Differential Diagnosis for Morning Puffy Eyes and Nasal Congestion
- Single Most Likely Diagnosis
- Allergic Rhinitis: This condition is characterized by an allergic reaction to airborne particles such as pollen, dust mites, or pet dander, leading to nasal congestion and puffy eyes due to increased histamine release.
- Other Likely Diagnoses
- Sinusitis: Inflammation of the sinuses can cause nasal congestion and puffy eyes, especially if the sinuses are infected or if there is an anatomical obstruction.
- Environmental Allergens: Exposure to environmental allergens like mold or pet dander can cause similar symptoms.
- Sleep Apnea or Poor Sleep Position: Sleeping on one's side or having sleep apnea can lead to puffy eyes due to fluid accumulation.
- Do Not Miss Diagnoses
- Angioedema: A severe, potentially life-threatening allergic reaction that can cause rapid swelling of the face, lips, tongue, and throat, which may present with puffy eyes and nasal congestion.
- Orbital Cellulitis: A bacterial infection of the tissues surrounding the eye, which can cause swelling, redness, and pain, and may lead to serious complications if not promptly treated.
- Thyroid Ophthalmopathy: Associated with Graves' disease, this condition can cause exophthalmos (bulging eyes) and periorbital swelling.
- Rare Diagnoses
- Sjögren's Syndrome: An autoimmune disorder that can cause dry eyes and nasal passages, potentially leading to morning puffiness and congestion.
- Wegener's Granulomatosis: A rare autoimmune disorder that can affect various parts of the body, including the sinuses and eyes, leading to a range of symptoms including nasal congestion and eye swelling.
- Lymphoma or Other Malignancies: In rare cases, morning puffy eyes and nasal congestion could be symptoms of a malignancy affecting the sinuses, orbits, or lymphatic system.