Suggest Treatment For Small White Patch On Lower Lip

Posted on Wed, 21 Jan 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 21 Jan 2015 Answered on

Wed, 18 Feb 2015 Last reviewed on

Question : I have small white patch on lower lip near angle of mouth last 6 month I have reccurent history of alopecia areata over scalp and beard.. Last 3 yrs. Presceibe me treatement

Answered by Dr. Praveen (4 hours later)

Brief Answer:
Need some more information

Detailed Answer:
Hi dear. Thanks for your query.
I would be glad to know some more information.
Do you have any history if fever or any other illnesses in your past?
Do you have pain, itching?
Could you please upload the snaps
What medications have you been taking soo far?
Do you have similar patches in oral cavity

Await your reply soon.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Praveen (6 hours later)

No history of fever, pain,itching and similar patch in oral cavity and no past history of illness. But chronic history of constipation and gastritis and not taking any treatement

Answered by Dr. Praveen (2 hours later)

Brief Answer:
Suggestive of yeast infection

Detailed Answer:
Thanks for sharing the snaps & writing me back.

I would suspect angular chelitis which simply means redness and superadded infection( yeast or bacteria).This is primarily caused by Vitamin B deficiency and iron deficiency.

I would ask for a complete blood count to rule out iron deficiency.

In your case the whitish discoloration is due to yeast infection. I would confirm yeast infection by doing a lab test - KOH (potassium hydroxide) preparation. If it is positive I would recommend topical antifungal preparations (nystatin). I would also recommend medically approved vitamin B supplements(in your country).

Here are a few tips to relieve acidity-
Recommend antacids(rabeprazole 20mg) once daily before breakfast for 6 weeks to relieve acidity. This is available over the counter.
Avoid oil, fatty and spicy food.Have light dinner at night. You’re your dinner at least 2 hours before you go to bed.
Increase the height of head end of the bed by 2 inches.

Few suggestions to relieve constipation-
Drink plenty of oral fluids.Fresh fruits and vegetables add fibre which ease the motion of your bowel. Personally recommend Ispaghula husk granules which a high fibre supplement.
If you feel urge to have a bowel movement, never delay it.
If your constipation is not relieved by the above then it needs to be treated with laxatives in consultation with a physician.

Hope this answers your query.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar