Post-Risky Behavior: Lip Cracking and Persistent Throat Issues

After engaging in risky sexual behavior, the lower lip may be prone to cracking or breaking?

I would like to explain to the doctor that my only risky behavior was sucking on a massage therapist's toes.
On January 1st of this year, I went to a massage parlor in Zhubei and engaged in this behavior.
The next day, I experienced a sore throat.
After visiting a clinic and receiving anti-inflammatory medication, my condition improved.
However, on January 15th, the pain returned, and after seeing another ENT specialist, I was diagnosed with tonsillitis.
I was prescribed antibiotics for nine days, and I fully recovered.

Since then, I have been experiencing ongoing minor issues, including dry mouth, throat and facial nerve pain, and occasional burning sensations in my right upper jaw (similar to chronic pharyngitis).
On February 17th, I returned to the doctor for a follow-up.
Since my skin appeared normal, he suggested I undergo a nasal endoscopy at a larger hospital (he only prescribed Betadine and pain relief medication) and stated that there were no issues with my oral cavity.

The discomfort only improved on March 4th.
Now, in the eleventh week, the ENT doctor has told me that I do not have a fever and advised me to stay calm.
However, my lower lip easily develops cracks when I drink hot soups (but it heals within two days), and I have white spots at the corners of my mouth (which resemble lipomas, but I am unsure when they appeared).
Should I consult that doctor again? (I noticed that his credentials seemed to be in urology).
I am very grateful for your help.
Sincerely, Wu, who often has dreams.

Xiao Wu, 30~39 year old female. Ask Date: 2015/03/19

Dr. Gao Qingyun reply Family Medicine

Dear Xiao Wu,
It is recommended that you consult an otolaryngologist for any oral or lip lesions.
A proper diagnosis and differentiation of the lesions require an in-person examination.
Wishing you peace and good health.
Sincerely,
Gao Qingyun
Director, Department of Family Medicine
Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2015/03/19

More Info

It sounds like you have been experiencing a series of troubling symptoms following a specific incident, and I appreciate your detailed description of your situation. Based on your account, it seems that your initial throat pain and subsequent issues may have stemmed from your exposure during the foot massage incident. While it is understandable to be concerned about the potential for infections or other complications, it is also important to consider the context of your symptoms.

First, let’s address the throat issues. The pain you experienced after the foot massage could have been due to a variety of factors, including irritation from the act itself or exposure to bacteria. The fact that you were treated with antibiotics and saw improvement suggests that there may have been an infectious component, possibly related to the oral cavity or throat. Chronic throat issues, such as the sensations of dryness, burning, or pain, can sometimes persist even after an initial infection has resolved. This could be due to residual inflammation or sensitivity in the throat and surrounding tissues.

The symptoms you describe, such as dryness, burning sensations in the upper jaw, and the cracking of your lips, could indicate a few possibilities. One common cause of persistent throat discomfort is chronic pharyngitis or laryngitis, which can be exacerbated by environmental factors, allergies, or even acid reflux. Additionally, the cracking of your lips and the appearance of white spots could suggest a condition like angular cheilitis or even a fungal infection, particularly if the symptoms are recurrent.

Given that your symptoms have persisted for several weeks, it would be prudent to follow up with a healthcare professional. While the ENT specialist you saw may not have been a specialist in oral health, they can still provide valuable insights into your throat issues. However, if you feel that your concerns about your lips and oral cavity are not being addressed, it may be beneficial to consult with a dentist or an oral health specialist. They can evaluate your oral health more thoroughly and determine if there are any underlying conditions that need to be addressed.

In terms of your symptoms, here are a few recommendations:
1. Hydration: Ensure that you are drinking plenty of fluids to keep your throat and lips hydrated. This can help alleviate dryness and discomfort.

2. Avoid Irritants: Stay away from irritants such as smoking, strong fragrances, or spicy foods that could exacerbate your throat discomfort.

3. Oral Hygiene: Maintain good oral hygiene by brushing your teeth regularly and using a gentle mouthwash. This can help prevent infections and promote healing.

4. Follow-Up: If your symptoms persist or worsen, do not hesitate to seek further medical attention. It is important to advocate for your health and ensure that all of your concerns are addressed.

5. Consider Allergies: If you have a history of allergies, it may be worth exploring whether allergens could be contributing to your throat and skin symptoms.

In conclusion, while your symptoms may be concerning, they are not uncommon following an incident that involves potential exposure to bacteria. It is essential to continue monitoring your symptoms and seek appropriate medical care as needed. Your health and comfort are paramount, and addressing these issues with the right specialists can lead to a better understanding and resolution of your symptoms.

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