This article explains how to prevent and treat angular cheilitis and cheilitis.

<Things you should know> Correct knowledge about "angular cheilitis and cheilitis" (2) Explanation of prevention and treatment methods for "angular cheilitis and cheilitis"

The lips are even more prone to dryness and irritation than the rest of the skin. Many people suffer from angular cheilitis, a condition where cracks appear at the corners of the mouth and cause pain, and cheilitis, an inflammation and eczema that develops all over the lips. Are there any effective ways to prevent angular cheilitis and cheilitis? And what should you do if symptoms appear? We will explain in detail with the supervision of a dermatologist.

How to prevent angular cheilitis and cheilitis

How to prevent angular cheilitis and cheilitis

Angular cheilitis, characterized by pain and discomfort at the corners of the mouth, and cheilitis, a type of lip inflammation, are both conditions that can be troubled by this condition. This article will explain how to prevent angular cheilitis and cheilitis.

  1. Make sure to get enough vitamins.
    A deficiency in vitamins, which play various roles in maintaining a healthy body, can easily lead to angular cheilitis (inflammation of the corners of the mouth). In particular, it is recommended to actively consume vitamins B2 and B6, which are effective for the lips. It is recommended to actively consume foods containing vitamin B2, such as yogurt, milk, eel, eggs, and spinach, and foods containing vitamin B6, such as fish, beef and pork, grains, legumes, and liver.
  2. Get enough sleep
    Getting enough sleep allows the brain to rest, and the body to repair and recover in preparation for the next day. Growth hormone, secreted during sleep, promotes cell metabolism, regenerates various cells in the body, and boosts immunity. By ensuring sufficient sleep and preventing a decline in immunity, you can prevent angular cheilitis.
  3. Avoid accumulating stress and fatigue.
    Excessive stress can weaken the immune system, and a weakened immune system allows Candida fungus, the main cause of angular cheilitis, to proliferate, making you more susceptible to it. On your days off, try to relieve stress and fatigue by immersing yourself in hobbies or relaxing.
  4. Prevent dryness
    Dry lips can cause angular cheilitis and cheilitis.
    To prevent dry lips, it's a good idea to moisturize them with petroleum jelly or lip balm. If you're unsure about using commercially available lip balm, consult a doctor. Also, the humidity of the outside air greatly affects lip dryness. Particular care is needed in winter when the outside air humidity is low. Even outside of winter, if you spend a lot of time in dry rooms due to air conditioning, your lips may become dry and chapped even in summer. Take care to prevent the room from becoming too dry, for example by using a humidifier.
  5. Keep the area around your mouth and inside your mouth clean.
    Candida fungi, which can cause angular cheilitis, can enter the body through the mouth, so it's important to keep your mouth clean by brushing your teeth and gargling.
    Additionally, for children and people with sensitive skin, synthetic surfactants and fragrances such as mint in toothpaste can be irritating and cause angular cheilitis (inflammation of the corners of the mouth). Toothpaste residue can accumulate at the corners of the mouth, so when brushing your teeth, be sure to rinse your mouth thoroughly and wipe it clean to ensure no toothpaste remains around your mouth.
  6. Do not lick or touch its mouth.
    "Lip-licking dermatitis" is caused by repeatedly licking dry lips. Saliva contains digestive enzymes, so when it comes into contact with the thin, soft skin of the lips, it can cause irritation, making cheilitis and angular cheilitis more likely. When lips are dry, we tend to lick them, but as the moisture from the saliva evaporates, it also takes away the moisture that was originally in the lips. Also, we tend to touch the inflamed area because it bothers us, but irritating sensitive skin can worsen the symptoms.
    In your daily life, be mindful not to touch inflamed or cracked areas, and avoid licking your lips.
  7. UV protection for lips
    Sunburn can be an excessive irritation to the delicate skin of the lips. Take precautions against sunburn by using lip balm with UV protection.
How to treat angular cheilitis and cheilitis

How to treat angular cheilitis and cheilitis

When you develop angular cheilitis or cheilitis, you may be unsure how to treat it. Here, we will explain the correct way to treat angular cheilitis and cheilitis.

  1. Treat and moisturize with over-the-counter (OTC) medications.
    There are over-the-counter (OTC) lip balms available at pharmacies and drugstores that are effective for angular cheilitis and cheilitis, so you should start by using one of those for treatment. It's also a good idea to use moisturizing lip balms or petroleum jelly in conjunction with them, and make sure to keep your lips moisturized regularly.
  2. If it doesn't get better, see a dermatologist or oral surgeon.
    If the cause is Candida, it may resolve on its own with over-the-counter medication. However, if the symptoms do not improve or recur repeatedly, it could indicate a weakened immune system or an underlying serious illness such as diabetes. It is best to consult a doctor as soon as possible.

In some cases, cheilitis can be caused by allergic reactions to metals, latex, food, or cosmetics. Therefore, patch tests or allergy tests may be performed to identify the cause. Once the cause is clear, effective preventive measures can be determined, so if your symptoms do not subside, you should consult a doctor as soon as possible.

Other points to note

  • Avoid spicy foods.

    To reduce irritation to the corners of your mouth, avoid consuming spicy foods and other hot foods when you have inflammation in that area.

  • Do not irritate the scab.

    Picking at scabs that form from angular cheilitis can allow bacteria to enter, potentially causing a recurrence. Be careful not to touch the scabs, and wait for them to heal without picking at them.

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Professor Akiko Suzuki
Supervised by: Dr. Akiko Suzuki, Department of Dermatology, Fujita Health University Hospital
After graduating from Teikyo University School of Medicine, she worked in the dermatology department at the same university and Juntendo University Urayasu Hospital before assuming her current position in 2015. She is a certified specialist of the Japanese Dermatological Association.

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