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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Waking Up With Swollen Mouth And Lips. Reason?

I continue to wake up with swollen mouth lips, can be my upper lip or lower lip always happens while I am sleeping, I sleep fine, no problem falling asleep. Sometimes its my tongue but it gets so swollen I look disfigured and takes 24 - 48 hrs to go down, it does not hurt or itch or bleed or get blistered. Someone told me its stess I my brain keeps going even though I think I am sleeping fine, not crazy dreams and not restless. It can b e so annoying cause I never know when it is going to happen
Fri, 7 Jun 2013
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Dentist,  's  Response
Hello,

Without examining you, my best guess is that you may have angioedema. It is a swelling of tissues that is common in the face. It can effect the lips and tongue. Angioedema can be painful or it can be asymptomatic - without pain. It has the potential to be very severe or disfiguring as you described.
Angioedema comes from blood vessels leaking fluid into the tissues, which causes swelling. Urticaria, hives, is common in about half of the cases, but not yours. There are many images online that you can look at to compare to your symptoms.
One of the first actions you can take is an anti-histamine. A common one is diphenhydramine, or bendryl. I would also recommend being examined so that your healthcare professional can rule out other diseases. Best of luck.
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Waking Up With Swollen Mouth And Lips. Reason?

Hello, Without examining you, my best guess is that you may have angioedema. It is a swelling of tissues that is common in the face. It can effect the lips and tongue. Angioedema can be painful or it can be asymptomatic - without pain. It has the potential to be very severe or disfiguring as you described. Angioedema comes from blood vessels leaking fluid into the tissues, which causes swelling. Urticaria, hives, is common in about half of the cases, but not yours. There are many images online that you can look at to compare to your symptoms. One of the first actions you can take is an anti-histamine. A common one is diphenhydramine, or bendryl. I would also recommend being examined so that your healthcare professional can rule out other diseases. Best of luck.