Effective Remedies for Cracked Corners of the Mouth - Surgery

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I'm sorry to bother you, but I've recently been staying up late and getting less sleep, so I have a small tear at the corner of my mouth.
It bleeds a little when I open my mouth and it hurts, similar to what adults call "cracked corners of the mouth." Can I use Mentholatum on this type of wound? Or what methods can I use to help it heal quickly?

A Jie, 20~29 year old female. Ask Date: 2009/03/16

Dr. Huang Zhihui reply Surgery


Based on your description, it seems to be angular cheilitis, commonly referred to as "cracked corners of the mouth." This condition is more likely to occur during cold and dry weather, making autumn and winter the peak seasons.
Licking the affected area with the tongue can exacerbate the dryness and severity of the cracks.
In some individuals, it may be caused by a deficiency of B vitamins in the body.

Treatment methods include: first, enhancing nutrition by maintaining a balanced diet without picky eating, and consuming more foods rich in B vitamins, such as lean meats, eggs, milk, soy products, carrots, and fresh leafy vegetables.
Since B vitamins are water-soluble, avoid excessive rinsing of rice, wash vegetables before cutting, and cook them promptly after cutting.
Adding a bit of vinegar while cooking can also help.

Secondly, protect the facial skin and maintain oral hygiene by keeping the lips clean after eating.
When the lips are cracked, applying a small amount of glycerin, ointment, or edible oil can be beneficial; Mentholatum can also be used.
Avoid licking the lips, as substances in saliva, such as amylase and lysozyme, can create a hyperosmotic environment at the corners of the mouth, leading to increased dryness and potential ulceration.
Ensure adequate sleep, drink plenty of water, and taking a daily B-complex vitamin supplement can also be helpful.

Reply Date: 2009/03/16

More Info


Cracked corners of the mouth, often referred to as angular cheilitis, can be quite uncomfortable and may result from various factors, including lack of sleep, dehydration, nutritional deficiencies, or even fungal infections. Given your situation of having recently experienced sleep deprivation and the resulting cracks, it’s essential to address both the symptoms and the underlying causes.


Remedies for Cracked Corners of the Mouth
1. Topical Treatments:
- Lip Balms and Ointments: Using a medicated lip balm, such as those containing lanolin or beeswax, can help to moisturize the area and create a barrier against further irritation. While Mentholatum (曼秀雷敦) can provide temporary relief due to its soothing properties, it may not be the best choice if it contains ingredients that could irritate the skin further. Instead, consider using a product specifically designed for healing cracked skin.

- Antifungal Creams: If the cracks are due to a fungal infection, over-the-counter antifungal creams can be effective. Look for products containing clotrimazole or miconazole.

2. Hydration:
- Ensure you are drinking plenty of water throughout the day. Dehydration can exacerbate the cracking, so keeping your body well-hydrated is crucial.

3. Nutritional Considerations:
- Deficiencies in certain vitamins, particularly B vitamins (like riboflavin and B12) and iron, can contribute to angular cheilitis. Incorporating a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can help. If you suspect a deficiency, consider consulting a healthcare provider for appropriate testing and supplementation.

4. Avoid Irritants:
- Try to avoid licking your lips, as saliva can further dry out the skin. Additionally, be cautious with the use of harsh soaps or skincare products around the mouth area.

5. Maintain Oral Hygiene:
- Keeping your mouth clean can help prevent infections. Regular brushing and flossing, along with using an alcohol-free mouthwash, can promote oral health.

6. Consult a Healthcare Professional:
- If the cracks persist for more than a week, worsen, or are accompanied by other symptoms (like swelling or pus), it’s essential to seek medical advice. A healthcare provider can assess the situation and may prescribe a stronger topical treatment or investigate other underlying issues.


Conclusion
In summary, while topical treatments like lip balms can provide relief, addressing the root causes—such as hydration, nutrition, and oral hygiene—is equally important. If you choose to use a product like Mentholatum, monitor how your skin reacts, and consider switching to a more suitable healing ointment if irritation occurs. If symptoms persist, do not hesitate to reach out to a healthcare professional for further evaluation and treatment. Taking these steps can help ensure a quicker recovery and prevent future occurrences of cracked corners of the mouth.

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