Lip, Swollen (Local Allergic Reaction)

What is causing my child's lip to swell?

The sudden swelling of a lip that hasn't been injured is usually caused by a local 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.

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.

How can I take care of my child?

  1. Wash the lips and face with soap and water to remove any irritating substances.
  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. Diphenhydramine (Benadryl) is available without a prescription. The main side effect of this drug is drowsiness. Other antihistamines (for example, store brands of any drug for hay fever) will also help. Diphenhydramine tends to give better results than other antihistamines. 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.

When should I call my child's healthcare provider?

Call IMMEDIATELY if:

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

Call during office hours if:

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

Written by B.D. Schmitt, MD, author of "Your Child's Health," Bantam Books.
Published by RelayHealth.
© 2009 RelayHealth and/or its affiliates. All Rights Reserved.