What to do if…
you notice a painful swelling near your eye or nose that is spreading
Short answer
Painful swelling near the eye or nose that is spreading needs urgent, same-day medical care. If you have vision changes, pain with eye movement, fever, severe headache, confusion, or the eye looks pushed forward or bulging, call 911 or go to an emergency room now.
Do not do these things
- Do not wait overnight if the swelling or redness is spreading, increasingly painful, hot, or making you feel ill.
- Do not squeeze, pop, lance, or pick at anything near the nose or eye.
- Do not take leftover antibiotics or someone else’s antibiotics.
- Do not put steroid cream near the eye unless it was prescribed for this exact problem.
- Do not wear contact lenses or eye makeup until a clinician has assessed the swelling.
- Do not drive yourself if you feel faint, confused, have vision changes, or have severe pain; ask someone to take you or use emergency services.
What to do now
- Check for emergency signs. Call 911 or go to an emergency room now if you have any vision change, double vision, pain when moving the eye, trouble moving the eye, an eye that looks pushed forward or bulging, fever, shaking chills, severe headache, vomiting, neck stiffness, confusion, extreme sleepiness, or rapid worsening over hours.
- If there are no emergency signs, still arrange same-day medical assessment. Use urgent care only if they can assess eye-area infections today; go to an emergency room if symptoms are rapidly worsening, the eye itself may be involved, you feel ill, or you cannot get urgent same-day assessment.
- When you check in or call, say: “I have painful swelling near my eye or nose that is spreading. I’m worried about cellulitis or infection near the eye.”
- Do not press on the swelling. Keep your hands away from the area, wash your hands before touching nearby skin, and avoid contact lenses or eye makeup.
- Take one clear photo in good light and note when the swelling started, how fast it is spreading, and whether you have sinus symptoms, dental pain, a skin injury, an insect bite, a pimple, or a boil. Do this only if it does not delay getting care.
- While arranging care, keep your head elevated. A clean cool compress may help comfort, but do not put ice directly on the skin.
- Bring or be ready to list your medicines, allergies, diabetes, immune-system conditions, recent steroid or chemotherapy use, recent dental work, recent sinus infection, and any antibiotic you have already taken.
What can wait
- You do not need to work out the exact cause before being seen.
- You do not need to try home treatments, topical fixes, or “natural antibiotics” first.
- You do not need to decide about imaging, antibiotics, or specialists before the first assessment.
- You do not need to solve insurance paperwork before getting emergency help if emergency signs are present.
Important reassurance
It is reasonable to feel alarmed by swelling in this area. Getting checked quickly is the safest step, and many skin and eye-area infections are treatable when assessed promptly.
Scope note
These are first steps for the next hours only. A clinician may need to check your vision and eye movement and decide whether you need antibiotics, imaging, drainage, or specialist eye care.
Important note
This is general information, not medical advice, a diagnosis, or a substitute for professional care. If symptoms are worsening or any emergency sign is present, seek emergency care immediately.
Additional Resources
- MedlinePlus — Orbital cellulitis
- MedlinePlus — Periorbital cellulitis
- Group A Strep Infection — About Cellulitis
- MedlinePlus — Cellulitis: MedlinePlus Medical Encyclopedia
- Cleveland Clinic — Orbital Cellulitis
- Cleveland Clinic — Periorbital (Preseptal) Cellulitis
- Mayo Clinic — Cellulitis - Symptoms & causes
About this guide
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