I've been dealing with my lips peeling every day for the past 12 years, and it's really starting to worry me. After I shower, both my upper and lower lips turn white and peel, leaving the raw red skin exposed. I've seen multiple dermatologists, and they've suggested it's Exfoliative cheilitis, but none of the steroid creams or ointments they've prescribed have worked. I've even tried homeopathic and Ayurvedic treatments, but still no success. I can't help but think that maybe it's connected to my digestion or some inflammation in my body. Could you give me some guidance on what might be causing this and how I might be able to treat it?

Dr Mubarak Parveez B

General Practitioner

• MBBS
• 2+ Yrs

Consult Now

I understand your frustration and concern about the persistent lip peeling issue. Despite consulting multiple dermatologists and trying various treatments, you're still experiencing this condition.

Exfoliative cheilitis can be challenging to treat, and it's great that you're considering the possibility of an underlying digestive issue contributing to your symptoms.

Potential Underlying Causes

1. Digestive issues: As you mentioned, stomach digestion problems, inflammation, or conditions like irritable bowel syndrome (IBS) might be contributing to your lip peeling.
2. Nutritional deficiencies: Inadequate intake of essential nutrients like vitamin B12, iron, or zinc can affect skin health and lead to conditions like exfoliative cheilitis.
3. Autoimmune disorders: Certain autoimmune conditions, such as lupus or rheumatoid arthritis, can cause skin manifestations, including lip peeling.
4. Hormonal imbalances: Hormonal changes, particularly in women, can lead to skin issues, including lip peeling.

Recommended Steps

1. Consult a gastroenterologist: To investigate potential digestive issues, schedule an appointment with a gastroenterologist for a thorough evaluation.
2. Nutritional assessment: Consult a registered dietitian or a healthcare professional to assess your nutritional intake and identify potential deficiencies.
3. Autoimmune disorder screening: Discuss the possibility of autoimmune disorders with your doctor and undergo necessary screening tests.
4. Hormonal evaluation: If you're experiencing hormonal imbalances, consult an endocrinologist or a healthcare professional for guidance.
5. Consider alternative treatments: In addition to addressing potential underlying causes, you may want to explore alternative treatments like acupuncture, probiotics, or omega-3 supplements, which may help alleviate symptoms.

Persistent Lip Care

1. Gentle lip care: Continue using gentle, fragrance-free lip balms and avoid licking or biting your lips.
2. Protect your lips: Apply a lip balm with SPF to protect your lips from the sun.
3. Stay hydrated: Drink plenty of water to keep your skin hydrated and healthy.

Answered 04/07/2025