[18F] With itchy, swollen, and dry lips with numbness and discoloration

Patient Description

An 18-year-old female reports experiencing itchy, swollen, and dry lips despite using chapstick. She describes a tingling sensation, primarily on her top lip, which feels numb upon waking and fades throughout the day but persists. The symptoms are exacerbated by scratching, and she noticed a purple discoloration under her top lip after scratching it with her teeth. These symptoms began yesterday morning. The patient has not used any new products on her lips, eaten any new foods, or experienced any recent changes in her environment. She has not had any recent dental work or injuries to her mouth or lips. She has not tried anything to reduce the discoloration inside her lip. The patient denies difficulty breathing or swallowing, rash or hives on other parts of her body, fever or chills, and changes in her skincare or lip care routine. She has no known allergies, has not started any new medications, and has not consumed any unusual foods recently. She does not have any pre-existing conditions or chronic illnesses and is not currently taking any medications, over-the-counter drugs, supplements, or herbal remedies.

Show More

Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Allergic Reaction: Even though you haven't identified any new products or foods, it's possible to develop an allergy to something you've been using for a while. Allergic reactions can cause itching, swelling, and discoloration.

    • Treatment: Avoid potential allergens, use antihistamines, and apply hydrocortisone cream as directed by a healthcare provider.
  • Contact Dermatitis: This is a skin reaction to an irritant or allergen. It can cause itching, swelling, and dryness.

    • Treatment: Identify and avoid the irritant, use moisturizers, and apply topical steroids if recommended by a healthcare provider.
  • Angioedema: This is swelling beneath the skin, often around the eyes and lips. It can be caused by allergies, medications, or other triggers.

    • Treatment: Antihistamines, corticosteroids, and avoiding known triggers.
  • Cheilitis: This is inflammation of the lips, which can be caused by various factors including infections, irritants, or nutritional deficiencies.

    • Treatment: Keep lips moisturized, avoid irritants, and consider using a lip balm with healing properties.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

  1. Avoid Scratching: Scratching can worsen the symptoms and cause further irritation or infection.
  2. Moisturize: Use a hypoallergenic, fragrance-free lip balm to keep your lips moisturized.
  3. Hydrate: Drink plenty of water to stay hydrated, which can help with dryness.
  4. Avoid Potential Irritants: This includes certain foods, lip products, and environmental factors.
  5. Over-the-Counter Remedies: Consider using antihistamines to reduce itching and swelling. Hydrocortisone cream may also help, but consult a healthcare provider before use.
  6. Use MDandMe: Journal your symptoms, track your progress, and share your notes with your healthcare provider for better insights.

What you should look out for

Seek medical attention if you experience any of the following:

  • Difficulty Breathing or Swallowing: This could indicate a more serious allergic reaction.
  • Severe Swelling: If the swelling worsens or spreads, seek medical help.
  • Persistent or Worsening Symptoms: If your symptoms do not improve or get worse despite home care.
  • Signs of Infection: Such as increased redness, warmth, or pus.

Remember, while these tips can help manage your symptoms, it's crucial to consult a healthcare provider for a formal diagnosis and appropriate treatment.

Show More

1
 Hugs
0
 Comments

Save

4 mo ago

People Also Ask


What could cause itchy, swollen, and dry lips if there are no new products or foods involved?

Even without new products or foods, you can develop an allergy to something you've been using for a while. Other possibilities include contact dermatitis from an irritant, angioedema, or cheilitis due to various factors like infections or nutritional deficiencies.


How can I differentiate between an allergic reaction and contact dermatitis on my lips?

Both allergic reactions and contact dermatitis can cause similar symptoms like itching and swelling. However, contact dermatitis is often localized to the area of contact with the irritant, while allergic reactions might have more systemic symptoms. A healthcare provider can help differentiate between the two.


What are some effective home remedies for managing lip swelling and dryness?

To manage lip swelling and dryness at home, avoid scratching, use a hypoallergenic lip balm, stay hydrated, and avoid potential irritants. Over-the-counter antihistamines and hydrocortisone cream may also help, but consult a healthcare provider before use.


When should I seek medical attention for lip swelling and discoloration?

Seek medical attention if you experience difficulty breathing or swallowing, severe swelling, persistent or worsening symptoms, or signs of infection such as increased redness, warmth, or pus.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback