Skin Issues: What to Do About Pimples Near the Mouth - Dermatology

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It seems there is an issue with acne developing around the mouth area?


Hello Dr.
Wu, I am asking on behalf of my father.
He is 61 years old and recently seems to have developed a large pimple near his mouth, which is red and swollen.
Today, it appears to have ruptured slightly and is bleeding.
I would like to ask Dr.
Wu if this situation is common? Does he need to see a doctor or apply any medication? I am quite concerned because my father smokes, drinks alcohol, and tends to stay up late at night, so I worry it might be something more serious.

69, 20~29 year old female. Ask Date: 2024/07/27

Dr. Wu Yuxin reply Dermatology


The actual condition can only be assessed through a medical examination, so it is recommended to take your father to see a dermatologist as soon as possible.

Reply Date: 2024/07/27

More Info


When it comes to skin issues, particularly pimples or lesions near the mouth, it’s essential to understand the underlying causes and appropriate treatment options. Your father’s situation, where he has developed a large, red, swollen pimple near his mouth that has started to bleed, is concerning and warrants attention.


Common Causes of Pimples Near the Mouth
Pimples in this area can arise from several factors:
1. Hormonal Changes: Hormonal fluctuations can lead to increased oil production, resulting in clogged pores and acne.

2. Skin Irritation: Products used on the face, such as certain soaps, creams, or even toothpaste, can irritate the skin and lead to breakouts.

3. Dietary Factors: Although the relationship between diet and acne is still debated, some individuals find that certain foods can trigger breakouts.

4. Poor Hygiene: Not cleansing the face properly can lead to the accumulation of dirt and oil, contributing to acne.

5. Smoking and Alcohol: Both smoking and excessive alcohol consumption can negatively impact skin health, leading to various skin issues, including acne.


Is It Common?
While acne is more commonly associated with adolescents, adults can also experience breakouts due to various factors, including stress, lifestyle choices, and skin care routines. Given your father's age and lifestyle, it’s not unusual for him to experience such skin issues, but the bleeding aspect raises a red flag.


When to See a Doctor
Given that the pimple has started to bleed, it is advisable for your father to consult a dermatologist. Here are a few reasons why:
- Infection Risk: A bleeding pimple may indicate an infection or that the skin barrier has been compromised, which could lead to further complications.

- Proper Diagnosis: A dermatologist can provide a proper diagnosis and rule out other skin conditions, such as folliculitis or even more serious issues like skin cancer.

- Treatment Options: Depending on the diagnosis, the doctor may prescribe topical treatments, oral medications, or recommend lifestyle changes that could help improve his skin condition.


Treatment Options
In the meantime, here are some general recommendations that may help manage the situation:
1. Avoid Picking: Advise your father not to pick at the pimple, as this can worsen the irritation and lead to scarring or infection.

2. Gentle Cleansing: Use a mild, non-comedogenic cleanser to keep the area clean without causing further irritation.

3. Topical Treatments: Over-the-counter products containing benzoyl peroxide or salicylic acid can help reduce inflammation and clear up acne. However, these should be used cautiously, especially if the skin is already irritated.

4. Moisturizing: Keeping the skin hydrated can help maintain the skin barrier. Look for non-comedogenic moisturizers.

5. Healthy Lifestyle: Encourage your father to adopt healthier habits, such as reducing alcohol intake, quitting smoking, and ensuring he gets adequate sleep.


Conclusion
In summary, while pimples near the mouth can be common, the presence of bleeding and swelling should not be taken lightly. It is crucial for your father to see a dermatologist for a thorough evaluation and appropriate treatment. By addressing both the immediate skin issue and any underlying lifestyle factors, he can work towards healthier skin and overall well-being.

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