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General Forum Topics > General Q and A Forum > Upper Eyelid Swollen : what causes swelling ? allergies ?
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Q: Upper Eyelid Swollen : what causes swelling ? allergies ?
asked by: DoctorQuestion on May 26th, 2007
WHAT COULD BE CAUSING MY UPPER EYELIDS TO SWELL UP OVERNIGHT? SOME MORNINGS, THE LEFT EYE ESPECIALLY, IS SO PUFFED UP IT ACTUALLY TOUCHES THE LASHES. IT IS ALWAYS WORSE IN THE SPRING AND SUMMER MONTHS, SO I ORIGINALLY SAW AN ALLERGIST ABOUT IT ASSUMING IT COULD BE AN ALLERGIC REACTION TO SOMETHING. I HAD JUST BOUGHT A NEW MATTRESS SET AND WAS HOPING I WASN'T ALLERGIC TO IT. SHE FELT IT WAS NOT AN ALLERGY, BUT SOMETHING CALLED ANGIO ADEMA. SHE SUGGESTED TO AVOID USING ASPIRIN AND IBUPROFEN, AND USE COLD COMPRESSES. THOSE SUGGESTIONS HELPED SOME, BUT I WASN'T CONVINCED THAT WAS THE CORRECT DIAGNOSIS. SO, I WENT TO SEE AN OPTHAMALOGIST. HE FOUND THAT I HAD MODERATE TO SEVERE DRY EYE. HE CLOSED MY LOWER TEAR DUCTS WHICH SOLVED THAT PROBLEM, BUT NOT THE SWELLING ISSUE. IT IS REALLY DRIVING ME NUTS. I CAN'T WHERE EYE MAKE-UP SOME DAYS AND THE PUFFINESS MAKES ME LOOK WEIRD. I CAN'T BELIEVE IT'S JUST OLD AGE BECAUSE IT COMES AND GOES. SOME DAYS I LOOK NORMAL. ANY SUGGESTIONS?


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DoctorAnswerDoctor Answer
replied on June 6th, 2007
General Q&A Answer A2843
According to the symptoms you've mentioned (swelling of the eyelids, especially in the spring and summer), you might be experiencing angio-edema. Angio-edema is characterized by rapid swelling of the skin, mucosa and submucosal issues. Most commonly, the skin of the face (as well as other parts of the body), swells up over a period of minutes to several hours. Sometimes angio-edema is linked to a recent exposure to allergens, but in other cases its cause is idiopathic (unknown). You can request routine blood tests, and check the mast cell tryptase levels and complement levels in the blood in order to come to a more precise diagnosis of the condition. You can request these examinations at your primary care physician's office.




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