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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can red Rashes Around The Mouth Be Treated?

I have been dealing with some sort of rash type redness around my mouth - usually more around my lower lip. I also have this very dry tongue and almost have like small cracks in my tongue. This is not painful, but my mouth gets so dry at night that I can not even swallow - I wake up with a terribly dry mouth My doctor thought perhaps Thrush - but I tried some tablets she prescribed that I had to dissolve 5 times a day - and I kept forgetting to take them every three hours. I don't know if they helped at all. Today I picked up some Lotriman cream to see if it is caused by some sort of fungus. And ideas?
Thu, 27 Apr 2017
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Dentist,  's  Response
Hi..
Thanks for the query..

Well, it looks like the rashes around the mouth can be due to Perioral dermatitis.
It is a kind of allergic reaction causing rashes and inflammation around the lips and common allergens that can cause this are Fluoride containing toothpaste, use of topical steroids or steroid nose sprays, using chemical containing skin cosmetics, bacterial and fungal infection etc..
Dry mouth can be related to the cause similar to your rashes but if it occurs exclusively at night then it can be probably "Mouth Breathing" habit..
For the rashes you can be advised topical application of antibiotic ointments like those containing Metronidazole, Erythromycin etc.
Oral Erythromycin can also be advised.
Avoid using steroid ointments or lotions.
Do cool compresses.
For dry mouth start chewing sugar free chewing gums and tart candies.
Dink plenty of water and gargle with methylcellulose containing Mouthwash.
Instil artificial saliva drops or gels in mouth..
At night stick xylitol patches inside mouth to prevent dryness..

Hope this helps..
Regards.
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How Can red Rashes Around The Mouth Be Treated?

Hi.. Thanks for the query.. Well, it looks like the rashes around the mouth can be due to Perioral dermatitis. It is a kind of allergic reaction causing rashes and inflammation around the lips and common allergens that can cause this are Fluoride containing toothpaste, use of topical steroids or steroid nose sprays, using chemical containing skin cosmetics, bacterial and fungal infection etc.. Dry mouth can be related to the cause similar to your rashes but if it occurs exclusively at night then it can be probably Mouth Breathing habit.. For the rashes you can be advised topical application of antibiotic ointments like those containing Metronidazole, Erythromycin etc. Oral Erythromycin can also be advised. Avoid using steroid ointments or lotions. Do cool compresses. For dry mouth start chewing sugar free chewing gums and tart candies. Dink plenty of water and gargle with methylcellulose containing Mouthwash. Instil artificial saliva drops or gels in mouth.. At night stick xylitol patches inside mouth to prevent dryness.. Hope this helps.. Regards.