This does look bad. The meds wont be here until tomorrow. I am not sure how he got it I just remember last week my parrot fish beat him up badly so I moved him to another tank with my other weaker cichlids. Then this morning his lips are like a balloon. His wounds looked like they were healing up yesterday.
Unfortunately, it's a common pathogenic bacteria that grows in detritus matter in the substrate and filters. It just happens when the immune system of the fish is down and has a wound in the lips area.
I know that putting peroxide on the affected area is not enough to slow certain strains of columnaris.



