I am having face puffiness from 4 weeks going ups and down the puffiness started after supari and tambaku consumption and I have left it before 4 weeks and I also have throat infection and cold flu before 4 weeks the puffiness is not going when I am busy or take the steam it reduces but when I sit it comes back
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Possible Causes of Persistent Facial Puffiness
1. Post-infectious / allergic
Cold/flu or throat infection can cause sinus congestion → puffiness under eyes, worsens on sitting due to venous congestion.
Allergic rhinitis or sinusitis can mimic this.
2. Kidney involvement (very important in teenagers)
Post-streptococcal glomerulonephritis (after throat infection).
Classically causes facial puffiness, periorbital edema, especially in the morning.
Needs urine test (proteinuria/hematuria) and renal function tests.
3. Nutritional / lifestyle
High salt intake, irregular sleep, dehydration.
4. Less likely but to be kept in mind
Thyroid disorders (hypothyroidism → periorbital puffiness, generalized edema).
Nephrotic syndrome.
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Red Flags to Rule Out Immediately
Puffiness with swelling of legs, decreased urine, frothy urine, or cola-colored urine → suggests kidney disease.
Persistent puffiness despite rest.
Shortness of breath, generalized swelling.
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What Should Be Done
1. Clinical examination (BP, edema, throat check).
2. Investigations
Urine routine & microscopy (protein, RBC).
Serum creatinine, urea.
ASO titer (if recent throat infection).
Thyroid profile (if persistent).
3. ENT evaluation if sinus/allergic cause suspected.
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Advice for the Patient
Since puffiness is persistent for 4 weeks, he should not ignore it.
Needs at least a urine test + kidney function test to rule out kidney involvement after throat infection.
Avoid excess salt, ensure good hydration, proper sleep.
Continue to avoid tobacco/supari completely.
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👉 In short: This is not just from supari/tambaku. The most concerning possibility is post-infectious kidney problem (post-streptococcal glomerulonephritis or nephrotic syndrome), so a doctor visit and urine test are strongly advised.
Next Steps
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I’ll guide you step-by-step with easy-to-follow treatment and lifestyle plans.
Lack of hydration ?
Lack of protein ?
Add natural source of protein, sprouts, lots of Daal, paneer, cheez
etc.
Need lot of patience.
Adv
Thyroid profile, hb
Urine complete n microscopic.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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