[24F] With right eye discomfort and throat pain

Patient Description

A 24-year-old female reports waking up with discomfort in her right eye, which is not red but feels itchy, extra wet, and swollen around the eyelid, including the lower lid. She tried taking Tylenol, but it hasn't alleviated the pain. The discomfort worsened throughout the day. There is no significant crusting, but the eye feels like there's fluid that needs to come out, which is more watery than usual. She has not experienced any vision changes or blurred vision, and there's only slight irritation when moving the eye. Additionally, her throat started hurting about an hour ago. She has recently experienced cold or flu-like symptoms, such as a runny nose, cough, or fever. There has been no recent exposure to someone with an eye infection or conjunctivitis, no recent travel, no pre-existing conditions or chronic illnesses, and she is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Allergic Conjunctivitis: This is an eye inflammation caused by an allergic reaction to substances like pollen, dust, or pet dander. Symptoms often include itching, redness, and watery eyes. The swelling around your eyelid and the watery nature of the fluid suggest this could be a possibility.

    • Treatment: Over-the-counter antihistamine eye drops can help relieve symptoms. Avoiding known allergens and using cold compresses can also be beneficial.
  • Viral Conjunctivitis: Often associated with cold or flu-like symptoms, viral conjunctivitis can cause watery eyes, irritation, and swelling. Given that you mentioned recent cold or flu-like symptoms, this could be a likely cause.

    • Treatment: Viral conjunctivitis usually resolves on its own within a week or two. Keeping the eye clean and avoiding touching or rubbing it can help prevent spreading the infection.
  • Blepharitis: This is an inflammation of the eyelids that can cause swelling, itching, and a sensation of something in the eye. It can be associated with other conditions like dry eyes or skin conditions.

    • Treatment: Warm compresses and gentle eyelid scrubs with baby shampoo can help manage symptoms. In some cases, a doctor may prescribe antibiotic ointments or drops.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to alleviate your symptoms:

  1. Cold Compress: Apply a cold compress to your eye to help reduce swelling and discomfort.
  2. Avoid Rubbing: Try not to touch or rub your eye, as this can worsen irritation and potentially spread any infection.
  3. Over-the-Counter Remedies: Consider using over-the-counter antihistamine eye drops if you suspect allergies. Artificial tears can also help soothe irritation.
  4. Maintain Hygiene: Keep your hands clean and avoid sharing towels or pillows to prevent spreading any potential infection.
  5. Stay Hydrated: Drink plenty of fluids to help manage any associated cold or flu symptoms.
  6. Use MDandMe: You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe Pain: If the pain in your eye becomes severe or unbearable.
  • Vision Changes: If you notice any changes in your vision, such as blurriness or loss of vision.
  • Increased Redness or Discharge: If your eye becomes significantly red or produces a thick, colored discharge.
  • Fever: If you develop a high fever (temperature over 100.4°F) or if your current symptoms worsen.

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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4 mo ago


People Also Ask


What are the common symptoms of allergic conjunctivitis?

Common symptoms of allergic conjunctivitis include itching, redness, watery eyes, and swelling around the eyelids. It is often triggered by allergens such as pollen, dust, or pet dander.


How can I differentiate between viral conjunctivitis and other types of eye infections?

Viral conjunctivitis is often associated with cold or flu-like symptoms and typically causes watery eyes, irritation, and swelling. Unlike bacterial conjunctivitis, it usually does not produce thick, colored discharge and often resolves on its own.


What are some effective home remedies for managing blepharitis?

Effective home remedies for managing blepharitis include applying warm compresses to the eyelids, gently scrubbing the eyelids with diluted baby shampoo, and maintaining good eyelid hygiene. These measures can help reduce inflammation and discomfort.


When should I seek medical attention for eye discomfort?

You should seek medical attention if you experience severe pain in the eye, any changes in vision such as blurriness or loss of vision, increased redness or thick, colored discharge from the eye, or if you develop a high fever or worsening symptoms.


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