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Dr. Andrew Rynne

Family Physician

Exp 50 years

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good night . my 19 yr old son woked up

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Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 7684 Questions

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Posted on Tue, 8 Jan 2019 in Child Health
Question: good night . my 19 yr old son woked up with the left side of his face under his eyes puffy and swollen for about 3wks now . its been like this off ans on each day . he was put on antibiotics about 1wk ago but its still swollen . the first picture is nov. 21 the 2nd pic is today .
concerned parent
doctor
Answered by Dr. Sumanth Amperayani 20 minutes later
Brief Answer:
I need some more information please

Detailed Answer:
Hi.... I have seen both the images and I need some more information please.

1. Is experiencing any itching or pain or burning sensation?
2. How many days did the last episode last?
3. Is there any family history of hereditary angioedema please?
4. Is experiencing any fever or pain while moving the eyeballs?

Please get back to me with the above information so that I can guide you better.

Best regards - Dr Sumanth Amperayani
Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. Sumanth Amperayani 19 hours later
There are no family history of ang, no burning itching pain during the movement of his eyeballs no fever no pain. I am concern because it's not going away. I realize that this happened after he had he teeth clean at the end of November and it's been swelling ever since. I am not sure if that would have anything with it
doctor
Answered by Dr. Sumanth Amperayani 31 hours later
Brief Answer:
Not related to the dental procedure - looks like allergy

Detailed Answer:
Hello...By what you say, and also from the images, I feel that it is a simple skin allergy called Urticaria in medical terms.
I am sorry for the symptoms but they can be really irritating and persistent.
The trick of management is that you need to be getting an antihistamine at regular intervals round the clock into the system to keep the allergic response at bay.
I suggest -
1. Tablet Hydroxizine 25mg at 12am/6am/12pm/6pm
2. Syr Benadryl (12.5mg/5ml) 10ml at 3am/9am/3pm/9pm
3. Topical emollients and lotions will help.
4. Do not apply Calamine lotion as sometimes it may aggravate the situation please.

Best regards - Dr Sumanth Amperayani

Above answer was peer-reviewed by : Dr. Kampana
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