Angular Stomatitis (also known as angular cheilitis) is a condition characterized by inflammation, redness, and cracking at the corners of the mouth. It is often caused by fungal or bacterial infections, nutritional deficiencies (especially vitamin B12, iron, or folic acid), poor hygiene, or certain underlying health conditions like diabetes, dry mouth, or a weakened immune system. The symptoms include pain, dryness, soreness, and sometimes bleeding at the corners of the mouth.

Homeopathic Remedies for Angular Stomatitis

1. Borax

   • Indications: For painful, cracked lips with a tendency to ulcerate at the corners of the mouth.
   • Symptoms: Painful fissures at the corners of the mouth that may bleed when touched. The lips may feel dry and cracked, with a tendency to develop ulcers. The person may feel sensitive, particularly to the cold.
   • Other characteristics: Often used when the condition is aggravated by cold or when there is a history of recurring mouth ulcers.

2. Graphites

   • Indications: For thick, cracked skin with a tendency for the corners of the mouth to crack and become scaly.
   • Symptoms: Cracks in the corners of the mouth with a sensation of dryness and tightness. The skin may look thickened or scaly, and there is a tendency for crusts to form around the lips.
   • Other characteristics: The person may have dry, rough skin elsewhere on the body and may be prone to eczema or other skin issues.

3. Natrum Muriaticum

   • Indications: For angular stomatitis associated with emotional stress, particularly when the condition is related to a history of grief or suppressed emotions.
   • Symptoms: Cracking and soreness at the corners of the mouth, often worse on the lower lip. The condition may be aggravated by cold, and the person may feel emotionally withdrawn or melancholic.
   • Other characteristics: Dryness of the skin and mucous membranes, with a tendency to experience feelings of sadness, solitude, or grief.

4. Alumina

   • Indications: For dry, cracked lips with painful fissures in the corners of the mouth, often worsened by cold weather.
   • Symptoms: There is a feeling of dryness and tightness, with painful cracks at the corners of the mouth. The lips may feel parched, and the person may have difficulty swallowing due to a dry mouth.
   • Other characteristics: Alumina is often indicated for people who are weak or have a slow metabolism, and the condition may be worsened by exposure to cold air.

5. Rhus Toxicodendron

   • Indications: For angular stomatitis that is aggravated by cold and wet conditions, especially when the corners of the mouth are cracked and inflamed.
   • Symptoms: Painful cracks at the corners of the mouth, with redness and swelling. The person may feel better with warmth and worse in cold, damp weather.
   • Other characteristics: Restlessness and a tendency to experience pain in the joints or muscles, which may be aggravated by movement.

6. Calendula Officinalis

   • Indications: For soothing and promoting healing of cracks or sores at the corners of the mouth.
   • Symptoms: Painful, inflamed cracks that may have an open ulcerative appearance. Calendula can help reduce inflammation and promote tissue healing.
   • Other characteristics: Suitable for healing superficial wounds or abrasions, including cracks in the skin around the mouth.

7. Mercurius Solubilis

   • Indications: For painful sores at the corners of the mouth with a tendency for the ulcers to be covered in a white or yellowish coating.
   • Symptoms: The condition is associated with excess salivation, soreness, and sometimes a foul odor from the mouth. There may be swelling and tenderness at the corners of the mouth, with ulcers that do not heal easily.
   • Other characteristics: The person may feel worse at night and have a coated tongue. There may also be symptoms of excessive sweating and a tendency to catch infections.

8. Sulphur

   • Indications: For chronic cases of angular stomatitis with a tendency to flare up in warmer weather or during periods of poor hygiene.
   • Symptoms: Red, inflamed, and itchy corners of the mouth that may become cracked and painful. The person may have a strong odor emanating from the mouth.
   • Other characteristics: A general tendency to have skin problems, such as eczema or psoriasis. The person may be prone to feeling hot, sweaty, and uncomfortable in their own skin.

9. Thuja Occidentalis

   • Indications: For angular stomatitis associated with recurrent fungal or viral infections, or if there is a history of warts or other growths around the mouth.
   • Symptoms: Cracks at the corners of the mouth that are painful, especially when eating or speaking. The person may experience recurring episodes of angular stomatitis.
   • Other characteristics: May be helpful for individuals who have had a history of viral infections, such as cold sores, or those with an overall tendency to develop warts or growths.

10. Kali Bichromicum

    • Indications: For painful, deep cracks at the corners of the mouth with thick, yellowish discharge.
    • Symptoms: The cracks may be deep, painful, and associated with thick, sticky mucus or discharge. The corners of the mouth may be swollen, and there may be a general feeling of discomfort.
    • Other characteristics: The person may have a tendency to develop other chronic mucous membrane issues, such as sinusitis or throat infections.

Supportive Measures for Angular Stomatitis

1. Hygiene:

   • Keep the affected area clean and dry. Gently wash the mouth corners with warm water and mild soap, avoiding harsh or irritating chemicals. Dry the area thoroughly after washing.

2. Avoid Irritants:

   • Avoid licking or biting the lips, as this can worsen the condition. Use a lip balm to keep the lips moist and prevent further cracking.

3. Proper Nutrition:

   • Ensure adequate intake of vitamins and minerals, particularly Vitamin B12, iron, and folic acid, as deficiencies can contribute to angular stomatitis.

4. Topical Treatments:

   • Applying a natural ointment, such as petroleum jelly or a calendula-based cream, can help soothe and heal the affected area.

5. Hydration:

   • Keep hydrated to avoid dry mouth and chapped lips. Drink plenty of water and avoid caffeine or alcohol, which can cause dehydration.

Conclusion

Homeopathy can be an effective option in managing angular stomatitis, especially when the condition is chronic or recurrent. Remedies such as Borax, Natrum Muriaticum, Mercurius Solubilis, and Graphites address both the physical symptoms and underlying tendencies. However, it is important to combine homeopathic remedies with proper hygiene, nutritional support, and lifestyle adjustments.