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Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 11160
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
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My 2 year old daughter, over the last 7 days, has had swollen

Resolved Question:

My 2 year old daughter, over the last 7 days, has had swollen eye lids particularly during the night. My doctor has prescribed anti-histomines, to which she is responsive, but this does not deal with the cause of the swelling.

She is going back to see the doctor on Fri and will probably have a blood test.

Do you know what might be the cause? The doctor suspected pollen in the air but the hot weather has passed and her eyes are still swelling up and taking longer to go down.

It cannot be hygiene as we are really very aware of this and always have been.

There is no change in her diet and we are generally very healthy and make her food including ice lollies and cookies (treats).

What do you think is the problem and what can I do to deal with this?
Submitted: 5 years ago.
Category: Eye
Expert:  Dr. Rick replied 5 years ago.

Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

Other then the eye swelling is your daughter having any other symptoms or signs anywhere else? Does she seem to be acting the same or does she seem sick/upset?


Hi, thanks for your reply.


she is a happy child and continues to be so, so no change there, but her appetite is low and her sleep is broken.

Dr. Rick :

Hi. Welcome to chat.


She is quite whiney and clingy which I have put down to being aged 2. Also her lack of sleeping through the night I have put down to the need to reduce her afternoon nap from 2 hours to 1.


So what happens now?

Dr. Rick :

You are very correct that the current treatment is dealing with the symptoms and not the cause of the problem

Dr. Rick :

Are both her upper and lower lids on both eyes swollen? Do they swell up so much that she has problems opening them?

Dr. Rick :

There is something wrong with the chat system....things are not getting through. I'll switch to the Q&A system where we can continue to work on your question. See you there....


Only her upper lids, both, sometimes one more than the other. Her face is also bloated. Her eyes today were almost closed with the swelling. But the swelling isn't always this bad. She is in bed now and the swelling has gone down again, but tomorrow is another day and it may come back during the ight.

Customer: replied 5 years ago.
Hi, what happens now?
Customer: replied 5 years ago.
Are you there?
Customer: replied 5 years ago.
Hello Dr. Rick?

Should I end the chat?
Expert:  Dr. Rick replied 5 years ago.
Ok. Now I can see your responses.....

I don't think this is primarily an eye problem but rather is due to a systemic problem. Your doctor is correct, the most likely cause is allergies but other things need to be ruled out since things are not getting resolved with current therapy.

Your pediatrician may want to do blood tests, and evaluate other major systems such as your daughters heart, kidneys and liver. The blood tests and complete physical exam should help narrow down possible causes.

I wish that I had a definitive answer for you but it looks like further testing and workup should get to the root of the problem on your daughters upcoming pediatrician visit.

Does this make sense to you?
Expert:  Dr. Rick replied 5 years ago.
Sorry about that typing skills are still in a state of evolution :o)
Expert:  Dr. Rick replied 5 years ago.

And, now, the obligatory word from our sponsors: :o)
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Sorry about all the technical problems with the chat system plugging up and all....

Let me know if there are there any other concerns or issues you would like to discuss on this topic. I am still online and here if you would like to ask me anything else.
Customer: replied 5 years ago.
This is very general. I have read this on the internet already.

Why do you not think this is an eye problem?

Could it be a contact allergy?

Can you suggest some ideas that I could consider as well that might be the cause please?
Expert:  Dr. Rick replied 5 years ago.
It would be very unusual for an eye problem to cause the sudden onset of bilateral swelling that waxes and wanes during the day, responds to allergy Rx but then comes back. If this were just from the eyes I would expect that the eyeballs would be red and inflamed or the cornea "Steamy" or there to be evidence that your daughters eyes hurt her.

Contact allergy is a good idea but, as you have already pointed out there isn't really anything different in her environment this week then last week when she was fine...and the pollen count seems to have gone down with recent weather changes in your area.

With chat as my only diagnostic tool it is difficult to pin down the exact cause to something like generalized eyelid swelling....I'm sure you can understand this. However, what I do bring to the table that a search of the internet doesn't offer is almost two decades of practicing ophthalmology and years of medical school that figure into my responses.

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