Each of us has had ulcers on the lip at least once, regardless of gender, age and other differences.
What does their presence mean? In what situations do ulcers occur in the mouth due to biting, and when should you seek help from a doctor? We will answer all questions in this article. Most often, painful mouth ulcers on the lip are found after a good night's sleep. It happens that you awkwardly laid your head, and your jaw shifted, and your teeth bit the soft tissue of the mucous membrane. The next morning, this place may swell, a small bubble will appear, which will cause pain when talking or eating. In such situations there is no need to worry. After a while, the ulcer on the inside of the lip will disappear. This usually takes a couple of hours or a day.
Much more unpleasant are cases when a painful mark does not disappear for several days, and subsequently similar formations are found in the mouth. They indicate that you are faced with ulcerative stomatitis. This is the name of an inflammatory disease that is accompanied by white sores on the lips, as well as on the palate, tongue and inner sides of the cheeks.
In a similar way, a complex form of stomatitis manifests itself, in which it is difficult to eat food, there is a tendency to dehydration and infectious infection (often diagnosed in patients with immunodeficiency).
The causes of the disease are:
- low immunity;
- alcohol and cigarette abuse;
- oral injuries;
- transfer of bacteria into the mouth through unwashed foods, household items, etc.;
- drinking low quality water and food.
In some situations, the disease can be triggered by allergic or toxic reactions to medications, materials and drugs used in dental procedures. Hormonal imbalances, circulatory problems, intestinal inflammation and stress also cause the disease.
What diseases cause a rash on the lips?
Pimples, redness and other signs of irritation on the lips appear for various reasons. Most often, their appearance is associated with a weakened immune system, which cannot cope with bacteria and viruses.
Rashes appear due to vitamin deficiency, frequent hypothermia and overheating, improper installation of veneers and braces. The cause may be the spread of fungus.
A rash on the lips may indicate the development of:
- Herpes - the disease is provoked by a virus, usually type 1. With this pathology, the rashes become regular and look like groups of small bubbles filled with liquid. Their appearance is accompanied by itching and pain;
- Allergies to cosmetic products, toothpaste, substances contained in food. A feature of rashes of allergic origin is swelling, and at the same time redness appears on the skin;
- Oral dermatitis - the rash is quite profuse, accompanied by peeling and sometimes a decrease in skin sensitivity. The cause of the pathology is disturbances in the functioning of the nervous system, the use of low-quality cosmetics, skin hypersensitivity, prolonged exposure to a solarium or exposure to the sun;
- Fordyce's disease - the disease manifests itself in connection with the expansion of the sebaceous glands against the background of hormonal imbalance and manifests itself as white granules or nodules.
When the rash is accompanied by cracks, peeling, and yellow crusts are visible on the lips, this may indicate cheilitis. The disease progresses due to genetic predisposition, frequent stress, exposure to ultraviolet radiation, and hypovitaminosis. Neoplasms in the form of ulcers with bleeding may turn out to be malignant.
Auxiliary symptoms
A blister that has appeared on the lip on the side of the mouth cannot but bother the owner. If the cause of the tumor is an injury, the patient will feel a gradually subsiding acute pain. The mucous membrane will begin to swell and turn slightly red. Slight hyperthermia (heating) of the tissue at the site of injury, burning and itching are possible. Some patients experience fever accompanied by chills.
Regional lymph nodes enlarge and may become too sensitive to touch. Such a symptom may appear immediately after a pimple appears on the oral mucosa.
The appearance of watery blisters on the lips is often accompanied by general weakness and lethargy. A person quickly gets tired and begins to refuse food. The blister can burst due to injury from teeth or food, as a result of which all the liquid pours out, and the blister itself begins to gain volume again.
Is a rash on the lips contagious?
The cause of the rash on the lips determines whether the disease can be transmitted to others. Herpes is transmitted through contact with body fluids or damaged tissue of an infected person. With noticeable lesions, the virus is especially dangerous, but its transmission is also possible in the asymptomatic stage. You can become infected through a kiss or utensils used by the carrier of the virus.
Allergies and oral dermatitis cannot be transmitted from one person to another. The same applies to Fordyce's disease, cheilitis.
Common symptoms and manipulations in dermatology:
- Skin rashes
- Calling a dermatologist to your home
- Itching in the urethra
- Itchy skin
- Skin rash
- Prevention of casual sex
- Skin neoplasms
- Pyoderma
- Pityriasis rosea
- Streptoderma
- Scabies
- Peeling skin
- Fungal infections
- Skin infection
- Pus on the skin
- Blisters on the skin
- Papillomas on the foreskin
- Sexually transmitted diseases
- Skin structure
Primary herpes
There are three periods of illness:
- Prodromal
(precursor period), during which the temperature rises, the inguinal lymph nodes become inflamed, weakness, fatigue, and headache appear. A person experiences a condition similar to the symptoms of flu and colds. If you take an antiviral drug during this period, the disease may not develop. If the symptoms are ignored and treatment is not started on time, the second period of the disease begins. - A rash
that occurs three to four days after the onset of a flu-like condition. Common symptoms include pain, heat, swelling, itching in the genital area, anus, buttocks, pubis and perineum. Soon, numerous blisters filled with clear liquid appear on the inflamed skin and mucous membranes, reminiscent of a “cold” on the lips. The rash causes pain and itching, worse at night and leading to insomnia. - Ulcerations.
After some time, the blisters burst and ulcers (erosions) form in their place, surrounded by a focus of inflammation. Contact with stool and urine on the eroded surface increases pain and complicates tissue regeneration. - Healing,
during which the ulcers gradually heal. If the genital organs are poorly cleaned, the immune system is weak, and infection occurs, the healing process is delayed.
After the ulcers disappear, the disease goes into remission. During this period, despite the presence of the virus in the body, there are no rashes on the genitals.
Which doctor treats a rash on the lips
A rash near the lips can be a dangerous symptom. If such manifestations occur, you should definitely visit a doctor, undergo prescribed tests and, if necessary, a course of treatment. First, you should visit a dermatologist, who will prescribe diagnostic procedures to identify the disease.
Even if the test for herpes is positive, many more parameters are taken into account when prescribing therapy: the number of antibodies, the stage of the disease, the individual characteristics of the body. This disease has 8 varieties, and appropriate treatment is selected for each.
If a reaction to certain substances and products develops, consultation with an allergist is required. There is often a need to visit an immunologist, since most diseases associated with a rash on the lips progress against a background of weakened immunity. But you should not visit the dentist if you have such symptoms. During dental treatment, the vesicles can become damaged and become infected, which causes inflammation and complications.
Treatment of genital herpes
It is difficult to cure such a dangerous disease. Treatment of genital and labial herpes is long and complex. Therapy includes:
- Prescription of antiviral agents that slow down the reproduction (replication) of viruses. To maintain the effectiveness of treatment during long-term therapy, it is necessary to constantly change the prescribed medications.
- The use of drugs based on interferons - proteins released in response to viral invasion. Scientists have found that a lack of this substance provokes exacerbations of the disease.
- The use of local antiviral ointments, gels and sprays that kill viruses that have penetrated the skin and mucous membranes.
- Prescribing symptomatic medications that combat the general symptoms of the disease - reducing pain, swelling, inflammation, lowering temperature, normalizing sleep.
- Local procedures - baths and irrigations that relieve pain and prevent the penetration of secondary infections.
- Taking immunoglobulins, immunomodulators and stimulators of cellular immunity, which improve the functioning of the immune system, activate the production of antiviral antibodies and prevent relapses.
Patients suffering from genital herpes are advised to avoid wearing synthetic underwear.
Prevention of infection consists of a thoughtful choice of sexual partners, compliance with hygiene rules, periodic examination by a gynecologist and the use of emergency measures at the first symptoms of the disease.
Where to get tested and cure herpes in St. Petersburg, prices
Doctors at the modern Diana Clinic treat herpes infections in St. Petersburg. Here you can take express tests for all infections - smears, blood, etc. Tests are performed using the best methods - PCR, ELISA, etc. The cost of visiting a doctor based on test results is 500 rubles. The price of tests depends on the type of examination. For example, the cost of taking blood from a vein is only 170 rubles.
Ointments that are used for rashes on the lips
A qualified doctor should select medications to treat rashes. Attempting to get rid of unpleasant symptoms on your own will, at best, relieve the symptoms without eliminating the cause of the problem. At worst, the situation will worsen.
A rash on the lips caused by the herpes virus is treated with antiviral drugs - for external use or for oral administration. The following ointments are used:
- Acyclovir (Virolex, Zovirax, Acyclostad, Herperax, Gerpevir, Provirsan) is an antiviral agent that penetrates the DNA chain of the virus and stops its replication. However, over time, the effectiveness of the drug decreases, so its use requires justification;
- Penciclovir (Vectavir, Fenistil Pencivir) - enters infected cells without affecting healthy ones. Prevents viral DNA synthesis;
- Docosanol (Gerpanit, Erabazan, Priora) - prevents the connection of the virus with the cell membrane, is prescribed in the initial stages of the pathology.
For Fordyce's disease, ointments with retinol are used. For cheilitis, you need to use corticosteroid ointments - Prednisolone, Flucinar. The treatment regimen for oral dermatitis usually includes the use of metronidazole cream or gels, clindacimine, erythromycin, azelaic acid products, and pimecrolimus cream.
Answers to frequently asked questions about skin rashes:
- Which doctor should you contact for a skin rash?
- Is the skin rash contagious?
- What diet is necessary for skin rashes?
- What diagnosis is needed for a skin rash?
- Why is a skin rash dangerous?
- Why is it necessary to get tested for a skin rash?
- What diseases does a skin rash indicate?
- What examination is necessary for a skin rash?
- Which skin rash is dangerous?
- How to distinguish an allergic rash from an infectious one
- How to get rid of skin rashes?
- How to get rid of itching skin rash?
- What organs are affected by a skin rash?
- How to prepare for an appointment with a dermatologist?
- How to get checked for skin diseases?
- What diseases does a dermatologist treat?
- What tests should be taken by a dermatologist?
- What diagnostics can a dermatologist perform in the clinic?
- Where to go with a skin disease?
Types of rashes on the lips
Rash on the lips can be of various origins, and externally such skin lesions differ in character, color and other characteristics. The rash can be classified as:
- Blisters are small formations with hemorrhagic or serous contents, their size is 4-5 mm;
- Bubbles - formations with a diameter of 5 mm to several centimeters, usually indicate a long course of the disease;
- Pustules are red or pale pink, filled with pus. They can be located not only on the surface, but also deep under the skin;
- Spots – redness of small areas of the skin;
- Nodules and nodules that can leave scars;
- Erosion and ulcers are neoplasms that violate the integrity of the skin and have transparent or cloudy contents.
Allergic reactions lead to the appearance of small bright pimples, swelling, and edema.
Treatment methods depending on the cause:
- If the formation occurs due to a viral infection, then treatment will be based on the use of antiviral drugs;
- If the cause is injury, then it is necessary to eliminate the consequences and rinse the mouth with antiseptics;
- If an allergic reaction provokes an illness, then you should find out what the irritant is and not use it anymore. The doctor will also prescribe antihistamines;
- If a large bloody bubble has formed, then surgery is performed. After this, the doctor prescribes medications for rapid tissue regeneration and restoration.
Rash on lips in pregnant women
During pregnancy, certain prerequisites arise for the activation of the herpes virus. The body perceives the fetus as something foreign, and to prevent its rejection, maternal immunity is automatically reduced. The main symptom of the disease is a rash on the lips.
The disease can be primary or recurrent, the effect of the virus on the unborn baby depends on this. If a woman has previously had herpetic manifestations, the probability of danger to the fetus is estimated at approximately 5%. This is explained by the presence of specific antibodies in the blood. If the body has not previously been infected, the risk of fetal pathologies increases markedly.
But a rash on the lips of a pregnant woman is often a sign of hormonal changes in the body, especially in the early stages. The main reason is an increase in progesterone production. Such conditions are not dangerous for either the mother or the child.
Allergies also do not pose any risks to the fetus: the placenta provides reliable protection against allergens and antigens, as well as antibodies that are produced to suppress them. All these substances do not get inside the fertilized egg.
Herpes in newborns
A child becomes infected with the pathogen from the mother in utero or by passing through an infected genital tract during childbirth. In newborns, the mucous membranes of the eyes and mouth, skin, and genitals are affected. When the pathogen enters the child’s brain, meningoencephalitis occurs, causing death or severe disability.
A generalized form is possible, in which all organs and systems of the newborn are affected. The child experiences jaundice, respiratory distress, and urinary retention. Children are restless, do not latch on to the breast, and are vomiting. Death occurs from shock, bleeding, dehydration, intoxication, and organ failure.
The likelihood of infection increases with primary infection of the mother in late pregnancy.
Prevention of lip rashes
In order to prevent rashes on the lips, it is necessary to maintain the immune system in a normal state: eat well, give up bad habits, engage in physical activity, harden, minimize the influence of stress and hypothermia. As recommended by your doctor, you should take multivitamin complexes or individual vitamins to prevent their deficiency in the body.
To prevent herpes you need:
- Wash your hands thoroughly after contact with affected skin areas;
- Do not use other people’s hygiene items and store your own items separately;
- Use individual dishes;
- Avoid kissing your partner while the virus is active.
The use of high-quality cosmetics and careful diet control will help prevent allergic manifestations. If the diagnosis reveals the body’s reaction to certain foods, it is necessary to stop consuming them. During periods of exposure to the sun or visiting a solarium, you should use special protective creams.
Why is a rash on the lips dangerous?
The degree of danger of a rash on the lips and the likely consequences are determined by the causes of this manifestation. For example, the herpes virus is integrated into the genetic apparatus of cells, rashes appear not only on the face, but also in any places where there are nerve endings. This leads to disruption of the functioning of internal organs. If left untreated, a secondary bacterial infection develops and the wound begins to fester. With a serious decrease in immune defense, herpes can cause dangerous diseases, such as encephalitis.
Allergic reactions also pose certain health risks. With allergies, the body produces antibodies to specific proteins that the allergen contains. Due to the formation of biologically active substances, the heart rate may increase, smooth muscle spasms may occur, and edema may develop. The most dangerous manifestation of the pathology is anaphylactic shock - swelling of the larynx, which can even lead to death.
It is easier to treat any disease at the initial stage, while the pathology has not yet caused significant harm to the body. That is why, if a rash occurs on the lips, you should not try to disguise it or cure it yourself. The best solution would be to visit a doctor who will diagnose and prescribe adequate treatment.
Recurrent herpes
In 50%-70% of people the disease becomes chronic. This is facilitated by:
- untimely or incorrect treatment;
- decreased immunity, including that caused by taking medications that suppress the immune system;
- presence of other STDs;
- strict diets, vitamin deficiencies;
- state of chronic stress.
Why do patients develop relapses, during which the disease affects the same parts of the body? There are several reasons for this:
- Having penetrated the body, the virus settles in the tissues of the genital organs. As it multiplies, it affects cells deeper and deeper until it reaches nerve cells - neurons connected to each other by processes - axons. Through them, like bridges, the pathogen reaches the cells of the spinal cord, into which it introduces its DNA.
- An infected brain cell becomes an “incubator” for viruses, which periodically return via axon bridges to the mucous membrane or skin, causing new rashes. Schematically, the process is similar to the migration of birds, constantly returning to their “native places.”
- The immune system cannot kill viruses hidden in the spinal cord, but it deals with those that have left the “shelter”. Therefore, with high immunity, relapses occur rarely or not at all. But as soon as the body “loses its vigilance” - weakens, gets sick, catches a cold, is exposed to stress - the pathogens begin to overcome the immune defense. As a result, they reach their target - the skin and mucous membranes of the genital organs. Here, the increased reproduction of viral particles inside the “captured” cells begins. Cellular structures, dying, release myriads of viruses that cause inflammation, redness, swelling and the appearance of blisters. Herpes is causing another aggravation.
- Gradually, the immune system fights back the virus, and within 10 days the ulcers at the site of the rash dry out and heal. Everything returns to normal, so that at the slightest weakening of the immune system it can start again.
From the mechanism of exacerbations, it becomes clear why herpetic eruptions appear in the same places. It’s just that the virus cells return back only through the nerve cell from which they penetrated deep into the body.
Types of recurrent herpes
Depending on the number of exacerbations, several types of the disease are distinguished:
- mild, occurring up to 3 times a year;
- moderate severity, in which exacerbations occur 4-6 times a year;
- severe, accompanied by frequent exacerbations, intervals between which do not exceed a month;
- arrhythmic, in which after a period of imaginary well-being, lasting from a month to five, rashes appear. This form of herpes is characterized by a pattern - the longer the remission, the more severe the disease;
- menstrual, manifested by rashes during menstrual periods. This type of disease is severe and difficult to treat;
- subsiding, in which the manifestations of the disease constantly become weaker, and the inter-relapse periods become longer. The subsidence of the manifestations of the disease indicates the positive dynamics of treatment and the restoration of immune defense that suppresses the virus.
Treatment of rash on lips
Whatever the reason for the appearance of a rash on the lips, not only the help of a doctor is necessary, but also the establishment of normal skin care, the elimination of external irritants (if it is an allergy), and correction of the nutritional diet. In general, you probably can’t do without contacting a medical specialist.
It is he who must determine the current condition of the skin, choose the right method of therapy and subsequent skin care. If you follow the doctor's instructions, you will probably soon get rid of problems associated with skin diseases and rashes.
After the initial diagnosis, additional tests are prescribed to confirm the diagnosis and the immediate therapeutic course. All this must be done on time, without ignoring the occurrence of a rash on the lips ,
like most people do. In this case, you will protect yourself from possible complications and the development of dangerous diseases. Chronic diseases can be expressed by severe peeling, cracking, extreme dryness and the fact that the skin may become thicker.
Therefore, it’s time to think about how important it is to follow the correct regime, a normal diet and monitor the condition of every part of your body, including your lips.
Updated: 2019-12-20
Methods for diagnosing skin diseases:
- Diagnosis of skin diseases
- Diagnosis of skin diseases at home
- Diagnosis of allergic skin diseases
- Diagnosis of bacterial skin diseases
- Diagnosis of viral skin diseases
- Diagnosis of hair diseases
- Diagnosis of nail diseases
- Diagnosis of skin tumors
- Skin scraping
- Blisters on the skin
- Dermatoscopy
- Demodex tests
- Diagnosis of sexually transmitted infections
- Mushroom tests
- Skin scraping
Diagnosis of herpes
If genital herpes is suspected, after an external examination, scrapings from the affected areas, blood, and urine are taken for examination. This will allow you to differentiate the disease from other skin lesions that have similar symptoms.
For diagnostics the following is used:
- Cultural method - during the study, the contents of the vesicles are transferred to a growing chicken embryo; if it dies, the disease is confirmed. The method is reliable, but too time-consuming.
- PCR is a test that detects viral DNA in tissues. The method allows you to calculate the pathogen even from a small amount of viral material. Effective for diagnosing any form of disease, incl. hidden. The method can be used immediately after infection before symptoms of the disease appear. PCR not only detects the virus, but also determines its type.
- Methods aimed at determining antigens and antibodies to the pathogen: ELISA - immunofluorescence diagnostics, CFR (complement fixation reaction), various types of agglutination reactions. With their help, you can identify the type of pathogen, determine its quantity and duration of infection.
A complete diagnosis of herpes virus infection allows you to make the correct diagnosis in order to prescribe treatment.