Cheilitis on the lips. How to treat children, adults. Folk remedies, ointments, medicines

cheilitis treatment on your lips provides for the use of moisturizing creams, salves and ointments which prevent further damage epithelial tissues, eliminates excessive dryness and prevent further cracking. The scheme therapeutic course developed dermatologist.

What is cheilitis on the lips

Cheilitis or cheilosis - a chronic or acute dermatologic disease, which manifests itself in the form of inflammatory process in the epithelial surface of the lips of blanching, cracks, separation and blood crusty. Treatment of the disease is based on the elimination of pathology has appeared foci, and is directed to the prevention of further damage lips.

In addition to the formation of cracks and scales on the entire surface of the lips, on the line of closure appears bright red border, which is painful during palpation.

Cheilosis complicated forms can spread on the surface of the cheeks, chin, nasolabial area, the oral mucosa. Cheilitis is a common disease, which at least once in life, but everyone was sick.

Most often diagnosed in people who suffer from a chronic shortage of vitamin B2 and food allergies. Can act as a consequences of colds, SARS, influenza, fever with prolonged retention of high body temperature.

Types cheilitis on the lips

Cheilitis on the lips, the treatment of which requires the use of anti-inflammatory ointments are classified based on clinical manifestations of the disease, the extent of the spread of disease, as well as the reasons caused them.

In the table below are detailed views cheilosis indicating their symptoms:

types of diseases	Clinical manifestations, signs, symptoms,
exfoliative	This kind cheilosis flows in the dry or the exudative form. In most cases, the disease affects the lower part of the lip. Its surface is covered with lots of small yellow scales that impede food reception, break it, causing pain during a smile. The dry form of exfoliative cheilitis is most common in women. In addition, the rim lip collapses dyskeratosis. Exudative disease accompanied by similar symptoms, but only with the formation of deep cracks and isolating sukrovichnogo content. In the event of additional bacterial infection, the formation of abscesses and pus leaking masses.
catarrhal	The most common kind of cheilosis that occurs in dermatological practice. Characterized by inflammation, the swelling and redness of the surface of the lips with involvement in the pathological process of the skin in the oral cavity of a circle. May develop exposed to adverse environmental conditions, as a result of contact with corrosive vapors of chemicals (acids, alkalis). Successfully treated with medication therapies, but with the proviso that persists cause of the disease. In this case it guaranteed rapid tissue healing.
glandular	This type cheilitis characterized in that there is an inflammation, not only the epithelial surface of the lips, but they are affected mucous glands. The pathology may occur as a result of mechanical injury previously transferred surgery, infection by bacterial and viral microorganisms. The disease is manifested by hyperplasia of the glandular tissue, formation of abscesses, purulent content, strong edema lips. The main danger cheilosis of this type lies in the fact that even after the elimination of edema, the lips do not restore the original shape. This is due to the appearance of cysts, which are under the influence of the inflammatory process are formed in the glandular tissue. In most cases, these changes are irreversible. Treat the disease you need to have a dentist or surgeon. Treatment of disease should be organized as soon as possible.
eczematous	This kind of cheilosis more commonly called a form of manifestation of allergic disease. Defeat epithelial lip surface develops after accumulation in the body of allergens capable of inducing such a bright and intense immune response. Usually eczematous cheilitis appears on the background of systemic deficiencies in B vitamins, as well as an allergic reaction to cosmetics (lipstick, foundation, lotions, tonics and purifying scrubs). The disease is characterized by intense clinical picture. Inflammation goes into an acute form, formed lihepodobnye elements peel, the skin on the lips all the time, blushing, getting wet and felt a strong burning sensation. Patients underwent antiseptic surface of the lips, the diet is saturated with multivitamins and minerals.
candida	The only type of cheilitis, which initially caused no shortage of nutrients and elements in the human body, and the activity of pathogenic fungal infection. Microorganisms of this type of the genus Candida, parasitic surface lip and oral mucosa. It causes inflammation of the tissues, the formation of edema, deep and painful ulcers. The disease resembles stomatitis. Common in children and in adults who are sick with HIV infection, or else have very weakened immune system. Therapy of disease is performed using antifungal drugs, vitamin, mineral complexes which is recommended to use immunostimulatory drugs.

Cheilitis on the lips, the treatment of which requires the use of antiseptic creams, should be subject to complex drug therapy regardless of disease. disease type is determined by the results of visual inspection of the lips, as well as after the instrumental and laboratory studies.

Stage and grade cheilitis on the lips

Cheilitis - a disease that can develop in the acute or chronic form, covering the entire surface of the lips, or else only a portion of the epithelial tissue.

In this regard, there are the following severity of disease:

• light level - the patient is slight redness of the lips, corners of the mouth there are cracks, but without allocation ichor, no signs of edema, inflammation is removed quickly antiseptic means;
• the average degree of - about 2/3 lip surface covered with yellow or white scales, the inflammatory process gradually increases, join swelling, but whole course of the disease is controlled, pathology successfully treatable antiinflammatories and ointments from the group corticosteroids;
• heavy degree - epithelial tissue of the lips are covered by multiple fractures, of which stands out sukrovichnaya fluid may suppuration, formation of yellow scales, is the spread of the disease on the skin and mucous membrane of the mouth cavity.

The stage and extent of the disease is determined by the attending physician as a result of examination of the patient. These circumstances are taken into account during the selection of drugs to relieve the inflammation, swelling and eliminate bacterial infection, if there was penetration of pathogens into ulcers and cracks.

Symptoms cheilitis on the lips

Signs cheilosis have a typical clinical picture of symptoms. For an experienced dermatologist or dentist, spend enough initial examination of the patient to deliver the appropriate diagnosis.

Symptomatology cheilitis is as follows:

• on only one or on two lips transverse cracks appear different depths;
• epithelial surface is covered with yellow or white scales;
• there is swelling of the lips, which is proportional to the severity of the inflammatory process;
• in the corners of the mouth, where the lip closure, the wound form of which is allocated sanies;
  
• during the meal, a smile, a conversation, there is severe pain;
• circumferential lip contour is white, becomes rough to the touch;
• epithelial tissues in the zone of disease lesions, require constant humidification via creams;
• the skin around the mouth appears similar redness, wounds, dermatitis symptoms;
• oral mucosa located in close proximity to the mouth, covered with small sores as in stomatitis.

The manifestation of the above symptoms characteristic of cheilitis all types and degrees of severity. At the initial stage of disease manifestations it has no pronounced signs. As the progression of the disease is saturated with a large number of clinical symptoms.

The causes of cheilitis on the lips

Cheilitis on the lips, which treatment should take place under the supervision of a dermatologist, a dentist or a surgeon, can not develop independently without the influence of negative factors.

The following causes of cheilosis on the lips of men and women of all age categories:

• daily contact with aggressive chemical vapors which destroy the surface layer of epithelial tissues (acids, alkalis, and other volatiles);
• frostbite lip surface under the influence of cold air and gusty wind;
• mechanical tissue damage as a result of blows, falls and other mechanical injury;
• Results previously transferred surgery on the face or directly on the surface of the lips;
• complications of poor dental manipulations for the treatment of upper or lower anterior teeth;
• effects of diseases such as syphilis, atopic dermatitis, lichen planus, psoriasis, eczema;
• severe allergic reaction to cosmetics, food products;
• prolonged fever, fever, chills;
• result moved colds, flu, SARS.

Determining the causes of cheilitis on the lips, it is a prerequisite for building an effective course of therapy. Without eliminating the harmful factors affecting the health status of the lips, it is impossible to complete cure of the disease with minimal risk of relapse.

Diagnosis cheilitis on the lips

Cheilitis on the lips, which treatment is carried out using antiseptic drugs, determined by the test results, a dermatologist.

Diagnosis cheilosis carried out as follows:

• external examination at the dentist, a dermatologist or a surgeon;
• smear screening with the lips, to conduct laboratory testing for the possible presence of bacterial, viral or fungal infection;
• Deposit of venous blood for biochemical studies and its possible detection of heavy infections, one symptom of which is the occurrence of rashes and sores on the lip surface;
• biopsy tissue particles lips with further histological analysis to exclude a malignant nature of the origin of the disease;
• Deposit of capillary blood from the beams of the ring finger, and the collection of morning urine for their research on the overall clinical performance.

The above instrumental and laboratory diagnostic methods can take place in a public hospital or a private clinic. In the first establishment of data manipulation are free. The clinic with private ownership the average cost of health care will be 3000-4000 rubles.

When to see a doctor

Cheilitis is not a dangerous disease, but the lack of timely treatment it can lead to irreversible consequences and complications. Not excluded tissue degeneration lips and mucous glands, which can lead to a change in their shape, the deformation of soft tissue inflammation.

In this connection, it is recommended to consult a doctor, dentist, dermatologist or surgeon in the first days after the discovery of at single or multiple features of cheilitis. Self-therapy at home can lead to disease progression.

Prevention cheilitis on the lips

Cheilosis prevent the emergence of symptoms is possible, but for that you need to follow the simple rules of disease prevention, that are in the daily performance of certain actions.

They are:

• ensure that the lip and the skin surface in the oral cavity is not exposed circumferential aggressive action of environment (direct sunlight, frost, cold and damp wind);
• avoid contact with chemicals, vapors which can burn and irritate the face surface;
• use only high-quality cosmetics means that different anti-allergenic properties;
• avoid excessive drying of the lips, and in the event of this symptom, immediately use skin moisturizing balms and creams;
  
• people who are prone to food allergies, do not eat foods that cause an acute autoimmune response of the organism;
• promptly treat dental and oral infections.

An important condition for the prevention of cheilitis is a rational and balanced diet. In the human diet should be sufficient amount of fresh fruit, herbs, vegetables, meat dishes. Recommended at least 1 time per year undergo a course of reception of vitamins of group B.

Methods of treatment of cheilitis on the lips

cheilitis treatment is conducted via antiinflammatory, antiseptic and moisturizing of drugs, as well as by using the popular therapies.

Medications

Pharmacy medications are most effective in the treatment of cheilitis. In clinical practice, the following means indoor and outdoor use.

Zinc ointment

The main active ingredient of the drug is zinc oxide, which disinfects the cracks formed on the lips has dried and wound healing effect. Is applied to the damaged tissue 2-3 times a day for 10 days. Ensure that the medicines do not reach the inside of the mouth. Price tube weighing 25 grams is 26 rubles.

solkoseril

The main active ingredient of the drug - a dialysate cattle blood. Used for treatment of complicated forms cheilitis lips, which are accompanied by mucosal lesion of the oral cavity and glands. Is applied to the wound site of epithelial tissues 2-3 times a day.

The average duration of treatment - 5 days, but on the discretion of the physician may be extended for a longer period. Tube 5g worth 410 rubles. The drug is allowed for the treatment of pregnant women and newborns.

Sintomitsina 10%

Potent cream with antibacterial effect. Apply 2 times a day directly on the inflamed area. On top of the sore lip overlapping fragments of sterile cloth or gauze fabric. The treatment period is between 3 to 6 days depending on the severity of the disease. drug cost - 110 rubles.

Cream Boro Plus

Natural product with anti-inflammatory, antiseptic, moisturizing effect. It contains in its composition extract of ginger lilies, turmeric, sandalwood. It prevents festering tissues, prevents bacterial infection. The cost of the drug is 110 rubles. per 25 ml tube.

In using the above complex of ointments and creams to be taken medicaments containing in its composition vitamins, zinc, selenium, calcium, potassium. Prescription of medicines is carried out exclusively by the attending physician.

Traditional methods

There are alternative methods of treatment cheilosis on lip surfaces and oral mucosa. It recipes of traditional medicine, using which you can prepare the following drugs.

Lotions from broth chamomile

To make this means you need to take 1 tbsp. l. of dried camomile, pour it 0.5 liters of water, and then put on low heat and boil for 15 minutes. The resulting broth to cool down to room temperature. It then wetted with a sterile bandage and executed lotion to the affected areas of the lips. Medical procedure is done 2-3 times a day for 10 days.

Poultice of aloe and honey

The drug is preparing by grinding 1-2 leaves of this medicinal plant to a state of pulp. Thereafter, the green mass is mixed with 1 hour. l. honey collected from grasses.

The resulting mixture is lubricated mouth epithelial tissue in the location of cracks and sores. Duration of treatment is not limited by time. Use of the drug is contraindicated for people with allergies to honey and bee products.

Propolis tincture

A potent anti-inflammatory, antiseptic and wound-healing agent on a natural basis. To prepare the home medication should be taken 1 hour. l. propolis, to shift it into a glass container and then pour 0.25 L of vodka. Said means must insist in a dark and cool place 5 days.

At the expiration of said time alcoholate propolis is used for processing the outer lip.

It is necessary to moisten a sterile cotton swab 2 times a day to wipe the affected tissue disease. A significant disadvantage of using the tool is a strong feeling of pain at the time of contact of vodka and wound surfaces on the lips. Treatment time up - 7 days.

The use of the above recipes of traditional medicine should be administered only after a preliminary examination and consultation with a dentist, a dermatologist or a surgeon. The choice of specialized professionals conducted on the basis of the clinical picture of the disease and the prevalence of cheilitis.

Other methods

For other methods of treatment include surgical lip cheilosis sanitation hearth disease. It is carried out if the disease is complicated by the formation of abscesses form, suppuration, necrosis of tissue, or the formation of benign cysts in mucous glands.

The operation is performed under local anesthesia. The mean duration of surgery was 40 minutes. to 2 hours depending on the complexity of the case.

possible complications

Cheilitis on the lips - a disease which, if properly organized treatment, or complete absence of the therapeutic course, the development of dangerous complications.

They are as follows:

• benign cysts inside lip mucous glands, which change the shape of tissues creates the effect of chronic edema;
• in a sluggish inflammation is not excluded regeneration of epithelial cells and the development of mouth cancer;
• may join bacterial, viral, fungal infections that exacerbate the course of the disease will lead to the appearance of boils, purulent masses;
  
• reduced quality of life, sense of severe pain, inability to fully taking acidic, salty, pickled products;
• transition of the inflammatory process in the mucosa of the mouth to form a trophic wounds;
• gingivitis gums in the location of the front lower and upper teeth;
• necrosis of epithelial tissues that require surgical intervention with removal of the affected part of the bay.

Early treatment of cheilitis on the lips makes it possible to completely eliminate the risk of the above complications. The forecast for recovery is positive, but on the condition that the treatment takes place under the supervision of a physician profile outpatient or inpatient unit.

disease treatment at home can lead to the appearance of scars on his lips, deformations, keloids.

Registration of the article: Lozinski Oleg

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