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Red sore patch on the lips or Cheilitis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Skin Rash
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   I have sore patchy red upper lips severly sore, am worried that it may be cancerous. I am 41 female smoker unhealthy.
Doctor :   Hi,
Doctor :   Dr
User :   HELP dR
Doctor :   since when do you have this problem ?
User :   two/three weeks
Doctor :   can you send a image of it to YYYY@YYYY
Doctor :   so that i can have a better look at it and opine
User :   nope I am sorry but its right in the centre of my upper lips and my lips feel dry all the time I am in pain with them#
Doctor :   ok, is there a discharge oozing from the lesion ?
User :   no, there is none. I will try take pictucure and send it to you via iphone
Doctor :   ok,
Doctor :   May i know the approximate size of the lesion ?
User :   not sure about 1/2 inch trying to send u pictue now
Doctor :   ok, i will wait
Doctor :   send it to YYYY@YYYY
User :   have sent it
Doctor :   ok please give me some seconds i wil have a look at the image
User :   no worries
User :   have sent a better picture.
Doctor :   i still didn't receive it
User :   well what can you say from what I am telling you...
Doctor :   i could think of Cheilitis
User :   my husband says its about 10mmm
User :   whats cheilitis?
Doctor :   since winter , the sebacious secretions will be low leading to cracking of the lips making it prone for infections
Doctor :   inflammation of the lip tissue is called cheilitis
User :   but I have taken 400g of alcolivar tablets along with all the other lip products...are you sure that htis is not cancer?
Doctor :   I stil didnt get the image , have you sent it to YYYY@YYYY
Doctor :   yes, cancer cannot evolve in 2 to 3 weeks time
User :   ok I have sent you the image again .
Doctor :   and with cancer there will be numerous systemic symptoms like toxicity fever , loss of appetite and loss of weight
User :   even for oral cancer?
Doctor :   yes, any type of cancer will release many chemical mediators which will produce a reaction systemically
User :   ok I will post my picutre to this laptop can you give me 5 mins PLEASE?
Doctor :   I am sorry , i do not have the authorization to extend your time of the chat
Doctor :   hurry it
User :   Ok so your diagnosis is that it is not cancerous but rather an infection. I read most lip cancers start at the bottom lip is this true?
Doctor :   not at the bottom , but at the junction of the mucous and skin part of the lip
Doctor :   since there occurs transition in epithelium lining which is more prone for cancer
User :   I just realised I am on a clock here. so am I correct in saying this is nothing to worry about please tell me what can I do for the soreness and the pain no medicines so far have worked.
Doctor :   Apply CHLORHEXIDINE mouth paint ovr the lesion it will help
Doctor :   also consult a ENT specialist for the same , where a detailed examination of the lesion is made
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Diseases and Conditions
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