Clinical Reference Systems: Pediatric Advisor 10.0

Description

The sudden swelling of a lip that hasn't been injured is usually caused by an allergic reaction to something that has gotten on the lip. If it is an allergic reaction, a child will also have symptoms of itching or tingling.

Causes

The substance causing the reaction can be a food, toothpaste, lipstick, or lip balm. Other irritants (for example, an evergreen resin) may get on the lips from the hands.

Home Care (for local allergic reaction)

1. Wash the lips and face with soap and water to remove any irritating substances (decontamination).

2. Apply ice to the swelling for 20 minutes out of every hour. This should reduce the swelling and the itch. Repeat this for 3 hours if necessary.

3. Give an antihistamine in the correct dosage. (Benadryl is best.) Continue 2 or 3 times. If Benadryl is not available, use any over-the-counter hay fever or cold medicine.

4. Avoid any allergic foods that are associated with the lip swelling.

Call Your Child's Physician Immediately If:

• Your child has difficulty breathing or swallowing.
• Your child is acting very sick.

Call Your Child's Physician During Office Hours If:

• The swelling lasts for more than two days.
• The swelling becomes worse.
• You have other questions or concerns.