Lip Swelling and White Bumps: When to Seek Medical Help - Family Medicine

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Hello doctor, I woke up this morning with a swelling sensation in my upper lip, and when I opened my lips, I found a white bump that looks like a pimple.
If it doesn't improve in a couple of days, which specialist should I see?

JJ, 20~29 year old female. Ask Date: 2022/12/31

Dr. Hou Angting reply Family Medicine


Hello JJ: I recommend that you consult with a dermatologist for evaluation.
Wishing you good health.

Reply Date: 2022/12/31

More Info


Lip swelling and the appearance of white bumps inside the lips can be concerning, and it's important to understand the potential causes and when to seek medical help. Based on your description, there are several possibilities for the symptoms you're experiencing.

Firstly, lip swelling can occur due to various reasons, including allergic reactions, infections, or even trauma. Allergic reactions can be triggered by foods, cosmetics, or medications, leading to localized swelling. Infections, such as herpes simplex virus (cold sores), can also cause swelling and the appearance of white bumps. Additionally, conditions like angioedema, which is a swelling of the deeper layers of the skin, can cause significant lip swelling.

The white bump you described could be a mucous cyst, also known as a mucocele, which is a common benign condition that occurs when a salivary gland duct is blocked or damaged. These cysts can appear as small, painless bumps and may resolve on their own. However, if the bump is painful, growing, or associated with other symptoms like fever or difficulty swallowing, it may indicate an infection or another underlying condition.

If the swelling and bump do not improve within a couple of days, or if you experience additional symptoms such as increased pain, fever, or difficulty breathing, it is advisable to seek medical attention. In such cases, you should consider visiting an ear, nose, and throat (ENT) specialist or a dentist, as they are well-equipped to evaluate oral and facial conditions.

In the meantime, here are some general recommendations to manage your symptoms:
1. Avoid Irritants: Stay away from spicy, acidic, or hot foods that may exacerbate the swelling or irritation.

2. Maintain Oral Hygiene: Gently brush your teeth and rinse your mouth with a mild saltwater solution to keep the area clean and reduce the risk of infection.

3. Cold Compress: Applying a cold compress to the swollen area can help reduce inflammation and provide relief.

4. Over-the-Counter Pain Relief: If you're experiencing discomfort, over-the-counter pain relievers like acetaminophen or ibuprofen can help alleviate pain and reduce swelling.

5. Monitor Symptoms: Keep an eye on the swelling and bump. If they persist or worsen, seek medical advice promptly.

In summary, while lip swelling and white bumps can often be benign and self-limiting, it is essential to monitor your symptoms closely. If there is no improvement within a few days or if you develop additional concerning symptoms, do not hesitate to consult a healthcare professional for a thorough evaluation and appropriate treatment. Early intervention can help prevent complications and ensure a swift recovery.

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