[34F] Concerned about new bump on lip

Patient Description

A 34-year-old female presented with a new, small, soft bump on the vermillion border of her lip, noticed approximately 3 hours prior to the encounter. The bump is flesh-colored, not itchy, and there is no associated redness or discharge. She denies any recent trauma to the area. Additionally, she reports dryness of the lips, particularly at the angles of the mouth and the center, which has been ongoing for at least a week and is exacerbated by cold weather. The dryness is somewhat alleviated by the use of chapstick. The patient has no known allergies, is not on any medications, and has no other symptoms or significant past medical history.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for the bump on your lip include:

  • Mucocele: This is a harmless cyst filled with clear, sticky fluid that can form on the lips, usually as a result of trauma or blockage of a salivary gland. They are typically soft, round, dome-shaped, and are 1-3mm in diameter. They can be the same color as your skin or slightly bluish.

    • Treatment usually involves leaving the mucocele alone, as most will rupture and heal on their own. If it doesn't go away or becomes bothersome, a dentist or doctor may need to remove it.
  • Fordyce spots: These are small (1-5mm), slightly elevated yellowish or white spots that can appear on the lips or the inside of your cheeks. These are actually sebaceous glands (glands that normally keep your skin moisturized) that are visible through the skin. They are completely harmless.

    • Treatment is usually not necessary unless for cosmetic reasons.
  • Lipoma: A lipoma is a slow-growing, fatty lump that's most often situated between your skin and the underlying muscle layer. A lipoma isn't cancer and is usually harmless. The most common symptom is a soft, doughy bump.

    • Treatment generally isn't necessary, but if the lipoma bothers you, is painful or is growing, you may want to have it removed.

What you can do

  1. Keep an eye on the bump. If it grows, changes color, becomes painful, or doesn't go away in a couple of weeks, you should see a doctor.
  2. Keep your lips moisturized. Use a lip balm that contains beeswax or petroleum jelly, which can help lock in moisture and prevent dryness.
  3. Stay hydrated. Drinking plenty of water can help keep your skin and lips hydrated from the inside out.

What you should look out for

Reasons to see a doctor more urgently:

  • If the bump grows rapidly or changes color
  • If the bump becomes painful
  • If you notice any other changes in your lips or mouth, such as sores that don't heal, white patches, or persistent redness

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare provider for a formal diagnosis and treatment.

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People Also Ask


What is a mucocele and how is it treated?

A mucocele is a harmless cyst filled with clear, sticky fluid that can form on the lips, usually due to trauma or blockage of a salivary gland. They are typically soft, round, and dome-shaped. Most mucoceles will rupture and heal on their own, but if it doesn't go away or becomes bothersome, a dentist or doctor may need to remove it.


Are Fordyce spots harmful and do they require treatment?

Fordyce spots are small, slightly elevated yellowish or white spots that can appear on the lips or inside the cheeks. They are sebaceous glands visible through the skin and are completely harmless. Treatment is usually not necessary unless for cosmetic reasons.


What causes lip dryness and how can it be managed?

Lip dryness can be caused by environmental factors such as cold weather, dehydration, or lack of moisture. It can be managed by using lip balm containing beeswax or petroleum jelly to lock in moisture, staying hydrated by drinking plenty of water, and avoiding licking the lips.


When should I see a doctor about a bump on my lip?

You should see a doctor if the bump on your lip grows rapidly, changes color, becomes painful, or if you notice any other changes in your lips or mouth, such as sores that don't heal, white patches, or persistent redness.


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