Bites on the lips of the cause. Why lip sticking occurs: treatment with drugs and folk remedies

A jam can happen to anyone. You wake up in the morning, and there is a crack in the corner of your mouth, which both hurts and looks unpresentable, and even increases every day. I would like not to notice her, but that was not the case ... Bugs rarely go away by themselves. And self-medication is practically useless, since there are a lot of reasons for the occurrence of seizures. And some of them are so serious that doctors recommend not to go, but to run to them with this seemingly insignificant problem. How to treat damaged corners and how to care for your lips so that the problem does not recur - in an interview with dermatologist Natalia Zhovtan.

"Not a mouth, but not yet a face"

- Natalia Vyacheslavovna, what is the name of the disease in dermatology, which is simply called "jam"?

- Zayeda is the popular name for a skin condition. And in medical terminology, this is angular cheilitis. It is localized precisely in the corners of the lips. And the lips are such an interesting organ that has a specific structure that distinguishes it from both the skin and the mucous membrane. That is, this is such a borderline state - not yet a mouth, but already not a face, figuratively speaking. So, cheilitis develops just on the red border of the lips - this is the part of the muscles and skin of the face that we see. We call her lips, but in general it is nothing more than a red border, if we recall the anatomy.

- What causes cheilitis?

- There can be many reasons - from the most commonplace to serious precancerous conditions. Only a doctor can assess the situation during examination, when collecting complaints.

- Are there any tests that can confirm this disease?

- Today there are non-invasive research methods such as dermatoscopy. Also, a study is prescribed for pathological microflora - with the help of scraping, when skin scales from the affected area are taken for analysis.

- If we talk about a simple version of cheilitis, what does it most often cause?

- Lips - this is a rather delicate area, which is located in an open area. It is subject to constant aggressive environmental influences and temperature extremes. Cosmetics are applied to the lips - glosses, lipsticks, which often contain harmful chemical components. Smoking provokes the disease, both ordinary cigarettes and newfangled gadgets - electronic cigarettes, vapes. And, mind you, they are most often smoked by very young people. They significantly damage the red border of the lips.

Lipstick without glycerin

- That is, there is practically no natural protection for the lips?

- Unfortunately this is the case. Therefore, everything that injures the red border is potentially dangerous both in terms of the development of cheilitis and the most serious diseases. There is not even a lipid film on the lips, which is on other areas of the skin. Therefore, lips instantly weather in the cold, in the wind, in the open sun.

- And the lips do not have their own mechanism of moisturizing either?

- There are practically no sweat and sebaceous glands on the red border, which would soften or moisturize this part of the face. There are only special glands located in the corners of the lips. Accordingly, the lips are not moisturized. From this and dryness, and cracks. There is even such a diagnosis "meteorological angular cheilitis". It is placed when there is a clear dependence on the environment, for example, on weathering. And the treatment here is very simple: protection and hydration.

Staphylococcus, streptococcus in small quantities in a healthy person is the norm. But with a decrease in immune factors, microorganisms begin to develop.

- That is, you need to constantly wear hygienic lipstick?

- It's not so simple here. Now the question is about the use of lipsticks, their composition and effect on the skin are being studied. And it is increasingly believed that many of them harm the skin. It's about those lipsticks that contain glycerin. The glycerin molecule is capable of attracting water to itself. As a result, moisturizing lipstick has a drying effect. Patients often face this: they smear their lips with hygienic lipstick, getting the opposite effect. Therefore, you always need to carefully study the composition of cosmetics, make sure that they do not contain harmful, aggressive components.

Conditions for seizures

- At some point, bacteria can get into the irritated corners of the lips?

- Both bacteria and fungi ... If we are talking about a bacterial environment, then it often goes together with caries, stomatitis, and then we already see a disease where the infection comes to the fore. And this is no longer cheilitis, but impetigo. But among the people it is all the same - a jam.

- That is, a person "settles" his own bacteria in different parts of the body, including the corners of the lips?

- More often, nevertheless, infection occurs due to non-observance of basic hygiene rules, when they use not entirely clean cutlery and dishes.

- Acidic environments can corrode the skin of the lips? The same pineapple?

- If we are talking about any acidic environment, then yes, it can cause destruction of the surface layer of the skin. But pineapple is a different story. This is a fruit that contains certain substances - enzymes. They are capable of corroding even protein tissue, including the skin of the lips. Nutritionists even have such a joke: it is not known who eats whom: we - pineapple or pineapple - us! When you eat quality pineapple, your tongue tingles. Therefore, the joke has a certain medical basis. Enzymes can actually break down the protein structure of a molecule. But this reaction is not aggressive, therefore, in principle, not dangerous. And an important note: even in an aggressive environment, cheilitis does not develop in everyone. We need certain conditions on the part of the organism itself.

- What conditions?

- Most often these are concomitant diseases. Diabetes mellitus, diseases of the thyroid gland, gastrointestinal tract, which lead to a change in the ph-skin, which in turn makes the development of bacteria comfortable in a certain acid-base environment. That is, when the body for one reason or another leaves the state of stability, then additional problems begin. Including skin.

Natalia Zhovtan, dermatologist:

“There is actinic cheilitis, which is caused by constant exposure to ultraviolet radiation. It is more likely to affect men who stay in the sun for a long time. The crack in the corners of the lips eventually turns into sores that do not heal for a long time. As a result, they can turn into a malignant disease. Trauma and constant ultraviolet radiation can lead to skin cancer. Therefore, sun protection is now more relevant than ever ”.

—It turns out that seizures tell us that there are problems with the immune system?

- It can be a reaction to a weakened immune system, and an independent disease, and a secondary manifestation of another disease. This is very important to understand, because how to treat depends on it.

- An experienced doctor will immediately determine what this option is?

- In principle, the diagnosis is not difficult. If there is erosion, cracks - all this is angular cheilitis. And then we deal with the details. If, for example, the problem is caused by atopic dermatitis, a concomitant disease in an adult or a child, then there is no need for antibiotics, antifungal drugs. Most likely, anti-allergic agents will be needed here.

- And if it's still a fungal disease, where can a person get it? For example, can you get infected in the cafeteria? And most importantly - is it transmitted from person to person?

- Most often, this kind of seizure is caused by a candidal fungus - candida. It spreads easily and quickly, because in the area of ​​the corners of the lips there are ideal conditions for it. It is always humid there, obese people have folds of skin ... You can get infected from a sick person through direct contact, as well as when using poorly washed dishes in public catering. But you just don't need to paint yourself a picture that mushrooms live in cafes and restaurants! (Laughs.) Each person's skin surface has its own microbiome. It is a community of beneficial or harmful microorganisms, including fungi. And under certain conditions - and most often it is diabetes mellitus, hormonal, endocrine disorders, immunodeficiency, HIV, and other diseases that require suppression of immunity - pathogenic microorganisms begin their vigorous activity, since the immune system is no longer able to restrain them.

- That is, your own mushrooms are growing?

- Exactly, and it looks like erosion, a whitish plaque on the skin in the corner of the mouth - that is, the picture is specific, so the doctor can easily diagnose "candidal cheilitis" and prescribe treatment. This version of the jam does not bother to disguise itself as something else.

- If the disease is bacteriological, is it somehow different from this option? They say that the same streptococcus is very difficult to treat.

- Everything is really being treated. Staphylococcus, streptococcus - these microorganisms are present in small quantities in a healthy person. And this is the norm. But under certain conditions, with a decrease in immune factors, microorganisms begin to develop. As a result - either streptoderma or impetigo. Skin diseases, which are also called seizures, but the nature of their occurrence is precisely bacteriological. They develop in conditions of injury and reduced immunity.

Do not self-medicate

- From everything that you have told, the conclusion is unambiguous: you cannot diagnose yourself on your own ...

- Self-medication is impossible here. Patients suffer for months, prescribing vitamins, healing or even hormonal ointments ... But until the true cause of the disease is found out, there will be no results of treatment. It is all the more dangerous and irresponsible to "prescribe" antibiotics to oneself. Medicine is faced with the problem of resistance to existing antibiotics. This is the scourge of health care. Therefore, before prescribing an antibacterial ointment, crops are taken from the corners of the mouth, find out what microorganisms "live" there and which antibiotic they are most sensitive to. Only after this does the doctor have the right to prescribe treatment.

Not all hygienic lipsticks are equally good for the lips, sometimes they can provoke inflammation in the corners.

- What is included in the prevention of cheilitis?

- In the first place - moisturizers. But without glycerin, as I said. Sunscreens are required. There are lipsticks that contain UV filters. And banal, but very important advice: at the first manifestations of the disease, consult a doctor as soon as possible. Do not self-medicate, do not smear the picture. The sooner you contact, the clearer the doctor will be what is happening to you.

- How much time can you give for such a treatment option as “it will go away by itself”?

- Not more than a week. Ten days at most. If during this time there is no regeneration and complete recovery - to the doctor!

Why toothpicks are dangerous

- They say that dermatologists scold toothpicks very much: people have a habit of rubbing them in the corner of their mouths, and then they make a problem like seizures.

- Toothpicks are harmful in two ways at once. When a wooden stick is rubbed against the skin, the integrity of its cover is damaged. And the tree retains bacteria well on itself. And plus a favorable environment around the mouth - moist and warm. For the rapid reproduction of the infection, there are simply excellent conditions here!

- Can a toothbrush be a traumatic element?

- Toothbrushes have smooth edges, sufficiently soft surfaces, so they should not injure the red border of the lips. Unless, of course, you open your mouth too wide when brushing your teeth. There are certain hygiene requirements for a toothbrush, which are usually voiced by dentists. Basically, they are familiar to everyone: the brush should be changed regularly, it should be individual, and so on.

Lip sticking is not only a cosmetic defect, but also a symptom of various diseases. Therefore, a study of the causes of the appearance of a jam and their treatment is necessary. In this article, we will study the possible causes that led to their occurrence, list the diagnostic methods, learn how to choose the appropriate drugs for treatment, and study alternative methods of treatment. As a result, you will be able to independently figure out the causes of jam in the corners of the lips, you will learn how to cope with this alarming symptom of the body.

Definition of disease

Lip sticking is also scientifically called anglitis or angular stomatitis. This is a violation of the integrity of the skin and mucous membrane in the corners of the lips. Depending on the cause of the occurrence, it can be sores, bleeding wounds, lesions with a grayish coating, they cause significant discomfort, and may be accompanied by itching.

Seizures almost never occur on their own, but are the result of a malfunction of the body or a viral, bacterial, fungal disease. Therefore, it is extremely dangerous to ignore such an obvious symptom. More often, seizures occur against the background of a weakened immune system.

Causes of occurrence

Sticks on the lips, depending on the cause of the occurrence, have a different nature, manifest themselves in different ways and are treated accordingly. Let's consider the most common reasons:

Bacteria

Bacterial manifestation in the form of jam occurs in people with weakened immunity. Normally, various microorganisms are present in small quantities on the skin and mucous membranes of a person, including bacteria. When immunity in the body is lowered, the number of bacteria is no longer controlled, and they begin to multiply vigorously, causing damage to the skin and mucous membranes. Seizures of a bacterial nature provoke staphylococci and streptococci, which are also normally present in the microflora. So do not be intimidated by the terrible diagnoses after the study.

Fungal infection

Fungi, in particular Candida, are also conditionally pathogenic flora; they are present in small amounts on the skin of a healthy person. Seizures caused by fungal infection are rarely local. As a rule, they are accompanied by oral candidiasis - a fungal infection of the tongue. Seizures of a fungal nature are accompanied by a white bloom. Long-term use of antibiotics - "Cefazolin", "Ceftriaxone", "Doxycycline", "Hemomycin", "Sinulox" and others can provoke a fungal infection of the mucous membranes. Also, the development of the fungus provokes diabetes mellitus.

Viral infections

The most common viral infection on the lips is the herpes virus. Herpetic lesions can also appear in the corner of the mouth. But it can also be distinguished visually. First, it is a transparent bubble, which after a while turns yellow, then bursts, turns into an ulcer, becomes covered with a crust and does not pass for a long time. Such a virus can recur many times and become aggravated with a decrease in immunity.

Anemia

Anemia is a deficiency of red cells in the blood when the hemoglobin content decreases. This is most often due to iron deficiency. The main symptoms are pallor of the skin, weakness. Anemia immediately affects the skin (dryness is noted), nails and hair (they become brittle), and seizures also appear. Here, therefore, bacteria develop in the beneficial environment of the wound.

Avitaminosis

Lack of vitamins in the body, unbalanced nutrition, also affect the skin. All this provokes dry skin and fragility of blood vessels. A deficiency of vitamin B2 or riboflavin, which promotes metabolism and is responsible for the absorption of proteins, fats and carbohydrates, is especially harmful to the skin, and stimulates the absorption of oxygen by skin cells. With vitamin deficiency, the growth of bacterial flora also develops in the affected areas. That is, seizures are formed from dry skin and fragility of blood vessels, and bacteria then multiply in the wounds.

Mechanical injury and damage

A wound in the corner of the mouth may be primary, and only then bacteria will begin to multiply there. This happens when some teeth are missing or crowns or dentures are not properly installed, when the teeth regularly touch the corner of the mouth. The reason may also be an incorrect bite, which, in addition to mechanical rubbing, can provoke excessive salivation and the corner of the mouth will be irritated by saliva, which entails a violation of the integrity of the skin and the development of bacterial lesions.

Diseases of the teeth

As you know, with caries, pulpitis, stomatitis and other diseases of the teeth and gums, bacteria multiply in the oral cavity, which can spread to the mucous membrane of the corners of the mouth. As a result of the multiplication of bacteria, skin inflammation, or seizures, appears.

Allergic reactions

Biting in the corners of the mouth also occurs when the body responds to any allergens, for example, honey, animal protein, and so on. At the same time, the immune system releases antibodies and provokes inflammation.

Doctor dermatovenerologist Makarchuk V.V. will tell you about the reasons for the appearance of seizures:

Prophylaxis

Seizures are most often a consequence of a weakened immune system, if we do not take into account functional diseases such as anemia and mechanical injuries. Therefore, in order to avoid the occurrence of such lesions, it is necessary to strengthen the immune system and avoid provoking factors. To do this, follow these simple rules:

• adhere to a balanced healthy diet, eat fractionally, maintain a balance of proteins, fats and carbohydrates, give up foods high in sugar, replace sweets and baked goods with fruits;
• try not to overcool, dress for the weather to avoid colds;
• timely treat chronic diseases such as gastritis, cholecystitis, pancreatitis;
• make regular preventive visits to the dentist;
• connect moderate physical activity - running, swimming, walking;
• walk in the fresh air more often.

Diagnostics

Diagnosis of such a small lesion is very difficult and goes through several stages to identify the root cause.

• The initial visual examination is performed by a dermatologist.
• Then a smear is taken to determine the bacterial flora - they reveal what is multiplying there - staphylococci or streptococci.
• Then take the sowing of the fungal flora. Find out if Candida is present in the lesion.
• If the rash visually resembles a viral manifestation, a diagnosis of viral infections is performed. It can be a smear for ELISA - DNA of virus cells, or blood from a vein for PCR analysis - detection of antibodies to viruses in the blood.
• To rule out diabetes mellitus, blood sugar levels are measured.
• To determine the presence of anemia, a general blood test is done, hemoglobin indicators are studied and the general formula of the blood composition is evaluated.
• To determine allergic reactions, the level of eosinophils in the blood is considered - leukocytes, which produce antibodies to allergens.
• To exclude occlusion of the bite, carious lesions, incorrectly installed dental implants, you must contact your dentist.

The sequence of diagnostics is prescribed by a dermatologist after a visual assessment, since the appearance of a jam in the corners of the mouth can suggest their cause.

Treatment

Treatment for lip sticking directly depends on the underlying cause. Directly local lesion on the lips is treated topically, with the help of ointments and creams.

Bacterial seizures

They arise with low immunity, vitamin deficiency, mechanical injuries and diseases of the teeth and gums. First of all, it is necessary to eliminate the root cause - dental treatment, correction of malocclusion, and so on. For treatment, the following are prescribed:

• Vitamin therapy can be complex preparations (Vitrum, Complivit, Supradin) or monotherapy with vitamins B2, B6, B12, C, E.
• Antiseptic agents for the treatment and disinfection of lesions: Miramistin, Chlorhexidine.
• Antibiotic ointments: "Levomekol" with the antibiotic chloramphenicol and methyluracil (an immunostimulating component). "Tetracycline", an ointment based on the antibiotic of the same name.
• Perhaps the appointment of local ointments containing glucocorticosteroids - these are hormonal agents that quickly relieve inflammation and promote healing, for example, "Trimistin". This is an ointment based on the corticosteroid triamcinolone and disinfecting miramistin.

Treatment for fungal infections

If the nature of the lip sticking is fungal, then antifungal drugs are prescribed accordingly:

• with extensive fungal infections of the oral cavity, systemic antimycotic drugs or antifungal drugs in the form of tablets are prescribed. These are "Rumikoz", "Irunin".
• for local treatment, antifungal ointments are applied: Miconaz based on miconazole, Exoderil based on naftifine, Nizoral based on ketoconazole.

Important! With a fungal infection, vitamin therapy is contraindicated. In particular, the growth of the fungus is provoked by the B vitamins.

Elimination of viral manifestations

Viral lip lesions are treated with antiviral drugs. In particular, the herpes virus is treated with antiherpetic ointments based on acyclovir, penciclovir. These are ointments and creams "Vivorax", "Fenistil Pentsivir", "Zovirax", "Herperax" and others.

Important! Antiherpetic drugs have contraindications, are not recommended for pregnant and lactating women, and are prescribed by a doctor based on an established diagnosis.

Folk remedies

Traditional medicine offers its own treatment options for jam. The plus is that tinctures and ointments consist of natural ingredients, have no contraindications and will not harm the body. The disadvantage of traditional medicine in the unproven effectiveness of the funds.

Tincture of calendula

Ingredients:

1. Calendula 25 flowers;
2. Vegetable oil 200 ml.

How to cook: pour calendula flowers with vegetable oil, let it brew for a week in a dark place.

How to use: wipe the affected area twice a day.

Result: calendula disinfects the wound, promotes healing, vegetable oil softens the skin. The result will be noticeable already on the second day of use.

Honey ointment

Ingredients:

1. Honey 2 tsp
2. Pork fat 1 tsp

How to cook: mix honey and fat thoroughly until smooth.

How to use: lubricate the jam with the resulting composition twice a day.

Result: honey has antiseptic properties, it disinfects the wound, natural fat will promote early healing, the effect will come after 2 days of treatment.

Question answer

I got bumps on my lips, gray bloom on top, and the tongue is also covered with a white bloom. I used folk remedies, antibiotic ointments, it only gets worse.

A gray coating on the bites and a white coating on the tongue indicates a fungal infection. This is confirmed by the aggravation with the use of antibacterial drugs. Use antifungal agents, and it is better to consult a doctor, he will prescribe antimycotic drugs systemically - tablets "Fluconazole", "Irunin" for a long course.

I have seizures every spring, I smear with tetracycline ointment, they quickly pass, but they reappear. What to do to get rid of the problem?

Spring exacerbation of seizure is most likely associated with a decrease in immunity and vitamin deficiency. Take multivitamins like "Vitrum", "Alphabet" in the spring, watch your diet, spend more time in the fresh air.

The seizures have appeared since I wear braces, I smear them with different ointments, nothing helps.

In your case, seizures are more likely to be traumatic if the wrong bite or the braces themselves injure the corners of the lips. As an option, excessive drooling while wearing braces, which irritates the mucous membranes. It may also be due to difficulty in proper oral hygiene. Brush your teeth thoroughly, use an irrigator, and consult an orthodontist about rubbing.

I have seizures in the corners of my mouth, for some reason I can’t see a doctor yet. Are there universal drugs for fungal and bacterial infections?

In such cases, you can use antiseptics - "Miramistin", "Chlorhexidine", and "Fukortsin". All of these drugs are detrimental to both bacteria and fungus. These funds will not harm even with a viral infection, but see your doctor as soon as possible.

What to remember

1. Lip seizures are most often the result of an underlying functional disease, or indicate a decrease in immunity.
2. Seizures in the corners of the mouth are of a bacterial, fungal and viral nature.
3. Diseases such as diabetes mellitus, anemia, and allergic reactions can provoke the occurrence of seizures in the corners of the mouth.
4. Each type of lesion requires a different treatment.
5. Diagnostics of a jam in the corners of the mouth is often complex, with the identification of the causes of the occurrence.

Good day, dear readers!

In today's article, we will consider with you a disease that at least once in life has manifested itself in almost every person - seizures in the corners of the mouth, as well as their causes, symptoms, types, treatments, medications, folk remedies and other issues related to seizures. So…

What are seizures?

Zayed(lat.angulus infectiosus) - a pathological process, disease or symptom characterized by a violation of the integrity of the mucous membrane of the lips or skin, mainly in the corners of the mouth. Simply put, the cracks along the edges of the lips, which then transform into wounds, often do not heal for a long period of time and are seized.

The term "jam" is colloquial, but if we talk about the scientific designation of the pathology considered today, then the jam is called - angular cheilitis, angulitis, angular stomatitis, angular stomatitis,.

Sticking on the lips can be either an independent, primary disease, or a symptom of others. It all depends on the specific situation, the cause of angulitis.

The main reason for jam- which, with weakened immunity and the slightest violation of the integrity of the mucous membrane of the lips or skin, falling under their upper tissues, begin to actively multiply, provoking the development of the inflammatory process and wounds in this place. The most common causative agents of seizures are streptococci, candida fungus.

It is worth noting that streptococcal, staphylococcal and other types of infection are almost always present on the surface of the skin of any person, but only lowered immunity can allow them to "play out", one of the main functions of which is to protect the body from various dangers - infections, etc.

Damage to the lips or skin is most often caused, especially the lack of vitamin B2 (riboflavin) in the body, the constant presence of saliva in the corners of the mouth, the presence of diabetes mellitus, physical injury, etc.

It does not pose a danger in itself, however, these wounds can cause pain in some cases, in particular when opening the mouth and aesthetic discomfort.

As we have already said indirectly, for the appearance of cracks on the lips, a combination of several unfavorable factors is necessary:

1. Presence of infection on the surface of the lips and skin;
2. Violation of the integrity of the mucous membrane of the lips or skin near the lips;
3. Decrease in the reactivity of the immune system.

When the infection gets under the upper layer of the mucous membrane of the lips or skin, it settles in that place, begins to multiply actively, provoking the development of the inflammatory process. At the same time, a small wound (sore), vesicles or nodules (papules), often containing a clear or cloudy liquid, form in this place. Over time, the surface of the wound becomes covered with a tough crust, somewhat tightening the surface of the lips or skin. When a person opens his mouth - when eating, laughing, talking, due to the lack of elasticity of the wound, it cracks, a liquid flows out, containing an infection, which dries up again and strengthens the surface of the crust with a new ball. Blood can also flow out with the liquid. Thus, with each rupture of the crust and leakage of the contents, the wound is constantly increasing in size.

Jams - statistics

Most often, seizures are formed in the cold season - from late autumn to mid-spring, when the body is most susceptible to hypothermia, hypovitaminosis, attack from various types of infection, i.e. during the period of activity of acute respiratory diseases (ARI).

Jams - ICD

ICD-10: K13.0;
ICD-9: 528.5.

Seizures - reasons

What causes seizures? We repeat once again, for the development of angulitis, a complex of several factors is needed:

1. Infection. Most often, inflammation is caused by:

• - (especially epidermal streptococcus) and;
• - herpes virus;
• fungi - a fungus of the genus Candida (Candida).

2. Damage to the mucous membrane of the lips or skin near the lips, which can provoke:

• physical injury - when scratching the corners of the mouth, squeezing out pimples, a cut while shaving;
• constant contact of the corners of the mouth with saliva, for example, due to increased salivation;
• face, lips;
• dry skin;
• uneven bite;
• wearing dentures or braces.

3. Decrease in the reactivity of the immune system, which can cause:

• overheating of the body (hyperthermia);
• long-term use of antibacterial drugs, steroid anti-inflammatory drugs, glucocorticoids, cytostatics, immunosuppressants and others;
• the presence of various chronic or other diseases - and others;
• , especially vitamins of group B, C, E.

Common causes of seizures can be:

• non-compliance;
• the use of common utensils, which is especially true for workers in large teams;
• the use of low-quality oral care products - dental floss, toothpaste;
• the presence of bad habits - smoking.

It is very important to identify the causative agent of the seizure, because further treatment depends on this.

Symptoms of seizures

Among the symptoms of angulitis are:

• Swelling and redness of the mucous membrane of the lip or skin in the corner of the mouth;
• Feeling of itching, slight pain and discomfort in the area of ​​the inflammatory process, especially when talking, laughing, eating;
• Covering seizures with a crust, which, depending on the pathogen, can be painted in yellowish-reddish, reddish or whitish shades;
• The appearance of cracks, which over time can become deeper and, with insufficient therapeutic measures, will turn into deep and extensive wounds.

Types of angulite

The classification of seizures is as follows:

By etiology:

Primary form- the pathological process develops as an independent disease caused by infection. May be:

• Streptococcal jam- the cause is a streptococcal infection (bacteria). It is characterized by the formation of a crust with a yellowish-reddish tint;
• Candida seizure- the cause is a fungal infection - fungi of the genus Candida (Candida). A distinctive feature of candidomycotic seizure is a grayish-whitish plaque at the site of inflammation, while the crust is usually absent. It often becomes chronic with periodic relapses.
• Viral jam- the cause can be the herpes virus and other types of viral infection.

Secondary form- seizure is a symptom of another disease or pathological process, often during an exacerbation of another disease, for example, hypovitaminosis B2,.

With the flow:

Acute form;
Chronic form.

Diagnostics of seizures

Diagnostics of seizures includes the following examination methods:

• Examination of the scraping of the seizure to determine the type of infection that caused the seizure;

Additional examination methods:

• Wasserman reaction (RW), or EMF (express diagnostics of syphilis) - to exclude syphilis;
• Histology.

With a mild form of angulitis, it is not necessary to consult a doctor, however, it is better not to continue the treatment of seizures at home (the remedies are described later in the article) if the healing process does not occur even after a few days of treatment. Otherwise, it is better to see a doctor.

Traditional treatment for seizures includes the following treatment points:

1. Anti-infective therapy;
2. Therapy aimed at accelerating healing;
3. Elimination of the physical causes of seizure.

Important! Before using medications, be sure to consult with your doctor!

1. Neutralization of infection

How to treat seizures in the corners of the mouth? First of all, the choice of a medicine for an inflammatory process in the corners of the mouth depends on the cause of the disease. However, due to the fact that angulitis forms on the surface of the lips or skin, ointments are mainly used for their local treatment. Ointments for seizures are the main treatment.

Streptococcal seizures it is necessary to treat with antibacterial ointments, since streptococci are classified as infections of a bacterial nature. Among antibiotics against streptococcal infection are: Ingalipt, Metrogyl denta, Miramistin, Cetylpyridin, Tetracycline ointment.

Fungal seizures need to be treated with drugs aimed at destroying the fungal infection. Among the antifungal drugs are: "Geksoral", "Clotrimazole", "Miramistin", "Natamycin", "Nystatin ointment", "Levorin ointment", with prolonged healing - "Fluconazole".

Viral seizures, for example, with the herpes virus, it is necessary to treat with antiviral drugs or antiseptics, among which one can distinguish: "Acyclovir", "Gerpevir".

Among the combined drugs against infectious seizures can be distinguished: "Metrogyl Denta", "Miramistin", "Stomatidin", "Fukortsin".

After treating the wound, the skin around it must be treated with an antiseptic agent: "Chlorhexidine".
With a strongly pronounced inflammatory process, together with anti-infectious drugs, the wound is treated with glucocorticosteroids: "Hyoksizon", "Triderm", "Trimistin".

Important! The use of the above drugs should be at least the period specified in the instructions for the drugs, with the exception of the occurrence of allergic reactions to a particular substance.

2. Therapy aimed at accelerating the healing of the corners of the mouth

After the seizure has been treated with an antibacterial, antifungal or antiviral drug, it is advisable to treat it with an emollient that will prevent the crust from drying out, which is why cracks most often develop. In addition, some products accelerate tissue regeneration.

After treating the inflamed area with an anti-infectious drug, you can carry the following funds for a jam: "Bepanten", "D-panthenol".

As we have already noted, a weakened immunity can allow the appearance and development of seizures. To strengthen the immune system, the use of immunomodulators, vitamin complexes ("Aevit", "Vitrum", "Duovit", "Multi-tabs") is prescribed

(especially , ), .

Lack of vitamin B2 (riboflavin) is one of the common causes of angulitis, so pay attention to additional food intake. Enriched with this vitamin - nuts (peanuts, almonds,), herbs, cabbage, milk, liver, meat, cereals.

3. Elimination of physical causes of seizure

If angular cheilitis is formed due to improperly installed dentures, filling, curved bite, these reasons must be eliminated so that relapses of the disease do not appear.

If the cause of angulitis is the presence of another disease, it is also treated at the same time.

Also, pay attention to preventive measures, in which we will talk a little later.

Important! Before using folk remedies for the treatment of seizures, be sure to consult your doctor!

Tea tree. 2 times a day, apply a cotton swab dipped in tea tree oil to the inflamed corners of the mouth, which has not only antiseptic and softening properties, but also wound healing properties.

Fish fat. 1 tbsp. Mix a spoon with 10 drops of fish oil. Make a compress from this product in the morning, for 15 minutes and at night.

Jams are the colloquial name of the disease, in official medicine called angulitis. Its symptoms are familiar to many: tiny painful cracks in the corners of the lips are accompanied by irritation, burning, redness. If the ailment is started, it will develop into pustular formations and erosion. In the absence of treatment and hygienic care, it easily turns into a chronic form.

What are the reasons for the appearance of seizures?

You have probably noticed that the disease worsens in the winter-spring period. It is understandable, because it is at this time that the immune system is weakened - seasonal vitamin deficiency affects. With reduced immunity, it is easier for bacteria and viruses to attack a person. The pathogenic microflora that provokes the appearance of seizures is formed for several reasons. For example, infection through dirty hands, dishes, someone else's cosmetics, during a kiss, in the absence of oral and lip hygiene. Cracks can be the result of prolonged antibiotic therapy, this also undermines the immune system.

Constant seizure is a characteristic symptom of iron deficiency anemia. In this case, therapy with drugs containing iron is required to raise hemoglobin levels.

The seizure is formed due to the attack of a person's own microflora, which is called conditionally pathogenic - streptococcal bacteria and fungi of the genus Candida. At the time of a decrease in immunity, vitamin deficiency, microtrauma, viral infection and other factors, this own flora begins to attack the host and cause inflammation.

You can distinguish streptococcal seizures from candidiasis by their appearance. Steptococcal has the appearance of a bubble, which then bursts with the formation of purulent crusts, candidiasis looks like a red crack with a possible grayish bloom along the edges, which is easily removed. Sometimes herpes on the lips is confused with a bacterial jam. Only a specialist - pediatrician, therapist, dentist, dermatologist can determine the exact cause in each case. The speed and quality of treatment depends on how correctly the cause is established.

Experts identify 7 main risk factors:

Permanent dryness of the skin of the lips and perioral zone;

Microtrauma and crusts on the lips;

Hypothermia, prolonged exposure to wind, frequent colds;

Smoking;

The presence of chronic common diseases;

Lack of vitamins and nutrients in food;

Diseased teeth, lack of crowns and dentures, poor care of the oral cavity, untimely sanitation.

Chapped lips: what to do?

At the first unpleasant symptoms of seizures, you must immediately treat with an antibacterial and anti-inflammatory agent. You can apply a solution of Chlorhexidine or Miramistin to a cotton swab and gently blot the crack. Allow the skin to dry, then apply anti-inflammatory ointment with clean fingers or a cotton swab. Dentists recommend in such cases Cholisal gel, Viferon ointment, vitamin A and E externally. In the case of bacterial streptococcal seizures, antibiotic ointments (erythromycin, synthomycin, etc.) are used; in case of fungal infection, local treatment with antifungal ointments (nystatin) is necessary.

If seizures bother with unenviable regularity, it makes sense to pass a dermatological analysis - scraping from damaged skin. Also, the doctor may prescribe a general analysis of blood and urine, a smear from the oral cavity. If the cause of angulitis lies in a violation of the health of internal organs, you should prepare to take the drugs prescribed by the doctor inside.

Along with this, it is important to drink a multivitamin complex and correct the diet, excluding allergenic products from it and enriching it with healthy food. Until the cracks have healed, avoid cooking spicy, salty, rough, or other irritating foods. In addition, you need to dress warmly in the cold, protect your lips from chapping, moisturize them with hygienic lipstick and protect yourself from colds viruses.

Prevention measures

Having cured seizures, you need to take care that they do not form in the future. The following recommendations will help prevent relapse:

Temper your body regularly, quit smoking, eat healthy and vitamin-rich foods;

Do not overuse sweets and food that does not bring any benefit to the body, but only undermines the immune system;

Take care of your oral cavity every day, treat caries and prosthetics on time;

Avoid dehydration of the skin of the lips - use moisturizers and balms, lipsticks several times a day;

Keep track of the quality of cosmetics, never paint your lips with someone else's gloss or lipstick;

Avoid being in the wind and drafts for a long time;

Protect the mouth area from germs: do not touch your lips with dirty hands and unclean handkerchiefs, do not bite your nails and the tips of pencil pens. In a word, avoid contact of lips with everything on which germs and viruses can sit en masse.

Seizures are a fairly common disease in which painful cracks appear in the corners of the mouth. In another way, they are called angulite. You can face this disease at absolutely any age in the presence of predisposing factors. Today we will talk about what seizures in the corners of the mouth are, why they appear and how they are treated.

Angular stomatitis or seizures are of several types. Depending on this, the symptoms and the course of the disease may change. Basically, there are two types of seizures in the corners of the mouth.

1. Streptococcal. First, small bubbles appear in the corner of the mouth. After a while, they burst, and in their place a small erosion is formed, covered with a crust. When it is removed, cracks appear. Despite its small size, a bite on the lips causes a lot of inconvenience, since opening the mouth while talking, yawning or eating is accompanied by pain. This is the most common type of jam.
2. Candidomycotic. The disease is caused by a fungus of the genus Candida. Angular stomatitis begins with the formation of erosion, surrounded by a border of mecerated epithelium. A whitish bloom formed on top may indicate a fungal form of the disease. Unlike steptococcal angulitis, there is no hard crust on the erosion surface. For this reason, the formation of a jam in the corners of the mouth is also quite common. The danger of this form is that it often becomes chronic.

Since you have to deal with different pathogens, then the treatment of each form of angulitis will have its own characteristics. Therefore, it is imperative to carry out detailed diagnostics. Conclusions about one form or another of angulitis are made on the basis of the clinical picture and additional bacterioscopic examination.

Main reasons

There can be various reasons for the appearance of a jam in the corners of the mouth. And the treatment will also differ accordingly. As you learned from the description of the varieties of angulite, it is bacterial or fungal in nature. The causative agents that cause it can be present in small quantities in the body of healthy people, therefore they are classified as opportunistic microflora. In order for cracks to appear in the corners of the mouth, additional provoking factors are needed. Let's try to figure out what causes seizures.

• If the skin is excessively dry, microcracks may form. If pathogenic bacteria or fungus enter them, this leads to the development of angulitis.
• Insufficient oral care or severe skin contamination.
• Often there are seizures in the corners of the lips after severe hypothermia.
• Constant lip licking.
• Severe caries damage to the teeth.
• Cracks in the corners of the mouth are often a symptom of anemia.
• Angular cheilitis or stomatitis sometimes occurs as a result of damage to delicate tissues with poorly fitted prostheses or braces.
• Decreased immunity after taking antibiotics and lingering illnesses. This is the most common cause of fungal seizures.
• Lack of vitamins.

Angulitis, which has appeared once, can return with the slightest weakening of the body. Relapses also appear as cracks in the corners of the mouth. The causes and treatment in these cases are closely related. Since they are preceded by a seasonal weakening of immunity and a lack of vitamin B, it is advisable to start therapy with the elimination of these factors.

Diagnostic methods

It is important to establish exactly why sticks appear in the corners of the lips.... Only in this case, angular cheilitis will be completely cured without the likelihood of relapse. For this, they resort to a comprehensive examination.

1. Conduct a visual examination, carefully study the clinical picture.
2. A scraping is taken from the surface of the skin to conduct laboratory tests. This allows you to identify or exclude the fungal nature of angulitis.
3. Based on a general blood test, they judge the presence of anemia, diabetes mellitus, inflammatory processes, since for all these reasons, seizures on the lips may appear.

After all the necessary examinations, it becomes clear to the doctor how to treat seizures in the corners of the mouth in each case. Do not self-medicate! To effectively deal with the problem, you need to correctly determine the causes of the disease.

Standard treatments

It is possible to get rid of the seizure in the corners of the mouth in the typical course of the disease with the help of local therapy, that is, through the use of wound healing, antifungal and antibacterial agents. The choice of the drug depends on the results of the examination.

1. "Stomatidin". A good antiseptic preparation with which they make lotions for seizures. Effective for all types of angulitis.
2. In order to get rid of angulitis, treatment can be carried out with the simplest and most affordable means. It is recommended to lubricate the affected area with iodine or brilliant green.
3. Tetracycline ointment is often used. It perfectly heals cracks and at the same time does not cause discomfort when applied.
4. If the seizures persist for a long time, try using Metrogyl Denta. It contains chlorhexidine and metronidazole. Thanks to this combination, the agent is effective against most pathogenic microorganisms.
5. For the crack to heal faster, it is recommended to apply D-panthenol cream. But this drug should only be used in combination with antimicrobial or antifungal ointments.
6. You have already read about why seizures appear and you know that different types of angulitis require certain treatment. If it is established that it is fungal in nature, then the cream "Clotrimazole" will help well.
7. If angulitis in adults is accompanied by a strong inflammatory process, then the use of ointments with weak glucolcorticosteroids with antibiotics is justified. Among them are such drugs as "Hyoxysin", "Triderm", "Trimestin".

How to get rid of a jam in one case or another, only a doctor can tell you after tests and laboratory tests. Therefore, almost all of the drugs described can be used only as directed by a doctor. The exception is "D-panthenol", since it has a good wound healing effect and is indicated for all types of angulitis.

Complementary treatment

How to treat sticking in the corners of the lips if standard therapy does not give the desired result? In this case, we can talk about concomitant diseases of the oral cavity, diabetes, anemia or other problems in the body. Therefore, the treatment should have a detailed scheme.

1. It is important not only to remove the symptoms, but also to eliminate the cause of the seizure. Therefore, you need to undergo a full examination and direct efforts to treat the underlying disease.
2. Angulitis can cause a lack of vitamins or iron. If this factor is not eliminated, then the appearance of the jam will become chronic. If you suspect that you are lacking vitamins, you need to rethink your diet to include more fresh vegetables and fruits. Additionally, it is recommended to purchase any multivitamin preparation.
3. If seizures start to appear too often, then your immune system is probably weakened. It is necessary to take restorative agents and immunomodulators.

If you are serious about your treatment, the jam will be much less likely to reappear.

Treatment with folk remedies

If you are thinking about how to quickly cure a seizure in the corners of the mouth, then try supplementing your standard treatment with traditional medicine. They are easy to make at home using the simplest and most affordable means.

1. Chop fresh plantain leaves. As a result of their intensive grinding, juice should form. Lubricate the cracks with the resulting gruel.
2. Apply cotton wool soaked in natural oils to the affected areas: olive, rosehip, tea tree.
3. Add vitamin B12 to the concentrated soda solution and apply the resulting mixture to the corners of the mouth.

There are other folk remedies - you can use aloe, Kalanchoe and other plants that have anti-inflammatory and wound healing properties. But, of course, specialized medications recommended by the doctor are much more effective in coping with the task.

Prevention of angulitis

Now you know how to cure angulitis if you have to face such a problem. But it is always much more effective to prevent disease by observing elementary preventive measures.

1. Follow basic oral hygiene practices and see your dentist regularly.
2. In winter, apply chapstick or balm to your lips before going outside.
3. As a prevention of relapses in winter and spring, it is recommended to take vitamin complexes. A balanced diet will also have a positive effect on the state of the immune system.

As you can see, not all reasons for the appearance of a jam are harmless, so you should not ignore them. Timely prevention and treatment will help avoid relapses. We invite you to find out even more about angulitis by watching an interesting video on this topic.