How to distinguish between "getting heated" and angular cheilitis

Written by Li Cui
Dentistry
Updated on June 06, 2025
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When both "excessive internal heat" and angular cheilitis occur simultaneously, it is necessary to distinguish between them. "Excessive internal heat" is generally a term used in Traditional Chinese Medicine, and patients may experience symptoms like constipation, blistering at the corners of the mouth, sore throat, and inflamed gums, which might indicate an excessive internal fire in the liver. At this time, it is recommended that patients should drink more water, eat a light diet, rest adequately, and develop proper living habits. Additionally, if a patient presents with angular cheilitis, it could be one of the conditions caused by "excessive internal heat." This condition may include localized ulceration, bleeding, inflammation, and cracking at the corners of the mouth. Angular cheilitis could also be due to a deficiency in certain vitamins within the patient's body or due to dry weather conditions. Therefore, it is crucial for patients to seek timely medical attention at a hospital, as different conditions require different treatment approaches.

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Written by Li Cui
Dentistry
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Is angular cheilitis related to staying up late?

Angular cheilitis is somewhat related to patients staying up late. When patients stay up late for a long period, it can lead to the depletion of certain vitamins and nutrients in the body, causing a decrease in their resistance to illnesses. This may result in angular cheilitis or other discomfort symptoms. Therefore, it is advised that patients pay attention to developing good living habits, which are beneficial for their health. If staying up late persistently weakens the body's resistance, it might lead to various diseases. Patients are advised to cultivate good dietary habits. Frequent late nights might also lead to endocrine disorders, reduced resistance to diseases, and bacterial infections, causing other discomforts. Dietary habits should also be light, including more fresh vegetables and fruits, and an appropriate supplement of vitamins and nutrients is recommended. Thus, patients are advised to avoid staying up late as much as possible.

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Written by Li Cui
Dentistry
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How to determine the type of angular cheilitis.

Angular cheilitis is relatively common in everyday life, especially prevalent among children. The most common type seen is nutritional angular cheilitis, generally caused by a deficiency in vitamins due to children’s frequent picky eating, loss of appetite, and malnutrition. The symptoms usually manifest as moist whitish areas at both corners of the mouth, accompanied by ulcers and raw sores. In severe cases, it can spread to the inner mucosa and vary in length. Another type of angular cheilitis is streptococcal angular cheilitis, generally caused by infections from streptococci or staphylococci. This type of cheilitis typically results in erosion at the corners of the mouth, present with horizontal lines, and due to the bacterial infection, localized bleeding, crusting, and pus formation may occur. Local cleansing followed by the application of antibiotic ointments can be very effective for treating this condition. A less common type is fungal angular cheilitis, also known as candidal infection angular cheilitis, typically occurring in children when their immunity is compromised. The moist local environment leads to similar damage at the corners of the mouth, along with whitish erosion. It is crucial to maintain hygiene and boost the child's immune system to manage this type of angular cheilitis.

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Written by Li Cui
Dentistry
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Are the red corners of the mouth angular cheilitis?

When a patient has angular cheilitis, there may be redness, erosion, or bleeding at the corners of the mouth. Thus, when the corners of the mouth appear red, it might be a symptom of angular cheilitis. The symptoms may appear together or individually. Therefore, it is recommended that patients should avoid licking their lips with their tongue and avoid exposure to cold winds. They can apply some erythromycin ointment or glycerin locally for treatment. Avoid eating spicy and irritating foods. If the patient has severe angular cheilitis, dietary adjustments should also be considered. Consuming fresh vegetables and fruits, and eating foods rich in vitamins can help heal angular cheilitis.

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Written by Wang Ji Zhong
Internal Medicine
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What causes angular cheilitis?

We often see cases of angular cheilitis, which occurs when there is inflammation at the corners of the mouth. There are many causes of angular cheilitis, including local irritation such as rubbing the corners of the mouth incorrectly or frequently licking them, as well as a lack of nutrients. A main cause of oral inflammation is a deficiency in vitamin B2, along with infectious factors, and the presence of bacteria and viral microbes. Candida albicans is a common fungal infection in angular cheilitis, along with other factors such as emotional stress, anxiety, mental factors, and immune genetic factors, all of which can lead to angular cheilitis. Therefore, it is important to pay attention to promptly supplementing needed nutrients, eating plenty of fruits, vegetables, and vitamin-rich substances. At the same time, maintaining a good mental state and eliminating irritants in the mouth can help in returning to normalcy.

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Written by Li Cui
Dentistry
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How to eliminate the dark marks left after angular cheilitis has healed?

When patients develop angular cheilitis, a black mark might be left after healing, typically due to hyperpigmentation, which usually improves gradually without a specific effective treatment. It is recommended that patients avoid frequently licking their lips, a habit that should be changed. Alternatively, patients could apply vitamin E capsules locally, which can protect the skin's stratum corneum. Patients should consume a light diet and avoid spicy and irritating foods. Generally, with time, the local discoloration will improve. Therefore, patients are advised not to worry excessively or panic, and avoid frequently touching the area with hands. It is recommended that patients adjust their mindset and develop good dietary and lifestyle habits. (Medication should be used under the guidance of a physician.)