Torn corners of the mouth, rhinos of the mouth or mouth often characterize unpleasant, painful and lengthy complaints. If these superficial tissue defects recur recurrently, the corners of the mouth are also inflamed, the disease requires medical help. Torn corners of the mouth can have different causes.

What are torn corners of the mouth?

Torn corners of the mouth can be very uncomfortable for the affected person, since already speaking and eating is associated with considerable pain.
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Torn corners of the mouth are generally stubborn, unaesthetic, and inflamed in most cases. They cause painful, increasingly burning sensations.

The contact with acidic, spicy foods and toothpaste as well as abrupt mouth movements intensify the pain. For the most part, just touching the tongue or salivary contact is enough to trigger the discomfort.

Torn corners of the mouth usually have a bad and slow healing tendency. If the disease often occurs and has a potentially chronic form, doctors refer to torn corners of the mouth as Mundwinkelhhaden, Faulecken, Perlèche or Angular Cheilitis.

causes

Numerous causes are responsible for torn corners of the mouth and angle of the mouth. Basically, the suffering is favored by external influences. The lip skin is very sensitive to climate changes. The result is cracked brittle lips as a harbinger, followed by torn corners of the mouth.

The constant moistening through the tongue or chewing on the lip also favor torn corners of the mouth. In addition, infections can also cause angular cheilitis. Infection triggers are either bacteria (such as streptococci), viruses (such as herpes simplex) or fungi (such as thrush, Candida albicans or yeasts). Another trigger for torn corners of the mouth is vitamin deficiency.

In particular, a deficit of vitamins B2 (riboflavin deficiency) and vitamin C as well as a deficiency of the trace elements zinc and iron can be decisive. Furthermore, allergies are considered as causative agents. Furthermore, an insufficiently fitting denture may be responsible for torn corners of the mouth.

In addition, pregnant women and patients undergoing antibiotic therapy are prone to angular cheilitis. Torn corners of the mouth are also favored by general illnesses such as diabetes (diabetes mellitus) or atopic dermatitis. Not infrequently, a combination of several triggers is responsible for the fact that torn corners of the mouth can develop.

Symptoms, complaints & signs

Torn corners of the mouth can be very uncomfortable for the affected person, since already speaking and eating is associated with considerable pain. Often, minor bleeding in the corners of the mouth can be seen, which may indicate this disease. In many cases, there is also a strong burning sensation when consuming particularly acidic foods.

However, these symptoms are short-lived, unless there is an underlying disease. Within a few days, the above symptoms should disappear and a significant improvement occur. However, it looks different if there is an explicit vitamin deficiency. In such a case, the symptoms described above will not disappear so quickly.

Pain during eating and minor bleeding at the corners of the mouth persist until the vitamin deficiency is compensated. If torn corners of the mouth persist for an extended period of time, then a doctor should be consulted as soon as possible. Only with a suitable therapy and treatment, permanently torn corners of the mouth can be eliminated.

Typical symptoms with torn corners of the mouth are low bleeding and a strong burning sensation when eating. It may even cause inflammation at the corners of the mouth if bacteria enter the open wound. The burning and the pain become stronger in such a case, so that a medicament treatment becomes indispensable.

History & Diagnosis

Before torn corners of the mouth, the skin becomes dry and flaky. It creates unpleasant feelings of tension. Often there are contact pain. In the later course of the disease, the skin ruptures, causing inflammation. Often it comes to crust formation.

For recurring complaints, through torn corners of the mouth, a doctor must be consulted. The general practitioner or dermatologist can diagnose the cause of the disease. After a thorough preliminary discussion, an apparent investigation takes place. Thus, blisters and brownish crusts can be an indication of a herpes virus. Torn corners of the mouth and whitish deposits in the oral cavity can provide an indication of the Candida fungus. The exact pathogens are determined by a smear of the lip, often the oral mucosa.

Not infrequently, however, further medical examinations and analyzes, for example an allergy test or a blood test, are required. If an insufficiently fitting denture is the cause of torn corners of the mouth, a dentist must be consulted.

complications

With torn corners of the mouth can lead to different complications. First and foremost, these have a negative effect on the everyday life of the patient. There is a lot of pain while eating and drinking. Even ordinary movements such as laughter or yawning cause pain.

This limits the quality of life of the patient, it can also cause mental health problems and depression. In many cases, self-esteem is reduced. Ordinary food intake is no longer possible, which can lead to underweight and dehydration.

It also causes pain when saliva reaches the corners of the mouth. In most cases, the torn corners of the mouth disappear on their own. This is especially the case if they are due to dry air or acidic food. No special treatment is needed, but creams and ointments can be used to soothe the skin and speed up the process.

However, the torn corners of the mouth may also indicate other symptoms such as diabetes. This requires a thorough examination by the doctor. The treatment depends on the cause and in most cases leads to success.

When should you go to the doctor?

Torn corners of the mouth are usually harmless and, insofar as they occur only occasionally and subsided by the application of skin care creams and the pursuit of a gentle behavior, require no acute medical examination.

This looks different if the torn corners of the mouth do not heal despite the care. They can become chronic and provide a target for infections or fungi. Accordingly, a doctor (in the first instance, the dermatologist) should be entrusted with the treatment when torn corners of the mouth do not heal within a few days. Even when areas around the corners of the mouth become red, flakes or other anomalies are formed or pain in the areas occurs, a visit to the doctor is indicated.

In case of often occurring Mundwinkelrhagarden and those who always keep very long, a deficiency or disease may be the cause. A detailed anamnesis interview with the attending physician can reveal the cause. Most of them are based on a lack of nutrients, which can be compensated by a suitable diet. If a disease is the cause, it is important to identify them.

Especially in winter, due to cold and dry heating air, the risk of crusting and inflammation increased, so a visit to the doctor should be made faster due to the difficult healing of the torn corners of the mouth. Inflammation and the like can be treated all the better, the faster a doctor starts the necessary therapy.

Treatment & Therapy

The therapy against torn corners of the mouth is cause-dependent. Primarily, the corners of the mouth must be kept dry. Special pastes can absorb the unwanted liquid. This can prevent both the spread of germs and germ proliferation.

To positively affect the healing process, the patient should abstain from spicy or acidic foods as well as abrupt and violent mouth movements. If bacteria cause the disease, the doctor prescribes an antibiotic. This is preferably applied in ointment form to achieve immediate bacterial control.

Antiviral drugs help to cure viruses that cause them. If fungal diseases produce torn corners of the mouth, these are treated by antifungal medications. On the other hand, if torn corners of the mouth have been caused by proven deficiency symptoms of the body, existing deficits must be compensated for by appropriate preparations or a balanced and healthy diet.

Outlook & Forecast

The prospect of a full recovery is very good at torn corners of the mouth. As soon as advice or medical advice on the care of the lips is taken into account, a complete cure will be achieved within a few days. The lips are often brittle and in the course of it comes to the damage to the corners of the mouth. If the affected person is already active in the initial phase, he can influence the healing process positively.

When the corners of the mouth are torn, in most cases a doctor need not be consulted. Often natural products or commercial skin care products for the lips already help. Most of the skin changes occur in the face due to the change of the seasons and the changed care needs of the skin. Once these are sufficiently fulfilled by the person affected, the corners of the mouth heal. Nonetheless, if the symptoms persist or increase in intensity, this is a sign of a condition that needs to be treated.

In case of a fungal or viral infection, drugs are administered. Depending on the underlying disease, there is an application of ointments or tablets. The relief of the complaints starts in a short time. After about one to two weeks, it usually comes to a cure. A delay may occur if the patient has other illnesses or his immune system is severely weakened.

prevention

Torn corners of the mouth can be prevented. First and foremost, the corners of the mouth should be kept dry in order not to give nutrients to viruses and bacteria. In the case of underlying contact allergy to cosmetics, their use should be avoided.

Furthermore, balanced nutrition and adequate vitamin and mineral supply often prevent torn corners of the mouth. Especially in adverse weather conditions, it is important that the lips and corners of the mouth are not strained. Special care products (lip balm) ideally have a sufficient effect, so that torn corners of the mouth do not arise.

You can do that yourself

Torn corners of the mouth do not necessarily have to be treated by a doctor. In most cases, simple measures and home remedies help against the painful skin injuries.

In order for the corners of the mouth to heal properly, the corners of the mouth should first be kept dry and greasy. In addition, excessive yawning should be avoided during the first few days as this can reopen the cracks. Generally, do not rub, scratch or lick at the corners of the mouth.

It makes more sense to care for the injured areas with suitable lip care products (eg lip balm or lip balms). Alternatively, a tincture of lemon juice, honey and salt can be applied to the painful areas. After a few days, the corners of the mouth can be treated with anti-inflammatory natural remedies such as tea tree oil or chamomile.

Accompanying this, the lips and the corners of the mouth must be protected from external stimuli such as cold, draft or warm and dry heating air. Depending on the cause and severity of the injury, taking vitamin supplements and light painkillers is also recommended. If the torn corners of the mouth do not heal completely or tear again and again despite all measures, a visit to the family doctor is recommended.

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