[18F] Experiencing itchy and puffy eyes, nausea, and sneezing

Patient Description

An 18-year-old female presents with symptoms of itchy and puffy eyes, nausea, and sneezing. The eye symptoms started a few hours ago and are accompanied by redness, but no changes in vision or watery discharge. The patient has recently started using new eye makeup, which may be related to the eye symptoms. Nausea has been occurring since the previous night, with a severity of 8 out of 10, and appears to happen randomly. There is no past medical history of allergies or chronic illnesses, no known drug allergies, and the patient is not on any medications. No other systemic symptoms such as shortness of breath or facial swelling were reported.

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Arora's Assessment

What might be happening

Based on the information provided, the possible explanations for your symptoms include:

  • Allergic Conjunctivitis: This is inflammation of the tissue lining the eyelids (conjunctiva) due to an allergic reaction. It can cause itching, redness, and swelling of the eyes. The new eye makeup you mentioned could be the allergen causing this reaction.

    • Treatment typically involves avoiding the allergen, using artificial tears to help soothe the eyes, and over-the-counter or prescription allergy medications.
  • Cosmetic Allergy: Some people develop allergic reactions to ingredients in makeup or skincare products. This could explain your itchy and puffy eyes if they started after using a new eye makeup product.

    • Treatment involves discontinuing the use of the offending product and managing symptoms with over-the-counter allergy medications.

The nausea and sneezing you're experiencing may be related to an allergic reaction, but they could also be symptoms of a viral infection, such as the common cold or flu.

What you can do

  1. Stop using the new eye makeup product and see if your symptoms improve.
  2. Use artificial tears to help soothe your itchy eyes.
  3. Over-the-counter antihistamines can help with allergic reactions. However, they can cause drowsiness, so be cautious if you need to drive or operate machinery.
  4. Keep yourself hydrated and rest as much as possible.

What you should look out for

If your symptoms worsen or if you develop new symptoms such as difficulty breathing, severe eye pain, vision changes, or a high fever, you should seek medical attention immediately. Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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1 yr ago

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People Also Ask


What are the common symptoms of allergic conjunctivitis?

Common symptoms of allergic conjunctivitis include itchy, red, and swollen eyes, often accompanied by a burning sensation. There may also be a watery discharge, but vision is typically not affected.


How can I tell if my eye symptoms are caused by an allergy to makeup?

If your eye symptoms started shortly after using a new makeup product and include itching, redness, and swelling, it is possible that the makeup is causing an allergic reaction. Discontinuing the product and observing if symptoms improve can help confirm this.


What over-the-counter treatments are available for allergic reactions affecting the eyes?

Over-the-counter treatments for allergic reactions affecting the eyes include antihistamine eye drops, artificial tears to soothe irritation, and oral antihistamines. It's important to follow the instructions on the packaging and be aware of potential side effects like drowsiness.


When should I seek medical attention for eye symptoms?

You should seek medical attention if you experience worsening symptoms, such as severe eye pain, vision changes, difficulty breathing, or if you develop a high fever. These could indicate a more serious condition requiring professional evaluation.


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