10 facts about Cheilitis or chapped lips 👄

  1. Chapped lips are common and can happen any time of the year irrespective of season. When lips are dried, cracked and feel tight, they are called chapped lips or Cheilitis. As the skin on the lips contains no oil glands, they are thinner and more sensitive, hence chapped lips are common. Most of the time, it is common in dry winter, or excessive sun exposure, dehydration or excessive licking.
  2. Cheilitis or chapped lips is inflammation of the lips and can be of different types depending on the sources.
    Due to allergic reaction called contact cheilitis.
    For sun exposure called actinic chelitis.
    Reaction to certain drugs like retinoids causes drug induced cheilitis. Fungal infection of the mouth causes angular cheilitis.
    Herpes infection causes infective cheilitis.
    Persistent painless swelling of the lips causes granulomatous cheilitis. Frequent licking of the lips causes exfoliative cheilitis.

3.Certain risk factors which can cause cheilitis are nutritional deficiency of vitamin B12 and iron, certain medical conditions like thyroid disease, autoimmune conditions like Lupus erythematosus, Sarcoidosis, Crohn’s disease, dermatitis and allergic reaction to cosmetics. Metabolic diseases like diabetes, certain irritants, climatic effects and oral candidiasis can cause cheilitis.

4.Diagnosis: Chapped lips are common and temporary. When lips are cracked, swollen, or tight, then, they are called chapped lips or cheilitis which can be easily diagnosed visually. A long-term occurrence of chapped lips may be required for medical attention. Usually, an allergy test, blood work and sometimes a biopsy are required for a proper diagnosis. Bleeding is common from cracked lips which can be easily managed by a lip balm or ointment. If bleeding is frequent, then medical attention is necessary for the diagnosis of the underlying cause.

5.Treatment:Whenever chapped lips appear, it is important to apply lip balm immediately, so that it will heal faster and leave no scope for infection. Wearing lip balm regularly will heal the lips faster within a week. When bleeding occurs from cracks, cuts, or sores from the lips, there is pain and irritation. In that case too, continuously applying lip balm, ointments like petroleum jelly, glycerin or mineral oils like castor oil can be used for healing which may take longer. Lip balm needs to be hypoallergenic, moisturizing and with sunscreen SPF preferably.

6.Crevices: People with more skin creases, either anatomically or due to ageing, are more prone to developing cheilitis. This is because saliva from the mouth can accumulate in the lip crevices, leading to inflammation and cheilitis. Elderly individuals, smokers, those with sensitive skin, and ill- fitted dentures, and people who drool during sleep are also prone to cheilitis. Additionally, individuals with Down syndrome have a higher likelihood of developing cheilitis.

7.Symptoms of cheilitis of any type can have common characteristics like: *Dryness
*Cracked or fissures
*Peeling
*Itching *Redness *Bleeding
*Pain or irritation

8.Medication: Apart from lip balm, vaseline, petroleum jelly and glycerine, there are certain medication options for different types of cheilitis.
*For contact cheilitis, topical corticosteroids and emollients like Vaseline can be used.
*For angular cheilitis, topical antifungal and antiseptic ointments are used. *For Drug induced cheilitis, firstly discontinuing the use of the drug and applying emollients can be useful.
*For actinic cheilitis, applying topical corticosteroids is useful.

9.Prevention:
Preventing frequent licking of lips.
The routine habit of applying either petroleum jelly, lip balm, beeswax, or lip products with SPF (zinc oxide).
Staying hydrated in hot summer and using a humidifier in cold dry climates.
Avoid irritants like fragrance, allergens, and food that can irritate.
Breathing through the nose rather than the mouth.
Covering face and lips in dry windy weather.

10.Products: Since the market is flooded with various lip products, many people are allergic or sensitive to certain products. While trying a new lip balm, if there is burning or tingling, it is important to stop using the product immediately. Common irritants used in lip products are flavouring agents, fragrances, menthol, camphor, lanolin and many more. The best product for chapped lips has been the age-old petroleum jelly or the glycerine.

Thanks for reading 😊

Peace and love 🙏