Lip Bruising: Causes and Concerns After Biting - Dentistry

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Bleeding under the lip?


Hello, doctor.
It seems that I may have bitten my lip while eating yesterday, but I'm not entirely sure.
The photo is here: http://www.flickr.com/photos/116701907@N03/.
I noticed that there is a smooth area on my lower lip that looks like a subcutaneous hemorrhage, with no wounds and no pain or itching.
I would like to know if this is simply a subcutaneous hemorrhage or if it could be oral erythema? At the same time, there is also a small, transparent, painless blister (0.1-0.2 cm) near my lip, which has disappeared today.
I have experienced this occasionally before; could it be caused by a minor salivary gland obstruction?

Guang, 30~39 year old female. Ask Date: 2014/02/07

Dr. Zhuang Suhui reply Dentistry


Hello: Based on the photo, it doesn't appear to be a rash.
You can observe it for a few days, and if it doesn't improve, then consider other issues.
Another possibility could be that, as you mentioned, it is caused by a blockage of the minor salivary glands.

Reply Date: 2014/02/07

More Info


When it comes to understanding lip bruising, particularly after an incident where you may have bitten your lip, it's essential to consider a few key factors regarding the nature of the injury and the body's healing response. Based on your description, it seems that you are experiencing a bruise on your lower lip, which is characterized by a smooth surface without any open wounds, and you also mentioned a small, painless water blister that has since resolved.


Causes of Lip Bruising
1. Trauma from Biting: The most straightforward explanation for the bruising is trauma from biting your lip. This can cause small blood vessels (capillaries) to rupture, leading to a bruise, which is medically referred to as a contusion. The bruise may appear as a discoloration, typically ranging from red to purple, and can be accompanied by swelling.

2. Subcutaneous Hemorrhage: The appearance of a bruise without any visible wound suggests that the bleeding occurred beneath the skin. This is common in soft tissues like the lips, where minor injuries can lead to localized bleeding.

3. Oral Mucosal Conditions: While the bruise itself is likely due to the bite, the presence of a small, transparent blister could indicate a different issue. These blisters can arise from various causes, including irritation, allergic reactions, or even minor infections. In your case, it could be related to a blocked salivary gland, which is not uncommon and can lead to the formation of mucoceles (fluid-filled cysts).


Concerns and Considerations
- Healing Process: Bruises typically heal on their own within a week or two, depending on the severity of the injury. The body will gradually reabsorb the blood that has leaked into the surrounding tissues, and the discoloration will fade over time.

- Signs of Infection: Since you mentioned that the bruise is not painful or itchy, it is less likely to be infected. However, if you notice increasing pain, swelling, or the development of pus, it would be prudent to seek medical attention.

- Recurrent Blisters: If you frequently experience small blisters in the same area, it may be worth discussing with a healthcare provider. They can help determine if there is an underlying condition, such as a salivary gland issue or a sensitivity to certain foods or oral hygiene products.


When to Seek Medical Attention
While your symptoms seem benign, you should consult a healthcare professional if:
- The bruise does not improve or worsens over time.

- You develop additional symptoms, such as fever or significant swelling.

- The blisters recur frequently or are accompanied by other oral symptoms.


Conclusion
In summary, the bruising on your lip is likely a result of minor trauma from biting, leading to subcutaneous bleeding. The small blister you observed may have been a transient issue related to salivary gland function or irritation. As always, maintaining good oral hygiene and being mindful of any recurrent symptoms will help in managing your oral health effectively. If you have any concerns or if symptoms persist, do not hesitate to reach out to a healthcare provider for a thorough evaluation.

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