Concerns About Lip Issues
Three weeks ago, I developed a rash on my lips and visited Dr.
A at a dermatology clinic.
Dr.
A diagnosed it as a lip allergy and prescribed Clobetasol (Cloba) ointment for me to apply.
After using it, my lips became abnormally red.
Although the rash disappeared after three days, I developed a blister on both my upper and lower lips.
I applied Acyclovir ointment to the blistered areas, but the pain was unbearable, and the swelling was excessive.
My lips continued to be red, swollen, and peeling, so I decided to see another dermatologist, Dr.
B.
Upon seeing the Cloba and Acyclovir ointments I brought, Dr.
B scolded me for applying them indiscriminately, saying I was damaging my lips.
He prescribed Esperson (a topical ointment) and instructed me to apply a thin layer twice a day.
He also prescribed oral medications: Prednisolone, Sumincon, Poustarn, and Sinwell, to be taken three times a day after meals.
After three days, the redness, swelling, and pain in my lips subsided, but the skin on my lips remained dry, tight, and wrinkled.
The areas near the mucosa on both lips continued to develop yellowish, crusty skin.
When I naturally closed my lips, they felt rough like sandpaper, which was very uncomfortable.
I have been using Esperson for two weeks now, and I have also taken Orotin, Vitamin B6, and Sinwell for a week, but my lips are still peeling.
The areas near the mucosa continue to form thicker, hard skin that falls off and then forms again.
The scabs from the blisters have fallen off, but the skin underneath seems not to have healed properly (it is uneven) and is slightly red and itchy.
The doctor mentioned that my entire lip is currently inflamed, which is causing the blister wounds to heal poorly.
He prescribed Gentamicin ointment for me to apply to the areas where the blister scabs have fallen off.
I would like to ask if Esperson is suitable for use on the lips? Does it contain any corticosteroids? I have been applying it continuously for two weeks without improvement, and I am still experiencing peeling.
Is this ointment unsuitable for me, or is this a normal progression of the condition? How long should I expect my situation to improve? Thank you!
Wang Xiaomei, 30~39 year old female. Ask Date: 2006/12/29
Dr. Hong Zhengsheng reply Dermatology
Hello, Wang Xiaomei: I apologize, but based on your description, it is difficult to determine your specific medical condition.
Answers found online can only speculate based on the information provided and personal experiences, and cannot offer the precise diagnosis and treatment that an in-person consultation can provide.
If you have any questions regarding medication, I recommend consulting your treating physician directly or speaking with the pharmacist who dispenses your medication, as they can help clarify any concerns you may have.
Additionally, the Department of Health's website features a "Drug Information Network" that provides the public with relevant medication information, which you may find useful.
I suggest that when you notice the symptoms described on your skin, you visit a public hospital in your city or county and consult with a dermatologist.
Our physicians are always willing to assist you.
Thank you for using "Taiwan e-Hospital" to ask your questions.
"Taiwan e-Hospital" cares about your health.
Reply Date: 2006/12/29
More Info
It sounds like you've been through quite a challenging experience with your lip condition, and I appreciate your detailed account of the treatments you've undergone. Let's break down your situation and address your concerns regarding allergies, treatments, and recovery time.
From your description, it appears that you initially experienced an allergic reaction on your lips, which was diagnosed by Dr. A as an allergy and treated with Clobetasol (Cloba). Clobetasol is a potent topical corticosteroid that can help reduce inflammation and allergic reactions, but it can also cause side effects, especially if used excessively or improperly. The redness you experienced after using Cloba could be a sign of irritation or an adverse reaction to the medication, particularly if it was applied too liberally or for an extended period.
The subsequent development of vesicles (blisters) on your lips, which you treated with Acyclovir, suggests that there may have been a herpes simplex virus (HSV) infection involved. Acyclovir is an antiviral medication used to treat herpes infections, but if the blisters were not due to HSV, applying Acyclovir could have been unnecessary and might have contributed to further irritation.
When you visited Dr. B, it seems that the combination of medications you were using was not appropriate for your condition, leading to further complications. Dr. B prescribed Esperson (a topical treatment), along with oral medications like Prednisolone (a corticosteroid), which can help reduce inflammation, and other supportive treatments. The fact that your lips are still experiencing dryness, peeling, and discomfort suggests that the healing process may be taking longer than expected.
Regarding your question about Esperson, it is important to clarify that this medication is generally safe for use on the lips, but you should always follow your doctor's specific instructions. Esperson does not contain corticosteroids, which means it may not have the same anti-inflammatory effects as Clobetasol. However, it can help with skin hydration and repair.
The ongoing symptoms you are experiencing, such as dryness and peeling, could be due to several factors, including the initial allergic reaction, the use of topical medications, and the healing process itself. It's not uncommon for skin conditions to take time to resolve, especially if there has been significant irritation or inflammation.
As for the recovery time, it can vary widely depending on the severity of the initial condition, the effectiveness of the treatments, and your individual healing response. Generally, with appropriate treatment, you should start to see improvement within a few weeks. However, if your symptoms persist or worsen, it is crucial to follow up with your dermatologist for further evaluation and possible adjustments to your treatment plan.
In summary, it is essential to be cautious with topical medications, especially on sensitive areas like the lips. Always consult with your healthcare provider before making changes to your treatment regimen. If you continue to experience discomfort or if your condition does not improve, seeking a second opinion or further evaluation may be beneficial. Your health and comfort are paramount, and finding the right treatment can sometimes take time and patience.
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