I am a chronic smoker with recurrent angular cheilitis and oral thrush. Kindly help.

Question

Hi doctor,

I have been diagnosed with angular cheilitis, and it is recurring in the same spot. As I am a chronic smoker and wear a mask for 12 hours during work, my lips are always dry with white patches. I have had oral thrush. I am sure this is just where the skin has broken, but I want to double-check whether it is a cold sore.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

Kindly stop smoking. You have angular cheilitis and glossitis. Your recurrent ulcers may be due to vitamin deficiency and infection. So, kindly take plenty of green leafy vegetables.

Kindly take the following medications;

1) Take tablet Ranitidine 150 mg twice daily before food.

2) Take capsule Beplex Forte (Thiamine Mononitrate, Riboflavin, Nicotinic Acid, Niacinamide, Pyridoxine, Calcium Pantothenate, Folic acid, Vitamin B12, and Vitamin C) once daily in the morning.

3) Take capsule Bifilac (Streptococcus faecalis, Clostridium, Bacillus mesentericus, and Lactobacillus sporogenes) thrice daily.

4) Tablet Flagyl 400 mg (Metronidazole) twice daily for five days.

5) Apply Zytee mouth solution (Choline Salicylate) in mouth and tongue twice daily for five days and review after five days.

Regards.

Answer 2

Hello,

Yes, you can kiss your partner with precautions.

Since you are getting a recurrent ulcer, it may be Herpes. So, after kissing, you and your partner must follow proper cleaning methods.

Take care.