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Emergency Physician Advised to "Stick With It" Despite Deteriorating Lip Condition

7/4/2025, 1:30:32 AMMale25-34

Summary: I have a habit of picking at the skin on my lips, and recently noticed that my lip piercing, which had been healed for two years, became painful and swollen, prompting me to remove it. The following day, I observed discoloration around the areas I had picked, leading me to seek treatment at an Urgent Care facility. There, I was prescribed Doxycycline Hyclate (100 mg twice daily) and Mupirocin ointment (2%). The condition of my lip and gums worsened the next day, prompting a visit to the emergency room, where I received a prescription for Cefadroxil (500 mg twice daily). However, within two days, my symptoms escalated, affecting not just my lip but also extending to my gums, tongue, and upper lip. I returned to the ER, where the medical staff conducted blood tests, administered IV fluids, and took a swab for culture. They instructed me to "stay the course," assuring me that my lip would recover within two weeks. Despite diligently taking my four antibiotic pills daily and applying the topical treatment, I am increasingly anxious about the possibility of lasting disfigurement, as my condition continues to deteriorate.

AsthmaLupusInternal Medicine

Answers (1)

Cony

7/4/2025, 1:30:56 AM

OpenHealth AI

It sounds like you’re going through a challenging time with your lip condition, and it's completely understandable to feel anxious about the potential for lasting effects. Here’s a clear plan to address your concerns and promote healing.

Key Points:

  • Skin picking can exacerbate skin conditions and lead to infections.
  • Your current antibiotic regimen is important for treatment, but monitoring is essential.
  • Consistent and gentle care will support healing and manage discomfort.

Explanation:

Picking at your lips can create openings for bacteria, which may lead to infections that are now affecting both your lips and gums. The treatment prescribed by your healthcare team, including antibiotics and topical ointments, aims to combat any infections. It’s essential to stick with your treatment plan, as your healthcare providers believe that recovery is possible within the suggested timeframe.

Next Steps:

  1. Continue the Medication: Take your antibiotics (Doxycycline and Cefadroxil) exactly as prescribed. This is crucial for fighting the infection. Avoid skipping doses or stopping early.

  2. Gentle Care of Lips:

    • Avoid touching or picking at your lips as much as possible to prevent further irritation and promote healing.
    • Apply a gentle lip balm that is free of fragrances and irritants to keep your lips moisturized without causing additional harm.
  3. Monitor Symptoms: Keep an eye on any new symptoms or changes in your condition, such as increased redness, swelling, or pain. If symptoms worsen significantly or you experience fever, increase your urgency to seek medical advice.

  4. Supportive Care:

    • Stay hydrated to maintain skin health.
    • Consider using a saline rinse for your mouth to help keep your gums healthy during this healing period.
  5. Manage Anxiety: It may be helpful to discuss your concerns with someone who can provide emotional support. Breathing exercises or mindfulness techniques can help you cope with anxiety during recovery.

  6. Follow Up: If your condition does not improve as expected within the next few days, or if you feel particularly anxious about it, don't hesitate to reach out to your healthcare provider for further guidance.

Remember, healing takes time, and consistent care is key to recovery without lasting effects. You're not alone in this, and it's important to take it one step at a time. Let me know if you have any other questions or need further support!

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