Facial Swelling
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Definition
Facial swelling is the build-up of fluid in the tissues of the face. Swelling may also affect the neck and upper arms.
Alternative Names
Puffy face; Swelling of the face; Moon face; Facial edema
Considerations
If the facial swelling is mild, it may be hard to detect. To assist the health care provider in diagnosing the cause, it is important to note the following:
- Pain, and where it hurts
- How long the swelling has lasted
- What makes it better or worse
- If you have other symptoms
Common Causes
- Allergic reaction (such as allergic rhinitis, hay fever, or a bee sting)
- Angioedema
Blood transfusion reaction
Cellulitis
- Conjunctivitis (inflammation of the eye)
Drug reactions, including those due to aspirin, penicillin, sulfa, glucocorticoids, and others
- Head, nose, or jaw surgery
Injury or trauma to the face (such as a burn)
- Malnutrition (when severe)
- Obesity
- Salivary gland disorders
- Sinusitis
- Stye with swelling around the infected eye
- Tooth abscess
References
Habif TP. Urticaria and angioedema. In: Habif TP. Clinical Dermatology. 5th ed. Philadelphia, Pa: Saunders Elsevier; 2009:chap 6.
Amsterdam JT. Oral medicine. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 68.
Sharma R, Brunette DD. Ophthalmology. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 69.
Pfaff JA, Moore GP. Otolaryngology. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 70.
Review Date: 2/6/2011
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
Alternative Names
Puffy face; Swelling of the face; Moon face; Facial edema
Home Care
Apply cold compresses to reduce swelling from an injury. Raise the head of the bed (or use extra pillows) to help reduce facial swelling.
Call your health care provider if
You should call your health care provider if you have:
Sudden, painful, or severe facial swelling
Facial swelling that lasts a while, particularly if it is getting worse over time
Difficulty breathing
Fever, tenderness, or redness, which suggests infection
What to expect at your health care provider's office
Emergency treatment is needed if facial swelling is caused by burns or if you have breathing problems.
The health care team will ask questions about your medical and personal history to determine treatment or if any medical tests are needed. Questions may include:
- How long has the facial swelling lasted?
- When did it begin?
- What makes it worse?
- What makes it better?
- Have you come into contact with something you might be allergic to?
- What medications are you taking?
- Have you recently injured your face?
- Have you had a recent medical test or surgery?
- What other symptoms do you have? For example:
- Facial pain
- Sneezing
- Difficulty breathing
- Hives or rash
- Eye redness
- Fever
References
Habif TP. Urticaria and angioedema. In: Habif TP. Clinical Dermatology. 5th ed. Philadelphia, Pa: Saunders Elsevier; 2009:chap 6.
Amsterdam JT. Oral medicine. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 68.
Sharma R, Brunette DD. Ophthalmology. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 69.
Pfaff JA, Moore GP. Otolaryngology. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 70.
Review Date: 2/6/2011
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
Review Date: 2/6/2011
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 2004 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.