I have a crack on the side of my mouth which started out mild. Three days later, it's worse. it is very painful, seems a little scabby, and prevents me from opening my mouth very wide or brushing my teeth in the upper part without lots of pain. I've tried to use both an antibiotic cream and FML steroid cream. I wonder if this is the wrong remedy? Should I be using an anti fungal cream? And I am afraid to keep it dry due to limited mouth opening.Sugeestions or advice requested and appreciated.Thank you.
Hi,Would it be possible to take a photograph of the affected area at your convenience? Do let me know if this is a problem.
Ok, I will work on it and respond shortly
Okay, sure please take your time.
can I e mail you the photo? I've tried all options via attachments, word ect., and just answer software is not successfully uploading my photo.
Sorry you have had trouble with this - the fastest way to get a picture to me is to upload it to the question box by clicking on the paper clip or tree icon in the question box toolbar. This toolbar does not display in google chrome and safari so an alternate browser may be required. You can also upload them to any free photo hosting site like picasa or photobucket and send me the link if you prefer.
Ok the tree icon and paper clip icon is not working.
I sent you an e mail with attached pdf., and the subject is sore.
In the meantime, let me try photobucket as you've mentioned.
thanks for patience.
Photobucket is not accepting my e mail address so therefore I will wait until you receive my e mail.
Okay - it might take many hours for the email to reach me but I will get back to you as soon as I can once I do. Regards.
I will try picasa. Thanks.
Hello again,Sorry about the delayed response - am on Asia time and had called it a night after waiting for half an hour after you said you'd try picasa. I have got the emailed photograph though, so thank you.You have something known as Angular Cheilitis - this is a cracking of the angles of the mouth and this can be caused by various things such as drying of the mouth, B-complex deficiency etc. but in you case there seems to be bacterial infection (called secondary impetiginization) which is what is causing the severe pain. For angular cheilitis without this complication I usually advise 1% Clotrimazole cream mixed with 1% Cortizone cream twice a day for 7-10 days, however I think you require oral antibiotics. I would recommend Tablet Dicloxacillin 500 mg three times a day for 5 days along with Mupirocin cream twice a day - your doctor will need to prescribe both of these for you.Till you can see your doctor apply an over the counter antibiotic cream like neosporin, soframycin or bacitracin on the crack and keep it moist with vaseline when required.Again my sincere apologies for the delay in getting back to you.Please feel free to ask if you have any queries.
MBBS, MD (Dermatology, Venereology & Leprology)
Thank you, XXXXX XXXXX to the doctor who gave me cephalexin orally 500 mg 2xs daily, and topical mupirocinShe said glands were swollen also. Fo you think this is effective for a bacterial infection of this nature?Thank you for response.
Good Morning,Yes cephalexin works well for skin infections - if you aren't better with the 500 mg twice a day after 2 days then you can ask her about increasing the dose to three or even four times a day (I usually prescribe 500 mg four times a day for 5 days when I am prescribing cephalexin). Hope you're feeling better though.
Thank you very much. its possible she prescribed a lower and longer dose due to imunosuppression (I have rheumatoid arthritis)I think I feel somewhat better today, so I will try and stick to the prescribed regimine.I would not have visited the doctor as promptly as I did, because the pharmacist told me to use abreva and she told me it was a fever blister. I appreciate your guidance, it allowed me to seek proper treatment.Good day...
I'm glad you're a little better. I'm glad I could be of some help. All the best & regards!