How to quickly get rid of jam on the lips. Seizures in the corners of the mouth: causes and treatment in adults and children

10.04.2022

Reading 15 min. Posted on 03.02.2020

Diagnosis at home: photos and symptoms

In adults, a crack in the corner of the mouth during its formation goes through several stages. Initially, bubbles or nodules form in the corner of the mouth (see photo above). Bacteria penetrate the skin and oral mucosa, and are accompanied by the following symptoms:

burning around the mouth;
itchy sensations;
pain when opening the mouth;
wet discharge from the fissures;
swelling of the affected area;
an unpleasant feeling of tightness.

During this period, any movement of the lips (smiling or chewing food) can provoke a rupture of the skin, resulting in cracks. After the skin may begin to peel off or become covered with a crust (plaque). With even a slight movement of the lips, gaps form, and this is accompanied by pain.

difference from herpes

Seizures are divided into certain types depending on the initial cause of their appearance, which is easiest to determine at the second stage of pathology development - when crusts have not yet appeared, but there is already a crack itself and a discharge from it.

Visually, at the third stage of development of a seizure, it is almost impossible to distinguish it from herpes. So how are these two diseases different?

The appearance of herpes causes the presence of a herpes infection in the body. Seizures can be the result of many infections, fungi, and even mechanical damage, which subsequently gets an infection from the outside.
Herpes appears both around the mouth on the lips, and under the nose and on other parts of the body. Jams appear exclusively in the corners of the mouth.
Herpes looks like many small sores that develop into one large wound. Zayeda starts directly from the cracks.
Herpes, if not treated, can grow in any direction, while the person wants to constantly scratch around the affected area. Seizures can diverge further only as a result of permanent mechanical damage to the skin and this happens again with cracks.

Since seizures and herpes are activated at moments of weakness of the human body, they often combine into one affected area. It all starts with a banal zaeda, and continues with herpes. This happens very often. Therefore, it is better to visit a doctor and find out “what exactly” you need to fight and what drugs.

Each type of angulitis is characterized by different external manifestations. At the initial stage of streptococcal seizures, single bubbles appear in the corners of the patient's lips. They are small in size - with the eye of a needle, flaccid walls. They are filled with purulent contents and quickly open.

When the bubbles burst, weeping cracks form in their place, which merge with each other and turn into a continuous wound. Literally two hours later, it dries up and becomes covered with yellowish crusts. If you tear them off, they will instantly recover.

How a small sore turns into a crack

Angulite, this is what dermatologists call wounds in the corners of the lips, is an inflammation of the skin. Anyone can get sick like this. She does not select victims by age, sex and cleanliness. At one unfortunate moment, a sore suddenly pops up, and a bubble appears on the once well-groomed skin. Over time, it bursts and becomes covered with a crust. And the person begins to feel pain and burning.

If you do not start treatment, the infection will reach the level of the lymph nodes. Fluid will begin to stand out from the wound, which will spread to the surrounding epidermis. It will dry out, lose elasticity and crack.

If you continue to ignore the sore, inflammation will cover neighboring areas, and new cracks will appear, which will combine with the previous ones and form one large wound. As a result, ulcers may appear. But such a terrible scenario threatens not everyone.

Seizures in the corners of the mouth: treatment with ointments

At home, when seizing, antiseptic, antibacterial, antifungal and combined ointments are used, depending on the pathogen. Antibacterial and antifungal agents are more effective than antiseptics, since they not only prevent the reproduction of microorganisms, but also contribute to their death. Good results can be achieved by combining solutions and ointments.

Name of the ointment

Description

Ointments with antiseptic action:

Sulfur-salicylic-zinc ointment;
Salicylic ointment;
Sulfuric ointment;
Zinc ointment;
Metrogyl;
Balsamic liniment (Vishnevsky's ointment).

uncommon and uncomplicated streptococcal and candidal seizures.

Ointments can be applied to the corners of the lips and to the surrounding skin in a thin layer, but the best effect can be achieved with ointment compresses. To do this, the medicine is applied to a sterile napkin and fixed in the corners of the lips with an adhesive plaster for the night. Antibacterial ointments are ineffective against fungal infections, moreover, they can aggravate the course of candidiasis.

Antifungal agents (fungicides):

Soda solution (1 tsp. soda per 200.0 ml of water);
Candide solution;
Futsis DT - lozenges;
Fucis gel;
Holisal;
Nystatin ointment;
Lamicon cream;
Lamisil cream;
Levorin ointment and others.

Assign in such cases: candida infections.

Antifungal ointments are used by applying them to the corners of the mouth with a thin layer or in the form of compresses 3-4 times a day.

Fungicide solutions treat not only the corners of the mouth, but the entire oral cavity. This is necessary for the treatment or prevention of candidal stomatitis.

Fungicides are ineffective against streptococcal infections.

Antibacterial agents:

Tetracycline ointment;
Erythromycin ointment;
Gentamicin ointment;
Streptocid ointment;
Synthomycin ointment;
Baneocin ointment;
Bactroban;
Fusiderm cream.

Assign in such cases: streptococcal infections

Antibacterial ointments are ineffective against fungal infections, moreover, they can aggravate the course of candidiasis.

Levomekol ointment is not suitable for treatment in the lip area. Oxolinic ointment and Acyclovir are ineffective against streptococcal and candidal seizures.

Combined ointments:

Triderm;
Trimistine;
Lorinden S and others.

Assign in such cases: chronic seizures;
seizures caused by mixed infection;
in the presence of concomitant atopic dermatitis in the area around the mouth.

Combined ointments contain an antibiotic, an antifungal component and a hormone-glucocorticosteroid.

These funds can only be prescribed by a specialist when other methods of treatment do not help.

Means that promote rapid healing of the jam:

Bepanthen ointment;
Sea buckthorn oil;
Oil solutions of vitamins A and E, Aevit;
Panthenol.

Assign when in such cases: all types of jam.

In order to quickly get rid of the jam, in addition to antibacterial ointments and antiseptics, ointments are used that promote wound healing. But you need to know that these ointments are not prescribed from the first day of therapy. They are connected to the main treatment when the first positive results appeared: on the 2-4th day.

Healing ointments are applied in a thin layer 3-4 times a day at least one hour after using antibacterial ointments.

Usually, seizures do not require general treatment, they heal with the use of only local preparations. But if the seizures have spread to large areas of the skin, do not heal for a long time and are associated with immunity problems, then the use of general remedies is necessary. They are prescribed only by a doctor.

Why do jams appear in the mouth area

The direct culprits of angulitis are microorganisms. And of all the representatives of the microbial world, only two can cause this disease: bacterial and fungal microbes. The most active pathogens are streptococci and fungi of the genus Candida. They are able to provoke local inflammation of the upper layers of the epidermis.

At the first stage of the development of pathology, as a result of the introduction of pathogens into the mucous membrane or skin, an inflammatory process develops. As a result, a small bubble is formed with a transparent or slightly cloudy content.

Under mechanical action (lip movements during conversation, laughter or eating), it bursts. In place of the bubble, a small erosion or sore is formed, which is then covered with a crust.

In some cases, not vesicles may form, but papules, i.e., small nodules.

When treating a seizure, it is important to eliminate a number of external factors that often lead to the development of an exacerbation. The patient needs to give up tobacco and get rid of the habit of periodically licking his lips.

It is advisable to use hygienic lipstick to soften the skin.

It is recommended to treat seizures with oil obtained from tea tree (olive and rose hip oil is also effective), treatment with such a powerful antiseptic, like 3% boric alcohol, also gives a good effect. Antiseptic dyes are also shown - brilliant green, alcohol solution of iodine and fukortsin. After using them, the skin should immediately be treated with a moisturizer.

Chumachenko Olga, medical consultant

Zayeda in the corner of the lip in medicine is called angular stomatitis (shortly - angulitis). Zayeda indicates the presence of an infection or bacteria. A wound in the corner of the mouth can appear for two reasons:

If there was a weakening of the tissues around the mouth and due to the constant movement of the lips, small cracks appeared, into which infection or bacteria then got.
When there is a source of infection in the body and it manifests itself in the occurrence of a jam.

What can cause seizures?

Poorly washed or foreign dishes. It happens that you go to visit, drink tea, and after a couple of days - “hello, zaeda”.
If a person has a habit of licking his lips.
Prolonged stay in the wind.
General hypothermia of the body.
Mechanical damage to the corner of the mouth.
With unstable oral hygiene.

A symptom of what processes in the body can be a jam?

Anemia is a sign of iron deficiency in the body. Women are more prone to the manifestation of anemia, therefore, seizures for this reason appear more often.
A signal of the presence of an infection in the body. For example, fungi of the genus Candida or Streptococcus.
A symptom of a lack of vitamins of group B and vitamin A.
The result of an allergy to certain oral hygiene products.
A signal of dehydration of the body is overdrying of the skin and the appearance of cracks.
"Satellite" of an interesting position. In pregnant women, all the nutrients are spent on the development of the child, while the mother's body is depleted.
To be an indicator of diseases of the kidneys, liver, metabolic disorders or the "first bell" of diabetes.
To testify to a decrease in immunity - it is especially often manifested after winter, when the body receives an insufficient amount of vitamins.
Jamming often occurs in people suffering from bulimia, as constant vomiting and acid damage the corners of the mouth.
Sometimes there is a connection with a violation of the gastrointestinal tract.

Seizures in a child always occur against the background of a decrease in immunity: it is during a weakened state of the body that the pathogenic flora is activated or an allergic reaction occurs, which can also give a side effect of the appearance of a wound in the corner of the mouth.

The most common causes of seizures in children

Fungi, streptococci. They can enter the body from dirty hands and unwashed food at times of weakness of the immune system.
Allergic reaction - manifests itself in the weakest places in the body. An important factor may be a reduced level of hemoglobin, which leads to thinning of the skin in the corners of the mouth, making this area the most vulnerable.
Diseases, pathologies of the body.

Not every treatment suitable for an adult can be used for a child. It all depends on the age of the baby and his individual perception of drugs.

Treatment in a child should be comprehensive and include not only the use of drugs.

Observe the hygiene of the child, pay special attention to washing hands before eating.
Watch your diet. Include in his menu more foods containing vitamin B2 (veal, buckwheat, green peas, egg).
Treatment with drugs (prescribed exclusively by a doctor).
The use of safe folk methods, these include: making lotions with decoctions of herbs, lubricating with aloe juice, Kalanchoe, processing sea buckthorn or linseed oil.

So that the child feels as little discomfort as possible, exclude sour and salty foods from the diet. Offer drinks to drink from a straw. In other words, limit as much as possible the contact of the wound with food, which can cause pain and burning.

Prevention of the appearance of a jam is based on two simple truths: hygiene and immunity.

Maintaining hygiene, washing hands before eating, washing food, possibly soaking and pouring boiling water on vegetables and fruits will prevent germs and infections from entering your body.
Maintain your immunity. If the protective function of the body is always normal, then no microbes will be able to break through it. Take prophylactic courses of immunostimulants seasonally for 2 weeks. Thus, you will not only prevent the occurrence of jamming, but also carry out general strengthening measures for your body.

Do not irritate the area of the corners of the lips - give up the habit of biting your nails, pencils, licking your lips, and so on.
Regular visits to the dentist for timely sanitation of the oral cavity, professional cleaning of teeth from tartar.
Lip skin care - periodically use a lip scrub, for this, oatmeal or semolina, coffee grounds or salt are suitable. Regular use of lip balm or Vaseline, oils and lip masks will not only keep your lips looking beautiful, but also prevent dryness and inflammation.
Proper balanced nutrition and healthy lifestyle help maintain health and cope with any infections.
Compliance with the rules of personal hygiene: regular hand washing, the use of their own dishes, individual towels, regular brushing of teeth, etc. It is important for children to regularly treat toys and nipples with baking soda.
Preventive examinations, timely treatment and control of various diseases are necessary for a fulfilling and healthy life. Yes, at diabetes it is necessary to control the level of sugar, with HIV infection, antiretroviral therapy is necessary, and in deficient conditions, replenishment of the deficiency.

Be healthy!

If the disease occurs frequently, does not want to pass for a long time, after treatment, preventive measures should be taken. Be sure to follow the hygiene of the hand cavity, try not to touch your face with them. It is advisable to do skin cleansing procedures, avoid peeling of the lips, drink vitamin complexes, for example, Aevit. To prevent seizures, you should play sports, treat your teeth in a timely manner. It is important to monitor nutrition, eat foods containing vitamins.

The appearance of jam on the lips (angulitis) can be a sign of diseases associated with metabolic disorders, the work of the endocrine system.

Cracks in the corners of the mouth, raw, bleeding, are formed as a result of the activity of conditionally pathogenic microflora, which is activated against the background of favorable factors for it:

Insufficient amount of vitamin B2 in the body. The skin is peeling, cracking. Additional symptoms are lethargy, apathy, decreased appetite;
Malocclusion and constant exposure to saliva on the skin of the lips;
Diseases of the oral cavity (teeth, gums);
Skin irritation with sour, salty, spicy foods;
Incorrectly selected denture;
Frequent licking of the lips;
Injuries of the mucous membrane of the lips;
Skin prone to dryness;
Taking antibiotics, hormone therapy;
Hypothermia of the body;
Endocrine disorders (diabetes mellitus);
Various types of anemia;
Liver disease;

These factors cause the reproduction of microflora that affects the skin of the lips:

Staphylococci
streptococci
Candida fungi

In most cases, seizures in children occur as a result of exposure to pathogenic microflora.

Fungi, bacteria, which normally live on the surface of the skin, can become aggressive and cause skin irritation, cracks, sores, wounds.

This is due to a decrease in the protective reactions of the body, in the same way an allergy to food, body care products, and drugs manifests itself.

Unlike an adult, a child cannot ensure that all hygiene requirements are met, so parents should take care of the cleanliness of the damaged area of the lips.

Seizures must be gently washed several times a day with warm boiled water, after which, after drying with a napkin, apply medications.

Antiseptic preparations will dry the weeping surface of the skin, create a barrier that prevents the reproduction of pathogenic flora;
Tetracycline and synthomycin ointments - local antibiotics;
Clotrimazole, lamicil for fungal skin lesions;
Anti-inflammatory and healing agents - methyluracil, trimistine

Causes of Zayed

Angulite can appear due to mechanical damage to the skin of the lips, and also be the cause of serious diseases of the body.

In the first case, the seizures will heal quickly, but in the second case, it will be necessary to identify the cause of the occurrence and undergo a rehabilitation course of treatment.

The main rule in the fight against the disease is not to start it. Bleeding and itchy ulcers should not be allowed to appear on the site of cracks.

If you cannot get rid of angulitis on your own, you need to seek medical help.

Common reason for stopping:

use of dirty or someone else's dishes;
poor-quality processing of vegetables, fruits;
licking lips;
violation of hygiene in the care of the oral cavity;
frequent touching, combing the skin of the lips;
hypothermia or overheating of the body;
malocclusion;
mechanical damage, friction of the skin of the lips.

Often cracks appear as a result of diseases of the body. Such as:

liver disease;
anemia;
diabetes;
weakening of the protective functions of the body, including due to pregnancy;
overdose or side effect from the use of drugs (hormones, antibiotics, etc.);
beriberi (due to lack of vitamin B2) or hypervitaminosis;
metabolic disorders in the body;
HIV infection;
caries, tartar, wearing a low-quality prosthesis;
manifestation of allergy to the oral mucosa;
fungal infection.

The reasons for the appearance of angulitis are a large number. In order to recognize what exactly has arisen for you, you need to analyze your lifestyle recently.

Perhaps there was a cold in the last two or three weeks, or there are some other suspicious symptoms.

If you find it difficult to explain the appearance of jamming, you should seek the advice of a specialist. He will send you for examination. Your doctor may need to scrape your mouth. It is prescribed to detect viruses - candidiasis, streptococci, herpes.

If the appearance of a seizure is associated with hidden diseases of the body, then you will need to take a blood test, as well as conduct a full examination with doctors, for example, a general practitioner, dentist, hematologist or endocrinologist.

How to get rid of jamming in the corners of the mouth?

The main causes and factors contributing to the appearance of jam:

Lack of B vitamins, especially B2. In this case, peeling and crusts occur in the corners of the mouth, on the wings of the nose. Accompanying symptoms are burning, weakness and lack of appetite.
Incorrect bite, in which the skin of the corners of the mouth is constantly in contact with saliva.
Diseases of the teeth and gums.
Excessive consumption of sour, spicy foods.
Poor care of the denture, its wrong size.
The habit of licking lips and taking various objects into the mouth.
Microtrauma, dry skin.
Overheating and hypothermia of the body.
Reception of antibiotics and hormonal drugs.
HIV infection.
Diabetes.

Based on the pathogen, seizures are divided into 2 main types:

streptococcal - caused by bacteria. A characteristic feature is the coating with a dry crust.
candidamicotic- caused by fungi of the genus Candida. Usually more bright red in color and not covered with such a crust.

Often, seizures can be confused with other formations on the skin of the lips caused by

herpes virus

("cold on the lips"). But it's not the same. Herpes is characterized by a rash in the form of watery vesicles on any part of the lips or near them on the face, and angular stomatitis is characterized by sores that appear in the corners of the mouth.

Difference between herpes and congestion

The most common cause of seizures is considered to be a lack of vitamin B2 in the body. If, in addition to the manifestation of angulitis, there is also peeling of the skin on the wings of the nose, then this is the reason. Sometimes the pathology is accompanied by weakness, lack of appetite and skin burning.

The rest of the reasons look like this:

Often, seizures appear due to malocclusion, when the corners of the mouth involuntarily come into contact with saliva.
If a person has a habit of putting things in his mouth or constantly licking his lips.
Jams can appear from an excess of salty or too acidic foods.
Diseases of the gums and teeth.
Problems with dentures: incorrect sizes, incorrect care.
Weakening of local skin immunity.
Unfortunate and too wide yawn.
Diabetes, autoimmune diseases, HIV.
Hypothermia or overheating of the body.
Taking certain medications: antidepressants, hormones.

Most often, the development of angulitis is observed during the period of beriberi and a decrease in immunity. Against the background of diabetes mellitus or immunodeficiency states, the disease develops under the influence of an attached fungal infection, streptococci or staphylococci.

If seizures appear from time to time, there is no particular cause for concern, but if such manifestations are regular, then the immune system has given a serious failure and it is necessary to find the cause.

Usually seizures are not an independent disease, but one of the signs indicating a decrease in overall immunity. Defects, as a rule, appear under the influence of opportunistic microflora, i.e. microorganisms that normally inhabit the skin and mucous membranes, but do not cause diseases. The most common infection is streptococcus.

Seizures usually appear in the cold season, when the activity of metabolic processes in the body decreases. One of the predisposing factors is the presence of chronic somatic diseases, which are characterized by seasonal exacerbations. The weakening of the immune system leads to an increase in the activity of opportunistic microflora.

The immediate cause of seizure against the background of a decrease in immunity are:

bacteria (mainly streptococci);
yeast-like fungi of the genus Candida;
viral infection (most often - herpes virus).

Please note: among the external factors leading to seizures can be attributed to prolonged wetting of the corners of the mouth with saliva with malocclusion and hypersalivation (increased salivation). In this case, maceration (impregnation with liquid and softening) of the skin occurs.

Factors contributing to the activation of microflora:

SARS (including influenza);
general hypothermia;
overheating of the body;
prolonged exacerbations of chronic pathologies;

Please note: seizure may appear after direct contact with the sick person (for example, with a kiss) or when using his dishes and personal hygiene products (toothbrushes, etc.).

Important: some diseases (for example, diabetes mellitus) can prolong the healing process of the jam and complicate their course.

Inflammation can be caused not only by streptococci, but also by yeast-like fungi of the genus Candida, which belong to the conditionally pathogenic microflora. The development of candidal seizures is often accompanied by fungal lesions of the mucous membranes of the lips, tongue and oral cavity (with streptococcal slit-like impetigo, the process always proceeds in isolation).

Please note: seizures are often one of the clinical signs of liver pathologies.

A possible cause of seizures may be a disease such as iron deficiency anemia. Its characteristic clinical signs are dryness and blanching of the skin and mucous membranes, as well as brittle nails and hair. Other types of anemia also often cause cracks in the corner of the mouth.

The reasons for the formation of jamming as an independent symptom are:

squeezing pimples in the corners of the mouth;
eating unwashed plant foods;
frequent licking of the lips;
combing the skin;
use of poorly washed dishes.

Angular stomatitis often manifests itself in the spring, when people's immunity decreases, there is a deficiency of vitamins and nutrients. At the same time, it is difficult and painful for a person to open his mouth, eat spicy, salty food. The appearance of wounds contributes to many factors. Recovery will not be delayed if the tissues are damaged due to mechanical stress, but if cracks are a symptom of the disease, a course of drug therapy will be required.

To find out the causes of seizures in the corners of the mouth, cure, you must go to the hospital. If the patient has a burning sensation, pain when talking, eating salty foods, the symptoms indicate a streptococcal form. If cracks, redness of the skin are visible when a person opens his mouth, the wounds are not covered with a crust, most likely, the candidamic form is diagnosed.

In childhood, the disease is rare, more often in adolescence. A decisive role in the development of wounds is played by a decrease in the immune function of the body, resulting in the activation of pathogenic microflora, for example, streptococci. Seizures in children appear for other reasons. This is:

traumatic damage to the mucous membranes, skin;
vitamin deficiency, lack of riboflavin;
some diseases: colds, viral, caries, chronic tonsillitis, anemia;
helminthic invasion;
various pathological abnormalities;
blood diseases.

There are many factors that contribute to the formation of wounds, cracks on the lips. When they appear, it is important to find out if there are any other unpleasant symptoms, analyze the lifestyle and remember the existing sores. Jams in the corners of the mouth in adults appear due to the following reasons:

bacterial infection;
decrease in the body's defenses, for example, in the spring;
lack of vitamins, vitamin B deficiency;
allergy to cosmetics, for example, toothpaste;
malocclusion;
habit of licking lips;
the presence of caries;
taking corticosteroids;
incorrectly selected prostheses;
diseases: anemia, liver pathology, HIV infection, gastrointestinal diseases, diabetes mellitus, and others;
hypothermia;
the use of unwashed products;
drug overdose.

Women in position are very vulnerable to various infections, bacteria, so they often have wounds, cracks on their lips. The disease is contagious - a pregnant woman risks catching it, even if she drinks from the same glass with the patient. Why do jams appear in the corners of the mouth? The main reasons for the appearance of cracks, erosion, inflamed areas are a lack of vitamins, malfunctions of the body. Decreased immunity, the use of low-quality food products affect. In addition, seizures in pregnant women appear for the following reasons:

excessive dryness of the lips;
herpes;
licking lips in the cold;
the presence of caries;
allergy;
lack of insulin.

How to treat seizures, how to process: antiseptic ointments, decoctions of herbs. Vitamins and nutrition during meals. Treatment of seizures in diabetes mellitus - video

It is possible to cure seizures in the corners of the mouth faster if the cause of their appearance is precisely established - bacteria or fungi. You can try to determine this visually, based on the two main types of disease described above.

Jams are treated with medication (general and local), with the help of vitamin therapy, as well as folk remedies.

For the treatment of seizures caused by a fungal infection, you can buy a solution of fucorcin in any pharmacy. This tool has not only an antifungal, but also an antiseptic effect. You need to use it 2-3 times a day, smearing problem areas of the lips. Also, when seizures are caused by Candida fungi, you can use nystatin, levorin ointment. Or, for a stronger therapeutic effect, sulfur salicylic ointment, which must be used together with nystatin or levorin inside.

Streptococcal seizures respond well to treatment with antibiotic ointments, which selectively destroy pathogenic microbes. But a specialist should prescribe such a remedy, based on laboratory tests. As a rule, synthomycin liniment and erythromycin ointment are used to treat angulitis in this case.

The course of treatment of angular stomatitis must be supplemented with vitamin preparations that contain a large amount of vitamins of the PP, B, A, C groups. Such a multivitamin remedy is usually called a course of 30 days.

For quick healing of wounds and cracks, you can carefully lubricate them with vitamin oils, but not in the acute period of the disease.

In many cases, Vishnevsky's ointment can help to cure lip jams faster. When using, you need to make sure that it does not get on the mucous membrane of the mouth.

The causes of seizure in children, as a rule, are the microbial factor. Fungi and streptococci live on the surface of the skin of children, which, with a decrease in immunity, are the main cause of dryness, cracks and sores in the corners of the mouth and on the lips. In other words, just like adults.

But allergies or pathological processes in the child's body, including congenital syphilis, can cause similar symptoms.

It is possible to cure seizures in a child by approaching the problem in a comprehensive manner. At the same time, one must not forget that it is necessary to treat not the symptoms, but the cause of the disease.

Before applying the drug to the skin of a child, it should be washed with warm water and dried with blotting movements. The procedure is best performed 2-3 times a day after meals.

When the cause of a jam is unknown, some remedies should be combined. Treatment of angulitis in children consists in the use of:

Fukortsina, brilliant green, potassium permanganate solution
Tetracycline ointment
Synthomycin ointment
Antifungal creams (clotrimazole, lamicil)
Antibacterial and anti-inflammatory drugs (hyoxysone, trimistine)
Antibacterial and wound healing drugs (levosil, methyluracil)

To enhance the therapeutic effect, children, as well as adults, are prescribed means to strengthen immunity, multivitamin complexes.

The best and most suitable ointment from jam can only get rid of angulitis for a short time, if you do not follow the basic rules of hygiene and do not eat fully.

During treatment, you should:

Use the simplest hygienic lipstick (to combat dry skin around the mouth).
Stop licking your lips.
Remove from the diet all spicy, sour, salty.
The menu should contain foods rich in vitamin B2 and iron. These include: cabbage, liver, meat, dairy products, potatoes, nuts.
Use a vitamin complex.
Give up smoking and alcohol.

There are many folk remedies that help get rid of the problem. The most famous is the use of earwax. In addition, the application of juice from the leaves of aloe, Kalanchoe, celandine, plantain, and garlic helps with seizures.

To alleviate the condition during the day, it is necessary to lubricate the skin around the mouth with olive oil. Vaseline also heals wounds and cracks well, which should be used at night.

Lubricating seizures with essential oils, such as tea tree oil or rose oil, you can quickly get rid of the disease. A tampon soaked in the product should be applied more often to problem areas.

A decoction of oak bark has an astringent and disinfectant effect. Lotions relieve the condition of wounds, relieve inflammation. Honey has proven itself well, with which it is desirable to lubricate the affected areas of the skin at night.

Old grandmother's method - earwax. They took it out of the ear - they anointed the wound.
Sea buckthorn oil It has amazing wound healing properties, while it is not at all harmful to the body. If a little gets into the mouth - it's not scary, it is taken orally to treat diseases of the gastrointestinal tract.
Decoctions of herbs - chamomile, calendula, St. John's wort and thyme. Make tricks.
Juice of celandine, Kalanchoe or garlic also contribute to the healing of the jam. It is necessary after eating to wipe the affected areas with the juice of these plants.
To soften the crust, you can use both herbal decoctions and simple butter, olive or linseed.

Zayed can be cured only by a complex method:

The use of antifungal and antibacterial ointments.
Increased immunity (food, drugs).
Proper nutrition exclude spicy, sour, salty.
Protect wounds from moisture as much as possible - do not lick, dry after eating (fukortsin, alcohol).
The use of folk remedies.

By directing a complex treatment against seizures, based both on direct local effects and on supporting the general condition of the body, you will quickly deal with this problem.

The appearance of a seizure indicates not only the presence of some pathogen, but also the weakness of the skin, since any infection manifests itself in the weakest places. It means that there are problems with the skin and vitamins that are responsible for its condition help to solve them. Namely: A, B2 and E. It is the presence of these vitamins that needs to be replenished in order to get rid of unpleasant and painful wounds. Complex pharmaceutical preparations containing these vitamins quickly allow you to do this.

Also, vitamin deficiency can be replenished from food, but it will last longer than with the use of the drug.

Small bites may go away without treatment. To do this, you just need to exclude

sour, sweet, salty and spicy foods, stop licking your lips, biting your nails and get rid of other similar bad habits. Recovery usually occurs within 5-7 days. But inaction in relation to zaed may not result in recovery, but in the progression of angulitis and its transition to a chronic form. You also need to remember that jamming can be just the “tip of the iceberg” of various diseases, so it’s better to consult a doctor with it.

How to treat seizures is determined individually. Treatment depends on the cause, type, prevalence, and presence of comorbidities.

Ways to treat zaed:

treatment of the corners of the mouth with antiseptics;
use of antibacterial, antiseptic or antifungal ointments;
general treatment;
folk remedies.

give up the habit of biting nails, pens, licking lips, sucking fingers, etc.;
treat lips with petroleum jelly or hygienic lipstick, especially before going outside;
exclude sour, spicy, spicy, salty and sweet foods from the diet;
refuse products that can cause allergic reactions (citrus fruits, chocolate, strawberries, chips, crackers, carbonated drinks, etc.);
give preference to softer and liquid food;
refuse too cold, too hot and "hot" drinks;
the diet must be balanced, it must contain a sufficient amount of vitamins and microelements, vitamins of group B, vitamins PP, A and E, iron are especially important;
it is advisable not to smoke;
try not to open your mouth wide;
if you have problems with your teeth - visit a dentist for sanitation of the oral cavity.

Antiseptics prevent the reproduction of microorganisms and the spread of infection to healthy areas of the skin. Most antiseptics are effective against most bacteria and fungi.

Important! When treating the area of the lips and corners of the mouth, products containing alcohol are not used, as they additionally irritate the sensitive skin of this area, which can aggravate erosion and cracks. And 96% medical alcohol can lead to the development of a burn, and thereby delay the healing of skin defects.

Solutions of Chlorhexidine, Miramistin and Stomatidin can cause

in children under the age of 3 years. A solution of Borax and Vinylin for children and adolescents is generally contraindicated due to possible toxicity.

Zaeds are processed 3-4 times a day. If it is necessary to use other external means after treatment with antiseptics, at least 15-20 minutes should pass. They treat not only wounds, but also healthy skin and mucous membranes around them.

Antiseptic solutions usually lubricate the corners of the lips, but lotions that are applied to problem areas for 15 minutes are more effective.

In the presence of stomatitis, the oral cavity is also treated with the same antiseptic preparations. More about antiseptics

Ointments for seizures

Ointments, like antiseptic solutions, are aimed at pathogens of inflammation, but ointment bases contribute to deeper penetration of the active substance and a longer lasting effect.

When seizing, antiseptic, antibacterial, antifungal and combined ointments and creams are used, depending on the pathogen. Antibacterial and antifungal agents are more effective than antiseptics, since they not only prevent the reproduction of microorganisms, but also contribute to their death. Good results can be achieved by combining solutions and ointments.

Ointments for the treatment of zaed

Type of external means and indications	External funds	Application features
Ointments with antiseptic action: uncommon and uncomplicated streptococcal and candidal seizures		Ointments can be applied to the corners of the lips and to the surrounding skin in a thin layer, but the best effect can be achieved with ointment compresses. To do this, the medicine is applied to a sterile napkin and fixed in the corners of the lips with an adhesive plaster for the night. Antibacterial ointments are ineffective against fungal infections, moreover, they can aggravate the course of candidiasis. Important! Levomekol ointment is not suitable for treatment in the lip area. Oxolinic ointment and Acyclovir are ineffective against streptococcal and candidal seizures.
Antibacterial agents: streptococcal infections	Tetracycline ointment; Erythromycin ointment; Gentamicin ointment; Streptocid ointment; Synthomycin ointment; Baneocin ointment; Bactroban; Fusiderm cream.
Antifungal agents (fungicides): candidal seizures	Soda solution (1 tsp. soda per 200.0 ml of water); Candide solution; Futsis DT - lozenges; Fucis gel; Holisal; Nystatin ointment; Lamicon cream; Lamisil cream; Levorin ointment and others.	Antifungal ointments are used by applying them to the corners of the mouth with a thin layer or in the form of compresses 3-4 times a day. Fungicide solutions treat not only the corners of the mouth, but the entire oral cavity. This is necessary for the treatment or prevention of candidal stomatitis. Fungicides are ineffective against streptococcal infections.
Combined ointments: chronic seizures; seizures caused by mixed infection; in the presence of concomitant atopic dermatitis in the area around the mouth.	Triderm; Trimistine; Lorinden S and others.	Combined ointments contain an antibiotic, an antifungal component and a glucocorticosteroid hormone. These funds can only be prescribed by a specialist when other methods of treatment do not help.
Means that promote rapid healing of the jam: all types of zaed		How to quickly cure seizures? In order to quickly get rid of the jam, in addition to antibacterial ointments and antiseptics, ointments are used that promote wound healing. But you need to know that these ointments are not prescribed from the first day of therapy. They are connected to the main treatment when the first positive results appeared: on the 2-4th day. Healing ointments are applied in a thin layer 3-4 times a day at least one hour after using antibacterial ointments.

General treatment of zaed

Features of the skin of the lips and corners of the mouth

With streptococcal infection, the formation of primary elements in the form of vesicles or papules is accompanied by a number of clinical symptoms.

The patient may have:

a pronounced feeling of discomfort in the affected area;
local hyperemia of the skin;
wetting;
slight local swelling;
burning;
pain when opening the mouth.

The rupture of the bubble is accompanied by the release of a small amount of exudate (liquid) or the appearance of bleeding. A slit-like erosion is formed, with a caked purulent-bloody crust.

Characteristic signs of candidal seizures are the presence of bright red erosion, often covered with an easily removable whitish coating, and the absence of crusts. This type of angular stomatitis often has a chronic course with frequent exacerbations.

With running seizures, long-term non-healing cracks on the lips are formed.

The symptoms of the appearance of seizures and the further development of the wound are very similar to herpes, therefore, in order to determine the pathology for sure, it is sometimes worth seeking help from specialists. Diagnosis, combining smears and other tests, will help to say exactly whether it is a seizure or herpes, as well as calculate the cause or pathogen.

Symptoms

The appearance of redness in the corner of the mouth. Sometimes it flakes and itches a little, but you can’t scratch it, especially with dirty hands.
At the next stage, a crack appears. Sometimes it is accompanied by small bubbles, inside which a purulent mass accumulates.
In the case when bubbles were still present, literally after a day or two they begin to burst. At the same time, a person experiences discomfort when opening his mouth, feels a burning sensation when eating and drinking acidic and salty foods.
If nothing is done, then purulent crusts will appear, bleeding is possible.

The lips differ in structure from the skin of the face - it is very sensitive and delicate, even more tender than the area around the eyes. All because of the structural features of this zone.

The lips are a muscular organ that is covered with a mucous membrane on the inside and skin on the outside, and between them there is a red border (vermilion) covered with epithelium, which is a cross between skin and mucous membrane.

The structure of the skin, mucous membrane and red border of the lips is radically different, but all these tissues are covered with a multilayered epithelium: 1. The epithelium of the mucous membrane of the lips is non-keratinizing, and has only 2 layers. Here the ducts of the labial salivary glands open. The mucous membrane is vulnerable and sensitive. 2. The skin epidermis consists of 6 layers, the upper one is horny (dead) cells that exfoliate and are constantly updated (keratinized epithelium).

The skin zone of the lips is delicate, has a thinner epidermis than in other areas of the skin of the face. 3. The transitional epithelium of the red border has 4 layers, keratinization occurs partially, which makes this zone especially vulnerable and tender. In addition, there are no sebaceous and sweat glands in the red border, the secret of which moisturizes and protects the skin from negative environmental factors.

In the zone of the corners of the lips, not only the upper and lower lips are connected, but also the mucous membrane, the transitional epithelium of the red border and the skin. Therefore, this zone is called the commissure of the lips (from the Latin commissura - I connect).

Features of the area of the corners of the lips:

the corners of the mouth have a special structure, this zone has collected the vulnerability of the mucous membrane, the red border and the delicate skin of the lips;
the direct connection of the corners of the lips with the oral mucosa contributes to the fact that jamming can be not only a skin defect, but also a manifestation of stomatitis (inflammation of the oral mucosa);
the skin around the lips is subjected to constant stretching and mechanical irritation during eating, talking, wide opening of the mouth and kissing, the skin in the corners of the mouth is especially affected;
food particles accumulate in the corners of the lips, promoting the growth of microorganisms and saliva, which has a drying effect on the skin of the lips.

jamming is the presence of inflammatory changes in the corners of the lips:

redness;
wounds;
crusts or plaque;
cracks.

Seizure may be accompanied by soreness when opening the mouth, itching, burning and a feeling of tightness, especially when eating.

Streptococcal and candidal seizures differ in their external manifestations.

Streptococcal and candidamic zaeda: how to distinguish?

through a monthly course of vitamin therapy;
with the help of medicines;
folk remedies.

Fucorcin solution

The most popular medical method is the lubrication of angulite with fucorcin, which has antifungal and antimicrobial properties. Wounds must be treated up to 3 times a day until the inflammation subsides. The solution helps if the jams do not have infectious roots. You can also use potassium permanganate or brilliant green.

Antibiotic ointments

Antibacterial therapy should be prescribed by a qualified doctor after receiving the patient's test results. Most often, antibiotics are used for seizures that appeared due to the activation of a streptococcal infection. In this case, ointments based on erythromycin and synthomycin are prescribed.

It happens that angulitis is caused by fungi of the genus Candida. Then neither Erythromycin nor Fukortsin will help. The fight against the disease should be comprehensive:

Levorin or Nystatin is taken orally;
and from above, the wounds are treated with levorin or nystatin ointments (in advanced cases, sulfur salicylic is used).

Vishnevsky ointment

People who are faced with skin problems claim that Vishnevsky's well-known ointment has an excellent healing effect on seizures. It is applied clearly to sores and wounds, avoiding the area of the mucous membrane of the mouth and lips.

After the acute period of the disease is left behind, in the intervals between the use of ointments, the wounds are treated with vitamin oils (an ideal remedy in the case of seizures is AEvit capsules).

Remember: you can apply the remedy on cracks and wounds in the corner of the lips only after you have carefully washed them with warm water and dried them with a napkin! To maximize the therapeutic effect, the treatment is supplemented with immunomodulators and multivitamins.

Since seizures often become only a manifestation of disorders occurring in the body, getting rid of external manifestations is not enough, it is necessary to eliminate the cause that causes them.

With small foci and superficial skin lesions, the basis of treatment is a local effect on the pathogen:

Lip skin treatment antiseptic preparations(brilliant green, fucorcin, chlorhexidine);
Usage ointments with antibacterial effect(synthomycin, tetracycline) for seizures caused by streptococci. Absolutely useless against fungal infections;
Used to treat fungal infections antifungals(nystatin, lamicon, terbizil). They quickly heal the wound surface, eliminate tightness. Absolutely useless against bacterial infection.
"Heavy artillery" - combination medicines containing antibacterial, antiseptic and hormonal components. They allow you to get rid of an infection of unknown etiology in a short time.

If local therapy does not bring the desired result, the seizures increase in size, bleed, cause pain and discomfort, then it is worth switching to stronger drugs, while simultaneously conducting a complete examination of the body, since long-term non-healing cracks indicate disturbances in the internal organs.

How to treat extensive seizures?

A bacterial infection is treated with antibiotics in tablets or syrup - augmentin, sumamed will cope with streptococci in a short time;
Fight fungal infections antifungal agents- fluconazole, levorin, fucis;
Discomfort, inflammation, pain will help to win antihistamines and anti-inflammatory drugs- tavegil, loratadine, claritin.

Watch this video about the treatment of angulitis.

1. Enrich your diet with foods rich in vitamin B2:

nuts
Cabbage
Salad
Egg yolk
Hen
Legumes

2. Provide the required amount of vitamin E:

Corn
Oat groats
Vegetable oil

3. Reduce carbs

4. If possible, give up smoking, alcohol

5. Moisturize the skin of the lips, use hygienic lipstick

6. Panthenol will help heal wounds

7. Drink a course of immunomodulators, improve health

8. Do not overcool, do not overheat

Treatment of fungal, streptococcal and viral jam. Preparations for seizures (recommendations of a dermatovenereologist) - video

Seizures can be prevented by following these guidelines:

Don't need to be allowed dryness and flaking of the lips. For moisturizing use hygienic lipstick, thermal water, wax, honey, oils (linseed, rose, coconut).
If the seizures bother you often enough, you need undergo a complete examination. Perhaps the cause of the disease is hidden in the body.
Follow the condition of the mouth and teeth. Get regular checkups with your dentist. Caries, tartar, poor-quality prosthesis - all this can contribute to the appearance of angulitis.
Proper nutrition help to get rid of an unpleasant disease. The diet should contain foods rich in vitamins B2, C, E.
Conduct timely vitamin therapy. But it is worth remembering that hypervitaminosis can also cause jamming.

If angulitis manifests itself and local treatment does not help for more than five days, you need to visit a doctor. Self-medication is not allowed, especially drugs with antibiotics.

A timely appeal to a specialist will save you bleeding ulcers, reveal the true cause of the disease.

Types of seizures: on the corners of the mouth, on the mucous membranes, candidal (yeast), syphilitic. Herpes or congestion? Is the jam contagious - video

Visually, at the third stage of development of a seizure, it is almost impossible to distinguish it from herpes. So how are these two diseases different?

The appearance of herpes causes the presence of a herpes infection in the body. Seizures can be the result of many infections, fungi, and even mechanical damage, which subsequently gets an infection from the outside.
Herpes appears both around the mouth on the lips, and under the nose and on other parts of the body. Jams appear exclusively in the corners of the mouth.
Herpes looks like many small sores that develop into one large wound. Zayeda starts directly from the cracks.
Herpes, if not treated, can grow in any direction, while the person wants to constantly scratch around the affected area. Seizures can diverge further only as a result of permanent mechanical damage to the skin and this happens again with cracks.

A jam has appeared - you need to pass through it with a metal knife. The metal itself does not affect bacteria or fungi in any way, and if the knife was previously used in the kitchen, then other microbes live on it, which will only aggravate the inflammatory process.
Hair is another exotic method from a jam. Well, if you have your own hair, and if not, then you will have to resort to the help of a girlfriend. Hair additionally injures the thin skin at the corners of the mouth, and they are always dirty, and will only add additional infection.
Sulfur from the ears is the best remedy for jamming. Yes, ear wax has an antiseptic effect, as it contains special immunoglobulins. But they only work in the ear, and on the lips, earwax is absolutely useless. In addition to discomfort and stress for the squeamish, earwax can trigger the growth of streptococci and delay the healing process. This fact has been proven in laboratory conditions by adding earwax to bacteria.
Cigarette ash is a good antiseptic. Ash is pure carbon, but it will not get rid of bacteria and fungi. But to additionally dry the skin around the lips, increase the number of cracks and create an atmosphere of an ashtray in the mouth - this is please.
Honey: a delicious remedy for jam. Yes, honey is tasty and healthy, but absolutely useless when eating. In addition, honey contains sugars that fungi love so much; in a sweet environment, they grow and multiply better.
Onion and snack. Onions are useful, contain a huge amount of useful substances, but they are not suitable for eating, as onion essential oils promote increased salivation, which dries the delicate skin of the lips and corners of the mouth.
Frequent and long-lasting seizures - it's time to see a psychologist. Psychosomatics (the impact of a mental state on physical health), of course, takes place in the development of some pathologies, but it is impossible to say that depression or fears affect the corners of the lips, bacteria and fungi. Of course, stress can reduce immunity, but at the same time, in addition to jamming, there will be many more problems.

How to treat jams in the corners of the mouth?

Earwax

The initial period of the disease can be cured with earwax. The same remedy is often used to treat herpes on the lips. Take a cotton swab, collect some sulfur from the ear canal and apply it to the wounds.

Thermal water

If the seizures are small, lubricate them as often as possible with a cotton swab dipped in natural thermal water. It is advisable to use hygienic lipsticks based on it.

Essential oils

Lubricate the jams with rose, sea buckthorn, linseed or rosehip oil, tea tree oil, or regular olive oil. The maximum effect is achieved by alternating this method of treatment with the application of the juice of the following plants:

plantain;
celandine;
kalanchoe;
garlic.

Usually seizures manifest themselves as too dry skin. To soften its surface, apply petroleum jelly, butter or honey at night.

Also among the people are popular remedies based on decoctions from the following medicinal plants:

sage;
calendula;
series;
celandine;
chamomile.

A decoction of oak bark exhibits a disinfectant and astringent property, which relieves inflammation and alleviates the condition of damaged skin.

Propolis

10 gr. propolis is mixed with 100 gr. butter, melt the mixture in a water bath, filter and pour into a container exclusively made of dark glass. The agent is applied to problem areas. It has an anti-inflammatory emollient effect and effectively treats seizures.

Apples and butter

An apple grated on a coarse grater is mixed with a small amount of butter and applied to ulcers in the corners of the lips.

Salo and rose petals

This strange combination is really effective in the treatment of angulitis. Don't believe? Check: mix 1 tsp. crushed fresh fat without salt with 1 tsp. finely chopped rose petals and apply to jams. Do this as needed and you will soon see results.

Interesting folk methods

There are several other methods that are beloved by the people, but completely unreasonable from the point of view of medicine, which we want to mention. According to popular beliefs, if the length of the hair allows, the tips of your own strands must be moved several times a day over the wounds. Also, it is necessary to apply a knife to cracks and sores (of course, with the blunt side). To believe in these signs or not is a personal matter for everyone, but why not try, because it does not require any effort and resources.

Zaedy is not a sentence! Treat your health with due attention, strengthen your immune system and prevent accidental diseases from becoming chronic!

Treatment of seizures in the corner of the mouth depends on the cause of their appearance. Since this is a wound, in any case it needs to be dried and this is best done with fucorcin. It does not look very attractive, because it has a bright color. If you have to go to work, then it is better to use alcohol, which will dry the wound, preventing it from spreading, and there will be no traces of its use.

Great attention should be paid to your daily diet, excluding from it everything salty, sour, fried and sweet. These foods are very fond of fungi and other infections, your task is to deprive them of their favorite environment. At this time, you need to eat foods containing riboflavin and vitamin E. Focus on fruits, vegetables and cereals, mainly:

cabbage,
beans,
nuts,
salad leaves,
corn porridge,
oatmeal.

What ointment to treat seizures in the corners of the mouth?

Ointments for the treatment of zayed are prescribed by a doctor after examination and calculation of the pathogen. For example,

Iruxol
Tetracycline ointment
Solcoseryl
Teymur paste
Levomekol.

Antifungal agents for jamming in the corners of the mouth

If a fungus has become the cause of the seizure, then the treatment should be antifungal, since first of all it is required to remove the pathogen and only after that it is taken to heal the wound.

In order for the treatment of seizures to be effective, an integrated approach to solving the problem is important. Symptomatic therapy usually gives a short-term effect, and then a relapse develops again. In parallel with local treatment, general strengthening therapy is needed, the purpose of which is to strengthen the body's defenses, that is, to strengthen general and local immunity.

For external topical application, mainly ointment dosage forms are used. To select the most effective ointment for the treatment of seizures, it is necessary to know the nature of the pathological process, that is, the nature of the pathogen.

With a bacterial cause of the disease, drugs with anti-inflammatory and antibacterial effects are effective - Miramistin, Tetracycline (including tetracycline eye ointment) and Trimistin.

If there is reason to believe that seizures are caused by viruses, treatment is carried out using antiviral ointments - Acyclovir or Gerpevir.

With an unidentified pathogen, it is advisable to apply preparations with fungicidal, antibacterial and weak antiviral properties to problem areas of the skin and mucous membrane of the lips. These include Fukortsin, Metrogil denta, Miramistin and Stomatodin.

At the healing stage, patients are shown such external agents as D-Panthenol and Bepanthen.

With significant inflammation, effective means, which include antibiotics and glucocorticoids - Triderm and Gioksizon.

Vitamin therapy is of great importance in the treatment of angular stomatitis, because hypovitaminosis is one of the important factors predisposing to the development of pathology.

Vitrum;
Askorutin;
Vitamin C(vitamin C);
Tocopherol acetate;
Duovit;
Multi-tabs;
Aevit (complex preparation, including vitamins A and E).

Deficiency of B2 and many other vitamins can be replenished by making certain adjustments to the diet.

Vitamin B2 (riboflavin) is present in large quantities in the following foods:

pine nut kernels;
almond;
peanut;
mushrooms (champignons, boletus; porcini, mushrooms, chanterelles);
dog-rose fruit;
spinach ;
cabbage;
processed cheese;
milk;
cottage cheese;
liver (pork or beef);
chicken eggs;
poultry meat (geese);
some varieties of sea fish (mackerel).

For the treatment of seizures, traditional medicine recommends consuming more natural honey and using other bee products. Healers advise lubricating diseased areas with propolis, which can be mixed with butter. Fresh garlic and onions are excellent natural remedies to strengthen the immune system and fight bacteria. Chopped garlic cloves can be applied topically by applying directly to the wound.

With candidal angular stomatitis, regular washing of the affected areas with a concentrated solution of sodium bicarbonate (baking soda) helps to cope.

The medicinal plant Echinacea has a general strengthening effect. You can take infusions, decoctions, as well as pharmacy extracts and tablets.

Fresh plantain leaves crushed before the juice comes out help well (the slurry is applied to the corners of the mouth).

Important: It is not recommended to start taking specific immunostimulants or antibiotics on your own. Self-medication may not improve, but worsen the general condition. All pharmacological preparations should be prescribed by a doctor after the examination and the results of the tests.

If the seizure is not treated in a timely manner, the process progresses, affecting more and more deeply located layers of the skin. When small lymphatic vessels are affected, exudate will constantly be released from the wound. The skin dries out and tightens, and eventually a painful crack forms in the corner of the mouth.

Diagnosis of angulitis

The leading etiological factor (including the type of pathogen) can be identified by a laboratory study of the patient's biological material. The study of scrapings taken from the affected area contributes to the detection of yeast-like fungi. If the result is negative, then candidal angular stomatitis is excluded.

Anemia can be confirmed or ruled out by determining the level of hemoglobin, leukocytes and ESR in a blood test. A blood sugar test is essential for diagnosing diabetes.

The Wasserman reaction is used to rule out syphilis.

An ordinary person who has seizures in the corners of his mouth very rarely seeks help from a doctor. As a rule, they sound the alarm when the seizure does not heal for a long time or is constantly repeated. And this is in vain - it is much easier to cure a stop in an acute period than in a chronic course. It is not always possible to determine the type of seizure by eye and, accordingly, it is difficult to choose the right self-treatment.

So, with seizures, you need to contact a family doctor (with children to a pediatrician), or immediately to a dentist.

How is angulitis diagnosed?

The most accurate method for identifying the causative agent of jamming is a smear from the corners of the mouth for microbiological examination and sowing. Using this method, it is possible to identify not only the type of infection, but also its sensitivity to antibacterial drugs (antibiogram).

What else needs to be examined when visiting?

To identify comorbidities that may be the cause of jamming, it is necessary to undergo a series of examinations. Their list is selected individually, depending on the presence of complaints and medical examination data.

1. Herpes on the lips can be confused with streptococcal congestion. With herpes, vesicles also appear, which open up, forming erosion and yellow crusts. But, unlike streptococcal angulitis, the vesicles are large, tense walls and contain watery, not purulent contents. Also, herpetic eruptions appear against the background of inflamed, red and edematous skin, are always accompanied by painful sensations, severe itching and a violation of general well-being (fever, weakness), and these symptoms appear even before the rashes.

The cause of the formation of a jam is established using laboratory tests.

The nature of the lesion of the skin of the lips can be determined using a laboratory study of a skin sample taken from the damaged area by scraping. If the presence of fungi is not detected under the microscope, then a general blood test is done.

The concentration of leukocytes and the value of ESR (erythrocyte sedimentation rate) will show the presence or absence of an inflammatory process in the body.
An analysis is made for the content of vitamins of group B.
The presence of diabetes can be determined by the value of blood sugar concentration.
Jamming on the lips can appear in HIV-infected, as well as patients with syphilis. Therefore, to clarify the diagnosis, tests are sometimes made for such diseases.

Good day, dear readers!

In today's article, we will consider with you a disease that at least once in a lifetime has manifested itself in almost every person - seizures in the corners of the mouth, as well as their causes, symptoms, types, treatment, medicines, folk remedies and other issues related to seizures. So…

What are zaeds?

Zayed(lat. angulus infectiosus) - a pathological process, disease or symptom characterized by a violation of the integrity of the mucous membrane of the lips or skin, mainly in the corners of the mouth. Simply put, cracks along the edges of the lips, which then turn into wounds, often do not heal for a long period of time and are jams.

The term "zaeda" is colloquial, but if we talk about the scientific designation of the pathology considered today, then zayeda is called - angular cheilitis, angulitis, angular stomatitis, angular stomatitis,.

Seizures on the lips can be either an independent, primary disease, or a symptom of others. It all depends on the specific situation, the cause of angulitis.

The main reason for the seizure- which, with weakened immunity and the slightest violation of the integrity of the mucous membrane of the lips or skin, falling under their upper tissues, begin to actively multiply, provoking the development of an inflammatory process and a wound in this place. The most common causative agents of seizures are streptococci, Candida fungus.

It is worth noting that streptococcal, staphylococcal and other types of infection are almost always present on the surface of the skin of any person, but only reduced immunity can allow them to “play out”, one of the main functions of which is to protect the body from various dangers - infections, etc.

Damage to the lips or skin is most often caused, especially by a lack of vitamin B2 (riboflavin) in the body, the constant presence of saliva in the corners of the mouth, the presence of diabetes, physical injury, etc.

It does not carry a danger in itself, however, these wounds can cause pain in some cases, in particular when opening the mouth and aesthetic discomfort.

As we have already indirectly said, for the appearance of cracks on the lips, a combination of several unfavorable factors is necessary:

1. The presence of infection on the surface of the lips and skin;
2. Violation of the integrity of the mucous membrane of the lips or skin near the lips;
3. Reducing the reactivity of the immune system.

When the infection gets under the upper layer of the mucous membrane of the lips or skin, it settles in that place, begins to actively multiply, provoking the development of the inflammatory process. At the same time, a small wound (ulcer), vesicles or nodules (papules) are formed in this place, often containing a clear or cloudy liquid. Over time, the surface of the wound becomes covered with a hard crust, somewhat tightening the surface of the lips or skin. When a person opens his mouth - when eating, laughing, talking, due to the lack of elasticity of the wound, it cracks, a liquid containing the infection flows out, which dries up again and strengthens the surface of the crust with a new ball. Along with the fluid, blood can also flow out. Thus, with each rupture of the crust and leakage of the contents, the wound constantly increases in size.

Zayeds - statistics

Most often, seizures form in the cold season - from late autumn to mid-spring, when the body is most susceptible to hypothermia, hypovitaminosis, attack from various types of infection, i.e. during the period of activity of acute respiratory diseases (ARI).

Zaedy - MKB

ICD-10: K13.0;
ICD-9: 528.5.

Zaeds - reasons

What causes seizures? Once again, the development of angulitis requires a complex of several factors:

1. Infection. Most often, inflammation is caused by:

- (especially epidermal streptococcus) and;
- herpes virus;
fungi - a fungus of the genus Candida (Candida).

2. Damage to the mucous membrane of the lips or skin near the lips, which can provoke:

physical injury - when combing the corners of the mouth, squeezing out acne, a cut when shaving;
constant contact of the corners of the mouth with saliva, for example, due to increased salivation;
face, lips;
dry skin, ;
uneven bite;
wearing dentures or braces.

3. Decreased reactivity of the immune system, which can cause:

overheating of the body (hyperthermia);
the use of antibacterial drugs, steroidal anti-inflammatory drugs, glucocorticoids, cytostatics, immunosuppressants and others for a long time;
the presence of various chronic or other diseases -, and others;
, especially vitamins of groups B, C, E.

Common reasons for seizures can be:

non-compliance;
the use of common utensils, which is especially true for workers in large teams;
the use of low-quality oral care products - dental floss, toothpaste;
the presence of bad habits - smoking.

It is very important to identify the causative agent of the jam, because. further treatment depends on this.

Symptoms of seizures

Symptoms of angulitis include:

Swelling and redness of the mucous membrane of the lip or skin in the corner of the mouth;
Feeling of itching, slight pain and discomfort in the area of the inflammatory process, especially when talking, laughing, eating;
Covering the jam with a crust, which, depending on the pathogen, can be colored in yellowish-reddish, reddish or whitish shades;
The appearance of cracks, which over time can become deeper and, with insufficient therapeutic measures, will turn into deep and extensive wounds.

Types of angulite

The classification of the jam is as follows:

By etiology:

primary form- the pathological process develops as an independent disease caused by infection. May be:

streptococcal zaeda- the cause is a streptococcal infection (bacteria). It is characterized by the formation of a crust with a yellowish-reddish tint;
candidamycotic zaeda- the cause is a fungal infection - fungi of the genus Candida (Candida). A distinctive feature of candidomytic seizures is a grayish-whitish coating at the site of inflammation, while the crust is usually absent. Often becomes chronic with periodic relapses.
Viral zaeda- the herpes virus and other types of viral infection can be the cause.

secondary form- jamming is a symptom of another disease or pathological process, often during an exacerbation of another disease, for example - hypovitaminosis B2,.

With the flow:

acute form;
Chronic form.

Zaed diagnostics

Diagnosis of seizures includes the following examination methods:

Examination of a scraping seizure to determine the type of infection due to which the seizure appeared;

Additional examination methods:

The Wasserman reaction (RW), or EMF (rapid diagnosis of syphilis) - to exclude syphilis;
Histology.

With a mild form of angulitis, it is not necessary to consult a doctor, however, it is better not to continue treating seizures at home (the remedies are described later in the article) if the healing process does not occur even after a few days of treatment. Otherwise, it is better to consult a doctor.

The traditional treatment of zaeda includes the following points of therapy:

1. Anti-infective therapy;
2. Therapy aimed at accelerating healing;
3. Elimination of the physical causes of the jamming.

Important! Before using drugs, be sure to consult your doctor!

1. Neutralization of infection

How to treat jams in the corners of the mouth? First of all, the choice of medicine for the inflammatory process in the corners of the mouth depends on the cause of the disease. However, due to the fact that angulitis is formed on the surface of the lips or skin, ointments are mainly used for their local treatment. Ointments for seizures are the main treatment.

Streptococcal seizures it is necessary to treat with antibacterial ointments, since streptococci are classified as infections of a bacterial nature. Among the antibiotics against streptococcal infection, one can single out: Ingalipt, Metrogil Denta, Miramistin, Cetylpyridine, Tetracycline Ointment.

Fungal bugs must be treated with drugs aimed at the destruction of a fungal infection. Among the antifungal drugs, one can distinguish: Hexoral, Clotrimazole, Miramistin, Natamycin, Nystatin Ointment, Levorin Ointment, with prolonged healing - Fluconazole.

Viral congestion, for example, with the herpes virus, it is necessary to treat with antiviral drugs or antiseptics, among which are: "Acyclovir", "Gerpevir".

Among combination drugs against infectious seizures, one can distinguish: "Metrogil denta", "Miramistin", "Stomatidin", "Fukortsin".

After treating the wound, the skin around it must be treated with an antiseptic: Chlorhexidine.
In case of a strongly pronounced inflammatory process, together with anti-infective drugs, the wound is treated with glucocorticosteroids: "Gioksizon", "Triderm", "Trimistin".

Important! The use of the above drugs should be at least the period specified in the instructions for the drugs, with the exception of the appearance of allergic reactions to a particular substance.

2. Therapy aimed at accelerating the healing of the corners of the mouth

After treating the jam with an antibacterial, antifungal or antiviral drug, it is advisable to treat it with an emollient that will prevent the crust from drying out, which is why cracks most often develop. In addition, some agents accelerate tissue regeneration.

After treating the inflamed area with an anti-infectious drug, the following funds can be applied to the session: Bepanten, D-panthenol.

As we have already noted, a weakened immune system can allow the appearance and development of seizures. To strengthen the immune system, the use of immunomodulators, vitamin complexes (Aevit, Vitrum, Duovit, Multi-tabs) is prescribed

(especially , ), .

Lack of vitamin B2 (riboflavin) is one of the common causes of angulitis, so pay attention to the additional intake of products. Enriched with this vitamin - nuts (peanuts, almonds,), greens, cabbage, milk, liver, meat, cereals.

3. Eliminate the physical causes of jamming

If angular cheilitis has formed due to improperly installed dentures, fillings, or a crooked bite, these causes must be eliminated so that relapses of the disease do not occur.

If the cause of angulitis is the presence of another disease, its treatment is also carried out at the same time.

Also, pay attention to preventive measures, in which we will talk a little later.

Important! Before using folk remedies for the treatment of seizures, be sure to consult your doctor!

Tea tree. 2 times a day, apply a cotton swab dipped in tea tree oil to the inflamed corners of the mouth, which has not only antiseptic and softening, but also wound-healing properties.

Fish fat. 1 st. mix a spoonful with 10 drops of fish oil. Make a compress from this remedy in the morning, for 15 minutes and at night.

, for people who do not have a medical education, units will answer correctly and competently put stress in the mysterious word. Meanwhile, most of us must have suffered from the unfortunate angulitis at least once in our lives.

What is it? It turns out - cracks, wounds in the corners of the lips, which popularly called "zaeds". It seems to be not the most serious disease, but, you see, it is very unpleasant, associated with a lack of vitamins, weakened immunity, and metabolic disorders.

How to deal with it, how to protect yourself from it for the future? Let's figure it out.

What it is?

Jamming is a violation of the integrity of the skin and mucous membranes in the corners of the mouth both from the outside and from the inside. In addition to "angulitis", the disease has other names: angular stomatitis,.

The disease goes through a series of stages - from barely noticeable bubbles to deep, sometimes festering cracks. At the same time, it always causes pain and discomfort - it interferes with speaking, smiling, eating, and it looks very unaesthetic.

If you follow the principle “everything will pass anyway” and do not take any measures, irritation can spread further, along the edges of the lips, cheeks. The crusts on the site of healing wounds will burst as soon as a person opens his mouth - the problems seem to have no end in sight.

A psychological attitude towards a certain hopelessness will also play a negative role, because, according to psychosomatics (one of the branches of psychology): all our problems come from nerves.

Interestingly, seizures can appear in people of any age - from a child to a pensioner, if the necessary conditions are found for the development of infection. What they are, how to fix them, you need to know for everyone for whom angulitis is a regularly recurring problem.

Experts consider seizures to be one of the signs of diseases associated with the loss of general immunity by the body.

Often they are seasonal in nature, since most chronic somatic diseases manifest themselves precisely during periods of unstable, changeable weather - in autumn, spring.

The immediate culprits are:

Such microorganisms are usually present both on the skin and in the internal organs of healthy people, without harming them.

The reasons for their appearance in the active phase:

beriberi (including seasonal);
colds and chronic diseases (exacerbation can occur with diabetes mellitus, HIV);
weakness of the body associated with long-term treatment (antibiotics, hormonal agents, radiation therapy);
nervous tension;
bad habits (smoking, drugs);
microtrauma of the skin.

Experts note even malocclusion as risk factors, which provokes increased salivation, causing maceration (this is the name for the process of impregnation of tissues with liquid and, as a result, their softening).

He adds his "drop of tar" and non-observance of hygiene rules(for example, using someone else's bath accessories), as well as the habit, if the corners of the lips dry, constantly lick them.

Seizures, as one of the signs of a serious illness, may indicate liver pathology. Similar symptoms are characteristic of anemia, when the body experiences an acute shortage of iron.

Zaedy most often disturb people whose body lacks vitamins:

group B (riboflavin and pyridoxine);
A (retinol);
C (ascorbic);
E (tocopherol);
PP (nicotinic acid).

For example, vitamins B2 and B6 have a positive effect directly on the skin - they help saturate it with oxygen, provide protein synthesis processes). Their lack, as a rule, leads to various skin diseases.

It is important to keep in mind that almost all vital vitamins are contained in various foods in the required quantities, so its balance is a prerequisite for a faster recovery of a person.

Don't Forget the Micronutrients: iron, for example, raises the level of hemoglobin in the blood, so that the skin overcomes dryness, vulnerability, and zinc is necessary for tissue regeneration.

Symptoms of the disease

Patients usually talk about their feelings like this: “lips burst” or “lips are torn”. More symptoms can be described as follows:

discomfort of areas of the skin and mucous membranes, where seizures soon appear;
redness;
burning and itching;
sometimes - a slight swelling;
wetting;
the formation of tiny bubbles that will burst, and they will be replaced by sores;
pain when opening the mouth.

Diagnostics

Accurate diagnosis is provided by laboratory tests. Doctors must prescribe them to patients whose seizures are permanent, and are not isolated cases.

For analysis, blood is taken, scrapings from damaged areas of the skin and mucous membranes.

The presence of pathogenic microbes helps to understand the nature of the disease, and the concentration of leukocytes in the blood confirms that there is inflammation in the body.

Be sure to check the presence of B vitamins in the samples.

And since seizures, as a rule, are only the visible "part of the iceberg", experts will try to understand whether they are the result of diabetes (blood will be studied for sugar concentration), HIV, or some kind of sexually transmitted diseases.

Varieties of the disease

Specialists distinguish primary and secondary forms diseases. In the first case, the causative agents are streptococci, candidal infection.

In the second case, the disease is associated, for example, with tuberculosis or some other infections. Different types of diseases require special treatment.

candida

This type of disease has a name - "candidamicotic".

Fungal inflammation usually affects not only the corners of the mouth, but also the tongue, appears on the cheeks inside the mouth.

Candidiasis does not heal for a long time, often becomes chronic.

Its external features are off-white coating(which is easy to remove, but literally in one day it will appear again) and the absence of crusts.

Read more about the symptoms and treatment of candidal stomatitis.

streptococcal

For this type of disease crusts are one of the main symptoms. Their color is yellowish red.

The streptococcus that causes infection is very active, so when the question arises whether the seizures are contagious or not, experts answer in the affirmative and insist on hygiene precautions.

You can get infected through direct contact (for example, a kiss), dishes, personal items.

Children are more susceptible to this form of the disease.. If they complain that their lips are chapped and sore, parents should definitely understand the cause of the problem and, if necessary, seek help from a doctor, he will tell you what to do.

herpetic

If the cause of the disease is the herpes virus, it is usually not possible to get rid of unpleasant symptoms without medical help.

The wounds do not go away for a long time, the discharge from them is purulent, and the pain during a conversation, eating is acute.

We wrote about the treatment of herpes stomatitis in children in the article.

Rapid treatment of seizures in the corners of the mouth in adults

Not only pharmaceutical preparations, but also folk remedies help to fight the symptoms of angulitis. The treatment regimen, although it is carried out at home, needs to be thought out together with the attending physician.

The medicines used have different purposes: they disinfect wounds, fight microbes, and accelerate healing.

Here are some pharmaceuticals that a doctor may recommend:

But Acyclovir and Zovirax are ineffective against seizures (unless the disease is of a viral nature), in addition, they cause peeling of the skin, dryness, which can adversely affect the healing of cracks.

Vishnevsky's ointment, popular with many people, also does not always provide the desired result, since it helps with non-infectious causes of cracks.

Homeopathy can come to the rescue for chronic patients, but this type of treatment must be agreed with the doctor.

Painkillers

Pain is one of the main problems of the disease. Drugs that remove it (tablets, gels) are part of a comprehensive treatment.

Kamistad;
Stomatofit;
Lidocaine Asept.

From this publication you will learn what it looks like, about the causes and symptoms of the disease, methods of treatment and prevention.

Instructions for use Zosterin-Ultra 30 and 60 are discussed in detail in the material.

When there are problems with the lips, traditional healers advise using bee products - not only honey, but also propolis(combined with butter).

If the wounds become inflamed and wet, these products will have a disinfecting effect on them and speed up recovery.

In addition, useful:

Nutrition

Food should be complete, fortified. On the table should be:

liver;
vegetables (necessarily - beets);
dairy products;
seafood;
cereals (for example, buckwheat);
greenery.

But the food is spicy, salty, and with candidiasis - even sweet, for people who have seizures with a frightening frequency, it is contraindicated.

As in the case of adult patients, treatment should begin with a diagnosis, which will allow you to choose the most effective drugs.

The famous pediatrician Yevgeny Komarovsky considers it important:

Medications should not be chosen independently, especially if treatment of cracks and wounds in the baby is required.

How to cure sores in the corners of the lips during pregnancy

For this category of patients, safety is especially important: a woman has no right to harm her unborn child. However, such problems arise not only in pregnant women, but also in nursing mothers.

What means the doctor considers safe? For local treatment - ointments Hyoxysone, Nystatin, Lamisil-cream.

If the skin is very inflamed, redness appears, you can use Erythromycin ointment with caution. If they peel off, you can anoint with baby cream or petroleum jelly.

Rinsing with a solution of calendula will help kill bacteria on mucous surfaces.

At the healing stage (when the wound is covered with a crust), treatment with emollients (tea tree oil or sea buckthorn oil) helps.

Prevention

Seizures, as a rule, disturb people who have any diseases.

Their timely treatment, as well as any measures aimed at improving health, will be a good prevention of angulitis.

In addition, the following are important:

dental and oral care;
compliance with hygiene standards (you can not use other people's hygiene products, cosmetics);
if there is a sick person in your environment, the dishes from which he ate must be disinfected.

Zayeda is not a medical term, but an everyday one. But he very tightly entered the lexicon of not only ordinary people, but also medical workers. Zayed can be attributed to a certain symptom, which is based on the appearance of a skin defect in the corner of the mouth, accompanied by inflammatory changes in the tissues in the affected area and surrounding areas. Naturally, this cannot proceed without a trace for a person. And although such a state does not pose any danger, it brings some discomfort. This is especially true for a long process.

In general, such a harmless symptom as jamming should not always be considered unambiguously. After all, in the normal state of the body, it does not occur. Therefore, sometimes it can act as a kind of "small tip of a big iceberg." This means that jamming can be not only an independent insignificant problem, but also a secondary sign of various diseases at the time of their occurrence or exacerbation. This will be discussed in more detail in other sections of the article.

Here, it is advisable to indicate with what terms the jam is associated in medical circles. They can be heard at the reception at the dentist, dermatologist or therapist. These include: angular, angular stomatitis, slit-like. They should not cause any fantasies in the head of the patient about the severity of his condition, who asked for help in connection with a small, albeit annoying, snack. Similar terms mean the same state.

In its development, the jam in the corner of the mouth goes through a number of successive stages. It all starts with the formation of a small bubble filled with a small droplet of liquid. It may be clear or somewhat hazy. Usually, during a conversation or under the influence of external factors, the vesicle ruptures, exposing a small erosive surface on the skin or mucous membrane of the corner of the mouth. Soon there is an increase in it, and it is covered with a crust.

Clinical manifestations of seizures are reduced to the following signs:

Redness of the skin with wetting, or a small wound in the corner of the mouth;

Liver disease;

Hypovitaminosis;

Immunodeficiency states (decreased immunity);

Courses of hormone therapy with glucocorticoids, immunosuppressants, cytostatics.

At some points among the reasons for the development of seizures, it is worth dwelling separately, as this is important when choosing a method of treatment. First of all, it is worth noting the specific patterns in relation to the pathogen that caused the jam. Isolated seizures are more likely to provoke streptococcus, while fungal infection is always common with a parallel lesion of the corners of the mouth, lips and oral cavity.

Jade development factors

As for the mechanisms of development of seizures under the influence of causal factors, we can say the following. The direct pathological agent that causes skin lesions in the corner of the mouth is the microbial factor. But the realization of the pathogenic properties of these microorganisms is possible only under the influence of provoking factors that cause either damage to the skin at the site of a future bite, or a decrease in immune surveillance. In the first case, unprotected skin for a certain time is simply not able to resist streptococci and fungi until it is restored. Then there is a jam, as an independent problem.

By itself, the seizure brings moderate discomfort to a person, if its course is not complicated by anything. First of all, it concerns the formation of deep painful cracks in the corners of the mouth. Such a process is much more difficult to eliminate due to the presence of a relatively large wound defect and inflammation of the adjacent skin areas.

Consequently, the treatment process is delayed for a longer time compared to the treatment of uncomplicated seizures. The mechanism of crack formation at the site of injury is quite simple. An educated jam in the corner of the mouth can develop in two ways. In the first case, skin damage by microbes is superficial and the correct treatment of such a process leads to its rapid relief.

If you do not follow the rules for caring for such a jam, or it initially begins to progress, affecting the deeper layers of the skin, then sooner or later everything will end with the formation of a crack in the corner of the mouth.

If its depth reaches the level of the location of the lymphatic capillaries, this leads to the appearance of discharge from the wound, which, spreading to the surrounding skin, causes its compaction and overdrying. It shrinks and loses its elasticity. When it is stretched when eating, laughing, talking, the skin is torn.

The result of all the processes described, which close a kind of vicious circle, is the formation of cracks in one or both corners of the mouth. The most severe complication of such a local process is the transition of inflammation to neighboring areas of the skin in the affected area. As a result, the formation of new cracks with their association into one wound, covered with a crust and accompanied by constant wetting. If the necessary measures are not taken, the process will gradually expand with the transformation into a fairly large wound.

How to treat seizures in the corners of the mouth?

The treatment process for seizures in the corners of the mouth depends on the immediate cause of their occurrence. It includes local (local) therapy and general activities. It is always worth starting with local influences at a stop. They can be represented by folk methods and means of traditional modern medicine. First of all, it is worth dwelling on the most favorite methods among all who are faced with this problem. Naturally, everyone wants to get rid of it, as easily as possible.

Treatment at home

The first to come to the rescue are the improvised means of traditional medicine. Favorite and proven methods from this section are:

Applying earwax to the jam. The method of treatment, although not entirely aesthetic, but very effective;

Grind plantain leaves into a mushy mass until the juice comes out. Lubricate the cracks with the resulting mixture;

Prepare a mixture of bee honey and pork fat 2:1. Use to moisturize the skin in the corners of the mouth;

The use of natural vegetable oils in the form of lotions or simple rubbing. Well helps tea tree oil, olive, rosehip;

Applying freshly cut pieces to the jam. It has an excellent antimicrobial effect;

To combat seizures of fungal origin, washing the wounds with a concentrated soda solution or its mixture with vitamin B12 is well suited.

Medical treatment

With a typical course of seizures, only local therapy is indicated. These drugs include:

Stomatidin. A good antiseptic used for rinsing the mouth and for lotions on seizures. It has an equally good antimicrobial effect on streptococci and fungi;

Metrogil denta. It is represented by a balanced mixture of metronidazole and chlorhexidine bigluconate. Thanks to this composition, the entire antibacterial spectrum is completely blocked in relation to possible pathogenic microbes that live in the oral cavity and on the skin around the mouth;

Bepanthen and D-panthenol. They are mainly used at the stage of wound healing. Their use should be preceded by the application of local antibacterial drugs or their simultaneous combination;

Tetracycline ointment. You can use its simple fatty forms, or you can apply eye ointment. The latter does not cause an unpleasant burning sensation and is very well tolerated;

Weak glucocorticosteroids with antibiotics. Indicated for severe inflammatory changes. The most common ointments are: gioksizon, trimistin, triderm;

Cauterization of the jam with solutions of antiseptic dyes: fukortsin, iodine, brilliant green. After this procedure, be sure to moisturize the skin with any oil solution or cream.

Clotrimazole. Antifungal cream. It is indicated in the case of exclusively fungal lesions of the skin of the corners of the mouth. With streptococcal seizures, it does not bring any effect.

Video: 2 steps of treatment for 4-7 days (translation):

Restorative treatment

If, against the background of the use of local therapy, it is not possible to achieve healing of the jam, this indicates serious health problems. There is a need for a detailed diagnosis and restorative treatment.

It includes:

Vitamin preparations: ascorbic acid in high doses, aevit, tocopherol acetate, multivitamin complexes (duovit, vitrum, multi-tabs);

Antifungal drugs and antibiotics according to indications (fluconazole, amoxil);

Immunomodulators and general tonic;

Treatment of the underlying disease that caused the formation of jamming.

Only a clear and consistent approach to some trifles can help to understand their true origin and quickly eliminate them. Do not stop halfway after curing a jam. It is best to see a specialist for an elementary examination. This will prevent this problem from reoccurring.

About the doctor: From 2010 to 2016 practicing physician of the therapeutic hospital of the central medical unit No. 21, the city of Elektrostal. Since 2016, she has been working at the diagnostic center No. 3.