Swollen eyelids from glandular fever can be uncomfortable, affecting your vision and overall appearance. Glandular fever, caused by the Epstein-Barr virus, can lead to various symptoms, including fatigue, fever, and inflammation. One of the most distressing symptoms is swollen eyelids, which may occur due to the body’s immune response to the virus. In this article, we will explore 7 proven ways to reduce swollen eyelids from glandular fever, so you can find relief and improve your quality of life.
What are the red flags of glandular fever?
Glandular fever, also known as infectious mononucleosis, is caused by the Epstein-Barr virus (EBV) and is most commonly seen in teenagers and young adults. While many of its symptoms resemble common viral infections, certain “red flags” may indicate glandular fever or a more severe case of the infection. These red flags help differentiate glandular fever from other conditions and signal when immediate medical attention is needed.
Here are the key red flags of glandular fever:
1. Persistent, Severe Fatigue
- One of glandular fever’s hallmark symptoms is extreme, prolonged fatigue that lasts weeks or even months. This fatigue can interfere with daily activities and persist even after the initial flu-like symptoms subside.
- Red flag: If the fatigue is overwhelming, lasting more than a few weeks, or severely impacting daily functioning, it could indicate glandular fever.
2. Swollen Lymph Nodes
- Glandular fever often causes neck, armpits, and groin lymph nodes to swell significantly. These nodes may feel tender and enlarged, and the swelling can persist for weeks.
- Red flag: If the lymph nodes are persistently enlarged, tender, or painful, particularly if they continue to grow or don’t improve with rest and hydration.
3. Sore Throat (Pharyngitis)
- A severe sore throat is one of the primary symptoms of glandular fever. Unlike a typical sore throat, it can last for weeks, and tonsils may become very inflamed, sometimes developing a white or yellow coating.
- Red flag: A sore throat that is extremely painful, prolonged (lasting more than 10-14 days), and accompanied by significant tonsil swelling or difficulty swallowing may indicate glandular fever.
4. High Fever
- Fevers associated with glandular fever can be persistent and high, often reaching 101°F (38.3°C) or higher. This fever can last several days or longer, and patients may experience chills or night sweats.
- Red flag: If the fever is consistently high for more than a week or if it fluctuates dramatically, especially when combined with other symptoms like fatigue and swollen glands.
5. Splenomegaly (Enlarged Spleen)
- The spleen can become enlarged in up to 50% of people with glandular fever. This swelling makes the spleen more vulnerable to rupture, which is a medical emergency.
- Red flag: If you experience pain in the upper left side of your abdomen, especially with deep breathing or physical activity, or if you have any symptoms of internal bleeding (e.g., sharp abdominal pain, dizziness, fainting), seek medical help immediately.
6. Hepatomegaly (Liver Involvement)
- In some cases, glandular fever can lead to liver inflammation (hepatitis), resulting in an enlarged liver.
- Red flag: Jaundice (yellowing of the skin or eyes), dark urine, or persistent nausea and abdominal pain may indicate liver involvement, which requires medical attention.
7. Rash
- Some people with glandular fever develop a rash, particularly if they have been treated with certain antibiotics like ampicillin or amoxicillin. The rash typically appears as small red or pink spots on the skin.
- Red flag: If you develop an unexplained rash, particularly after taking antibiotics, it’s important to notify your healthcare provider.
8. Difficulty Breathing or Swallowing
- Severe swelling of the tonsils or lymph nodes can cause difficulty breathing or swallowing, which can become a serious issue.
- Red flag: If you are experiencing shortness of breath, wheezing, or difficulty swallowing liquids, it is crucial to seek immediate medical attention, as this could indicate airway obstruction.
9. Prolonged Illness or Recurrent Symptoms
- While the acute symptoms of glandular fever usually last for 2-4 weeks, some people may experience ongoing symptoms, including fatigue and muscle aches, for months. This prolonged recovery is known as post-viral fatigue.
- Red flag: If symptoms persist for longer than three months or new symptoms (like pain, fatigue, or cognitive difficulties) appear after the initial illness has improved, it could indicate a complication or chronic fatigue syndrome (CFS/ME).
10. Severe Headache or Stiff Neck
- In rare cases, glandular fever can cause complications like meningitis (inflammation of the protective membranes surrounding the brain and spinal cord).
- Red flag: A severe headache, stiff neck, sensitivity to light (photophobia), or confusion can be warning signs of meningitis, and immediate medical attention is required.
11. Chest Pain or Palpitations
- Though rare, glandular fever can cause complications that affect the heart, such as myocarditis (inflammation of the heart muscle).
- Red flag: Any chest pain, rapid heart rate, palpitations, or shortness of breath should prompt urgent medical evaluation.
12. Severe Joint Pain or Swelling
- Glandular fever can occasionally cause joint inflammation or pain, similar to symptoms of arthritis, particularly in younger individuals.
- Red flag: Sudden onset of severe joint pain, swelling, or stiffness could indicate a more serious complication, and you should consult a healthcare provider.
How long does glandular fever swelling last?
Swelling from glandular fever typically lasts 1 to 2 weeks, though swollen lymph nodes or tonsils may persist for up to 3 weeks. In some cases, mild swelling, especially of the lymph nodes or spleen, can last for several months. If swelling persists beyond 4 weeks or worsens, consult a healthcare professional.
What are the symptoms of a flare-up of glandular fever?
A flare-up of glandular fever, or reactivation of the Epstein-Barr virus, can cause symptoms similar to the initial infection. Common symptoms include:
- Extreme fatigue – Persistent tiredness, even after rest.
- Sore throat – Often severe, with swollen tonsils.
- Swollen lymph nodes – Particularly in the neck, armpits, or groin.
- Fever – Low-grade to high fever, often with chills.
- Headache – Moderate to severe headaches.
- Muscle aches – General body aches and weakness.
- Swollen spleen – Pain or discomfort in the upper left abdomen.
- Loss of appetite – Accompanied by nausea or a general feeling of malaise.
If these symptoms return or worsen, it could indicate a flare-up of glandular fever.
Why is my glandular fever not going away?
Glandular fever can take several weeks or even months to fully resolve because the Epstein-Barr virus remains in the body for life. If your symptoms are not going away, it may be due to prolonged recovery, post-viral fatigue, or complications like a weakened immune system. Stress, lack of rest, or secondary infections can also slow down recovery. If symptoms persist beyond three months, consult a healthcare provider for further evaluation.
What is the fastest way to recover from glandular fever?
Dealing with swollen eyelids can be frustrating, but several remedies can help you manage the swelling and discomfort. Below, we discuss 7 effective treatments you can try at home or seek medical advice for.
Apply Cold Compress
Applying a cold compress is one of the fastest ways to reduce inflammation and soothe swollen eyelids. The cool temperature constricts blood vessels and decreases fluid retention, leading to reduced swelling.
To do this:
- Wrap a few ice cubes in a clean cloth or use a cold gel pack.
- Gently place it over your closed eyelids for 10-15 minutes.
- Repeat this several times throughout the day for best results.
Cold compresses not only relieve swelling but also provide relief from itching or discomfort caused by swollen eyelids due to glandular fever.
Stay Hydrated
Hydration plays a critical role in managing swollen eyelids. When you are dehydrated, your body retains water to compensate, which can exacerbate swelling around your eyes. Drinking sufficient water throughout the day can help flush out toxins, reduce inflammation, and promote faster healing.
Incorporate hydrating foods like cucumbers, watermelon, and leafy greens into your diet to boost your water intake. Herbal teas like chamomile or green tea can also have anti-inflammatory effects, helping to soothe swollen eyelids from glandular fever.
Use Antihistamines
In some cases, swollen eyelids from glandular fever may be aggravated by allergic reactions, which cause further inflammation. Over-the-counter antihistamines can help reduce allergic reactions, preventing the body from releasing histamines that cause swelling.
Common antihistamines such as loratadine or cetirizine can alleviate symptoms like itching, redness, and swelling. However, be sure to consult a healthcare provider before taking any medication to ensure it doesn’t interfere with other treatments for glandular fever.
Get Plenty of Rest
Rest is essential for recovery from glandular fever, as the body needs time to fight off the viral infection. Fatigue is one of the most common symptoms of glandular fever, and without adequate rest, the body’s immune response can weaken, prolonging recovery and potentially worsening symptoms such as swollen eyelids.
Make sure to get 7-9 hours of uninterrupted sleep each night, and take breaks during the day if you feel fatigued. Reducing physical exertion will give your immune system the energy it needs to combat the virus effectively, which can also help reduce eyelid swelling.
Avoid Contact Lenses
If you wear contact lenses, it is crucial to avoid them while your eyelids are swollen. Contact lenses can irritate the eyes further and potentially introduce bacteria, which could lead to infections or exacerbate the existing inflammation.
Switch to glasses until your symptoms improve. Also, ensure you maintain good eye hygiene by washing your hands before touching your eyes and avoiding rubbing them.
Maintain Good Hygiene
Maintaining good hygiene is critical in preventing secondary infections that could make swollen eyelids worse. Gently cleanse your eyelids with a mild, hypoallergenic cleanser, and avoid using any harsh chemicals or makeup around your eyes during this period.
If your eyes feel dry or irritated, consider using sterile saline eye drops to rinse them. This will not only help keep your eyes clean but also provide relief from irritation associated with swollen eyelids.
Consult a Doctor
If your swollen eyelids persist or worsen despite trying the above remedies, it is essential to seek medical advice. Persistent swelling may indicate an underlying issue, such as a bacterial infection or more severe inflammation, that requires professional treatment.
Your doctor may prescribe anti-inflammatory medications or suggest other treatments to reduce swelling. In rare cases, if glandular fever leads to more severe complications affecting the eyes, further medical intervention may be necessary.
