Allergy
Hello Dr.
Cheng,
I would like to ask you some questions.
It seems that I have an allergy to a certain medication, but each time I experience an allergic reaction, it manifests as swelling of the lower eyelid rather than occurring elsewhere on my body.
Currently, I know that it is almost always caused by some anti-inflammatory medications.
Is this considered a medical condition? Additionally, if I use a lotion containing alpha hydroxy acids for exfoliation, could this issue arise as well? It takes a long time for the swelling to subside each time, and sometimes it swells to the point where I can't see and my eyes keep tearing.
I would appreciate your help in finding answers.
Thank you!
Xiao Hui, 20~29 year old female. Ask Date: 2004/03/03
Dr. Zheng Lizhen reply Dermatology
Hello: If you experienced this after using an anti-inflammatory medication, it indicates that you are allergic to that drug.
You should remember the name of the medication and avoid using it in the future.
This is different from using glycolic acid lotion, as glycolic acid is not an anti-inflammatory medication.
Sincerely, Dr.
Cheng Li-Chen, Dermatology Department, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2004/03/03
More Info
Hello! Thank you for your inquiry regarding allergic reactions, particularly in relation to eye swelling from medication. Allergic reactions can manifest in various ways, and localized swelling of the eyelids, especially the lower eyelid, can indeed be a symptom of an allergic response.
When you experience swelling specifically in the lower eyelid after using certain medications, it is likely that your body is reacting to an ingredient in those medications. This localized reaction can occur even if you do not experience systemic symptoms, such as hives or rashes elsewhere on your body. The eye area is particularly sensitive, and the skin around the eyes is thinner than that on other parts of the body, making it more susceptible to swelling and irritation.
In your case, if you have identified that anti-inflammatory medications are the culprits, it is essential to avoid these drugs in the future. You may want to consult with your healthcare provider or an allergist to confirm the specific substances you are allergic to. They may recommend allergy testing to identify the exact triggers, which can help you avoid them in the future.
Regarding your question about using glycolic acid-containing lotions, it is possible that these products could also cause irritation or an allergic reaction, particularly if they are applied near the eye area. Glycolic acid is an alpha hydroxy acid (AHA) that can exfoliate the skin, and while it is generally safe for use on the face, it can lead to irritation, especially for those with sensitive skin or existing allergies. If you notice any swelling or irritation after using such products, it would be wise to discontinue their use and consult with a dermatologist.
If you frequently experience swelling that lasts a long time, it might be beneficial to have a discussion with your healthcare provider about potential treatments to alleviate the symptoms. In some cases, antihistamines or topical corticosteroids may be prescribed to reduce inflammation and swelling. However, these should only be used under the guidance of a healthcare professional.
Additionally, if you find that your eyelid swelling is accompanied by other symptoms, such as redness, itching, or discharge, it could indicate a more complex allergic reaction or even an infection. In such cases, seeking medical attention promptly is crucial to prevent complications.
In summary, localized swelling of the eyelid can indeed be a sign of an allergic reaction, particularly to medications. It is essential to identify and avoid the triggers, consult with healthcare professionals for proper diagnosis and management, and be cautious with the use of skincare products near the eyes. If you have ongoing concerns or if the swelling persists, do not hesitate to seek further medical advice. Your eye health is important, and addressing these issues early can help prevent more significant problems in the future. Thank you for your questions, and I hope this information helps clarify your concerns!
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