How to treat exfoliative cheilitis?

Written by Tian Hua
Otolaryngology
Updated on September 25, 2024
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Treatment for exfoliative cheilitis involves identifying and removing potential causes, avoiding external irritants, and correcting bad habits with local medication treatment. For mild cases, apply honey, glycerin, petroleum jelly, silver nitrate ointment, or zinc oxide ointment externally. In severe cases, apply corticosteroid cream externally, consider surgical removal for those with epitheliomatous hyperplasia, and treat with helium-neon laser irradiation and superficial X-ray irradiation. Drug treatment shows significant short-term effects, but often recurs and is difficult to cure completely. (Note: Specific medications should be used under the guidance of a doctor.)

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Is metronidazole effective for cheilitis?

Patients with cheilitis will not see therapeutic effects from taking metronidazole. There are many causes of cheilitis in clinical practice. Once diagnosed with cheilitis, patients should first eliminate any irritating factors, such as frequent licking or biting of the lips, which should be corrected. In dry or cold weather, extra attention should be paid to applying lip balm or doing local moist compresses to keep the lips hydrated. If cheilitis is caused by exposure to sunlight or other similar reasons, patients should focus on sun protection to avoid prolonged sun exposure. In such cases, since there is no bacterial infection, taking metronidazole will not be effective in treatment.

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Written by Li Cui
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Do you need to take antibiotics for cheilitis?

Cheilitis is common in clinical settings and can be caused by various factors, including some that may be allergic in nature, requiring the intake of antiallergic medication as anti-inflammatory drugs are ineffective. Common antiallergic medications, such as loratadine, can provide significant anti-allergic effects. Topically, anti-allergic medications like dexamethasone acetate cream can also be applied to achieve a certain level of anti-allergic effect. For patients with contact cheilitis, it is recommended not to use antibiotics, as they generally do not have a significant effect on local lip inflammation. It is suggested that patients apply erythromycin ointment locally, which can also provide a good anti-inflammatory effect. The inflammation occurs at the epidermal extremities of the lips, and orally administered antibiotics, when they reach the lips, are usually at a low concentration and do not provide an effective anti-inflammatory effect. It is advised that patients primarily focus on local care, paying attention to the protection of the lip area and keeping it relatively moist. (Medication should be used under the guidance of a professional doctor.)

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Written by Li Cui
Dentistry
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What should I do about recurrent cheilitis?

There are many types of cheilitis, and when patients experience recurrent cheilitis, it is recommended that patients first understand the type of cheilitis. It is commonly seen in allergic cheilitis or some contact cheilitis, or some chronic cheilitis, and different types of cheilitis have different treatments. If it is allergic cheilitis, a little anti-allergy medication, such as loratadine, can be used. Taking one tablet before bedtime each day, usually for two or three days, can be very effective. If it is a type of chronic cheilitis, such as irritation from strong light or other detrimental irritations, such as the patient frequently licking with their tongue, being in a chronically moist environment, it will not heal easily. For this type of cheilitis, in addition to applying some anti-inflammatory ointments or recombinant human epidermal growth factor gel locally, both can be very effective, but the patient must not lick it with the tongue. Licking it afterwards can cause some of the moisture in the lips to evaporate, leading to slow healing of the lips. (Please use medications under a doctor's guidance.)

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Written by Li Cui
Dentistry
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Can the melanin left by cheilitis be removed?

When a patient has recovered from crusted cheilitis, their lips might appear slightly darker in color. This condition generally improves over time. It is recommended that patients should not be overly concerned and can apply some aloe vera gel or vitamin E appropriately. These can effectively eliminate pigmentation from scars and aid in the recovery of scar coloration. Additionally, if a patient develops cheilitis, it is crucial to maintain local hygiene and avoid infections. Persistent infections and inflammation can increase local irritation and potentially damage some soft tissues, leading to worsened scarring. Patients are advised to maintain a light diet.

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Dentistry
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Can applying honey on the lips relieve cheilitis?

Applying honey on the lips can have a moisturizing effect and alleviate dryness. When patients suffer from cheilitis, it is recommended that they undergo anti-inflammatory treatment. Applying some anti-inflammatory ointment locally can be very effective. For this condition, it is generally advised that patients identify the cause of the lip inflammation and treat it accordingly. Removing some of the triggers can effectively alleviate cheilitis. Regularly maintaining lip moisture by applying lip balm or glycerin can also be very beneficial.