Angular Cheilitis (also called Perleche Cheilosis) is an inflammatory lesion, usually occurring in the corner(s) of the mouth, and almost always bilaterally. It manifests itself as deep cracks and splits. It’s painful, ugly and embarrassing. You want it gone. Now there’s a way.

Although the sores caused by cheilitis can become infected with fungi such as Candida (thrush), studies have shown the condition is most often initially caused by nutritional deficiencies. Diets poor in iron, riboflavin and/or zinc can cause susceptibility to this painful and embarrassing problem.

There are two ways to approach a condition like this (or any other). You can treat the symptoms or you can go after the cause. By treating the symptoms you can may bring relief, at least temporarily, but the problem may soon return because what’s causing it hasn’t been dealt with. Sometimes the recurrence is even worse than the initial occurrence. One’s body quickly becomes immune to some symptom-relieving treatments.

When you treat the cause of a problem, the symptoms will eventually disappear by themselves, although this may take some time. The upside is that recurrence is much less likely because the problem has been handled at the source… not just the symptomatic manifestation of the disease.

The ideal, of course, is a program that rids you of both the symptoms AND the cause. There are other reasons for contracting angular cheilitis besides vitamin deficiency. Ill- fitting dentures is a major contributing factor. Children who are prone to lick their lips will also be frequent sufferers. Also, consumption of certain drugs or medicines will raise the likelihood of someone becoming infected.

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All people experience infections and all ages are affected. Different parts of the body are affected by different kinds of infections. The most dominant infections to occur are skin infections. Because the skin is the largest organ of our body most common infections occur there.

Skin Infections may vary in cause from injuries, bacteria, and allergens. All of these may turn from minor infections to life threatening conditions if not treated properly. Skin infections mostly occur in the parts of the skin where moisture is constant. That’s why we have to make sure that we practice good hygiene because this will help our skin to be less susceptible.

There are four different kinds of skin infections: bacterial, fungal, viral and parasitic. Even though skin infections are caused by different microorganisms, they all have one thing in common… the person who has the skin infection is not comfortable. And the harsh thing about skin infections is that they occur in the most inconvenient and vulnerable parts of our bodies.

Lips are one of the parts of our body where we don’t want any infections to occur because we use our lips frequently for their two main purposes… eating and talking. An infection makes both of these things very painful. There is one infection that commonly occurs in the lips called Angular Cheilitis (radiating cracks at the corners of the mouth) that can be caused by a poor diet, infection, or too much salivation.

Angular Cheilitis is often caused by a common bacterial (fungal) infection called Candida albicans (a fungus that can cause infection in the skin, especially in the mouth and vagina). It can also be brought on by other pathogens (germs). Studies have determined that Angular Chielitis can be caused by nutritional deficiencies too, specifically deficiencies in riboflavin (vitamin B complex), Iron and Zinc.

Much of the elderly population is affected by the problem of Angular Chielitis. As we grow older the amount of nutrients present in our bodies decreases, our immune systems are not as robust as they once were and the loss of teeth (requiring us to wear dentures) can all be contributing factors. Ill-fitting dentures are a big cause of cheilitis because of the irritation and over-exposure of the lips to excess saliva where so many different bacteria are present.

Treatment of this infection will depend on the cause. If the cause is minor, like by bacterial infection, putting some antiseptic cream on the area may solve the problem. But if the infection is serious then you need a more serious solution. You can deal with the symptoms or you can cure the cause. This best-selling angular cheilitis cure program does both, and it consists of two everyday, common ingredients you probably already have in your home. And IT WORKS! Check into it.

Severe chapped lips and a chronic inflammatory condition in the corners of the mouth are common signs of angular cheilitis or perleche (also called stomatitis).  Inflammation, cracks, burning, itching and redness are typical symptoms of this malady.  Many people who are suffering from this disease erroneously think that it’s actually cold sores or herpes.  In some cases, the splits bleed when the mouth is opened, which causes severe discomfort when speaking, eating or doing anything that involves opening the mouth.

The open cuts subsequently form a crust when they start to heal or when they become infected.  The cuts may become infected by the fungus candida albicans (and other pathogens), or may be worsened by bacterial or fungal infections.

Angular cheilitis frequently occurs in the elderly, due to loss of teeth, lip biting, constant licking, cold air and wind exposure, malnutrition, diabetes or lack of vitamins.   It can also be caused by some medications that dry the skin, such as isotretinoin.  Also, it can often occur in young children as a result of sucking on a pacifier, thumb sucking, bottle-feeding or many of a child’s other normal activities.  The infection may develop in any circumstances where saliva builds up in the sides of the lips.  Bacteria and fungus thrive in moist areas.

Lack of iron or folate in the diet is a common cause of angular cheilits.  Our body needs vitamins, including: Vitamin B2 (riboflavin), Vitamin B3 (niacin), Vitamin B6 (pyridoxine) and Vitamin B12.   You should eat foods that provide B vitamins.  Vitamin B2 can be found in cereals, meat, dairy and green vegetables. Vitamins B3and B6 come from fish, eggs, rice and beans.   Vitamin B12 comes from bananas, cabbage, cauliflower, and potatoes. Eating a balanced diet rich in vitamins is the best way to prevent angular cheilitis.

Angular cheilitis is not dangerous or contagious but it is embarrassing to be seen in public and gives you stress and tension.  Frustrating, sleepless nights and limited options because of the way people look at you are also some unpleasant side effects.  Your life is negatively affected and it doesn’t need to be.  You can rid yourself of Chilitis by following some easy steps.

There are some all-natural methods to eliminate the fungal bacteria that cause the infection.  Fungal bacteria cannot survive without the presence of moisture.  Treatments involve depriving the bacteria of the environment that they require in order to live.

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What is angular cheilitis?

There is a multitude of names for angular cheilitis. It is known as, for example, angular stomatitis, perlèche, cheilosis etc.  Its clinical picture is manifested by cracks, splits, and lesions along the corners of the mouth.  These lesions are normally not too painful.  Yet angular cheilitis turns often into a chronic status for many patients.  The chronic status is characterized by recurrent outbreak of the disease, which lasts then from a couple of days up to several months.  Although the lesions have the tendency of not being too painful, they can bleed with the opening of the mouth for eating, talking etc., ultimately forming a crust.  Needless to say that these occurrences, bleeding mouth, crusted lips come hand in hand with a huge cosmetic deficit for the angular cheilitis patient.

What causes angular cheilitis?

As the word “cheilitis” already indicates, this disease is an inflammation of the lips (“cheilo-” stands for “lips”, and the ending “-itis” indicates the inflammatory process).  This disease is very often triggered by a fungal infection, e.g. via Candida albicans, or different pathogenic microorganisms.  The question remains, in how far an infection can be able to induce an often chronic status of inflammation?  In order to get a firm grasp in understanding these processes, let’s take a look at the pathophysiology of inflammation.

“Inflammare” is the root word of “inflammation” and means:  being put on fire or fired up.  The inflammation itself is a complex bio-physiological response of vascular tissue to a nonphysiological occurrence, which comes to pass in case of an infection with viruses or bacteria, but also through cell damage or application of toxins.  The body responds with the induction of an inflammatory process as an attempt to get rid of the cause of the nonphysiologic condition, at the same time starting repair mechanisms in the affected area.  So inflammation and infection are not the same or synonymous.  Both are interrelated, since inflammation is often induced by an infection, which has a different cause, mostly exogenous pathogens to which inflammation is one of the possible physiological responses.

Inflammation is a process with two faces.  Without it, infections and infectious wounds are not very likely to heal, which would come with an ongoing destruction of tissue, organs, which would result in failure of the affected organ and also possible death of the patient if the destruction in the affected organ is severe enough.  In other words, inflammation is a physiological defense mechanism, which protects us from harmful exogenous influences and repairs damages, which already have been occurring.  If the process becomes chronic, on the other hand, it can become the breeding ground for new diseases, as we can see in asthma, rheumatoid arthritis, atherosclerosis, and some others; or our case for angular cheilitis.  Our body seems to know that inflammation is a heavy answer to unphysiologic conditions, and therefore it monitors this process painstakingly, just to avoid exaggerated reactions and resulting additional problems.

We can categorize inflammation as acute and chronic.  The acute inflammation marks the initial response of the body to unphysiologic events.  This is accompanied by increased influx of plasma and leukocytes from the blood vessels towards the area of injury and then followed by a cascade of biochemical processes, which start and regulate the inflammatory answer.  The local vascular apparatus in tandem with the immune system also play a major role in the regulation of the inflammation and direct impact on invading “foreign bodies.”

A prolonged inflammation is regarded as a chronic inflammation.  Tissue, which is exposed to inflammatory processes for a longer period of time, reacts with a progressive shift in the kind of cells which occur in the area of inflammation. This results in the destruction and healing of affected tissues.

And this is exactly what happens in a chronic course of angular cheilitis.  The inflammation recurs every now and then, giving room for the colonization of new pathogens, which on their part trigger new inflammatory bouts.  We are dealing here with an impressive biological vicious cycle, where the question remains:

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Any additional factors which contribute to the contraction of angular cheilitis?

We already saw that infections, mostly by Candida albicans, and bacterial infections are the main reason for the outbreak of angular cheilitis.  Since lips show no sweat glands and sebaceous glands and show also a completely different histophysiology compared with normal skin, we have to acknowledge that lip tissue is way more sensitive to external influence than our regular epidermis, since the protective mechanism for the epidermis are not given in lip tissue.  This results in that nutritional deficiencies can also have an impact on the status of lip tissue.  Best example known for this is the riboflavin (vitamin B2) deficiency.

Riboflavin is a micronutrient, which is important for a healthy status of the body.  It shows an important impact on different cellular processes, but mainly on cellular energy production.  Besides this, it plays an important role in the metabolism of fats, carbohydrates, and proteins as well.  Ariboflavinosis marks the deficiency of riboflavin, and comes along with cracked lips, the inflammation of the inner lining of the mouth and even tongue, with a sore throat, and the outbreak of angular cheilitis.  Other typical symptoms of ariboflavinosis are photophobia and scrotal dermatitis.

Another trigger factor for angular cheilitis is iron deficiency anemia.  Most prominent reason for this is usually a poor diet, which causes in the very end a list of other problematic dysfunctions.  Angular cheilitis is also related to zinc deficiency, another “product” of poor nutritional behavior.  Angular cheilitis is also known to be associated with a triple complex of diseases, namely iron deficiency anemia, glossitis, and dysphagia, the so called Plummer-Vinson syndrome.

The loss of dentures, which is somewhat common in elderly generations, results in a loss of vertical dimension, which allows a kind of overclosure of the mouth.  This physio-mechanical dysfunction can also trigger angular cheilitis.  As we already discussed, lips are not as well protected as the normal epidermis, so cold weather in winter can cause cracked lips, which occurs predominantly in younger children.  In order to get some relief, the person will start licking his/her lips, just to find out that the situation most likely will aggravate.  This aggravation invites pathogens to enter the micro lesions, thus inducing angular cheilitis.  But medicines are also found to be a triggering factor for the occurrences of angular cheilitis.  Isotretinoin, Accutane, is a vitamin A analog and is used to treat severe acne, as well as chemotherapy for brain and pancreas cancer, and is known to induce angular cheilitis, yet in very rare cases.

Other not so often reasons for angular cheilitis are immunocompromised patients, since they lack the ability to develop an adequate immunologic response in case of infection in lip and mouth area.  Statistically those patients undergoing head and/or neck radiation have a bigger chance of contracting the disease.  Diabetes mellitus also “invites” the buildup of angular cheilitis, especially in case of a poor diabetes management.

Western medicine and its curative approach

As we have seen already, fungal and bacterial infections seem to be the causes of angular cheilitis.  Therefore the western school medicine concentrates its efforts on the treatment or elimination of those pathogens.  Local topical antiseptic ointments or creams are the means of first choice, which normally are efficient enough to contain the infection.  Antifungal creams also show similar effects on fungal infections, and work well in minor cases.  Within only a couple of days the infection will be contained.

To treat more severe cases is also more challenging.  The severity of the case itself implies normally that an infection is not necessarily the only cause for angular cheilitis.  Here a multitude of different triggering factors is more likely to be present, which will automatically complicate a proper treatment.  In this case the doctor has to look also into the nutritional behavior of the patient, since ariboflavinosis, zinc deficiency and other forms of malnutrition could have a determining impact on the expression of the disease.  This will explain why angular cheilitis is nothing but a symptom of a more severe underlying cause, which needs to be addressed so that the patient’s problem can be handled properly.

For example if one of the underlying causes is an ariboflavinosis, applying ointments alone will not be doing the trick.  They will be able to cope some of the symptoms, but it is inevitable to do something about the deficiency by eating vitamin B2 rich food, like Asparagus and bananas, milk, cheese, meat, eggs, fish, and others.  Riboflavin gets easily destroyed by ultraviolet light.  Therefore milk in glass bottles will surely have less amounts of riboflavin than milk coming out of a solid opaque container.

In case of an iron deficiency, appropriate supplementation with iron sulfate, ferrous bisglycinate, and/or ferrous gluconate is the means of choice.  But an iron supplementation has also its two faces, a beneficial one and a less beneficial one.  High concentrations of iron generate a favorable environment for certain pathogens.  It is known now that iron supplements for children brought out an increased occurrence of diarrhea and enteropathogen shedding.  A deficiency, on the other hand, prevents the development of bacterial growth to a defined degree in predefined bacterial strains.  But an iron deficiency generally results in a weakened responsiveness of the immune system and is inviting therefore a whole array of other pathogens to colonize on and in the weakened body.

A more severe scenario shows up when angular cheilitis is just a symptom of iron deficiency, which is just a symptom of a malfunctioning absorption of nutrients due to intestinal cancers or other gastrointestinal disorders of malignant nature, which induce chronic blood loss as a cause of the iron deficiency.

While the mild cases can be rather easily treated with ointments and creams, especially if the angular cheilitis occurs only sporadically, the chronic history of angular cheilitis points very often to a more severe underlying problem, which is not so easily to address due to its more complex nature.

The alternative approach for an angular cheilitis cure

As we have seen, angular cheilitis as a disease might be nothing but a symptom for something more severe.  In this case it will make not much sense to treat cracked lips and inflamed mouths.  This will be nothing but medicinal cosmetics, improving the looks but not the status of the patient.  If the condition is that angular cheilitis occurs as a result of a more severe underlying cause, angular cheilitis itself is just a kind of “warning light.”  Turning of warning lights is never advisable, since the cause will not be removed by doing so; and even worse, an unaddressed deeper problem will be ignored and can develop into something really dangerous, which might become incurable once the point of no return has been passed.  A holistic approach should be serious about “warning lights,” and treat them as such, taking all the necessary factors into consideration, and finding the root of the problems.

Preventive measures have to play a predominant role applying holistic medicine.  This has to be applied, regardless whether the disease has already fully developed or it is only in its beginning stage.  These preventive measures will take care by avoiding setbacks and relapses once the therapy sets in to become efficient.  Another point is, that the course of a relapse is usually more severe than the course of the previous attack.  Avoiding relapses means avoiding a lot of particular trouble and pain (and ultimately expenses too).  These preventive measures very often turned out also to be sufficient enough to contain the entire course of the disease and no additional intervention was necessary.  Yet this does not mean to say that a symptomatic intervention would be wrong.  Cracked lips, inflamed mouths, sometimes even bleeding, etc. is a significant cosmetic handicap, which might prevent the patient to take part in normal social life.  These ointments and creams do a great job most of the time to handle the symptoms of angular cheilitis and thus enhancing also the well-being of the patient.

This marks the start of a holistic treatment.  It finds its continuation in a good nutrition, since a good nutrition often plays an important role in the prevention of other diseases and angular cheilitis.  This will enhance the patient’s immune system, a factor which gains in importance, since we discussed earlier that angular cheilitis patients contract their disease due to a sluggish immune status.  Also here a riboflavin enriched food has to be given preference, in combination with food high in iron.  This regimen will guarantee in most of the cases that nutritional deficiencies are to be excluded from the list of possible causes.

A very crucial way to avoid malfunction of absorption in small and large intestines is the prioritization of vegetarian food with focus on sufficient fibers.  The connection between angular cheilitis and fiber-rich food might be unclear at first sight.  But fibers are essential for the survival of certain microorganisms inside the gastrointestinal tract, which execute important tasks in terms of vitamin absorption and equilibration of the entire GI environment.  A lack of fibers promises a reduction of these advantageous microorganisms, which triggers an absorption deficiency, which translates into malnutrition after some period of time.  And this will be the time when angular cheilitis starts to occur on a more permanent basis.

An almost perfect holistic way to influence immune system, exert positive effects on the GI environment, remove possible toxins (free radicals, peroxides), provide essential nutrients and more, is the application of medicinal mushrooms from the traditional Chinese medicine.  The most prominent medicinal mushroom is Ganoderma lucidum, which can do all this.  Medicinal mushrooms are able to balance the immune system, in order to create a hemostatic condition.  They have also proven that they have excellent antiinflammatory properties, a fact, which will be of interest for the angular cheilitis patient, who regularly suffers from inflamed lips (sometimes even the tongue is included in the process).  In other words, medicinal mushrooms are a kind of “super food,” which deliver all the nutrients for a healthy overall status and are able to exert medicinal properties, which are beneficial for angular cheilitis patients.

Which way to go? Go West or Holistic?

Both disciplines show a lot of advantages in the field of medicine.  Western school medicine is well equipped when it comes to the management of emergency situations.  Surgery often comes in as a life-saving intervention; normally deadly infections are fended off by the application of antibiotics.  These areas reveal comparatively fast results and high success rates.  This might also be one of the reasons why most people rather consult a western medicine doctor than trusting his eastern counterpart.

On the other hand, the so-called “civilization” diseases, as there are hypertension, caries, diabetes, hypercholesterolemia, hyperlipidemia, obesity, cardiovascular diseases, resulting in stroke, myocardial infarction, nephropathy etc. are more than a tough challenge for the western school medicine.  In many cases, these diseases are pronounced as not curable.  So western school medicine limits itself to a mere disease and symptoms management, a procedure which guarantees profitable markets for the pharmaceutical industry, since all these patients are life-long, long-term patients or paying customers.  Yet weight reduction in combination with some sort of physical exercise, supported by a healthy diet can do much about hypertension, hyperlipidemia, hypercholesterolemia, some nervous disorders, like sleep disorders, or at least can improve the overall situation for a long period of time.

But what is the connection to angular cheilitis?  This disease pops up once in awhile or more on a frequent basis.  If the occurrence is more frequent, there is reason to assume that a more serious underlying cause is playing an important role in the pathogenesis of angular cheilitis.  In order to get hold of the entire disease process, the physician has to evaluate these causes or the patient will be coming to the clinic every now and then because of new bouts of his problem.  But daily praxis is that the patient will leave the consultation room with a prescription of a cortisol product, in order to fight the inflammation.  Inflammation thus is not the big deal, since it is a natural reaction to something going bad inside the body.  No doubt that antifungal, antiinflammatory, and antibiotic creams and ointments will bring relief to the patient.  Stopping here with the treatment will ensure that the patient will be coming back again, at least when a new bout of angular cheilitis pesters him.  A holistic concept will treat the symptoms, and then look further into the dietary conditions, and makes sure that severe hidden causes are to be excluded, where angular cheilitis presents only as a “symptom” of this possible way more severe cause.

In case of an underlying dietary deficiency, it is by far more advisable to resort to natural products rather than artificially generated products produced by the chemical industry.  Natural products are balanced in their ingredients and bioavailability mostly is also much higher than the bioavailability of their chemical counterparts.  If the symptomatic treatment tries to replace the holistic approach, it will be very likely that the symptomatic application of cortisone, for example, will become a never ending affair, bringing along as a long-term effect a possible additional medicinal problem, since a permanent application of the “symptom killers” is not without effect also on the entire body.  Our patient might end up still sporting his angular cheilitis, but with additional problems deriving from extensive cortisone use over the years.  In other words, there is also the need to be careful with agents which deal with angular cheilitis symptoms.  Lip sticks, moisturizers and more should be chosen very carefully, making sure that they are free from artificial and potentially dangerous ingredients.  Cortisone containing products for a long-term application are definitely obsolete, since their negative long-term effects are well reported meanwhile.  It might take some time until the right tools, also for the symptomatic therapy are found for the patient.

“Can You Bear To Spend Another Day In Pain? Click Here To Get Fast Relief.“

“Can You Bear To Spend Another Day In Pain? Click Here To Get Fast Relief.”

If you’ve ever suffered painful cracks in the corners of your mouth or even just had chapped lips, you’ve been victim of a condition called angular cheilitis.  Also known as perlèche or cheilosis, this problem usually appears as deep cracks or splits in the corners of the mouth.

The causes of cheilitis are many.  It may start by something as simple as being out in cold weather and licking your lips, which is frequently how it starts with children.  When they wet their lips in hopes of temporary relief, the condition only worsens.

Some studies have shown that a common cause of perlèche to be linked to certain vitamin and/or mineral deficiencies or malnutrition.  In these cases, the cure may be to include certain foods that have been missing from the diet.

Some cases may be caused by bacterial infection, in which the prescribed treatment will usually include the application of certain topical creams or ointments.  More severe cases may call for oral medications to be consumed, or, sometimes injections of B-12 complex vitamins.

As with most things, the Internet is full of plans and programs boasting their particular solution to the problem.  Some are touted to be ‘all-natural’, ‘holistic’, etc., and more than one can be quoted as saying their method is the ‘one and only’ one that works.  Here’s the bottom line.

Cheilitis can be caused as a result of many factors.  The culprit could be a fungal or yeast infection.  It could also be a bacterial or viral problem.  People with ill-fitting dentures are susceptible, as are children sucking on a pacifier or their thumbs.  Exposure to cold, wind and sun can also play a part, as can a reaction to certain drugs and certain foods.  If you have dry skin, you’re also prone to suffer this malady.

And, just as there are myriad causes, there are just as many potential remedies available.  But none of these will be of any use to you if they don’t succeed in relieving your symptoms and, more importantly, prevent the condition from returning.  Believe it or not, many of the ‘cures’ out there on the market may give temporary relief from the painful symptoms, only to allow the disease to return with a vengence, worse than before.

Personally, the idea of taking drugs in the form of pills or injections doesn’t sound so appealing.  I kind of like the idea of angular cheilitis treatment – a simple remedy that’s been proven to work by others and derived by natural means.  It just makes sense.

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Angular cheilitis is mainly caused by an infectious process, predominantly by Candida albicans, but also through bacterial infections.  On top of this, there are different conditions which promote the outbreak of the disease.  One of them is the deficiency of riboflavin, or vitamin B2.

Riboflavin is an important micronutrient and essential for health maintenance of the organism.  It is involved in a multitude of cellular processes, especially cellular energy production.  But it is also important for the metabolism of fats, carbohydrates, and proteins.  Signs of deficiency of riboflavin, also called ariboflavinosis, are cracked lips, inflammation of the inner lining of the mouth and the tongue, sore throat, and, of course, angular cheilitis.  Photophobia and scrotal dermatitis belong also to the typical signs of ariboflavinosis.

Iron deficiency anemia is also known to trigger the onset of cheilitis.  Reason for the anemia is most likely a poor diet, causing a variety of other dysfunctions in the human body.  Zinc deficiency is also related to angular cheilitis.  In this context, cheilitis is also associated with the Plummer-Vinson syndrome, a triplet of diseases, iron deficiency anemia, glossitis, and dysphagia.

But also physio-mechanical problems can cause angular cheilitis.  With the loss of dentures, especially in the elderly generation, a loss of vertical dimension occurs, allowing an over-closure of the mouth and triggering angular cheilitis.  Cold weather, like in winter, can produce cracked lips, especially in younger children. With licking their lips, some sort of temporary relieve is achieved, thus aggravating the condition ultimately.  Another trigger factor for the occurrence of angular cheilitis can be medications, like isotretinoin, Accutane, which is an analog of vitamin A and in use to treat sever acne and also as chemotherapy for brain and pancreas cancer.  Yet these factors have shown to be rarely the cause for angular cheilitis.

Some other rather uncommon factors can be causing this disease: immunocompromised patients can develop angular cheilitis, due to the lack of adequate immunologic response to an infection of lips and mouth.  Patients, who underwent head and neck radiation, have also a higher possibility to develop the disease.  The same is true for diabetic patients, especially for those with poor diabetes management.

Angular cheilitis can develop for a number of reasons, and very often it is more than only one factor which contributes to its formation.  The progress of the disease is normally rather mild, yet cracked and bleeding lips with inflammatory areas do not give the patient a flawless appearance.  Recurrent outbreak of the disease should be taken very serious, since it could be a sign for bigger physiological problems.

Since the occurrence of angular cheilitis is not necessarily independent from the presence of other dysfunctions, it does not make a lot of sense to look at the cracked lips alone and try to improve their condition with ointments and creams with antibiotic and antifungal properties.  Angular cheilitis can occur as a result of a deeper problem and serves as an “alarm light”.  A holistic treatment will take most, if not all, these factors into consideration, instead of trying to scratch at the surface and treat merely the symptoms.  Turning off the “alarm light” does not do the trick, it is even potentially dangerous, since the possible severe underlying disorder remains unaddressed and can thus develop into a malignant type of disease, which will be very hard or even impossible to treat if the point-of-no-return is surpassed.

Angular cheilitis cure always or starts with preventive measures.  Even if the disease is already fully blown, preventive measures have to be set up to avoid relapses once the disease is contained.  Relapses are normally much harder to control than the original disease. Most of the time, prevention is already the key to the problem, even to the acute existing problem of actual disease.  Measures which treat cheilitis symptoms can also be taken into consideration, in order to improve the patient’s well-being, since these cracked lips can have unpleasant effects while eating and talking.  Antifungal and/or antibiotic creams and ointments can help to stop the exacerbation of pathogenic development and bring relief.

But these measures are only the start of a holistic cure.  Good nutrition is often a key factor in prevention of many other diseases, not alone angular cheilitis.  It is vital to support one’s immune system, since the development of angular cheilitis also points to the fact,  that the patient might have a somewhat sluggish immune status, which is not able to fend off pathogenic attacks effectively.  Food rich in vitamin B-complex and also in iron help the body to stay on top of the situation, before the disease has a chance to take over.  Vegetables and fruits are a very important factor for the well-being of our gastrointestinal tract, since they provide all nutrients which are necessary to nourish the intestines.  For example, it is discussed that the occurrence of colon cancer is related to a lack of vegetarian food intake, but therefore more meat products.  Food rich in fiber is an essential ingredient for the large intestines, since vitamin resorption in this area is sponsored by certain microorganism, which feed on those fibers.  A lack of fibers means underdeveloped colonies of those microorganism, means absorption deficiency, means malnutrition.

According to my experience, the best natural way to harmonize the patient’s immune system can be done by taking medicinal mushrooms, especially Ganoderma lucidum.  These mushrooms do not boost an immune system per se.  They balance it instead and create hemostatic conditions.  A sluggish immune system will be strengthened, but an immune system on overdrive (allergies) will be brought back to normal strength.  On top of that, they exert also very potent antiinflammatory actions, which will give additional benefit to the angular cheilitis patient, who suffers regularly not only from fungal and bacterial infection, but also from accompanying inflammation of the affected areas.

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In many instances, the triggering factor for the occurrence of angular cheilitis is primarily a fungal infection, Candida albicans, or secondarily a bacterial infection.  Therefore western school medicine focuses its treatment on the eradication of the fungus or bacteria.  First choice to achieve this is the application of local topical antiseptic ointments or creams, in order to contain a bacterial infection.  Over-the-counter creams with antifungal properties have shown to be effective to contain a fungal infection.  These therapies are applicable in minor and mild cases, and it will last only a couple of days in treatment to get rid of the addressed infection.

More severe cases are not that easy to resolve.  Since the underlying cause is not always obvious, the infection is not necessarily the reason for the cheilitis; but with different additional conditions promoting the onset of the infection, there is reason to believe that a complex underlying multifactorial condition is responsible for the severity of the disease.  Nutritional dysfunction, vitamin B-complex deficiency etc. will stand in first line of causative explanation of the patient’s condition.  In this case, the onset of angular cheilitis is not necessarily the disease itself, but a symptom or consequence of a more severe underlying condition, which the physician needs to address in order to resolve and improve the patient’s problem.

In case of riboflavin deficiency, also known as vitamin B2, the patient should be advised to replenish vitamin B2 by eating riboflavin rich food, like Asparagus, bananas, persimmons, cottage cheese, milk, okra, chard, meet, yogurt, eggs, and also fish.  Using milk for replenishment, one has to take into consideration that riboflavin gets destroyed by being exposed to ultraviolet light.  This results in milk being sold in glass bottles having less amounts of riboflavin than milk being sold in opaque containers.

Iron deficiency can be treated by supplementation with iron sulfate, ferrous gluconate, or ferrous bisglycinate.  Yet iron supplementation can be beneficial and harmful to the patient, since high amounts of iron generate beneficial environments for certain pathogenic microorganism. It has been reported that iron supplementation in children led to increased occurrence of diarrhea and enteropathogen shedding.  Iron deficiency on the other hand prevents bacterial growth to a certain amount for certain strains of bacteria.  Since the overall immunologic responsiveness is weakened under iron deficiency, other pathogens, viruses and bacteria, like Salmonella typhimurium or Entamoeba histolytica, are more likely to occur.

But with the occurrence of angular cheilitis pointing to iron deficiency, this condition can be the result of a more severe underlying disease, which negatively influences the absorption of food and nutrients, thus resulting in an iron deficiency.  Colon cancer and other gastrointestinal disorders very often lead to chronic blood loss, also a prominent cause of iron deficiency.

Suffering from angular cheilitis, a comparatively mild disease with some cosmetic disadvantages, might be a very solvable problem if sporadically occurring.  If the disease enters a more chronic stage, one has to take into consideration that this might be a sign for a far more severe underlying dysfunction, which needs to be addressed as soon as possible.

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Many people rather consult a doctor from the western school medicine than trying to give trust to eastern medicine, which performs a holistic approach.  The reason for this seams to be clear, since the advantages of the western school medicine are lying in a good management of emergency situations.  Serious infections can be treated fast and successfully with antibiotics, broken bones and internal disorders can be fixed by surgical intervention.

In contrast to this, many chronic diseases, like hypertension, diabetes, caries etc., cannot be cured, just being managed, a profitable market for the pharmaceutical industry, which will have life-long customers.  In many cases, weight reduction, a bit of physical exercise, and a solid and healthy diet can abolish hypertension, or at least improve blood pressure readings.

Angular cheilitis can occur sporadically or more frequently.  A more frequent outbreak of the disease indicates some more serious underlying events, which need to be evaluated in order to improve also the cheilitis disease.  Western school medicine will most often prescribe hydrocortisones in order to contain the inflammation.  Yet inflammation is not the problem, since it is a natural reaction of the body to problems in the affected area.  To get rid of the inflammation, the inflammatory causes have to be addressed.  Prescribing antifungal and antibiotic medications will eradicate the microorganism in the area and thus improving most probably the inflammation.  But if medication and medical care go only as far as to this point, the patient is very likely to be seen in the doctor’s office over and over again.  Iron and vitamin B supplementation go one step further into the correct direction, but the supplementation itself can cause different problems, since those supplements are mostly of artificial nature, being produced by laboratories and therefore less in nutritional value.

A more decent approach to angular cheilitis and its permanent cure via high-value nutrients is a balanced diet and/or supplements which are based and processed on natural ingredients.  Symptomatic intervention can be applied in case of increased discomfort, but should be restricted to occasional applications.  Using antibiotics or even cortisone on a regular basis will reveal negative long-term effects, which become a medical problem for the patient on top of his original disease.

Even symptomatic intervention, like application of lip sticks, moisturizers etc., can be done more carefully by choosing products which are free of artificial ingredients, which might abolish actual discomfort, but aggravate the situation in the near future.

Angular cheilitis is mainly caused by an infectious process, predominantly by Candida albicans, but also through bacterial infections.  On top of this, there are different conditions which promote the outbreak of the disease.  One of them is the deficiency of riboflavin, or vitamin B2.

Riboflavin is an important micronutrient and essential for health maintenance of the organism.  It is involved in a multitude of cellular processes, especially cellular energy production.  But it is also important for the metabolism of fats, carbohydrates, and proteins.  Signs of deficiency of riboflavin, also called ariboflavinosis, are cracked lips, inflammation of the inner lining of the mouth and the tongue, sore throat, and, of course, angular cheilitis.  Photophobia and scrotal dermatitis belong also to the typical signs of ariboflavinosis.

Iron deficiency anemia is also known to trigger the onset of cheilitis.  Reason for the anemia is most likely a poor diet, causing a variety of other dysfunctions in the human body.  Zinc deficiency is also related to angular cheilitis.  In this context, cheilitis is also associated with the Plummer-Vinson syndrome, a triplet of diseases, iron deficiency anemia, glossitis, and dysphagia.

But also physio-mechanical problems can cause angular cheilitis.  With the loss of dentures, especially in the elderly generation, a loss of vertical dimension occurs, allowing an over-closure of the mouth and triggering angular cheilitis.  Cold weather, like in winter, can produce cracked lips, especially in younger children. With licking their lips, some sort of temporary relieve is achieved, thus aggravating the condition ultimately.  Another trigger factor for the occurrence of angular cheilitis can be medications, like isotretinoin, Accutane, which is an analog of vitamin A and in use to treat sever acne and also as chemotherapy for brain and pancreas cancer.  Yet these factors have shown to be rarely the cause for angular cheilitis.

Some other rather uncommon factors can be causing this disease: immunocompromised patients can develop angular cheilitis, due to the lack of adequate immunologic response to an infection of lips and mouth.  Patients, who underwent head and neck radiation, have also a higher possibility to develop the disease.  The same is true for diabetic patients, especially for those with poor diabetes management.

Angular cheilitis can develop for a number of reasons, and very often it is more than only one factor which contributes to its formation.  The progress of the disease is normally rather mild, yet cracked and bleeding lips with inflammatory areas do not give the patient a flawless appearance.  Recurrent outbreak of the disease should be taken very serious, since it could be a sign for bigger physiological problems.