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However, if symptoms become severe or don’t get better despite self-care, you should see a doctor — especially in cases such as: Severe dryness with deep cracks, chronic peeling, or bleeding Pain when talking or eating, affecting daily life Darkened, hyperpigmented lips from chronic dryness that don’t improve with lip balm Suspected underlying conditions such as eczema, diabetes, or a reaction to medications History of radiation therapy to the head and neck, causing persistent dryness Signs of infection: redness, burning, swelling, blisters, or pus Oral health issues such as unusually strong bad breath, frequent tooth decay, or recurrent gum inflammation If left untreated, cracked lips can progress to cheilitis, which may occur when bacteria or fungi enter through open fissures

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