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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurring Swelling On Tongue And Lips?

my husband has sudden sporadic tongue swelling which always occurs in the middle of the night. Sometimes his lips swell, too. It is quite frightening. His GP says if he were allergic to any of his blood pressure medications, the swelling would occur within an hour or so of ingestion. The only ingesting my husband routinely takes before going to bed is a swig of Maalox.
Mon, 11 Aug 2014
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Allergist and Immunologist 's  Response
Hello.

Thank you for asking at HCM.

I went through your husband's history and I would like to make following suggestions for him:

1. Yes, as suggested by GP, antihypertensive medications from the groups of ACE inhibitors or Angiotensin Rceptor Blockers (ARB) (Kindly confirm whether he is taking any of these) can cause similar complaints.

However, I would like to suggest that it is not always within an hour of consumption of the drug. Personally when such patient comes to my clinic, I suggest patient's physician revising the anti-hypertensive medicines and to change them, if possible.

Please discuss above information with your GP.

2. Even Maalox can occasionally cause allergic reaction. The symptoms will be similar.

3. Were I treating you, I would suggest you to take a levocetirizine & montelukast when such symptoms occur. You can discuss possibility of alternative anti-hypertensive medicine (if your drug is from ACE inhibitor or ARB groups) with your GP.

I would also suggest your husband allergy testing to identify whether any substance is contributing to these symptoms, if it is so, avoidance to that particular substance is the best measure.

Hope above measures will be helpful to your husband.

Should you have any further query, please feel free to ask at HCM.

Wish your husband the best of the health.

Thank you & Regards.
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What Causes Recurring Swelling On Tongue And Lips?

Hello. Thank you for asking at HCM. I went through your husband s history and I would like to make following suggestions for him: 1. Yes, as suggested by GP, antihypertensive medications from the groups of ACE inhibitors or Angiotensin Rceptor Blockers (ARB) (Kindly confirm whether he is taking any of these) can cause similar complaints. However, I would like to suggest that it is not always within an hour of consumption of the drug. Personally when such patient comes to my clinic, I suggest patient s physician revising the anti-hypertensive medicines and to change them, if possible. Please discuss above information with your GP. 2. Even Maalox can occasionally cause allergic reaction. The symptoms will be similar. 3. Were I treating you, I would suggest you to take a levocetirizine & montelukast when such symptoms occur. You can discuss possibility of alternative anti-hypertensive medicine (if your drug is from ACE inhibitor or ARB groups) with your GP. I would also suggest your husband allergy testing to identify whether any substance is contributing to these symptoms, if it is so, avoidance to that particular substance is the best measure. Hope above measures will be helpful to your husband. Should you have any further query, please feel free to ask at HCM. Wish your husband the best of the health. Thank you & Regards.