Herpes
is a viral disease. One of the most well-known manifestations of a herpes infection is small, clear, painful blisters on the lips. Previously, in such a case they said “a cold on the lip popped up”, now they more often talk about “herpes on the lip”.
However, the family of herpes viruses is quite large. There are several types of herpes virus that can infect the human body. The most studied types are:
- herpes simplex virus type 1
(HSV-1). It is he who is responsible for pimples on the lip. HSV-1 primarily affects the mucous membranes of the lips, oral cavity and nasopharynx. Herpetic rashes can also appear within the nasolabial triangle (in particular, on the wings of the nose), less often on the cheeks and other parts of the face. Recently, HSV-1 quite often becomes the cause of herpetic lesions of the genital area, where it is introduced through oral sex; - herpes simplex virus type 2 (HSV-2) – genital herpes
. Main manifestations: redness, the appearance in the area of redness of bubbles filled with liquid, tending to merge, the appearance of erosions and crusts at the site of the bubbles, itching, headache and muscle pain, increased urination; - chickenpox virus
(varicella) is a type 3 herpes virus. In people who have already had chickenpox, this type of virus causes herpes zoster. Therefore, this type of herpes is also called Varicella-Zoster; - Epstein-Barr virus
(Epstein-Barr viral infection - EBVI) is a type 4 herpes virus. It is the causative agent of mononucleosis, causes malignant diseases of lymphoid tissue, and is considered the cause of chronic fatigue syndrome; - cytomegalovirus
– herpes virus type 5. The virus poses a threat to children during fetal development. May affect internal organs.
Causes of herpes
Herpes simplex virus type 1 (HSV-1) can be transmitted through household contact. Airborne transmission is also possible.
The airborne route is the main route of infection with the varicella zoster virus.
Genital herpes and cytomegalovirus are transmitted sexually.
You can also become infected with herpes through blood or saliva. The virus can be transmitted through saliva through kissing. Small children who put things in their mouths every now and then are also very vulnerable. If at least one child in a children's group is infected, a rapid spread of the infection can be expected.
How to remove white dots on lips - treatment depends on the cause
What the white dots mean must be determined by the doctor - and only after that can treatment begin. Three methods are usually used: medication, surgery and folk remedies.
Drug treatment of whiteheads
Under no circumstances should you cut off, open with a needle or burn such formations on your lips yourself - this is fraught with the formation of wounds, ulcers and infection. The doctor will be able to select effective medications, taking into account the diagnosis:
- for Fordyce syndrome - Suprastin tablets, Fenistil gel, D-Panthenol cream;
- for herpes - Acyclovir ointment, Panavir gel;
- for dysbacteriosis - jojoba oil (to lubricate the lips), orally - "Acipol" or "Bifidumbacterin" (to restore intestinal microflora).
All medications are selected by the doctor, who also indicates the duration of therapy, and it can take several weeks.
Surgery
If conservative treatment does not give positive dynamics, then doctors can change the tactics of their work. How are white spots on the lips treated surgically? For this purpose the following are used:
- cryotherapy – removal of the problem area with liquid nitrogen; the procedure can be complicated by the formation of scars on the skin;
- electrocoagulation - “drying” white spots using high frequency current;
- laser therapy - the use of a laser beam that excises spots;
- Radio wave therapy is the most painless and non-traumatic method; after it there are no marks left on the skin.
The most difficult procedure is the one that uses liquid nitrogen. It is not only painful, but also requires multiple sessions. As a result, dense scars may form, which in the future will require the intervention of plastic surgeons.
Even if white spots on the lips do not bother you, you should seek help from a doctor and find out the true reason for their formation. The skin reacts to the slightest changes in the body; perhaps they are the first symptom of serious problems with the functionality of internal organs and systems.
Herpes symptoms
Currently, most people are infected with some type of herpes virus. It is believed that antibodies to the Epstein-Barr virus can be detected in almost every adult (up to 98% of the adult population of the Earth). Antibodies to herpes simplex virus type 1 are detected in 90% of the adult population of large cities.
However, as a rule, carriage of a herpes infection does not lead to the development of the disease. The herpes virus is activated when the body's defenses decrease. The weaker the immune system, the more likely the virus is to transition from dormant to active.
That is why the herpes simplex virus type 1 is popularly called “cold on the lip.” The appearance of herpetic rashes is usually preceded by a common runny nose, that is, ARVI. The disease weakens the immune system, which is what the herpes virus takes advantage of.
Symptoms of herpes simplex
When infected with herpes simplex virus type 1, the incubation period ranges from 1 to 8 days. Typical symptoms: chills, fever up to 39-40°C, headache, general weakness and drowsiness. Then redness appears, in place of which characteristic bubbles form. When the oral mucosa is affected, blisters are usually found on the inside of the lips, tongue, and less often on the palate, palatine arches and tonsils. Bubbles appear at the site where the virus enters the mucous membrane. Subsequently, the bubbles burst, leaving behind painful erosions.
The disappearance of symptoms does not mean complete recovery. The virus remains in the body and after some time (in conditions of decreased immunity) a relapse of the disease is possible. Relapses can occur 1-3 times a year for several years and even decades.
Symptoms of genital herpes
The incubation period of genital herpes lasts from 1 to 10 days, after which itching (burning) may be observed in the areas of future rashes. After which swelling appears, and then groups of bubbles appear on the mucous membranes of the genital organs. The inguinal lymph nodes are enlarged. The blisters burst and erosions and ulcers form in their place. The process can last from two to five weeks.
Relapse of the disease is possible within two weeks after the initial lesion. Relapses occur in at least half of those who have recovered from the disease.
What are acne types?
Pimples on the lips can differ noticeably from each other, both in appearance and in the problems they indicate. Let's look at the options that are most common:
- White pimple on lip. It appears in the form of a small abscess, indicating the presence of infections and inflammatory processes. In most cases, the cause is blockage of the sebaceous glands. The disease does not look very pleasant, and over time it brings more and more inconvenience to its owner. You can get rid of it by using special cleansing procedures - scrubs, masks, available ready-made pharmaceutical preparations.
- Watery pimples. This is usually a manifestation of herpes. Initially, when the disease first appears, it appears as if there is a pimple on the lip with clear liquid inside. Over time, it will change color and become cloudy, and eventually burst - it contains a large number of pathogenic organisms that can spread the virus, cause either re-infection or its transmission to another person.
- Red pimple. Occurs in several cases. It can form as a cold on the lips, after which herpes appears - then the inflammation transforms into another version of the disease. It happens that a red pimple appears due to a person being in a draft. In this case, it is necessary to use ointments to eliminate the manifestation. Treatment can take up to three to four days. Another option is lip biting. Due to some sudden movements, a person bites his own lip - blood can accumulate under the skin and become baked. The result will be a red pimple on the lip. The solution is quite simple - scrubbing your lips to remove dead skin and remove any existing ridge. However, this takes time. There is no need to open this area yourself to avoid introducing an infection there.
Any of these acne is manifested by pain, itching, burning. There can be many reasons for the appearance, but in most cases there is an activation of herpetic infection. Look at the growth - if a pimple with liquid appears on the lip or near it, and this phenomenon happened at least once, then after that it will appear again and again due to a severe weakening of the body, existing diseases, hypothermia.
Practice shows that there is not yet one universal drug that can easily relieve a patient of the herpes virus, the causative agent of the disease. The virus itself is located in the cells of the nervous system. But there are medications that will help prevent its manifestation during an exacerbation.
Pimples on the lips occur not only on the outside, but also on the inside - then you need to look for the cause during a visit to the dentist's office. In most cases it will be stomatitis. It rarely causes complications, but makes it impossible to eat normally, since formations in the mouth cause a lot of pain and discomfort.
Methods for diagnosing herpes
Diagnosis of herpes is carried out, first of all, on the basis of examination of the patient, since herpetic rashes have a certain specificity. However, your doctor may order laboratory tests. Laboratory tests can detect infection even in the absence of obvious manifestations.
Herpes test
Be prepared that if you suspect a herpes infection, the doctor will write a referral for a blood test, which will determine the presence of antibodies to the herpes virus in the blood. Based on the results of the analysis, it will be possible to judge not only the presence of the pathogen, but also its activity.
More information about the diagnostic method
Sign up for diagnostics To accurately diagnose the disease, make an appointment with specialists from the Family Doctor network.
Known methods of struggle
Depends on what the root cause of the disease is. Let's look at the main options:
Pimples caused by dirt
Most often they resemble pustules, and to eradicate it is necessary to stop using lipstick and not to mask the inflammation. The latter action can only aggravate the problem, and the acne will become even larger. If the growth is small and you are not in a hurry to go on a date, then you just need to leave it alone, after treating it with alcohol or lotion. A few days will pass and he will disappear. If you need to resort to urgent measures, and the pimple is annoying, you will have to squeeze it out. However, this must be done carefully! You can squeeze out a pimple only if you can see where its head is. An immature pimple cannot be eliminated, because the infection from it can spread over a large area of skin. Before the procedure, the skin is steamed, and the area itself is treated with an alcohol setting or alcohol. An alternative may be alcohol-based lotion. Afterwards, it is necessary to remove the formation and treat it again so that the wound does not get infected.
Use of antiviral ointments
There are a lot of them, the most famous are Zovirax and Acyclovir. However, they also have many analogues.
You can use alcohol or alcohol-based tinctures. The method is a variant of cauterization; it will help stop the growth of inflammation and allow it to dry quickly.
Treatment methods for herpes
Treatment of herpes is aimed at suppressing viral activity, as well as increasing immunity. Oral and topical medications may be prescribed.
The selection of drugs is carried out by a doctor depending on the type of disease (type of infection), as well as on the location of the lesion.
It is impossible to completely eliminate the herpes virus from the body. That is why it is important to always maintain the body’s defenses at a sufficiently high level, and also to prevent re-entry of the virus.
Prevention of herpes
If a person close to you has manifestations of herpes (“a cold has popped up on the lip”), try to ensure compliance with the following hygiene rules:
- use an individual towel and personal hygiene products (soap, toothbrush, etc.);
- be careful with cosmetics: do not use lipstick of a sick person;
- If you have genital herpes, avoid sexual intercourse.
Make an appointment Do not self-medicate. Contact our specialists who will correctly diagnose and prescribe treatment.
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Is it possible for acne to appear on the lips?
Acne is a disease of the sebaceous glands. Since there are very few of them on the red border of the lips, the likelihood of acne forming in this area is low. But acne can form in the area around the lips. If a dermatologist has diagnosed acne, he may prescribe azelaic acid preparations for treatment9. Azelik® belongs to this group of drugs. This is a 15% azelaic acid gel with the following properties5:
- the ability to normalize keratinization processes in follicles;
- anti-inflammatory effect exerted by reducing the metabolism of neutrophils and the free radical forms of oxygen they produce;
- reduction of free fatty acids in skin lipids;
- antimicrobial activity against propionibacteria and Staphylococcus epidermidis.
The results from the action of Azelik®, as a rule, become noticeable after 4 weeks of using the drug5.
Are Fordyce granules dangerous and what harm can they cause to health?
White spots on the lips, caused by hyperplasia of the sebaceous glands or blockage of their ducts, are not dangerous to human health. They are not transmitted sexually or through everyday contact, but only create psychological discomfort in a person who is faced with this dermatological problem.
Wen formed in the epithelial tissues of the lips are not capable of degenerating into malignant tumors. The concentration of sebum in such cysts is insignificant, and the risk of developing an inflammatory process is minimal.
Localization Features
The nature of the location of the neoplasms provides an understanding of what served as the trigger for their development. Accurate diagnosis allows you to select a rational therapeutic regimen. Typically, pimples form under the skin on the inside and outside of the lips.
Under the skin from the inside
The location of white pimples usually indicates the development of an allergic reaction, especially in the absence of pain. The pathogen may be contained in cosmetics or other hygiene products. Diagnosis requires blood and urine tests. It is not recommended to determine the etiology from photographs on the Internet.
Lesions in the inner part of the oral cavity that are randomly located may indicate stomatitis. In this case, the person feels pain, itching and burning. Eating food and drinks provokes feelings of discomfort.
White pimples inside the mouth also form in smokers and people who do not follow hygiene standards. Often, abscesses or small ulcerations form on the inside of the lip.
The main signs of damage include:
- redness;
- discharge of pus;
- discomfort when eating;
- pain when touching the tongue;
- burning sensation.
If tumors develop in a child, you should consult a specialist. The defect may appear on the lip from below. It is usually painted white. The formation of multiple watery blisters is characteristic of stomatitis.
From the outside of the lips
When white pimples are found on the outside of the lips (along the line), herpes is usually diagnosed. New growths are characterized by wateriness. The rash develops very quickly.
The localization of small pimples in the corners of the mouth indicates a lack of vitamins, as well as an imbalance of hormones.
Small pimples caused by blockage of the sebaceous glands on the top of the lip represent wen. The surface of the neoplasm becomes covered with a crust. Pimples contain a yellow substance with a thick consistency. In the absence of therapy, an inflammatory process and suppuration may develop.
Treatment options
The appearance of a boil on the lip usually requires complex treatment, but the cause of its occurrence must first be determined. As part of maintenance therapy, vitamin therapy is recommended to improve immunity. The doctor chooses a specific treatment vector based on the prerequisites for the appearance of the tumor:
- herpes - Acyclovir, Penciclovir or Docosanol ointments are prescribed. All of these drugs are most effective if therapy is started at the redness stage,
- aphthae - first you need to determine the type of stomatitis, and then, based on an accurate diagnosis, you can begin adequate treatment. Antiseptics Inhalipt, Actovegin or Stomatidin are usually prescribed. If it is a fungal form of the pathology, “Mikozon” or “Levorin” is prescribed; if it is an allergic form, “Suprastin” is prescribed.
- boils - local therapy is carried out using antiseptic solutions twice a day until the abscess ruptures. Compresses with Ichthyol ointment are also recommended. In some cases, the formation has to be opened in a hospital setting. Next, the wound is treated with antiseptics and ointment, for example, “Vishnevsky” is applied. Be sure to prescribe multivitamin complexes to strengthen the immune system.
For each specific case, you need to select the appropriate treatment. You
should consult a doctor if the boil has become of an impressive size, if there is a sharp deterioration in the condition, or an increase in temperature. The most important thing is not to try to open it yourself. Only a specialist can do this correctly and without the risk of undesirable consequences.
Preventive measures
As a preventive measure, you should give up bad habits.
Following simple recommendations will help prevent the appearance of white pimples on the lips.
- The diet should be filled with 70% fresh vegetables and fruits. This will help enrich the body with useful microelements, strengthen the protective function (immunity), and ensure the functioning of vital systems.
- Bad habits should be abandoned. Beauty and health are not comparable to smoking and alcohol.
- Fatty, smoked foods , as well as semi-finished products should be excluded from the menu. Their benefits to the body are questionable, but they cause a lot of harm.
- A stable psycho-emotional background creates favorable conditions for the functioning of all systems and organs. It is recommended to introduce morning jogging or evening walks into your usual daily routine. This helps improve your mood and you feel a surge of energy. A hot temper is well corrected by intense or intellectual sports. In addition, it can captivate other family members.
- Compliance with basic rules of hygiene , in particular the oral cavity, prevents the proliferation of pathogenic bacteria and microbes.
- In extreme heat, wind or frost, it is worth taking care of the delicate skin of your lips. To do this, it is recommended to use special cosmetics (ointment, hygienic lipstick, Vaseline, etc.).
Even touching your lips with unwashed hands can trigger acne. Anyone who had the opportunity to examine their hands under a microscope before washing was horrified by the number of microorganisms on the skin after a walk, visiting public places or traveling on public transport.
Causes and symptoms of appearance
Causes of rashes in the lip area include:
- infection of the skin due to poor hygiene;
- inflammatory process in the facial nerve;
- hormonal imbalance;
- long-term use of drugs containing lithium and corticosteroids;
- dysfunction of the sebaceous glands;
- smoking;
- immune system failure;
- allergic reaction to cosmetics;
- sudden change in climatic conditions;
- lack of vitamins;
- pathologies of the gastrointestinal tract;
- presence of herpes;
- dermatological pathologies;
- functional disorders of the nervous system;
- disruption of hormone production by the pituitary gland;
- syphilis;
- stomatitis;
- tuberculous tissue sclerosis.
If the pimple disappears as quickly as it appeared, then there is no need to worry. You should contact a specialist if the tumor is persistent and cannot be eliminated by using over-the-counter medications.
Acne in the lip area may be accompanied by the following symptoms:
- pain when touched;
- redness;
- swelling;
- epithelial proliferation in the affected area;
- presence of cracks;
- increased dryness and flaking;
- secretion of ichor.
Initially, a small swelling forms and turns red. Then it quickly increases and becomes dense. When touched, a small core is felt inside. Then a cap is formed, under which an abscess matures. Once opened, the contents come out.
It is important to differentiate a simple neoplasm from serious pathologies that require timely treatment and pose a health hazard.
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?
White pimples on a child's lips
Examination of a child's lips
If you find white pimples on a child’s lip, you need to pay attention to their number and the nature of their location. If we are talking about one or two points, there is no need to worry. And in case of a profuse rash on the body, you should consult a specialist. This symptom may indicate an allergic reaction of the body or an infectious disease.
Pimples on the lips of children occur due to stomatitis, and most often the body temperature rises and physical weakness is observed. Qualified medical assistance in this situation is simply necessary.
You can even notice white pimples on a newborn baby. This is explained by the hormonal changes that occur in the body from birth to six months. In any case, you should at least see a pediatrician.
Other reasons
A quick solution to the problem depends on a correct diagnosis. This is not easy to do due to the large number of provoking factors. In addition to the main reasons listed, there are others that should also be considered by a specialist during examination.
Causes of white pimples on lips | |
Name | Additional symptoms |
Stomach diseases | Rash on the limbs and abdomen, irregular bowel movements. |
Fordyce granules | The disease is non-contagious and is practically asymptomatic. White spots form not only in the corners of the mouth, but throughout the body. At the same time, they do not hurt or itch. The size of pimples also does not change over time. |
Bad habits | Lovers of alcohol, coffee, and soda always have dental problems: darkened tooth enamel, caries, acne on the lips and skin. The same symptoms are observed in smokers, whose skin color also changes. |
Lack of vitamins and microelements | Ulcers appear in the corners of the mouth, cracks form on the lips, and loose stools appear. |
Consequences of hyaluronic acid injections | On the first day after a cosmetic procedure, white pimples may appear. This is due to an allergic reaction to the components used. |
Intestinal diseases | Abnormal bowel movements (constipation, diarrhea), acne on the body. |
Hormonal imbalances | In addition to acne, the patient has an unstable psycho-emotional background, which is expressed in sudden changes in mood and depression. Women experience menstrual irregularities, physical weakness, and hot flashes. |
Lack of hygiene | A rash appears on the skin; acne can be purulent. Symptoms characteristic of gastrointestinal diseases appear. |
Unbalanced diet | Weakened immunity, frequent colds, exacerbation of chronic diseases. Changes are noticeable to the naked eye: pale or yellowish skin color, acne on the body, intestinal problems. |
Possible consequences and complications
A watery pimple on the lip immediately after its appearance does not cause any abnormalities and is perceived as a harmless phenomenon. However, once enlarged, blister pimples cause a lot of discomfort. They itch and turn red.
If the rash is ignored, patients develop:
- expansion of the area of rashes;
- increased body temperature;
- the formation of a bloody wound on the lips;
- inflammation of the lymph nodes;
- damage to the mucous membranes of the mouth and pharynx;
- sepsis;
- speech impairment and difficulty eating.
A watery pimple on the lip grows within a few hours. With timely and proper treatment, the rash does not grow and goes away quickly. In some cases, to restore the surface of the lips, it is enough to eliminate the allergic trigger or use 1 drug that will quickly restore the patient’s health.