Lip Service

damaged lips

Ever since we returned from visiting our daughter in Los Angeles last month I have been having a problem with irritation on my lower lip. Because I wore a wide-brimmed hat and use Z Blok on my lips, I was surprised to have any issues. To be fair, my lips are always sensitive due to prior sun damage. With my history of 19 skin cancers to date, my dermatologist had suggested a couple visits ago that I put a chemotherapy cream on my lips due to the sun damage. I've used the cream once on my forehead with dreadful side effects, so I did not jump on that suggestion. I don't know how you would eat or drink during that treatment. 

Regardless, my lips have gotten worse over the past two weeks, to the point where I was indeed having problems eating and drinking. My usual Carmex didn't help, nor did Vaseline or Aquaphor for lips. Concerned that I might have an underlying infection going on, I called my dermatologist first. She is on vacation, so they suggested I go to my primary care doctor. She also is on vacation, but one of the other physicians could see me last Tuesday.

After asking me a lot of questions and looking at my lip, he feels that this is just a cold sore. While I admit that I do get those on occasion, they are always on my upper lip and I have never had them spread across the entire lip. It also did not start out with the usual tingling sensation I get when a cold sore is coming on. He prescribed Valacyclovir, which is a drug used for cold sores and also shingles, chicken pox, etc. You only get four pills and take two at a time, twelve hours apart. He also said to use Abreva on my lip.

My pharmacy did not even get them in until Wednesday afternoon, so I took the first dose at 5:30 p.m. Sadly I was awake early enough the next morning to take the next two at 5:30 a.m. Unfortunately, this medicine works best if you take it just as you experience the first symptoms, and I was already two weeks into my ordeal.

The good news is that I did not suffer any side effects from the drug. That's good to know for the future when I get another cold sore. But while the lip definitely looks better, it is still not 100%. I have not been going outside during the day at all as I don't want to experience a setback. The doctor said if it didn't get better, and for sure if it got worse, to let them know as it might turn out to be a different kind of infection. I'll probably see how things go over the next few days before I make any decision on the next steps.