Swollen Lips and Red Spots: Allergy or Food Poisoning Concerns? - Internal Medicine

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Swollen lips, with red spots appearing on the neck and arms?


Hello Doctor: Recently, I have experienced swelling of the lips, small red spots on my neck and arms, bone pain, and a slight pain in my tonsils.
Which department should I consult? Could this be an allergy or food poisoning? Thank you for your help.

nicole, 20~29 year old female. Ask Date: 2005/01/06

Dr. Huang Maosen reply Internal Medicine


Hello, I apologize for the delayed response.
Based on the symptoms you described, it should be considered an allergic reaction, as there are no symptoms of diarrhea or vomiting, which are not typical of food poisoning.
You should consult a general internist.
Thank you!

Reply Date: 2005/01/06

More Info


When experiencing symptoms such as swollen lips, red spots on the neck and arms, joint pain, and a sore throat, it is essential to consider both allergic reactions and food poisoning as potential causes. However, the specific symptoms you describe lean more towards an allergic reaction rather than food poisoning.

Allergic reactions can manifest in various ways, including localized swelling (such as in the lips), hives or red spots on the skin, and systemic symptoms like joint pain or a sore throat. These reactions can occur after consuming certain foods, medications, or even after exposure to environmental allergens. Common food allergens include shellfish, nuts, dairy, eggs, and wheat. If you recently consumed any of these foods, it could be a trigger for your symptoms.

On the other hand, food poisoning typically presents with gastrointestinal symptoms such as nausea, vomiting, diarrhea, and abdominal cramps. While some types of food poisoning can cause systemic symptoms, they usually do not include localized swelling of the lips or red spots unless there is a severe reaction involved, such as anaphylaxis, which is a medical emergency.

Given your symptoms, it is advisable to seek medical attention promptly. You should consider visiting an allergist or a primary care physician who can evaluate your symptoms in detail. They may perform tests, such as skin prick tests or blood tests, to determine if you have any food allergies or sensitivities. Additionally, they can assess whether your symptoms are indicative of a more severe allergic reaction, such as angioedema (swelling beneath the skin) or urticaria (hives).

In the meantime, if you suspect that your symptoms are due to an allergic reaction, it is crucial to avoid any potential allergens. If you have access to antihistamines, taking them may help alleviate some of the symptoms, but it is essential to consult with a healthcare professional before taking any medication.

If you experience any difficulty breathing, swelling of the throat, or a rapid heartbeat, these could be signs of a severe allergic reaction (anaphylaxis), and you should seek emergency medical care immediately.

In summary, while both allergies and food poisoning can cause discomfort and distress, the symptoms you describe are more consistent with an allergic reaction. It is essential to consult a healthcare provider to determine the underlying cause and receive appropriate treatment.

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