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While at a holiday party, I got cornered by an acquaintance with a stereotypical, "Doc, can you look at this?" Well, he wasn't quite that direct, but I could tell by the conversation that he really wanted my opinion. It seemed he had some cracking at the corner of his lips; almost as if the corners were chapped. In fact, since it's winter and cold out, that's what he surmised it was: "I have chapped lip corners, right?" he asked. He also had a bit of "worst case scenario" in him as well ("you don't think its herpes, do you?"). Errr, no, I don't, my holiday party patient. It's probably not chapped lips, and relax, it's probably not herpes. In fact, the most likely diagnosis is Angular Cheilitis, a minor fungal/bacterial infection that manifests itself in the corners of one's mouth. Angular Cheilitis (which can also be referred to as Perleche, Angular Stomatitis and Cheilosis) is a fairly common affliction that has a wide variety of causes, which I'll go over shortly. The most common symptom is cracking/irritation at the corners of one's mouth. Typically, the affliction is bilateral, meaning both sides are affected at the same time. In general terms, it is not an overly serious condition, and can typically be treated with simple ointments or similar (and oftentimes, depending on the cause, it will just vanish on its own). But there are some cases where the condition will worsen, and cause unsightly blemishes or a deeper cracking that bleeds. At that point, you should definitely see a doctor or dentist. OK, so what causes Angular Cheilitis? Well, there are a wide variety of causes. To start, it can be caused by vitamin deficiencies (typically iron, zinc and riboflavin). But its cause can also be more outward in nature. In general terms, Angular Cheilitis is fungal/bacterial in nature (the differences between fungus and bacteria would be great fodder for another post, by the way). Here are some of the more common causes: Ill-fitting dentures (or missing teeth) are a fairly common cause. This is because they can cause an over-closure of the mouth, which creates folds on the sides where saliva gathers. This little nook creates an inviting place for infection to develop. Another cause is someone constantly licking their lips. This often happens in the cold weather, where chapped, irritated lips are the norm. Someone constantly licking their lips causes saliva to accumulate in the mouth's corners, which again breeds an ideal environment for infection (this is a common theme, it seems). Allergic reactions can also be the culprit -- reactions to toothpastes, flavored toothpicks, etc can also cause the condition. So as you can see, it's a little hard to pin down: did a toothpick cause it, or is it a vitamin deficiency? Or is it licking your lips? There's a lot to process, which is why if you have a problem that won't go away, you may want to seek help. Now that we know what causes Angular Cheilitis, let's move to treatment. Well, first, we have to nail down a cause. You may want to start with just stopping licking your lips, and increasing vitamin intake -- that alone may treat the issue for you (in fact, since the causes are so varied, a simple "home remedy" might be a good place to start). But if the condition persists, you may want to seek treatment from your doctor or dentist. They will first try and determine the cause. From there, the treatment will vary. If the cause is ill-fitting dentures (or missing teeth), well, that's going to have to be addressed. If it's vitamin deficiency, that will have to be addressed as well. If the cause is more seasonal in nature (such as licking one's lips in the winter), there are creams and ointments that can provide relief, both of a prescription nature, and over-the-counter (aloe type creams have been known to provide some relief). However, in the case of ointments and creams, it's important to remember that treating the symptoms without treating the cause is often counterproductive. Like with any other affliction, the cause should be addressed (for example, you could take a pain reliever to help with a hurting tooth, but in the end, you need to get the tooth repaired/replaced if you want to have lasting relief.) This is why it's vital to know just "why" you are experiencing Angular Cheilitis. Again, you can start with home-based remedies (it's why I wrote this post -- to give people some information on the causes and give them a place to start.) But if the problem persists, see your doctor or dentist and start getting to the bottom of it. Until next time, keep smiling!','url':'http://www.huffingtonpost.com/thomas-p-connelly-dds/dry-lips-cold-weather-causing-chapped-lips_b_804245.html','og_descr':'It's probably not chapped lips, and relax, it's probably not herpes. 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Tickets on sale in Los Angeles for Moscow Ballet’s celebrated Great Russian Nutcracker returning to the Wiltern Sunday December 20, 3:00pm matinee and 7:00pm and. cougarmn12 over a year ago Hi, i am 26 and a while back I started to have problems with my foreskin , My partner has had several check ups and she is clean, but for some reason my foreskin started to shrink, i can bearly get it over my head when erected, it is also very dry around the tip when not erected and every now and then after sex the skin breaks open like a cut, i guess i get to big for the skin when erected and the skin has already passed the head but it doesn't bleed just hurts. other than that it don't hurt to piss it is rare it itches, only when i have a break in the skin. what can this be??????? Hi, i am 26 and a while back I started to have problems with my foreskin , My partner has had several check ups and she is clean, but for some reason my foreskin started to shrink, i can bearly get it over my head when erected, it is also very dry around the tip when not erected and every now and then after sex the skin breaks open like a cut, i guess i get to big for the skin when erected and the skin has already passed the head but it doesn't bleed just hurts. other than that it don't hurt to piss it is rare it itches, only when i have a break in the skin. what can this be??????? still wondering if some one can give me any info........ Hi, i am 26 and a while back I started to have problems with my foreskin , My partner has had several check ups and she is clean, but for some reason my foreskin started to shrink, i can bearly get it over my head when erected, it is also very dry around the tip when not erected and every now and then after sex the skin breaks open like a cut, i guess i get to big for the skin when erected and the skin has already passed the head but it doesn't bleed just hurts. other than that it don't hurt to piss it is rare it itches, only when i have a break in the skin. what can this be??????? I have the exact same problem. Would like to see a response. gandalf37828 over a year ago I'm having sort of the same problem right now, about five days ago my wife and I had a very intense intercourse session, and the next day I felt minor pain and redness on the foreskin. I went like that for a couple of days without major problems, until a couple of nights ago we had sex again. It was very painful but still kept going 'til the end. Yesterday, on close inspection of my retracted foreskin I noticed a reddish area with three or four small cuts on it, and the skin in that area feels somewhat dry. It hurts sometimes while urinating or even while walking, and on skin retraction it hurts a lot as the cuts are being teared again (at least that's what I think) I've never had problems before, I'm 35 now and been married for almost two years, so I'm having more frequent intercourse than before, and perhaps we don´t allow a lot of time for healing. So, I would appreciate some advice on any cream, oil or something that I can do to take proper care of the "wound" and speed up the healing process.? thank you Guest over a year ago Uncircumcized penis foreskin peeling and redness solution based on my experience. I noticed that on the tip of my penis there was red spot and soft layer of skin on the forehead of penis all over was peeling. Even on outside of penis the skin was bit red and unusual. It wasn't iching but just looking at it scared me. Was worried how do I go to the doctor, its embarrasing. But thank God. I cleaned the part with luke warm water and applied CORTISONE.10 Plus (1% Hydrocortisone Anti- Itch Creme). I got it from CVS Pharmacy. I used it for 3 times a day for about 1 week and everything is back to normal. I thought I should post here as many others have similar problem and my experience could be very helpful to others. For yeast infection I have heard Lotrimin ointment helps. Guest over a year ago Monistat works the best for yeast infections. Lotrimin or Lamisel are not strong enough. Jaykris wrote: Uncircumcized penis foreskin peeling and redness solution based on my experience. I noticed that on the tip of my penis there was red spot and soft layer of skin on the forehead of penis all over was peeling. Even on outside of penis the skin was bit red and unusual. It wasn't iching but just looking at it scared me. Was worried how do I go to the doctor, its embarrasing. But thank God. I cleaned the part with luke warm water and applied CORTISONE.10 Plus (1% Hydrocortisone Anti- Itch Creme). I got it from CVS Pharmacy. I used it for 3 times a day for about 1 week and everything is back to normal. I thought I should post here as many others have similar problem and my experience could be very helpful to others. For yeast infection I have heard Lotrimin ointment helps. Guest over a year ago Gents, I too have suffered from the same problem as you. I believe it is called Lichen Sclerosus, as the subject line reads in this post. I searched (on the world's most used search engine that begins wih G) Lichen Sclerosus and found that it does occur and as our friend above posted, circumcision is the remedy. Although it is rare in men, and yes, i am one of the "chosen ones"! I have not been to a doc yet although, I shall go armed with my search results, as it is apparently a rare occurrence in men. Lucky us! NOT! A problem for me though is I've already had a couple of melanomas (skin cancers) cut out on my body and apparently this condition can lead to skin cancer. So see your doc asap fellas. Imagine that! Skin cancer of your penis. Perish the thought! All the best gents and I hope you all get it sorted out soon. It's a horrible sensation though, I must admit, when the foreskin feels so tight it's going to give way and split. Adios amigos Guest over a year ago Here is a simple solution: with wet soap on your finger, stick finger gently on top of penis and insert it insdie gently as far as it would go to apply soap to inside of foreskin. Apply it well. Then gently pull foreskin back while in shower so running water will clean the inside as it pulls out. Do it every day..slowly your foreskin might get better !!! Chris_D54954 over a year ago I have this problem kind of the same. First the inside skin of my penis was itching... but after a few days later it stopped. But after the outside skin (where the of my penis is but on the outside skin) was red, itching and hurting. I see cuts and a little blood coming out of my outside skin. It looks kinda cracked. And also when i look at my penis i pull down the outside skin to see the inside but when i pull it down it hurts. Theres like a circle on the ouside skin of my penis. My friend tommorow is going to give me a creme. But for now..is there any other way to make it feel better? Guest over a year ago Basically, your penis grew and your foreskin did not. But an open wound at the tip of your penis is like begging to get an STD. It's called "phimosis," and the usual treatment is circumcision (I had it at 19). You may also see a lot of 'shmegma' or 'penis-cheese.' Check out this article: http://en.wikipedia.org/wiki/Phimosis. I wish I had been able to retain my foreskin, but didn't really have the chance to find alertnatives. My only advice: TALK TO YOUR DOCTOR! Let him know if your foreskin is important to you (I know it was very important to me, and having had sex with and without foreskin, I think I likied it even more with--although it may have been I liked sex more at 19). My sex life is completely normal, and I'm now 46. I am an uncircumcised male. I have been experiencing red cuts on the foreskin of my penis for about six months. The severity of the cuts depends on if I am sexually.Hi, i am 26 and a while back I started to have problems with my foreskin, My partner has had several check ups and she is clean, but for some reason my foreskin. DocSpot: Ballooning of the foreskin in young boys. Dear Dr Margaret My son is three. I’ve noticed that when he passes urine the end of his penis balloons out. A flaccid penis with labels showing the locations of the shaft, foreskin, glans and meatus. The model has removed body hair. foreskin is cracking, +itching, and shrinking Penile Disorders discussions Family Health center The Case Against Circumcision Paul M. Fleiss, MD Paul M. Fleiss, MD, MPH, is assistant clinical professor of pediatrics at the University of Southern California. |
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