What to do if your mouth is rotten

"Rotted lips" is a popular saying among the people. The professional term is angular cheilitis. There are many causes of angular cheilitis, including angular cheilitis caused by vitamin deficiency, angular cheilitis caused by colds and inflammation, and fungal infections can also cause angular cheilitis. When angular cheilitis occurs, you should supplement nutrition and take medication in time. In addition, you should also pay attention to your diet and avoid eating spicy and irritating foods.

What to do if your mouth is rotten

1. Malnutrition-induced angular cheilitis Malnutrition-induced vitamin B deficiency often causes angular cheilitis, especially the latter. It manifests as wet white spots on both sides of the mouth, with erosions or ulcers. There are horizontal fissures, which may extend to the inner mucosa or skin in severe cases. The depth and length of the fissures vary, and the pain is not obvious. Angular cheilitis is often accompanied by dry lips, longitudinal cracks and occasional scales, and slightly swollen lips. The filiform papillae on the dorsum of the tongue atrophy to make the dorsum smooth, but the fungiform papillae are edematous, thickened, and mushroom-shaped. Scattered distribution, tooth marks are often seen on the edge of the tongue. The patient feels irritating pain at the corners of the mouth. Therefore, malnutrition-induced angular cheilitis not only causes erosion of the corners of the mouth but also cheilitis and glossitis. Nutrition and vitamins should be supplemented.

2. Fungal angular cheilitis Angular cheilitis caused by fungal infection is called fungal angular cheilitis, which is mainly caused by Candida albicans infection. Fungal infection often occurs when the body's resistance is low and under local moist conditions. It is similar to bacterial angular cheilitis, but the local area appears whiter, and signs of fungal infection in other parts of the body can often be seen. The differentiation from bacterial angular cheilitis is mainly based on culture smears and PAs staining, and a clear diagnosis can be made when Candida hyphae are found. The treatment should first improve the body's resistance, clean the area with nystatin solution, and then apply nystatin or cyclisamide or miconazole preparations after drying.

3. Bacterial angular cheilitis includes those caused by streptococcal and staphylococcal infections. When the distance between the upper and lower jaws is shortened, saliva often collects at the corners of the mouth. When the body's resistance is low, bacterial infection often occurs, which is more common in elderly edentulous patients. Its clinical manifestations are similar to those of malnutrition-induced angular cheilitis, with erosion, swelling at the corners of the mouth, and transverse cracks being the main symptoms. If combined with bacterial infection, local suppuration, bleeding, and induration may occur. Treatment is mainly with broad-spectrum antibiotics. The mouth area should be cleaned before topical medication, and systemic medication should be applied if necessary.

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