Gum Inflammation and Lip Peeling: Causes and Solutions

Gingival redness and swelling, bleeding while brushing teeth, and chapped lips?

Hello, Doctor.
Recently, my gums have been swollen and bleeding lightly when I brush my teeth, and I only feel pain while brushing.
My lips often peel, and no matter how much water I drink or how much lip balm I apply, they still crack.
However, since my gums became swollen, my lower lip has peeled to the point where it is very thin! Both my lips and gums look very red! Last week, I visited a dentist, but during my first appointment, the doctor only performed a cleaning.
When I returned for a follow-up, they filled two very minor cavities without addressing my concerns about my gums (which are still not healed).
They also asked me to purchase mouthwash out of pocket (without providing a prescription or any medication), but my gums remain swollen.
Although there is no pain now, I still experience bleeding while brushing! Additionally, there is a small hole in my upper gum that doesn't hurt (I’m not sure if it was caused by my toothbrush or if it’s due to inflammation…).
Later, I switched to an ENT specialist, who suspected that my condition (lips and gums) might be caused by a virus and prescribed medication for me.
I am currently on my second day of medication and using the mouthwash, but there are still signs of gum swelling, and I continue to experience bleeding while brushing, which is quite distressing.
I would like to ask you, Doctor, whether I should continue seeing a dentist or if there is something else I should do? (I am quite troubled.) Additionally, the mouthwash I purchased contains alcohol, and I find it quite stinging each time I use it (though I can tolerate it).
Is this type of mouthwash good for me? Is it suitable for my current condition? Can I use it every day? What is the maximum number of times I can use it in a day?

w, 20~29 year old female. Ask Date: 2014/04/22

Dr. Zhuang Suhui reply Dentistry

1.
It is advisable to continue seeking medical treatment, as it appears to be periodontal disease, such as periodontal inflammation.
2.
Alcohol-containing mouthwash can be irritating by nature.
3.
If necessary, it is recommended to visit a major hospital's periodontology department for treatment.

Reply Date: 2014/04/22

More Info

Gum inflammation and lip peeling can be quite distressing, and it seems you are experiencing a combination of symptoms that may be interconnected. Let's break down your situation and explore potential causes and solutions.

Understanding Your Symptoms
1. Gum Inflammation: The redness and swelling of your gums, along with bleeding when brushing, are classic signs of gingivitis, which is an early stage of gum disease. This condition is often caused by plaque buildup on the teeth, which can irritate the gums. If left untreated, gingivitis can progress to periodontitis, a more severe form of gum disease that can lead to tooth loss.

2. Lip Peeling: The peeling of your lips, especially in conjunction with gum inflammation, could be due to several factors. Dehydration, allergic reactions, or even nutritional deficiencies (such as a lack of B vitamins) can contribute to dry, cracked lips. Additionally, certain viral infections can cause both gum inflammation and lip issues, which your ENT doctor may have suspected.

3. Possible Viral Infection: If your ENT doctor suggested a viral cause, it could be related to conditions like herpes simplex virus, which can cause cold sores and may also affect the gums. This could explain the combination of symptoms you're experiencing.

Recommendations for Management
1. Dental Care: It is crucial to continue seeing your dentist, especially since your gums are still inflamed and bleeding. Regular dental cleanings and proper oral hygiene are essential. You may need a more thorough cleaning if plaque buildup is significant. If your dentist is not addressing your concerns adequately, consider seeking a second opinion from another dental professional.

2. Oral Hygiene: Maintain a gentle yet effective oral hygiene routine. Use a soft-bristled toothbrush and fluoride toothpaste. Be careful when brushing to avoid further irritation to your gums. Flossing daily is also important, but do so gently to prevent bleeding.

3. Mouthwash: Regarding the alcohol-containing mouthwash, while it can be effective in reducing bacteria, it may also cause dryness and irritation, especially if your gums are already inflamed. If it feels too harsh, consider switching to an alcohol-free mouthwash, which can be gentler on your gums and lips. You can use mouthwash 1-2 times a day, but if it causes discomfort, reduce the frequency.

4. Hydration and Lip Care: Ensure you are drinking enough water to stay hydrated, which can help with lip dryness. Use a good quality lip balm that is free from irritants. Look for products containing ingredients like beeswax, shea butter, or coconut oil, which can provide moisture without causing further irritation.

5. Dietary Considerations: Evaluate your diet to ensure you are getting enough vitamins and minerals. A deficiency in B vitamins, particularly B2 (riboflavin) and B3 (niacin), can lead to issues with the lips and gums. Incorporate a variety of fruits, vegetables, whole grains, and lean proteins into your meals.

6. Follow-Up with Healthcare Providers: Since you have already seen both a dentist and an ENT specialist, it may be beneficial to follow up with your primary care physician if your symptoms persist. They can evaluate for any underlying conditions, including possible infections or deficiencies.

Conclusion
Your symptoms of gum inflammation and lip peeling are concerning and warrant continued attention. It is essential to maintain good oral hygiene, consider the type of mouthwash you are using, and ensure you are adequately hydrated. If your symptoms do not improve with these measures, or if they worsen, do not hesitate to seek further medical advice. A collaborative approach involving your dentist, ENT specialist, and possibly a primary care physician will be the best way to address your concerns comprehensively.

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