Sticks in the corners of the mouth: what medications will help?

Factors causing angulitis

Seizures (angulitis, angular stomatitis) are a type of skin lesion that is located in the corners of the mouth. The causes of this disease are as follows:

increased reactivity of the immune system of an allergic nature, often seizures are one of the accompanying diseases, for example, with eczema, atopic dermatitis;
the occurrence of some chronic infection in the body against the background of immunodeficiency;
diabetes mellitus (the mechanism is the same as during the formation of a diabetic foot, when tissue trophism is disrupted);
hypo- and vitamin deficiency, especially for B vitamins;
long-term and intensive antibacterial therapy (destroys beneficial microflora, as a result of which opportunistic microflora is activated);
serious changes in hormonal levels, physiological (adolescence, pregnancy) and pathological (with disturbances in the functioning of the endocrine glands).

Types of angulite

Considering the etiology, seizures can be primary and secondary. In turn, the primary ones are divided into: streptococcal, viral and candidiasis.

Viral seizures. They are caused by a viral infection (herpes virus). In this case, a doctor will help you choose an ointment for sticking in the corners of an adult’s lips.

Streptococcal seizures are caused by streptococcal infection. A characteristic manifestation is the formation of a yellowish-red crust.

Candidiasis angulitis. The cause is a fungal infection. This type is characterized by a chronic course and the absence of a crust.

Varieties of jam

Thus, angulitis can be an allergic inflammation, or a bacterial infection that occurs against the background of weakened immunity and/or impaired trophism of the skin in the corners of the mouth. Allergic seizures are easily identified - they occur after eating some food that is an allergen for the patient. Or the food itself may be overly irritating (spicy, sour). Allergic seizures are often a concern in childhood, when the level of allergic reactivity is especially high. In all other cases, the development of seizures is associated with the addition of an infection:

Streptococcal infection. It begins with the formation of a vesicle in the corner of the mouth, which quickly resolves, leaving a small, slightly bleeding erosion. The erosion quickly heals with a purulent-bloody crust. The crusts may peel off and grow back. The jam when moving your mouth can be a little painful. Often develops against the background of bacterial tonsillitis in children.
Candida infection (opportunistic fungi of the genus Candida). Here the erosion is not covered with a crust, but is framed by softened epithelium. An easily removable grayish film may appear on the wound. This jam is less noticeable when the mouth is closed.
Less commonly, seizures are caused by viruses. If this happens, then with a 95% probability it is a herpes virus type 1 or 2.

The choice of drugs depends entirely on the etiology of angulitis. The nature of the pathology is determined by a dermatologist during a clinical examination, and the exact infectious pathogen is identified by taking a scraping.

What is zaeda?

Zaeda is a common name for inflammation of the mucous membrane in the corner of the mouth. Medically called angulitis or angular cheilitis. Since it appears precisely in the corners of the lips. In the form of irritation, redness, cracks, ulcers or crusts. Seizures cause discomfort from aesthetic to unpleasant sensations when talking and eating.

Reasons for sticking in the corners of the mouth

Normally, the oral mucosa independently prevents the penetration of infection due to its structure. But with a decrease in immunity, this ability is significantly reduced. Therefore, angulitis in children and adults most often appears in the autumn-spring period (lack of vitamins), during colds and during exacerbation of chronic diseases (decreased immunity). There are many reasons for this:

• frequent damage to the mucous membrane of the corner of the mouth (banal injury to the corner of the mouth, frequent licking of the lips);

• disruption of the microflora of the oral cavity leading to seizures and other stomatitis;

• overdrying of lips in the wind makes the mucous membrane of the corners of the mouth more vulnerable;

• at a dentist appointment – when you have to keep your mouth wide open for a long time. The corner of the mouth becomes dry, its washing and banal wetting with saliva are impaired. Any touch, even gentle, to the mucous membrane of the corner of the mouth can be unpleasant or painful. Prevention of this is simple and banal - lubricate the corners of the mouth with Vaseline;

• after treatment with antibiotics. When the microflora of the whole body is disturbed;

• increased activity of Candida fungi;

• exacerbation of herpes.

Types of jam

Seizures in the corners of the mouth are caused by three types of microflora - bacterial (staphylococci and streptococci), Candida fungi and herpes.

Ideally, angulitis should be treated with means that will affect exactly the microflora that caused the seizure:

Treatment for jamming in the corners of the mouth

Treatment of a stuck mouth is, on the one hand, trivial, but on the other hand, it is not entirely simple. We have already found out that the main cause of jamming is microtrauma and microflora entering the mucous membrane. And it makes no difference whether it is foreign to the body or healthy, its own. And if the immune system is weakened, then it is not able to fight any microflora - neither its own nor the alien one. Any of them becomes pathological - negatively affecting. Therefore, the treatment for mouth jam is:

• simple prevention of jamming - do not use other people’s spoons and hygiene products (toothbrushes, etc.)

• in case of the first signs of mouth seizure, treat the inflammation of the corner of the mouth locally: with ointments, powders, etc.

Local treatment for jam consists of applying drugs to the corners of the mouth. Moreover, the treatment is step-by-step - first remove the pathogens, and then help the corners of the mouth recover. It’s better to start with:

• decoctions of chamomile, calendula

• in case of seizures against the background of dry, cracked lips, it is rational to lubricate them to moisturize them with oils (rosehip, sea buckthorn, olive, oil solutions of vitamins A and E)

• in case of long-term and ineffective treatment of jam, scrapings are made to determine the main microflora in the corners of the mouth. Most often these are staphylococci, streptococci and Candida fungi. And drugs are prescribed to target them specifically:

If the jam looks red, with a thick crust, then the cause is staphylococci or streptococci

Its treatment consists of applying antibacterial ointments:

• methyluracil

• leomycolic

• kamistad ointment or gel

• crushed streptocide tablet can be applied as a powder

If the jam is varnish-red or has a white coating, then Candida mushrooms are to blame

Then treatment with antifungal agents:

• levorin ointment

• nystatin ointment

• candida ointment

With herpes, seizures may appear on the lips

Treatment of herpetic angulitis is carried out with general treatment and place:

• Gerpevir ointment

• Ameskin

• Viferon

A universal remedy for the treatment of post all seizures is Cholisal gel. It is effective against bacteria, viruses and fungi.

When the acute phase of angulitis has passed, for faster healing, use the following:

• sea buckthorn oil

• rosehip oil

General treatment for stuck lips

Increasing immunity and strengthening it:

vitamins of groups B, A and C in the form of vitamin complexes or an increase in the diet of foods containing them:

• B vitamins contain: milk, cheese, cottage cheese, broccoli, fresh peas, green beans, spinach and bran.

• Microelements in foods: peaches, pomegranates, nuts, parsley, asparagus, buckwheat, seafood, pumpkin seeds.

If seizures do not go away for a long time, you need to understand the common causes of decreased immunity, chronic diseases and influence them.

To treat a mouth jam, it is not necessary to take an antibiotic, or anything else, orally before or after a meal, and do not inject it intramuscularly with small or large syringes. It is enough to sprinkle or moisten it several times (depending on the drug you choose) directly into your mouth. And repeat everything as prescribed in the instructions for the drug for several days.

What if I go untreated? A rhetorical question. There will be no colossal harm, not counting cosmetic ones. Typically, seizures go away on their own in four to five days if the body receives energy and vitamins from somewhere (usually through food, but there are other non-traditional options). If you don’t have access to these resources, then write “lost”, and the jam will decorate your face until your immunity increases. Since Lomonosov also proved that “Nothing comes from nowhere and goes nowhere,” it becomes clear that the fight against binge eating will only end with an increase in the body’s immunity, to strengthen which it must be reinforced with something somewhere.

June 24, 2019
Source: www.ardenta.ru

Treatment of allergic angulitis

If the seizure is of an allergic nature, then antihistamines are first prescribed. The generation of the drug does not play a special role here. It’s just that Suprastin (Chloropyramine, 1st generation) causes severe drowsiness and sometimes headache, and its effect may weaken over time (allergic resistance). Whereas Erius (Desloratadine, 3rd generation) not only competitively binds to histamine receptors, but also inhibits the synthesis of histamine itself. And the side effects are much less pronounced. The “golden mean” is Loratadine - a 2nd generation drug that has almost no side effects, is almost as effective as Erius, but is several times cheaper.

In case of severe allergic inflammation, short-term use of hormonal ointments is permissible: Akriderm, Sinaflan, Advantan, Fenistil, etc. However, for children under 12 years of age, hormonal ointments are prescribed only as a last resort. As a softer analogue of hormonal ointments, you can use Vishnevsky's liniment. But not longer than 10 days, and care must be taken to ensure that the child does not accidentally lick off the applied drug. We must remember that there is always a risk of infection joining allergic inflammation. Considering that children often comb out bumps with unwashed hands.

Prevention

The occurrence of seizures can be prevented by following the following recommendations:

If seizures bother you quite often, you need to undergo a full examination. Perhaps the cause of the disease is hidden in the body.
Monitor the condition of your mouth and teeth. Get a timely preventive examination from your dentist. Caries, tartar, poor-quality dentures - all this can contribute to the appearance of angulitis.
Proper nutrition will help get rid of an unpleasant disease. The diet should contain foods rich in vitamins B2, C, E.
Carry out timely vitamin therapy. But it is worth remembering that hypervitaminosis can also cause seizures.
There is no need to allow your lips to become dry or flaky. To moisturize, use hygienic lipstick, thermal water, wax, honey, oils (linseed, rose, coconut).

Treatment of infectious angulitis

When angulitis develops due to infection, then the appropriate remedy is needed. Fukortsin is often prescribed as the first line, which has both antibacterial and antifungal activity, and forms a long-term, protective film at the site of damage.

Dry skin in the corners of the mouth: should you worry?

30.09.2021

An uncomfortable feeling on the face caused by dryness in the corners of the mouth - this is called “jamming”. They appear at any time of the year, both in adults and children. They bring discomfort, burning, pain when opening the mouth . Sometimes dry small cracks appear that can bleed. Where do they come from and how to deal with them?

Causes of dry corners of the mouth.

factors contributing to the formation of “jams” , but the main ones are the following:

staphylococcal infection
herpes infection caused by the herpes virus
candidiasis of the oral
bacterial stomatitis
adverse weather conditions
vitamin deficiency, that is, lack of vitamins A, C, B2
syphilis
diabetes
eating spicy, very sour foods, also with regular consumption of sweets
irritation to toothpaste
excessive drooling (in children)

It is worth noting that “binges” more often appear in people prone to excessive consumption of sweets. Those who suffer from diabetes periodically experience dryness in the corners of the mouth , as they have high blood sugar levels . In addition, “jams” can appear after a course of treatment with antibiotics or hormonal drugs that can provoke the appearance of fungal and yeast infections in the mucous membrane.

Also, dryness and micro cracks can form after visiting the dentist due to medical procedures or contact of the patient’s skin with gloves. If a white coating appears on the tongue during “seizures,” this indicates that the person is infected with candidiasis and treatment is necessary.

Ways to care for lips with mild forms of “jamming”.

First you need to saturate your body with vitamins A, E, B. To do this, your diet changes. You should eat more nuts, chicken, dairy products, oatmeal, lettuce, and pomegranate. a doctor's prescription, you can take one tablet of the vitamin complex. However, fast carbohydrates should be excluded from the diet (sweet, sour, smoked foods are removed first). These products can provoke the proliferation of bacterial flora on the lips. For the time being, cosmetic procedures in salons are being abandoned. To relieve dryness, lubricate lips with regular Vaseline. You are required to use your own personal hygiene items. It is important to change your toothbrush to a new one.

Medicines.

If bleeding cracks appear, or there are wounds under the formed crust, you need to lubricate them with salicylic acid or treat your lips with hydrogen peroxide. Then apply a solution of iodine or brilliant green to the wounds. You can also use antiviral ointments (Acyclovir, Zyrtec) from a doctor You can also lubricate dry areas with Bepanten. There is no need to take any pills without the advice of a specialist. The first aid for children will be tetracycline ointment, Miramistin solution.

Folk remedies.

At home, you can prepare the following types of remedies to treat “jam”. To make an ointment, you will need to mix a spoonful of honey and a few drops of fish oil. Apply this mixture to the corners of your mouth until it heals. The resulting ointment should be stored in the refrigerator. A mixture of honey, olive oil and aloe juice will also help overcome seizures. The product is prepared in a 1:1 ratio. Gauze is smeared with the solution and applied to the infected area. After lubrication, discard. It is important to use disposable lotions.

Propolis is an undoubted helper for such a disease. It is rich in its healing properties against infectious diseases. Has an anti-inflammatory agent. You need to mix silent propolis with butter. Heat in a water bath. Then strain. You need to lubricate the wounds with this oil for several days. Cracks in the corners of the mouth will begin to disappear. But you should not rely on any folk remedies. It is very important to seek treatment from a doctor . Ointments prepared at home are often suitable as additional care during therapy .

So, an illness in the form of a “jam”, on the one hand, is a common sign of a lack of vitamins. But, at the first symptoms, you need to consult a therapist or dermatologist . Get tested for microflora and find out the reason for their formation. diet, treatment for “jam” will end in 2 weeks.

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Additional measures and prevention

In addition to therapy that eliminates the cause, auxiliary therapy is required to prevent relapses. Vitamin ointments Panthenol and Bepanten, providing the skin with additional pantothenic acid. Vitaon (one of Karavaev’s balms) is a complex complex based on plant substances (essential oils, calendula, fennel, rose hips, pine, chamomile, mint, St. John’s wort, etc.). Vitaon accelerates regeneration processes, inhibits the development of inflammation and has a slight antiseptic effect. Zinc paste creates good protection against excessive evaporation of moisture from the epidermis and protects against re-entry of microorganisms. And of course, you need proper, fortified nutrition. Skin health is primarily affected by a lack of vitamin B2 in food.

Diagnostics

After a physical examination with the collection of complaints, a visual examination of the oral cavity and problem areas of the skin, and clarification of the supposed causes of the pathology, appropriate diagnostic measures will be prescribed aimed at identifying the disease that led to such manifestations

Necessary diagnostic methods:

Bacterial seeding of the contents of conflict with identification of the pathogen and determination of its sensitivity to chemotherapeutic drugs.
Analysis of immune status to determine functional and quantitative indicators of the state of the immune system.
Serological studies. Prescribed to identify the cause of seizures, for example, to determine antibodies to the pale spirochete that appear with syphilis.
Dermatoscopy is a visual assessment of pathologically changed areas of the skin using a digital or optical dermatoscope, which repeatedly magnifies the tissue being examined. The study is necessary for the differential diagnosis of a seizure with a nevus, malignant neoplasm, hemangioma, etc. Prescribed for suspected streptococcal impetigo.
Skin pH-metry is a diagnostic method that allows you to determine the acid-base balance of the skin using special pH meters. The disease is detected depending on whether the displacement has occurred into an alkaline or acidic environment. Alkalinization of the epidermis occurs in eczema and atopic dermatitis. A shift to the acidic side indicates psoriasis.
Histology and cytology of altered skin. These are optional studies carried out according to indications to exclude an oncological process.

Based on the suspected cause of the cracks, you may need to consult a venereologist, endocrinologist, neurologist or allergist.

Treatment methods

The treatment plan for cheilitis is developed individually, depending on the form of the disease, the severity of symptoms, and the characteristics of the health condition. Thus, in the treatment of the exfoliative form of the disease, the key element of effective treatment is the impact on the psycho-emotional sphere: you will need to contact a neurologist or psychoneurologist to prescribe sedatives and antidepressants according to indications. Consultation with an endocrinologist may be required.

Local treatment may involve the use of laser or ultrasound physiotherapy, local anti-inflammatory drugs, and less commonly, radiation therapy. Elimination of excessive dryness is possible with the help of hygienic lipsticks. To speed up recovery, the doctor may prescribe vitamin therapy, UVOC and other methods of maintaining the body's defenses.

Therapy for glandular cheilitis consists of using local anti-inflammatory agents. Antibacterial, antiviral, and hormonal ointments can be used. A radical method of therapy is electrocoagulation of the salivary glands or their surgical removal, as well as laser ablation. These methods are used when conservative methods are ineffective. After the main course, the doctor will prescribe medications to prevent relapses - they will eliminate dry or weeping skin. It is important to sanitize the oral cavity in a timely manner and undergo professional teeth cleaning.

Treatment of atopic cheilitis consists of eliminating irritating factors. Drugs with antipruritic and anti-inflammatory effects can be used locally, and therapy with antihistamines with a systemic effect is also carried out. The use of glucocorticosteroids allows you to get quick relief, but it is important to strictly adhere to medical prescriptions - they can only be used for a short time. It is important to follow a hypoallergenic diet and remove allergenic foods from the diet.

Therapy for meteorological cheilitis begins with limiting harmful effects, for example, insolation. Local treatment is usually carried out - the doctor prescribes hormonal agents and protective creams, including those with SPF. The course of treatment is supplemented with vitamins - vitamin-mineral complexes or individual preparations (B, PP, C, etc.).

In the treatment of macrocheilitis, immunocorrective and antiviral therapy is of particular importance. The doctor may prescribe:

hormonal anti-inflammatory drugs of systemic action;
novocaine blockades;
antihistamines, etc.

Laser therapy can have a positive effect on the correction of the entire triad of symptoms. Other physical therapy methods have been successful in treating facial neuritis.