[39F] Experiencing puffy and dry eyes with dizziness

Patient Description

A 39-year-old female presents with puffy eyes that began suddenly three weeks ago, with no identified alleviating factors. She also reports a two-week history of dizziness, described as a spinning sensation, exacerbated by turning her head to the side or looking up and down. Additionally, she has been experiencing dry eyes for two weeks, which initially presented with itching, burning, and tearing, but currently manifest as dryness. The patient has a medical history of high blood pressure diagnosed two years ago and reports an adverse reaction to Augmentin, which includes increased blood pressure and trouble breathing. She is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Allergic Conjunctivitis: This is inflammation of the conjunctiva (the membrane covering the white part of the eye) due to an allergic reaction. It can cause puffy, itchy, and dry eyes.

    • Treatment typically involves avoiding the allergen and using over-the-counter or prescription eye drops to relieve symptoms.
  • Dry Eye Syndrome: This condition occurs when your tears aren't able to provide adequate lubrication for your eyes. It can cause a variety of symptoms, including dryness, a stinging or burning sensation, and eye redness.

    • Treatment often involves over-the-counter eye drops or artificial tears. In more severe cases, a doctor may recommend prescription medications or other treatments.
  • Benign Paroxysmal Positional Vertigo (BPPV): This is a type of dizziness caused by changes in the position of your head. It's characterized by brief episodes of mild to intense dizziness, often triggered by specific changes in the position of your head.

    • Treatment typically involves a series of movements known as the Epley maneuver, which can help to dislodge the tiny calcium particles in the inner ear that cause BPPV.

Please note that these are just possibilities and not a definitive diagnosis. You should consult with a healthcare professional for an accurate diagnosis and treatment.

What you can do

Here are some steps you can take to help manage your symptoms:

  1. Try over-the-counter eye drops or artificial tears to help with dryness and puffiness in your eyes.
  2. Avoid rubbing your eyes, as this can worsen symptoms.
  3. If you suspect an allergen is causing your symptoms, try to identify and avoid it.
  4. For your dizziness, try to avoid sudden changes in your head position.
  5. Stay hydrated and get plenty of rest.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe pain in your eyes
  • Sudden loss of vision or double vision
  • Difficulty breathing
  • Chest pain or rapid heart rate
  • Severe dizziness or a fall due to dizziness

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, diagnosis, and treatment.

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11 mo ago

People Also Ask


What causes puffy eyes and how can they be treated?

Puffy eyes can be caused by a variety of factors including allergies, fluid retention, or lack of sleep. Treatment may involve using cold compresses, antihistamines for allergies, or addressing underlying health issues.


What is Benign Paroxysmal Positional Vertigo (BPPV) and how is it managed?

BPPV is a condition that causes brief episodes of dizziness due to changes in head position. It is often managed with the Epley maneuver, a series of head movements that help reposition particles in the inner ear.


What are the symptoms and treatments for dry eye syndrome?

Dry eye syndrome symptoms include dryness, stinging, burning, and redness. Treatments often involve using artificial tears or prescription medications to increase tear production or reduce inflammation.


How can allergic reactions to medications affect blood pressure?

Allergic reactions to medications can cause an increase in blood pressure due to stress on the body or as a side effect of the medication. It's important to consult a doctor if you experience such reactions.


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