Facial Problems, Noninjury
Facial Problems, NoninjurySkip to the navigationTopic OverviewFacial problems can be caused by a minor
problem or a serious condition. Symptoms may include pain, swelling, or facial
weakness or numbness. You may feel these symptoms in your teeth, jaw, tongue,
ear, sinuses, eyes, salivary glands, blood vessels, or nerves. Common causes of facial problems include infection, conditions that
affect the skin of the face, and other diseases. Infections- Bacterial infections such as
impetigo and
cellulitis can cause facial pain and oozing blisters
or sores.
- Viral infections such as
shingles may affect nerves in the face or head,
causing severe facial pain or eye problems (keratitis).
- An
infected or blocked
salivary gland or a salivary stone (sialolithiasis)
may cause facial swelling or pain, especially in the parotid gland (parotitis),
which is located near the ear.
- Lyme disease is
an infection that is spread by the bite of ticks infected with bacteria. It
may cause facial pain, headache, stiff neck, or paralysis of the facial
nerves.
Skin conditions- Rosacea is a chronic skin condition
that causes redness on the face, usually on the cheeks, nose, chin, or
forehead.
- Acne commonly occurs on the face,
especially in teens and young adults.
- Seborrheic dermatitis causes red, itchy, flaky skin patches along the eyebrows,
nose, and mouth.
Other conditions and diseases- Sinusitis causes a feeling of pressure
over the facial sinuses. Sinusitis can follow a cold or may be caused by hay fever, asthma,
or air pollution. It is more common in adults, but it can occur in children as
an ongoing (chronic) stuffy nose.
- Dental problems, including infections, can
cause facial pain and swelling in and around the jaw area. Jaw pain may be
caused by a
temporomandibular (TM) disorder. This condition
can cause pain in the
TM joint (located in front of the ear), in the ear, or above the ear.
- Headaches, such
as
migraines or
cluster headaches, can cause severe pain around the
eyes, in the temple, or over the forehead.
Giant cell arteritis generally affects older adults
and may cause headache and pain and may lead to blindness if not treated. For
more information, see the topic
Headaches.
- Trigeminal neuralgia is a condition that causes abnormal stimulation of one of the
facial nerves. It causes episodes of shooting facial pain.
- Closed-angle glaucoma causes vision changes and
severe, aching pain in or behind the eye.
- Conditions that cause
problems with the muscles or nerves in the face include:
- Bell's palsy,
which is caused by paralysis of the facial nerve. Weak and sagging muscles on
one side of the face is the most common symptom. It also may cause an inability
to close one eye and mild pain in the facial muscles.
- Multiple sclerosis, which may affect facial muscle
control and strength, affect vision, and cause changes in feeling or
sensation.
- Myasthenia gravis, which causes facial
muscle weakness leading to drooping eyelids and difficulty talking, chewing,
swallowing, or breathing.
- Facial paralysis from a
stroke.
- Lupus causes inflammation, fatigue, and
a butterfly-shaped rash across the cheeks.
Treatment depends on what is causing your facial
problem. In many cases, home treatment may be all that is needed to relieve
your symptoms. Check your symptoms to decide if and
when you should see a doctor. Check Your SymptomsDo you have a facial problem? How old are you? Less than 4 years Less than 4 years 4 years or older 4 years or older Have you had a head injury in the past 24 hours? Yes Head injury in past 24 hours No Head injury in past 24 hours Have you had an injury to your face in the past 2 weeks? Yes Facial injury in the past 2 weeks No Facial injury in the past 2 weeks Do you have symptoms of shock? Are you having trouble breathing (more than a stuffy nose)? Yes Difficulty breathing more than a stuffy nose No Difficulty breathing more than a stuffy nose Would you describe the breathing problem as severe, moderate, or mild? Severe Severe difficulty breathing Moderate Moderate difficulty breathing Mild Mild difficulty breathing This is more likely if you have had a bad reaction to something in the past. Yes Possible severe allergic reaction (anaphylaxis) No Possible severe allergic reaction (anaphylaxis) In some cases, a heart attack may cause a strange feeling in part of the face, such as the jaw. Yes Symptoms of heart attack No Symptoms of heart attack Have you had any new vision changes? These could include vision loss, double vision, or new trouble seeing clearly. Did you have a sudden loss of vision? A loss of vision means that you cannot see out of the eye or out of some part of the eye. The vision in that area is gone. Do you still have vision loss? Yes Vision loss still present No Vision loss still present Did the vision loss occur within the past day? Yes Vision loss occurred in the past day No Vision loss occurred in the past day Have you had any changes in feeling or movement in your face? Changes could include weakness or loss of movement in part of the face, numbness or tingling, facial drooping, or trouble closing an eye. Yes Changes in feeling or movement in face No Changes in feeling or movement in face Is there any swelling in your face? Was the swelling sudden? Yes Facial swelling was sudden No Facial swelling was sudden Do you think the eyelid or the skin around the eye may be infected? Symptoms could include redness, pus, increasing pain, or a lot of swelling. (A small bump or pimple on the eyelid, called a stye, usually is not a problem.) You might also have a fever. Yes Symptoms of infection around eye No Symptoms of infection around eye Do you have any pain in your face? How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine? 8 to 10: Severe pain Severe pain 5 to 7: Moderate pain Moderate pain 1 to 4: Mild pain Mild pain Do you have any eye pain? Have you had facial pain for: Less than 1 full day (24 hours)? Pain for less than 24 hours 1 day to 1 week? Pain for 1 day to 1 week More than 1 week? Pain for more than 1 week Do you think you may have a fever? Are there red streaks leading away from the area or pus draining from it? Do you have diabetes, a weakened immune system, or any surgical hardware in the area? "Hardware" in the facial area includes things like cochlear implants or any plates under the skin, such as those used if the bones in the face are broken. Yes Diabetes, immune problems, or surgical hardware in affected area No Diabetes, immune problems, or surgical hardware in affected area Do you have a rash or any blisters on your face? Yes Rash or blisters on face No Rash or blisters on face Do you think that a medicine may be causing the facial problem? Think about whether the symptoms started soon after you began using a new medicine or a higher dose of a medicine. Yes Medicine may be causing facial symptoms No Medicine may be causing facial symptoms Have your symptoms lasted longer than 1 week? Yes Symptoms have lasted longer than 1 week No Symptoms have lasted longer than 1 week Many things can affect how your body responds to a symptom and what kind
of care you may need. These include: - Your age. Babies and older
adults tend to get sicker quicker.
- Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart
disease, you may need to pay closer attention to certain symptoms and seek care
sooner.
- Medicines you take. Certain
medicines, herbal remedies, and supplements can cause symptoms or make them
worse.
- Recent health events, such as surgery
or injury. These kinds of events can cause symptoms afterwards or make them
more serious.
- Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug
use, sexual history, and travel.
Try Home TreatmentYou have answered all the questions. Based on your answers, you may be
able to take care of this problem at home. - Try home treatment to relieve the
symptoms.
- Call your doctor if symptoms get worse or you have any
concerns (for example, if symptoms are not getting better as you would expect).
You may need care sooner.
Pain in adults and older children - Severe pain (8 to 10): The pain
is so bad that you can't stand it for more than a few hours, can't sleep, and
can't do anything else except focus on the pain.
- Moderate pain (5 to 7): The pain is bad enough to disrupt your
normal activities and your sleep, but you can tolerate it for hours or days.
Moderate can also mean pain that comes and goes even if it's severe when it's
there.
- Mild pain (1 to 4): You notice the pain,
but it is not bad enough to disrupt your sleep or activities.
Pain in children under 3 years It can be hard to tell how much pain a baby or toddler is in. - Severe pain (8 to 10): The
pain is so bad that the baby cannot sleep, cannot get comfortable, and cries
constantly no matter what you do. The baby may kick, make fists, or
grimace.
- Moderate pain (5 to 7): The baby is
very fussy, clings to you a lot, and may have trouble sleeping but responds
when you try to comfort him or her.
- Mild pain (1 to 4): The baby is a little fussy and clings to you a little but responds
when you try to comfort him or her.
Symptoms of infection may
include: - Increased pain, swelling, warmth, or redness in or
around the area.
- Red streaks leading from the area.
- Pus draining from the area.
- A fever.
Symptoms of a stroke may
include: - Sudden numbness, tingling, weakness, or paralysis
in your face, arm, or leg, especially on only one side of your body.
- Sudden vision changes.
- Sudden trouble speaking.
- Sudden confusion or trouble understanding simple statements.
- Sudden problems with walking or balance.
- A sudden,
severe headache that is different from past headaches.
Symptoms of a severe allergic reaction
(anaphylaxis) may include: - The sudden appearance of raised, red areas (hives)
all over the body.
- Rapid swelling of the throat, mouth, or tongue.
- Trouble
breathing.
- Passing out (losing consciousness). Or you may feel very lightheaded or suddenly feel weak, confused,
or restless.
A severe reaction can be life-threatening. If you have had a
bad allergic reaction to a substance before and are exposed to it again, treat
any symptoms as an emergency. Even if the symptoms are mild at first, they may
quickly become very severe. Symptoms of a heart attack may
include: - Chest pain or pressure, or a strange feeling in the chest.
- Sweating.
- Shortness of
breath.
- Nausea or vomiting.
- Pain, pressure, or a
strange feeling in the back, neck, jaw, or upper belly, or in one or both
shoulders or arms.
- Lightheadedness or sudden
weakness.
- A fast or irregular heartbeat.
The more of these symptoms you have, the more likely it is that
you're having a heart attack. Chest pain or pressure is the most common
symptom, but some people, especially women, may not notice it as much as other
symptoms. You may not have chest pain at all but instead have shortness of breath, nausea, or a strange feeling in your chest or other areas. Shock is a life-threatening condition that may quickly occur
after a sudden illness or injury. Symptoms of shock (most of which will be present) include: - Passing out (losing consciousness).
- Feeling very dizzy or
lightheaded, like you may pass out.
- Feeling very weak or having
trouble standing.
- Not feeling alert or able to think clearly. You
may be confused, restless, fearful, or unable to respond to questions.
Shock is a life-threatening condition that may occur quickly
after a sudden illness or injury. Symptoms of shock in a child may include: - Passing out (losing consciousness).
- Being very sleepy or hard
to wake up.
- Not responding when being touched or talked to.
- Breathing much faster than usual.
- Acting confused.
The child may not know where he or she is.
Symptoms of difficulty breathing can range from mild to severe. For example: - You may feel a little out of breath but still be able to talk (mild difficulty breathing), or you may be so out of breath that you cannot talk at all (severe difficulty breathing).
- It may be getting hard to breathe with activity (mild difficulty breathing), or you may have to work very hard to breathe even when you’re at rest (severe difficulty breathing).
Severe trouble breathing means:
- You cannot talk at all.
- You have to
work very hard to breathe.
- You feel like you can't get enough
air.
- You do not feel alert or cannot think clearly.
Moderate trouble breathing means: - It's hard to talk in full
sentences.
- It's hard to breathe with activity.
Mild trouble breathing means: - You feel a little out of breath but can still talk.
- It's becoming hard to breathe with activity.
Severe trouble breathing means: - The child cannot eat or talk because he or she is
breathing so hard.
- The child's nostrils are flaring and the belly
is moving in and out with every breath.
- The child seems to be
tiring out.
- The child seems very sleepy or confused.
Moderate trouble breathing means: - The child is breathing a lot faster than
usual.
- The child has to take breaks from eating or talking to
breathe.
- The nostrils flare or the belly moves in and out at times
when the child breathes.
Mild trouble breathing means: - The child is breathing a little faster than usual.
- The child seems a little out of breath but can still eat or talk.
Certain health conditions and medicines weaken the immune system's ability to fight off infection and
illness. Some examples in adults are: - Diseases such as diabetes, cancer, heart disease,
and HIV/AIDS.
- Long-term alcohol and drug
problems.
- Steroid medicines, which may be used to treat a variety
of conditions.
- Chemotherapy and radiation therapy for
cancer.
- Other medicines used to treat autoimmune
disease.
- Medicines taken after organ transplant.
- Not
having a spleen.
Make an Appointment Based on your answers, the problem may not improve without medical
care. - Make an appointment to see your doctor in the
next 1 to 2 weeks.
- If appropriate, try home treatment while you
are waiting for the appointment.
- If symptoms get worse or you have
any concerns, call your doctor. You may need care sooner.
Seek Care NowBased on your answers, you may need care right away. The problem is likely to get worse without medical care. - Call your doctor now to discuss the symptoms and
arrange for care.
- If you cannot reach your doctor or you don't have
one, seek care in the next hour.
- You do not need to call an
ambulance unless:
- You cannot travel safely either by driving
yourself or by having someone else drive you.
- You are in an area
where heavy traffic or other problems may slow you down.
Call 911 NowBased on your answers, you need
emergency care. Call911or other emergency services now. Seek Care TodayBased on your answers, you may need care soon. The
problem probably will not get better without medical care. - Call your doctor today to discuss the symptoms
and arrange for care.
- If you cannot reach your doctor or you don't
have one, seek care today.
- If it is evening, watch the symptoms and
seek care in the morning.
- If the symptoms get worse, seek care
sooner.
Call 911 NowBased on your answers, you need
emergency care. Call911or other emergency services now. After you call
911 , the operator may tell you to chew 1 adult-strength (325 mg) or 2
to 4 low-dose (81 mg) aspirin. Wait for an ambulance. Do not try to drive yourself. Head Injury, Age 3 and Younger Head Injury, Age 4 and Older Facial Injuries Home TreatmentFacial or sinus pressure, mild
headache, or nasal stuffiness are common with a cold or
flu. Home treatment can help relieve your
symptoms. - Drink plenty of fluids. Extra fluids help keep
mucus thin and draining, which may help prevent blockage of the sinuses.
- Use a
humidifier to keep the air in your home
moist.
- Inhale steam from a vaporizer, or take long, steamy showers.
You may also try breathing the moist air from a bowl of hot water. Put a towel
over your head and the bowl to trap the moist air. Make sure the water isn't
too hot. Be careful not to get burned by the hot water or
steam.
- Use
saltwater nasal washes to help keep the nasal passages
open and wash out mucus and bacteria. People who have postnasal drip and are age 8 and older can gargle often with warm salt water to help prevent a sore throat. [Add 1 tsp (5 g) salt to
16 fl oz (500 mL) of water.]
- Put warm, wet
compresses on your eyes and cheekbones if you have pain around that area.
Washcloths dipped in hot water work well. Make sure the water is not too hot so
you do not get burned.
- Avoid alcohol. It makes the tissues lining
your nose and sinuses swell up.
- Do not swim in chlorinated swimming
pools. Chlorine can irritate nasal and sinus linings.
- Elevate your
head at night. Some people find it helpful to sleep on 2 or 3
pillows.
- Use a decongestant or a steroid nasal spray if you have a stuffy nose (congestion). Be safe with medicines. Read and follow all instructions on the label.
- Decongestants may not be safe for young children or for people who have certain health problems. Before you use them, check the label. If you do use these medicines, always follow the directions about how much to use based on age and, in some cases, weight.
- Don't use a nasal decongestant longer than the label says. Continued use may lead to a rebound effect, which causes the mucous membranes to become more swollen than they were before you started using the spray.
- Check with your doctor before using
nonprescription medicines if you have high blood pressure or kidney disease.
Do not smoke or use other tobacco products. Smoking slows
healing because it decreases blood supply and delays tissue repair. For more
information, see the topic
Quitting Smoking. Medicine you can buy without a prescription Try a nonprescription
medicine to help treat your fever or pain: |
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Talk to your child's doctor before switching back and
forth between doses of acetaminophen and ibuprofen. When you switch between two
medicines, there is a chance your child will get too much medicine. | Safety tips Be sure to follow these
safety tips when you use a nonprescription medicine: |
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- Carefully read and follow all directions
on the medicine bottle and box.
- Do not take more than the
recommended dose.
- Do not take a medicine if you have had an
allergic reaction to it in the past.
- If
you have been told to avoid a medicine, call your doctor before you take
it.
- If you are or could be pregnant, do not take any medicine other
than acetaminophen unless your doctor has told you to.
- Do not give aspirin to anyone younger than age 20 unless your doctor tells you to.
| For home treatment measures on other types of facial
symptoms, such as eye, nose, mouth, or ear, see the specific topic in Related
Information. Symptoms to watch for during home treatmentCall your doctor if any of the following occur during home
treatment: - Facial pain or swelling
increases.
- Vision changes develop.
- Painful facial rash
develops.
- Facial feeling or sensation changes
develop.
- Symptoms become more severe or more frequent.
PreventionThe following home treatment measures may
help prevent
sinusitis: - Use a humidifier to keep the air in your home
moist.
- Treat colds promptly. Blow your nose gently. Do not close
one nostril when blowing your nose.
- Drink extra fluids when you
have a cold. This helps keep mucus thin and draining.
- Do not drink
alcohol. It makes the tissues lining your nose and sinuses swell
up.
- Do not smoke or use other tobacco products. Smokers are more
prone to sinusitis. Also, avoid secondhand
smoke. For more information, see the topic
Quitting Smoking.
- Use a
decongestant nasal spray before or during airplane
flights, especially during landing.
Preparing For Your AppointmentTo prepare for your appointment, see the topic Making the Most of Your Appointment. You can help your
doctor diagnose and treat your condition by being prepared to
answer the following questions: - What are your main symptoms? How long have you
had your symptoms?
- Have you had this problem before? If so, how was
it treated?
- What makes your symptoms better or
worse?
- Have you recently had a cough, cold symptoms, allergies, or
headaches? Be prepared to describe any nasal drainage or sputum coughed up, or
the location and severity of headaches.
- Have you had an injury to
this area? Do you have any continuing problems because of a previous
injury?
- What home treatment measures have you tried? Did they
help?
- What prescription or nonprescription medicines do you
take?
- Do you have any
health risks?
CreditsByHealthwise Staff Primary Medical ReviewerWilliam H. Blahd, Jr., MD, FACEP - Emergency Medicine Current as ofMarch 20, 2017 Current as of:
March 20, 2017 Last modified on: 8 September 2017
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