Daughter with swollen upper lip

Resolved question:
My 4 year old daughter has a sudden swollen upper left lip. We don't know what caused it and unsure if any allergen is involved. The swelling started around 9 hours ago before bedtime and she is yet to wake up.

What can be the cause?
Should we bring her to the emergency?

Her medical background:
She occasionally gets hives once every two months with her eyes and bridge of her nose puffy and swollen. She also had Kawasaki when she was 7 months old and had an IVIG drip with aspirin therapy for several months. That stopped when she reached 1 year old.

Submitted: 4 Days
Category: Pediatrician

Expert:  Dr. Saptharishi L G replied 4 Days.

Dear Parent,

Thank you for your consult at DoctorSpring.com.

The description appears to be a manifestation of a hypersensitivity/ allergic reaction to an unknown allergen. The swelling part does not appear to immediately life-threatening, though I would recommend that any child with allergic manifestation involving the mucosal surfaces be assessed in a paediatric emergency setting. The fact that she has not woken up yet, is worrisome. Kindly bring her to paediatric emergency for further evaluation. She may require anti-inflammatory/ anti-allergic medications.

On the long term, she needs to be evaluated for underlying atopy-allergy spectrum and needs to be started on preventive therapies. Identification of the allergens would also become a priority as sometimes, allergen exposure can lead to life threatening anaphylactic reactions in certain sub-group of children.

Hope this helps, please feel free to discuss further.

Regards
Dr. Saptharishi L G
MBBS, MD (Pediatrics), PGDCRL

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