Recurring Lip Fissures and Canker Sores
Hello! I am a 30-year-old female with a surgical history that includes VSG in 2021 and subsequent BL/BA and ETT procedures in 2024. Currently, my medication regimen consists of 400 mg of Lamictal, 50 mg of Prozac, and 60 mg of buspirone. Since around December, I've been experiencing persistent issues with my lips splitting, which then leads to the formation of canker sores. This irritating cycle has occurred approximately three to four times. It seems to heal momentarily but inevitably, the splits return along with swelling. At its peak, I dealt with a cut lip and an astonishing seven canker sores simultaneously. The soreness was compounded by a substantial scab appearing in the center of my lip, though notably not along the border, as would be the case with a cold sore. The pain is significant and rather distracting. Occasionally, ibuprofen offers some relief, and I've been relying on lip balm to keep the area moist and protected. Unfortunately, brushing my teeth often triggers bleeding from my lip, which is quite disheartening. Recently, I consulted with a doctor through telehealth. They prescribed clobetasol, which did expedite healing of the canker sores, but they unfortunately keep recurring. The medication hasn't had a substantial effect on the actual lip splits, which eventually scab over, leaving me feeling self-conscious about their appearance. Is there anything further I can do about this? Thank you!
Answers (1)
3/27/2025, 3:40:36 AM
OpenHealth AI
Main Points: You're experiencing recurring lip fissures and canker sores, which are painful and disruptive to your daily life. Although clobetasol has helped the canker sores heal, it's important to address both the fissures and the underlying causes to break the cycle of recurrence.
Explanation: Lip fissures and canker sores can result from a variety of factors, including dryness, irritation, nutritional deficiencies, and stress. It seems like the use of lip balm and clobetasol has provided some relief but has not completely addressed the issue. Furthermore, since you mentioned that brushing your teeth triggers bleeding, it's essential to consider gentle oral hygiene methods and possible reactions to dental products.
Next Steps:
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Hydration and Lip Care:
- Continue using a moisturizing lip balm, but ensure it is free from irritating ingredients like fragrances and menthol. Look for products containing ingredients like lanolin or shea butter.
- Use a humidifier at home, especially during dry seasons, to keep the environment moist.
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Dietary Considerations:
- Ensure you're consuming a balanced diet rich in vitamins B12, folate, and iron, as deficiencies in these nutrients can contribute to canker sores.
- Consider trying foods rich in these nutrients, such as leafy greens, nuts, seeds, and whole grains.
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Gentle Oral Hygiene:
- Switch to a toothpaste that is free from sodium lauryl sulfate (SLS) as it can irritate sensitive mouths and may worsen canker sores.
- Use a soft-bristled toothbrush and be gentle while brushing to avoid further irritating your lips.
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Stress Management:
- Since you are on medications like buspirone and Prozac, also consider practicing stress-relief techniques such as mindfulness, meditation, or yoga, as stress can exacerbate these conditions.
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Track Triggers:
- Keep a symptom diary noting when fissures and sores appear, as well as any changes in diet, stress levels, or oral hygiene products. This can help you identify patterns or triggers.
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Follow-Up Care:
- Discuss further options with your healthcare provider, as persistent or severe cases might require stronger interventions or evaluation for underlying conditions like autoimmune disorders or allergic reactions.
Let me know if you need more clarification or additional assistance! Your comfort and well-being are important, and addressing these issues is a step towards improving your quality of life.
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