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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Bruise On Lip, Getting Puffier. Why Did It Happen?

I have a small bruise inside my top lip. The dental hygienist noticed it 10 days ago and it s still there. It hasn t gone away but seemed a little longer before and is now shorter but slightly puffier. I will get it looked at today but am a wreck. Can a mouth bruise take a while to go away if it was from biting, which I may have doe but don, t actually remember?
Fri, 1 Feb 2013
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Dentist 's  Response
hi and welcome,
Bruise like thing you have developed on the upper lip is may be tissue ulceration caused due tooth bite or any other injury. This ulcer will heal automatically with time unless if it is not infected.
To prevent infection , i would suggest you to apply an oral antiseptic analgesic ointment like mucopain or oragel topically over the lip surface , this will fasten the healing.
you can start with multivitamin supplements or vitamin c lozenges 2 times daily as a diestry supplement which also helps in tissue repair.
do not hurt the area, do no puncture or bite it, drink lot of water and keep yourself hydrated , the ulcer will heal with time.
take care.
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  User's Response
hi
bruise inside your lips may be because of trauma due to your tooth or may be any dental procedure you have gone through.or may be hot foods you had.if any of these reason bruise clear away after few days.if pain is also present with bruise apply any chlorhexidiene oral gel.after some time if bruise not clear away visit your dentist and go for clinical examination.
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hi,
Thanks for posting your query

Development of a bruise on your lip is suggestive of a bleeding disorder or bleeding due to raised blood pressure. In hope you are not taking any medicines like aspirin.

You need to consult your physician to get a complete blood coagulation profile checked with APTT and platelet count to rule out other possible causes like thrombocytopenia. Your blood pressure also needs monitoring to find out if it is well controlled with medicines.

This can also happen due to a viral infection in the recent past- decreases the synthesis of platelets from the bone marrow.

Presence of any autoimmune disorders also needs to be ruled out.
The treatment is based on the diagnosis and severity of the problem. Treatment is usually done by fluid infusion, steroids, immunoglobulins, etc according to the severity of the condition.

Wishing you good health...
Regards.
Dr Saurabh Gupta.
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Bruise On Lip, Getting Puffier. Why Did It Happen?

hi and welcome, Bruise like thing you have developed on the upper lip is may be tissue ulceration caused due tooth bite or any other injury. This ulcer will heal automatically with time unless if it is not infected. To prevent infection , i would suggest you to apply an oral antiseptic analgesic ointment like mucopain or oragel topically over the lip surface , this will fasten the healing. you can start with multivitamin supplements or vitamin c lozenges 2 times daily as a diestry supplement which also helps in tissue repair. do not hurt the area, do no puncture or bite it, drink lot of water and keep yourself hydrated , the ulcer will heal with time. take care.