Lip Swelling and Redness: Possible Causes and Solutions - Otolaryngology

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The lips are slightly swollen and often appear red. When flipped inside out, there are numerous small petechiae, and there is a mild burning sensation and itching at the lower edge?


Hello Dr.
Zheng, this morning when I woke up, I noticed that my lips were slightly swollen and appeared redder than usual.
Upon inspecting the inside, I found numerous small petechiae, and there is a mild burning and itching sensation at the lower edge.
This has persisted for over 8 hours without improvement.
I would like to understand what might be happening.
Recently, I have been using lipstick around my lips, but I have been diligent about removing it and applying Vaseline for moisture.
Yesterday morning, I had a tooth extraction, which went smoothly, and I did not experience any pain after the anesthesia wore off.
I have read online that some people develop cheilitis due to drug allergies, but I have no history of drug allergies.
A month ago, I had a tooth extraction at the same dental office and took the same postoperative medication without any issues.
I am uncertain if there is a possibility of a drug allergy, and I kindly ask for your assistance in clarifying this matter.

Jin, 20~29 year old female. Ask Date: 2020/11/25

Dr. Zheng Jueyi reply Otolaryngology


Hello: The common phenomenon of lip inflammation, if there is no history of drug allergies and no other symptoms such as swelling around the eyes or generalized itching, is likely not related to drug allergies.
It is advisable to monitor the condition and increase fluid intake.
If there is no improvement, it is recommended to seek medical evaluation for confirmation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/11/25

More Info


Hello! Thank you for reaching out with your concerns regarding the swelling and redness of your lips. Based on your description, there are several potential causes for the symptoms you are experiencing, and I will outline them along with possible solutions.


Possible Causes of Lip Swelling and Redness
1. Allergic Reaction: One of the most common causes of lip swelling and redness is an allergic reaction. This could be due to a new cosmetic product, such as lipstick or lip balm, that you have recently used. Even if you have used these products before without any issues, it is possible to develop an allergy over time. The presence of small blood spots and a burning sensation could indicate an inflammatory response.

2. Contact Dermatitis: This is a type of skin inflammation that occurs when your skin comes into contact with an irritant or allergen. If you have recently changed any products that come into contact with your lips, such as toothpaste, lip balm, or even food, this could be a contributing factor.

3. Infection: Although less common, infections can also cause swelling and redness. Conditions such as herpes simplex virus (cold sores) or bacterial infections can lead to similar symptoms. If you notice any blistering or crusting, this could be a sign of an infection.

4. Angioedema: This is a condition characterized by swelling beneath the skin, often around the eyes and lips. It can be triggered by allergies, medications, or even stress. The burning and itching sensations you describe could be associated with this condition.

5. Medication Reaction: Since you mentioned that you had a dental procedure and were prescribed medication, it is possible that you are experiencing a delayed reaction to the medication. While you have not had issues with the same medication previously, individual reactions can vary.


Recommendations for Management
1. Cold Compress: Applying a cold compress to the affected area can help reduce swelling and provide relief from the burning sensation. Make sure to wrap ice in a cloth to avoid direct contact with the skin.

2. Antihistamines: If you suspect an allergic reaction, over-the-counter antihistamines (such as diphenhydramine or cetirizine) may help alleviate symptoms. However, consult with a healthcare provider before starting any new medication.

3. Topical Treatments: If the area is itchy, applying a mild hydrocortisone cream may help reduce inflammation. However, avoid using it for more than two weeks without medical advice.

4. Avoid Irritants: Refrain from using any new cosmetic products or irritants until the symptoms resolve. Stick to gentle, hypoallergenic products to prevent further irritation.

5. Consult a Healthcare Provider: If symptoms persist beyond 24 hours, worsen, or if you develop additional symptoms such as fever, difficulty breathing, or widespread rash, seek medical attention promptly. A healthcare provider may perform a thorough examination and possibly recommend allergy testing or other diagnostic measures.


Conclusion
While your symptoms may be concerning, many cases of lip swelling and redness can be managed effectively with appropriate care. It is essential to monitor your symptoms closely and seek medical advice if they do not improve or if you experience any alarming changes. Remember, your health and well-being are paramount, and addressing these symptoms early can lead to better outcomes. Thank you for your inquiry, and I hope you find relief soon!

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