Lip Bumps: Causes and When to Seek Medical Help - Internal Medicine

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Lip issues


Hello, after having a meal today, I suddenly noticed a small bump under my lower lip that feels like a little blister when I touch it with my tongue.
After looking in the mirror, I saw that it is quite small.
I would like to ask the doctor what might be the cause of this.
I didn't feel anything in the morning or at noon, so it seems to have appeared after dinner.
Could this be some strange disease? If I need to see a doctor, should I go to an ENT specialist or an internist? The photo might not be very clear because it is really small, and right now I don't feel much discomfort.
Thank you.

Lisa, 20~29 year old female. Ask Date: 2022/12/06

Dr. Hong Yuanbin reply Internal Medicine


Hello, based on your description and the images, it appears to be a herpes virus infection, which typically resolves on its own but is very prone to recurrence.
You may consider using acyclovir ointment within three days to reduce the likelihood of recurrence.
It is advisable to consult a dermatologist.
Thank you for your inquiry.

Reply Date: 2022/12/06

More Info


Lip bumps can be a common occurrence and can arise from various causes. Based on your description of a small bump on your lower lip that feels like a blister, it could be attributed to several factors. Here are some potential causes:
1. Mucoceles: These are fluid-filled cysts that can form when a salivary gland duct is blocked or damaged. They often appear as small, painless bumps and can occur on the lips or inside the mouth.

2. Cold Sores (Herpes Simplex Virus): If the bump is painful and appears blister-like, it could be a cold sore, which is caused by the herpes simplex virus. Cold sores typically start as small blisters that can break open and crust over.

3. Allergic Reactions: Sometimes, a reaction to certain foods, medications, or dental products can cause swelling or bumps on the lips. If you recently consumed something new or different, this could be a possibility.

4. Trauma or Irritation: Biting your lip, using dental appliances, or irritation from certain foods (like citrus or spicy items) can lead to localized swelling or bumps.

5. Infections: Bacterial or viral infections can also cause bumps on the lips. If the bump is red, swollen, and painful, it may indicate an infection that requires medical attention.

6. Benign Tumors: While less common, benign growths such as fibromas or lipomas can occur on the lips. These are usually painless and do not require treatment unless they cause discomfort or cosmetic concerns.

Given that the bump appeared suddenly after eating and is now less noticeable, it may not be a cause for immediate concern. However, if it persists, changes in appearance, or is accompanied by other symptoms such as pain, swelling, or fever, it would be wise to seek medical advice.


When to Seek Medical Help:
- If the bump does not resolve within a week.

- If it becomes painful, red, or swollen.

- If you experience other symptoms such as fever, difficulty swallowing, or swelling of the face.

- If you have a history of cold sores and suspect it may be a recurrence.


Which Specialist to See:
For initial evaluation, you can consider visiting a primary care physician or family doctor. They can assess the bump and determine if a referral to a specialist is necessary. If the bump is suspected to be related to oral health or dental issues, a visit to a dentist may also be appropriate. If the bump is thought to be related to a viral infection or requires further evaluation, an ear, nose, and throat (ENT) specialist may be consulted.

In summary, while lip bumps can be concerning, many are benign and resolve on their own. Monitoring the bump for changes and seeking medical advice if necessary is a prudent approach. Always prioritize your health and do not hesitate to reach out to a healthcare professional if you have concerns.

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