they can provide a referral to the appropriate specialist based on their initial assessment.


Conclusion
In summary, the white patches and bumps on your lips could be indicative of a range of conditions, including candidiasis. It is crucial to monitor your symptoms and seek medical advice if they persist or worsen. Early intervention can lead to more effective treatment and a quicker resolution of symptoms. Always prioritize your health and consult a healthcare professional for personalized advice.

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