There’s something fundamentally uncomfortable about waking up in the morning with puffy eyes. You look a little funny, you can often feel the liquid retention in your face, and many times you can’t pinpoint the exact cause of the swelling.

Conditions such as angioedema, a serious allergic reaction, dermatomyositis, an inflammatory disease, and thyroid conditions such as Graves’ disease can lead to puffy eyes. Although there is a chance that your puffiness may be related to a more serious medical issue, swollen under-eyes are typically very manageable and your body’s natural response to a high-sodium diet, sleep cycle, or gradual aging, among other causes. Many notice their enlarged bags first thing in the morning and the condition should improve as the day goes on and resolve over time.

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