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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Swelling And Pain On Lips, Face Twitching. Benadryl Reduces Swelling. Is This Allergy?

For a few weeks now my lip recently started swelling up with pain, twitching of the face on the side where it is swollen, and tingling . The pain sometimes is unbearable. And only benedryl seems to bring down the swelling. Is this an allergic reaction or maybe something else. This has been occurring atleast 2 to 3 times a week for about 3 weeks now.
Mon, 5 Nov 2012
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Allergist and Immunologist 's  Response
Hello,
You are having angioedema attacks of the lips that could be due to several reasons:
1. drug-induced: have you recently taken any drug after which this started or are you on continuous medication like blood pressure lowering drugs such as ramipril, enalapril etc
2. is there a history of tummy pain or facial swelling? - then you would extensive evaluation if all these occur together
3. or this could be an allergic episode - are there any existing allergies such as dust mite, pollens, insects etc?
4. the last option is idiopathic - which responds very well to long acting antihistamines such as cetirizine 10mg or fexofenadine 180mg; benadryl is good but a short acting and weaker antihistamine.
Thanks.
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Swelling And Pain On Lips, Face Twitching. Benadryl Reduces Swelling. Is This Allergy?

Hello, You are having angioedema attacks of the lips that could be due to several reasons: 1. drug-induced: have you recently taken any drug after which this started or are you on continuous medication like blood pressure lowering drugs such as ramipril, enalapril etc 2. is there a history of tummy pain or facial swelling? - then you would extensive evaluation if all these occur together 3. or this could be an allergic episode - are there any existing allergies such as dust mite, pollens, insects etc? 4. the last option is idiopathic - which responds very well to long acting antihistamines such as cetirizine 10mg or fexofenadine 180mg; benadryl is good but a short acting and weaker antihistamine. Thanks.