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Re: puffy morning face

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Hmm, ok, I have a juicy emergency medical question :) Well... not really

juicy.... and not really an emergency... but am curious nonetheless :) If I

had a bad reaction to protopic, (too much irritation, much increased

flushing, and a bit of a weird rash) is Elidel still something I may want to

try for my Seb derm? Or are they closely enough related that I would have

the same problem?

Adam

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Hmm, ok, I have a juicy emergency medical question :) Well... not really

juicy.... and not really an emergency... but am curious nonetheless :) If I

had a bad reaction to protopic, (too much irritation, much increased

flushing, and a bit of a weird rash) is Elidel still something I may want to

try for my Seb derm? Or are they closely enough related that I would have

the same problem?

Adam

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Hmm, ok, I have a juicy emergency medical question :) Well... not really

juicy.... and not really an emergency... but am curious nonetheless :) If I

had a bad reaction to protopic, (too much irritation, much increased

flushing, and a bit of a weird rash) is Elidel still something I may want to

try for my Seb derm? Or are they closely enough related that I would have

the same problem?

Adam

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I'm sorry, Bridget, but I don't have any suggestions for you beyond

what I'm certain you've already tried: eliminating offending

cosmetics and skin care products, nail polish and hand creams (a

surprisingly common culprit for eye allergies), hair dye products,

nickle-containing jewelry around the upper face, contact lens

solution, laundry detergent, and pillow case/pillow materials. These

allergies can be subtle so you have to really think them out.

Assuming it's not an allergy but truly rosacea, whatever fluid

accumulation occurs at night should drain off relatively quickly once

you're up and moving about. The upper eyelids are the thinnest skin

in the body -- which means it only takes a little bit of fluid to

puff up eyelids quite dramatically.

It's not uncommon to wake up with swollen eyes, but if they don't

improve as the day progresses or you have other symptoms then you

might want to be examined by an ophthalmologist.

If you insist, a high pillow wedge that allows your upper body and

head to be elevated as a unit at a slant may be more successful (and

comfortable solution for your neck) than a high pillow, which will

only elevate your head. Experiment so you don't defeat the whole

purpose by sliding down in the middle of the night, to wake up in a

little horizontal curl at the bottom of the wedge. But be aware

that any posturing or unnaturally high pillow may help your eyes but

interfere with a good quality sleep, which is inarguably the most

important thing. It's not just convenience, Bridget, we all need good

sleep.

Geez, no one has a juicy emergency medicine question to ask, like

about a ruptured globe or something?

Don't take any of this as medical advice, it's not intended that way,

and you are not my patient. You really need to discuss this with your

doctor. I can't know if this is due to ocular rosacea or some other

condition, and no one else on the Internet can either.

Best of luck.

Marjorie

Marjorie Lazoff, MD

>

> Hi

>

> I'm not sure if anyone has any advice other than using high pillow

but my edema is getting very extreme in the mornings. My eyes are

nearly so puffed up they are shut and my cheeks are huge. Does anyone

else have this?

>

> I thought about having two sleeps rather than one long one,

pbviously this isn't that convenient but...

>

> The problem is I am not red when I wake up in fact very pale -

although I feel hot if that makes sense. I just wonder if the vessels

aren't dilated why are they leaking so much fluid.

>

> Can anyone help?

>

>

>

> ---------------------------------

>

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I'm sorry, Bridget, but I don't have any suggestions for you beyond

what I'm certain you've already tried: eliminating offending

cosmetics and skin care products, nail polish and hand creams (a

surprisingly common culprit for eye allergies), hair dye products,

nickle-containing jewelry around the upper face, contact lens

solution, laundry detergent, and pillow case/pillow materials. These

allergies can be subtle so you have to really think them out.

Assuming it's not an allergy but truly rosacea, whatever fluid

accumulation occurs at night should drain off relatively quickly once

you're up and moving about. The upper eyelids are the thinnest skin

in the body -- which means it only takes a little bit of fluid to

puff up eyelids quite dramatically.

It's not uncommon to wake up with swollen eyes, but if they don't

improve as the day progresses or you have other symptoms then you

might want to be examined by an ophthalmologist.

If you insist, a high pillow wedge that allows your upper body and

head to be elevated as a unit at a slant may be more successful (and

comfortable solution for your neck) than a high pillow, which will

only elevate your head. Experiment so you don't defeat the whole

purpose by sliding down in the middle of the night, to wake up in a

little horizontal curl at the bottom of the wedge. But be aware

that any posturing or unnaturally high pillow may help your eyes but

interfere with a good quality sleep, which is inarguably the most

important thing. It's not just convenience, Bridget, we all need good

sleep.

Geez, no one has a juicy emergency medicine question to ask, like

about a ruptured globe or something?

Don't take any of this as medical advice, it's not intended that way,

and you are not my patient. You really need to discuss this with your

doctor. I can't know if this is due to ocular rosacea or some other

condition, and no one else on the Internet can either.

Best of luck.

Marjorie

Marjorie Lazoff, MD

>

> Hi

>

> I'm not sure if anyone has any advice other than using high pillow

but my edema is getting very extreme in the mornings. My eyes are

nearly so puffed up they are shut and my cheeks are huge. Does anyone

else have this?

>

> I thought about having two sleeps rather than one long one,

pbviously this isn't that convenient but...

>

> The problem is I am not red when I wake up in fact very pale -

although I feel hot if that makes sense. I just wonder if the vessels

aren't dilated why are they leaking so much fluid.

>

> Can anyone help?

>

>

>

> ---------------------------------

>

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Bridget,

When my swelling was really bad, I would wake up to a really swollen face/

eyes/nose every morning. I was always the worst in the morning. I had no

fluid in my face--my swelling was just from lying down for many hours. The

hot skin would swell and there was no gravity to help it out. It was very

frustrating, sometimes it would take the whole day to do down. Some days

it would get better after a few hours. I found elevating my head helped a

lot--I used two pillows. Waking up like that made me not want to sleep at

all, or at least sleep less, but I soon found that getting enough sleep

was more important.

__________________________________________________

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Bridget,

When my swelling was really bad, I would wake up to a really swollen face/

eyes/nose every morning. I was always the worst in the morning. I had no

fluid in my face--my swelling was just from lying down for many hours. The

hot skin would swell and there was no gravity to help it out. It was very

frustrating, sometimes it would take the whole day to do down. Some days

it would get better after a few hours. I found elevating my head helped a

lot--I used two pillows. Waking up like that made me not want to sleep at

all, or at least sleep less, but I soon found that getting enough sleep

was more important.

__________________________________________________

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Guest guest

Bridget,

When my swelling was really bad, I would wake up to a really swollen face/

eyes/nose every morning. I was always the worst in the morning. I had no

fluid in my face--my swelling was just from lying down for many hours. The

hot skin would swell and there was no gravity to help it out. It was very

frustrating, sometimes it would take the whole day to do down. Some days

it would get better after a few hours. I found elevating my head helped a

lot--I used two pillows. Waking up like that made me not want to sleep at

all, or at least sleep less, but I soon found that getting enough sleep

was more important.

__________________________________________________

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Guest guest

>

>

> Hmm, ok, I have a juicy emergency medical question :) Well... not

really

> juicy.... and not really an emergency... but am curious

nonetheless :) If I

> had a bad reaction to protopic, (too much irritation, much increased

> flushing, and a bit of a weird rash) is Elidel still something I

may want to

> try for my Seb derm? Or are they closely enough related that I

would have

> the same problem?

Curiosity in lieu of a juicy emergency, huh? Well, maybe I could

resuscitate the cat it killed.

I didn't answer your other post because I don't know anything about

Protopic or Elidel except from this group. In quickly scanning the

literature (of which there's very little) it appears as if Elidel is

in the same class as Protopic, just put out by another company. Its

marketing talks about less systemic absorption and burning on

application than Protopic, but its official printed material has

essentially identical warnings as Protopic.

Marjorie

Marjorie Lazoff, MD

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Hi B,

I think your derm diagnosed you with rosacea lymphedema if I'm not

mistaken. (sorry if I'm wrong on that.) I know some people have used

a cooling device on their pillows called the chillow - Here's a link

to one of the sites carrying it. It looked like there were quite a

few sites selling this item. It might help your face feel cool.

http://www.soothsoft.com/chillow.htm

Also, have you considered clonidine. I don't know if you tried it or

not, but some people have had success with it when other means to

control the flushing didn't work.

Take care,

Matija

>

> Hi

>

> I'm not sure if anyone has any advice other than using high pillow

but my edema is getting very extreme in the mornings. My eyes are

nearly so puffed up they are shut and my cheeks are huge. Does anyone

else have this?

>

> I thought about having two sleeps rather than one long one,

pbviously this isn't that convenient but...

>

> The problem is I am not red when I wake up in fact very pale -

although I feel hot if that makes sense. I just wonder if the vessels

aren't dilated why are they leaking so much fluid.

>

> Can anyone help?

>

>

>

> ---------------------------------

>

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Guest guest

> I'm not sure if anyone has any advice other than

> using high pillow but my edema is getting very

> extreme in the mornings.

I would agree with all of the things Marjorie listed,

but I also suggest keeping a food/symptom diary for at

least three weeks to see if you can detect a pattern.

Also, if you eat similar foods for dinner and/or

evening snack, you might try changing the patterns to

see if the swelling improves. (Ice cream and bowls of

cereal are two common evening snacks that might cause

swelling if a person was sensitive to dairy or grains,

just as an example, and not to imply these are your

issues.)

Suzi

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