Why do I wake up with swollen eyelids every day?

Hello,

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I understand your concern. The most common cause is an allergy. I noted that you have had tests done, but there could be so many other allergens not included in the panel. Do you have pets? Sometimes, they can carry allergens into the house from outdoors, especially if they sleep in the same bed with you. You also need to maintain a diary on what you consume daily, even fruits, nuts, or any new food in the past year. Soap, cosmetics, shampoo can be a culprit, especially eye make-up. Try avoiding eye make up for a few weeks, if you use any. Improper sleeping patterns, excessive alcohol can also cause puffy eyes. Systemic causes also need to be ruled out. Kidney dysfunction can cause dependent edema. In the early morning swelling of eyes, the fluid can collect around the eyes as the skin is lax because you are lying flat. You need to have a look at your feet and check if your ankles are swollen later in the day. You can get a Serum creatinine, urea, and potassium to rule that out. As for treatment, you can use ice or cold compress in the morning to reduce the swelling before you go out. I would not recommend long term use of steroid eye drops. Try Olopatadine 0.2 % eye drops twice a day for a month and sees if that brings the swelling down or a combination of that with Ketorolac.