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Facial Problems, Noninjury
Topic Overview
Facial 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 Symptoms
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 Treatment
You 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 Now
Based 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 Now
Based on your answers, you need emergency care.
Call 911 or other emergency services now.
Seek Care Today
Based 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 Now
Based on your answers, you need emergency care.
Call 911 or 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.
Home Treatment
Facial 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.
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. |
Be sure to follow these safety tips when you use a nonprescription medicine: |
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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 treatment
Call 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.
Prevention
The 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 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?
Related Information
Credits
ByHealthwise Staff
Primary Medical Reviewer William H. Blahd, Jr., MD, FACEP - Emergency Medicine
Adam Husney, MD - Family Medicine
Kathleen Romito, MD - Family Medicine
Current as ofNovember 20, 2017
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Current as of: November 20, 2017