This is Dr. David
this sounds like perioral dermatitis.
or it could be due to impetigo as well.
you should not use steroid creams around your mouth.
you might need a course of antibiotics to help the perioral dermatitis.
hydromol is just a moisturizer.
ask to see if a course of antibotics can help
you can read more here
it could be stomatitis
or a fungal infection possibly around your mouth.
or burning mouth syndrome
you don't have to have a rash for perioral dermatitis.
it sounds like you have a lot of inflammation of your lips.
you can always get a lip skin biopsy
and I bet it will show dermatitis or inflammation of the skin.
metronidazole is flagyl and usually is used for GI bacterial issues.
why doesn't getting a skin biopsy sound useful?
many diagnosis are made by biopsy.
a biopsy can allow a pathologist to look at cellular information
also you can take a photo of your lips and mouth area and upload it here for me to review as well.
I mis read.
yes, a biopsy would be useful
you might need to see a dermatologist to get a skin biopsy of the area.
sometimes in rare cases, autoimmune disorders can cause this as well.
so getting blood testing for ANA
antinuclear antibodies and ESR to see if these are elevated can signal if you might have a possible autoimmune condition causing this
where your body makes anitibodies which attacks your own cells.
can both affect the lips.
a biopsy of the lips can sometimes help with diagnosis of sjorgren's syndrome.
do you have dry mouth?
I would get blood testing to check your ANA and ESR levels to be sure.
lupus and sjorgren's can be hard to diagnose.
you need objective proof.
like a lip biopsy
and blood testing to check for autoimmune conditions.
and a repeat ANA test
best of luck to you
let me know if you have other questions.
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